🏛️ Verified NIH Record • Updated 2026-06-30

Open-Label Extension Study of BBP-418 (Ribitol) for LGMD2I/R9 (NCT07678775)

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)

🔵 Active, Not Recruiting Phase3 💊 Investigational Drug / Biologic Sponsor: ML Bio Solutions, Inc.

🩺 Plain-English Summary (8th-Grade Level)

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.

Who can join: Review the eligibility criteria below.

Location: Arkansas Children's Hospital — Little Rock, Arkansas

🧪 Interventions in This Study

📋 "Do I Qualify?" — 1-Minute Self Screener

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Full eligibility criteria are available on the official NIH protocol. View the criteria ↗

📍 All Participating Trial Locations (20 Sites)

  • Arkansas Children's Hospital — Little Rock, Arkansas
  • University of California Irvine Medical Center — Orange, California
  • University of Colorado Hospital (UCH) - Anschutz Medical Campus — Aurora, Colorado
  • University of Florida Health Center for Pediatric Neuromuscular and Rare Diseases — Gainesville, Florida
  • University of Iowa Stead Family Children's Hospital — Iowa City, Iowa
  • University of Kansas Medical Center (KUMC) — Kansas City, Kansas
  • Kennedy Krieger Institute — Baltimore, Maryland
  • University of Minnesota Medical School — Minneapolis, Minnesota
  • Washington University School of Medicine — St Louis, Missouri
  • The Children's Hospital of Philadelphia — Philadelphia, Pennsylvania
  • University of Pennsylvania — Philadelphia, Pennsylvania
  • Children's Hospital of the Kings Daughters — Norfolk, Virginia
  • Royal Brisbane and Women's Hospital — Brisbane,
  • Rigshospitalet, Neuromuscular Clinic and Research Unit — Copenhagen,
  • Charité Universitätsmedizin Berlin and Max Delbrück Center — Berlin,
  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico — Milan,
  • Leids Universitair Medisch Centrum — Leiden,
  • Universitetssykehuset Nord-Norge, Department of Neurology — Tromsø,
  • UCL Great Ormond Street Hospital — London,
  • Newcastle University - John Walton Muscular Dystrophy Research Centre — Newcastle upon Tyne,

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

More studies in Limb-Girdle Muscular Dystrophy Type 2I (LGMD2I)

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗