In a 105-day mdx mouse study, daily oral givinostat reduced muscle fibrosis. Functional responses depended on dose and endpoint: 5 mg/kg/day improved treadmill performance at months 1 and 2, whereas a significant reduction in post-exercise diaphragm Evans blue uptake was reported only at 10 mg/kg/day. [2]
In mdx mice receiving an exon-23-targeted palm-tcDNA antisense oligonucleotide, the givinostat co-treatment group had 1.44-fold greater dystrophin protein restoration than the ASO-alone group (p = 0.0076). The 1.21-fold increase in exon skipping was not statistically significant (p = 0.1916). These are combination-treatment comparisons. [3]
In the more severe D2.B10 mouse model, the highest tested givinostat dose in drinking water improved day-105 running distance: 473 ± 22 m versus 296 ± 17 m with vehicle (mean ± s.e.). Histological benefit was time dependent: the authors reported fibrosis reductions at T8 in selected muscles, but no significant fibrosis benefit at T16. [4]
Chronic dose-response in dystrophic mdx mice
Animal study · C57Bl6J mdx mice; treatment began at 1.5 months of age [2]
The 105-day study showed reduced fibrotic area, but functional responses differed by dose and endpoint. Treadmill improvement was most evident at 5 mg/kg/day at months 1 and 2; significant reduction in diaphragm Evans blue uptake was reported only at 10 mg/kg/day.
Conditions shared by the study groups
- Route
- Oral gavage
- Frequency
- Daily
- Treatment course
- 105 d
- Vehicle
- 0.01% methylcellulose
Methods and source locations
Compound reported in the paper: Givinostat (ITF2357); Compound label in the paper: ITF2357
Results apply to the reported experimental material and conditions. No salt conversion, human efficacy inference or SKU lot validation.
Animals and In Vivo Treatments; Results associated with Figures 4, 7 and 8; those images/captions; Discussion
Givinostat 1 mg/kg/day · Animals and In Vivo Treatments; Results associated with Figures 4, 7 and 8; those images/captions; Discussion
Givinostat 5 mg/kg/day · Animals and In Vivo Treatments; Results associated with Figures 4, 7 and 8; those images/captions; Discussion
Givinostat 10 mg/kg/day · Animals and In Vivo Treatments; Results associated with Figures 4, 7 and 8; those images/captions; Discussion
Givinostat combined with exon-skipping ASO
Animal study · 8–10-week-old mdx mice (C57BL/10ScSc-Dmdmdx/J); n=7 mice/group [3]
Adding givinostat to palm-tcDNA ASO increased dystrophin protein restoration across muscles, but did not significantly increase exon 23 skipping. The protein response must be attributed to combination treatment.
Conditions shared by the study groups
- Route
- Givinostat oral gavage; ASO intravenous
- Frequency
- Givinostat 5 days/week; ASO once/week
- Treatment course
- 5 weeks HDAC-inhibitor treatment; 4 ASO administrations after first week; tissue harvest 2 weeks after last ASO
- Vehicle
- Givinostat in water/2% DMSO
Methods and source locations
Compound reported in the paper: Givinostat (ITF2357); Compound label in the paper: Givinostat
Results apply to the reported experimental material and conditions. No salt conversion, human efficacy inference or SKU lot validation.
Results: Effect of HDAC inhibitors on Dmd mRNA levels and dystrophin protein levels; Figure 1C–D, Table 1, Figure 2A; Antisense oligonucleotides and animal experiments; Western blot analysis; Statistical analysis
Dystrophin protein restoration relative to ASO alone across muscles: Western blot, normalized to vinculin and tissue-specific WT/mdx calibration; Figure 2 plotted as mean ± SEM — Results: Effect of HDAC inhibitors on dystrophin protein levels; Figure 2A image/table/caption
Exon 23 skipping relative to ASO alone across muscles: TaqMan qRT-PCR; nonsignificant givinostat combination effect — Results: Effect of HDAC inhibitors on Dmd mRNA levels; Table 1; Figure 1D
Givinostat + palm-tcDNA ASO · Results: Effect of HDAC inhibitors on Dmd mRNA levels and dystrophin protein levels; Figure 1C–D, Table 1, Figure 2A; Antisense oligonucleotides and animal experiments; Western blot analysis; Statistical analysis
Chronic treatment in the more severe D2.B10 model
Animal study · Male D2.B10-Dmdmdx/J mice, 6–7 weeks old at purchase; initial groups 12–13 mice; DBA/2J WT comparator [4]
Givinostat at the highest tested drinking-water dose improved day-105 treadmill performance. Histological effects were time dependent: reduced fibrosis was reported in selected muscles at T8, with no significant fibrosis benefit at T16.
Conditions shared by the study groups
- Route
- Drinking water
- Frequency
- Continuous water access; consumption monitored weekly
- Treatment course
- 105 d
- Vehicle
- Filtered tap water
- Givinostat highest tested dose
- Reported limits: Nominal dose derived from estimated intake, not a precisely delivered daily amount.
Methods and source locations
Compound reported in the paper: Givinostat (ITF2357); Compound label in the paper: Givinostat
Results apply to the reported experimental material and conditions. No salt conversion, human efficacy inference or SKU lot validation.
Materials and methods: Animals and study design, Drug treatments, Treadmill exercise, Histological analysis, Statistical analysis; Results: Treatment efficacy evaluation in D2.B10 mouse model, Functional activity measurement, Histopathological analysis; Figures 8 and 9
Distance run at day 105: Treadmill exhaustion test; two-way ANOVA with Bonferroni comparisons; text reports significant top-dose benefit; lower doses/steroids nonsignificant — Results: Functional activity measurement, Treadmill exhaustion test; Figure 8A
Muscle fibrosis at T16: Histological fibrosis assessment; 5 mice/group/time point; T8 context in Figure 9 — Results: Histopathological analysis (D2.B10), T16 statements; Histological analysis methods; Figure 9 caption (T8)
Givinostat highest tested dose · Materials and methods: Animals and study design, Drug treatments, Treadmill exercise, Histological analysis, Statistical analysis; Results: Treatment efficacy evaluation in D2.B10 mouse model, Functional activity measurement, Histopathological analysis; Figures 8 and 9