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Open-Label Extension Study of BBP-418 (Ribitol) for LGMD2I/R9
Sponsor: ML Bio Solutions, Inc.
Summary
This is an open-label extension (rollover) study designed to evaluate the long-term safety and efficacy of BBP-418 (ribitol) in participants with limb-girdle muscular dystrophy type 2I/R9 (LGMD2I/R9) who have previously participated in Study MLB-01-005 (Fortify). Participants will receive BBP-418 administered orally at protocol-defined doses and schedules. The study will assess long-term safety through monitoring of adverse events, clinical laboratory evaluations, and other safety assessments. Efficacy will be evaluated using functional measures and other clinical endpoints relevant to LGMD2I/R9. Participants will be followed for up to 36 months, with a final safety follow-up assessment conducted approximately 30 days after the last dose of study drug.
Official title: An Open-Label Extension Study to Evaluate the Long-Term Safety and Efficacy of BBP-418 (Ribitol) in Participants With Limb-Girdle Muscular Dystrophy 2I/R9 (LGMD2I/R9)
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
107
Start Date
2026-06-05
Completion Date
2030-10
Last Updated
2026-07-01
Healthy Volunteers
No
Interventions
BBP-418 (ribitol)
Drug: BBP-418. Single arm. Participants who completed Study MLB-01-005 and meet eligibility criteria will receive BBP-418 (ribitol) taken orally twice daily at 9 or 12g (based on body weight measured) for up to 36 months.
Locations (20)
Arkansas Children's Hospital
Little Rock, Arkansas, United States
University of California Irvine Medical Center
Orange, California, United States
University of Colorado Hospital (UCH) - Anschutz Medical Campus
Aurora, Colorado, United States
University of Florida Health Center for Pediatric Neuromuscular and Rare Diseases
Gainesville, Florida, United States
University of Iowa Stead Family Children's Hospital
Iowa City, Iowa, United States
University of Kansas Medical Center (KUMC)
Kansas City, Kansas, United States
Kennedy Krieger Institute
Baltimore, Maryland, United States
University of Minnesota Medical School
Minneapolis, Minnesota, United States
Washington University School of Medicine
St Louis, Missouri, United States
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Children's Hospital of the Kings Daughters
Norfolk, Virginia, United States
Royal Brisbane and Women's Hospital
Brisbane, Australia
Rigshospitalet, Neuromuscular Clinic and Research Unit
Copenhagen, Denmark
Charité Universitätsmedizin Berlin and Max Delbrück Center
Berlin, Germany
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
Milan, Italy
Leids Universitair Medisch Centrum
Leiden, Netherlands
Universitetssykehuset Nord-Norge, Department of Neurology
Tromsø, Norway
UCL Great Ormond Street Hospital
London, United Kingdom
Newcastle University - John Walton Muscular Dystrophy Research Centre
Newcastle upon Tyne, United Kingdom