SRP-5051 is a next-generation peptide phosphorodiamidate morpholino oligomer (PPMO) treatment for patients with DMD amenable to exon 51 skipping.
SRP-5051 is designed to work similarly to Exondys 51 (eteplirsen), an older Exon 51-skipping therapy developed by Sarepta
Data from Part B of MOMENTUM found that at the higher target dose, approximately 30 mg/kg dosed every four weeks, SRP-5051 resulted in mean dystrophin expression of 5.17% and mean exon skipping of 11.11% at 28 weeks (n=20).
Low dose results at 28 weeks (~20 mg/kg, dosed every four weeks, n=20):
- 2.81% mean dystrophin expression as measured by western blot
- 1.60% mean change from baseline, P= 0.0012
- Mean exon skipping of 2.47%, as measured by ddPCR, and a mean change from baseline in exon skipping of 2.00%
- The changes from baseline represent a 4.3-fold increase in dystrophin expression and a 4.9-fold increase in exon skipping compared to a weekly 30 mg/kg dose of eteplirsen at 24 weeks.
There were seven serious, treatment-emergent adverse events in MOMENTUM Part B, four severe hypomagnesemia events, and three serious cases of hypokalemia (Low potassium).
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