Losmapimod for Facioscapulohumeral Muscular Dystrophy

No longer recruiting at 18 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Fulcrum Therapeutics
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the safety and tolerance of long-term use of Losmapimod, a treatment for Facioscapulohumeral Muscular Dystrophy (FSHD1). FSHD1 is a genetic muscle disorder that weakens the face, shoulders, and upper arms. Participants will take Losmapimod pills twice daily. This trial suits those with FSHD1 confirmed by genetic testing and who participated in the ReDux4 study. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

You may need to stay on a stable dose of any medications or supplements that affect muscle function for at least 3 months before starting the study and continue on that dose during the study. Any changes to your medication can only be made for strict medical reasons.

Is there any evidence suggesting that Losmapimod is likely to be safe for humans?

Research has shown that Losmapimod is generally well-tolerated by over 3,600 people in various studies. Although these studies did not specifically target rare or muscular conditions, this broad use suggests it may be safe for many individuals. In studies focused on facioscapulohumeral muscular dystrophy (FSHD), researchers also assessed Losmapimod for safety. The results indicated it was well-tolerated, with most participants not experiencing severe side effects.

This trial examines long-term use, so researchers are closely monitoring safety over an extended period. The progression of Losmapimod to this stage of testing suggests that earlier studies did not identify major safety issues. However, like any treatment, some side effects may occur, so discussing any concerns with the study team is important.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for Facioscapulohumeral Muscular Dystrophy (FSHD), which mainly focus on managing symptoms, Losmapimod works by targeting a specific protein pathway linked to muscle inflammation and degeneration. This drug is taken orally at a dose of 15 mg twice daily, offering a convenient administration method compared to other treatments that might require injections or infusions. Researchers are excited about Losmapimod because it represents a novel approach that could potentially slow down or alter the disease progression, offering hope for more effective management of FSHD.

What evidence suggests that Losmapimod might be an effective treatment for FSHD1?

Research has shown that Losmapimod, the treatment under study in this trial, may help treat facioscapulohumeral muscular dystrophy (FSHD). In earlier studies, patients experienced improvements in muscle strength and abilities, such as reach distance. Specifically, one study found a 9.63% increase in shoulder strength, which is crucial for muscle function. Losmapimod has also been associated with better muscle size and quality. While these results are promising, further research is needed to understand its long-term benefits for FSHD.14678

Who Is on the Research Team?

MJ

Marie-Helene Jouvin, MD

Principal Investigator

Fulcrum Therapeutics

Are You a Good Fit for This Trial?

This trial is for adults aged 18-65 with Facioscapulohumeral Muscular Dystrophy (FSHD) who were in the ReDux4 study. Participants must be able to follow the study plan and use approved birth control methods. Those with illnesses that could affect results or pose risks, allergies, heart or brain diseases, other muscle disorders, or significant mental illness cannot join.

Inclusion Criteria

Will practice an approved method of birth control
The patient must have consented to participate and must have provided signed, dated and witnessed an IRB-approved informed consent form that conforms to federal and institutional guidelines
I am willing and able to follow the study's schedule, treatments, tests, and guidelines.
See 1 more

Exclusion Criteria

I've been on a stable dose of medication or supplements that could affect muscle function for at least 3 months.
I do not have any health conditions that could interfere with the study or increase risk from the study drug.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 15 mg of losmapimod by mouth twice daily for a total of 30 mg daily

48 weeks
Clinic visits approximately every 12 weeks

Open-label extension

Participants continue to receive losmapimod until 90 days after it becomes commercially available or the study is closed

Up to 60 months
Clinic visits approximately every 12 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Losmapimod
Trial Overview The trial tests Losmapimod's long-term safety and effectiveness in treating FSHD. It's an open-label extension meaning all participants know they are receiving Losmapimod and there is no placebo group involved.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: LosmapimodExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Fulcrum Therapeutics

Lead Sponsor

Trials
8
Recruited
680+
Headquarters
Cambridge, United States

Published Research Related to This Trial

Losmapimod was found to be well tolerated in both healthy volunteers and patients with facioscapulohumeral dystrophy (FSHD), with no serious adverse events reported, indicating a good safety profile for this medication.
The study demonstrated dose-dependent pharmacokinetics and target engagement in both blood and muscle, suggesting that losmapimod effectively reaches its intended sites of action, supporting its advancement to Phase 2 trials for FSHD.
Phase 1 clinical trial of losmapimod in facioscapulohumeral dystrophy: Safety, tolerability, pharmacokinetics, and target engagement.Mellion, ML., Ronco, L., Berends, CL., et al.[2022]
The FSHD-COM, a new functional outcome measure for facioscapulohumeral muscular dystrophy (FSHD), showed excellent test-retest reliability with an intraclass correlation coefficient of 0.96, indicating it is a consistent tool for assessing patient function.
This composite measure demonstrated strong correlations with established disease metrics, suggesting it effectively reflects the severity and impact of FSHD, making it suitable for use in future clinical trials.
Facioscapulohumeral muscular dystrophy functional composite outcome measure.Eichinger, K., Heatwole, C., Iyadurai, S., et al.[2020]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38631764/
Safety and efficacy of losmapimod in facioscapulohumeral ...These findings have informed the design and choice of efficacy endpoints for a phase 3 study of losmapimod in adults with facioscapulohumeral muscular dystrophy ...
The recent clinical trial of losmapimod for the treatment ...Phase I/II clinical trials showed promising functional improvements in muscle strength and reachable workspace, despite showing no significant reduction in DUX4 ...
NCT04003974 | Efficacy and Safety of Losmapimod in ...This is a study to evaluate the safety and efficacy of Losmapimod in treating patients with Facioscapulohumeral Muscular Dystrophy (FSHD) over 48 weeks.
Results of losmapimod and antioxidants in FSHDThe results of a trial conducted at Montpellier University Hospital (NCT01596803) showed an improvement in muscle volume and quality, muscle strength and ...
Fulcrum Therapeutics Announces Topline Results from Phase ...Shoulder Abductor Strength as measured by Hand-Held Dynamometry: Participants receiving losmapimod demonstrated a 9.63% improvement in abductor ...
Safety and efficacy of losmapimod in facioscapulohumeral ...The ReDUX4 study is a phase 2b trial that was designed to assess the safety and efficacy of losmapimod in people with facioscapulohumeral muscular dystrophy.
Safety and Tolerability Data with Losmapimod in FSHDLosmapimod has been generally well-tolerated in more than 3,600 subjects across multiple clinical studies performed in non-rare, non-muscular indications,.
The recent clinical trial of losmapimod for the treatment of ...Phase I/II clinical trials showed promising functional improvements in muscle strength and reachable workspace, despite showing no significant ...
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