Dyne Therapeutics Reports Positive Results from Phase 1/2 DELIVER Trial of Z-Rostudirsen for DMD
WALTHAM, Mass., December 8, 2025 (GLOBE NEWSWIRE) — Dyne Therapeutics, Inc. (Nasdaq: DYN), a leading clinical-stage company focused on improving the lives of individuals with genetically driven neuromuscular diseases, has announced promising topline results from the Registrational Expansion Cohort (REC) of its Phase 1/2 DELIVER trial. This study evaluates zeleciment rostudirsen (also known as DYNE-251) in treatment for patients with Duchenne muscular dystrophy (DMD) amenable to exon 51 skipping.
Key Findings from the DELIVER Trial
The REC successfully met its primary endpoint, showcasing a statistically significant increase in muscle content-adjusted dystrophin expression, reaching 5.46% of normal levels at six months (p<0.0001). This replicates the earlier observed seven-fold change from baseline noted in the registrational dose.
- Functional Improvements: Significant functional enhancements were recorded across multiple clinical endpoints, including measures of lung function, which remained stable compared to decline in the placebo group.
- Long-term Efficacy: New results indicate sustained functional improvement across all assessed endpoints through 24 months.
- Safety Profile: The study demonstrated a continued favorable safety and tolerability profile for z-rostudirsen.
Future Plans for U.S. Accelerated Approval
Dyne Therapeutics is on track to apply for U.S. Accelerated Approval in Q2 2026. The potential launch could take place in Q1 2027, contingent upon obtaining Priority Review status for a market that includes approximately 1,600 individuals facing significant unmet needs for DMD treatments.
John Cox, the company’s President and CEO, expressed optimism regarding the trial results, stating, “With its high level of dystrophin expression, favorable safety profile, and functional improvements, z-rostudirsen has the potential to transform care for those living with DMD.”
Expert Commentary on Clinical Results
Perry Shieh, M.D., Ph.D., a principal investigator for the DELIVER trial at UCLA, noted the long-standing need for effective therapies in the Duchenne community. “The results from the placebo-controlled REC and the longer-term portions of DELIVER offer hope for altering the disease's trajectory for those with DMD,” he stated.
Doug Kerr, M.D., Ph.D., Chief Medical Officer of Dyne, emphasized the clinical significance of the results, acknowledging the contributions of participants and their families in advancing this therapy.
Summary of the DELIVER Trial's Registrational Expansion Cohort
The DELIVER trial’s REC enrolled 32 ambulant and non-ambulant males with DMD aged 4 to 16, all with mutations suited for exon 51 skipping. Key insights from the six-month data include:
- Dystrophin Levels: A mean absolute dystrophin expression of 5.46% of normal was achieved, with the treatment replicating previous findings.
- Functional Measures: Significant improvements were observed in Time to Rise Velocity and 10-Meter Walk/Run Velocity relative to baseline and the placebo group, generating nominal p-values < 0.05.
- Lung Function Preservation: FVC%p demonstrated stability in treated participants compared to a decline in the placebo cohort, addressing a major concern in DMD mortality.
Long-Term Safety and Efficacy Profile
Data observed throughout the trial indicate a continued favorable safety and tolerability profile for z-rostudirsen, with most adverse events classified as mild or moderate. As the company prepares for potential regulatory submission, the outcomes from all 86 participants enrolled in the DELIVER trial will form the cornerstone of their application for U.S. Accelerated Approval.