At a glance
ClinicalIndex Comparison Record- ✓Clinical diagnosis of DM-1 confirmed by: clinically evident myotonia, muscle weakness in characteristic distal-predominant distribution, and similar findings in a first-degree relative
- ✓Age 21 to 60 years inclusive
- ✓Ability to walk 30 feet without assistance (cane and leg bracing permitted)
- ✓Distal muscle strength ≤MRC grade 4 (ankle dorsiflexors or deep finger flexors) AND proximal/mid-limb strength ≥MRC grade 4- (knee/elbow/shoulder/hip flexors or extensors)
- ✕Congenital DM-1
- ✕Prior treatment with glucocorticoids, anabolic steroids, testosterone, growth hormone, or IGF-I within 1 year of entry, or any investigational agent within 60 days of entry
- ✕Any history of malignancy except surgically cured skin cancer or pilomatricoma
- ✕BMI >30 or weight >100 kg
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Effects of SomatoKine (Iplex) (rhIGF-I/rhIGFBP-3) in Myotonic Dystrophy Type 1 (DM1)
In Brief
A Phase 2 clinical trial evaluating SomatoKine/IPLEX for Myotonic Dystrophy. Completed, enrolled 17 participants across 1 site.
Detailed Summary
The aim of this study is to investigate the safety and feasibility of daily subcutaneous injections of recombinant IGF1 complexed with IGF binding protein 3 (SomatoKine-INSMED) as a treatment for muscle wasting and weakness in myotonic dystrophy type 1.
Study Details
Timeline
Interventions
Cohort 1: self-administered subcuteanous injections of 0.5 mg/kg/day of iPlex for 8 weeks, followed by 1.0 mg/kg/day of iPlex for 16 weeks. Cohort 2: consecutive 8 week treatments of 0.5, 1.0, and 2.0 mg/kg/day of iPlex for a total of 24 weeks by self-administered subcuteanous injection.