Skip to main content
Clinical Trials/NCT04601051
NCT04601051CompletedPhase 1

Phase 1 Two-Part (Open-label, Single Ascending Dose (Part 1) and Open-label, Single Dose Expansion (Part 2)) Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of NTLA-2001 in Patients With Hereditary Transthyretin Amyloidosis With Polyneuropathy (ATTRv-PN) and Patients With Transthyretin Amyloidosis-Related Cardiomyopathy (ATTR-CM)

Intellia Therapeutics4 sites in 4 countries72 target enrollmentStarted: November 5, 2020Last updated:
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Enrollment
72
Locations
4
Primary Endpoint
Number of Participants with Treatment-Emergent Adverse Events

Study Overview

Brief Summary

This study will be conducted to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of NTLA-2001 in participants with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN) and participants with hereditary transthyretin amyloidosis with cardiomyopathy (ATTRv-CM) or wild type cardiomyopathy (ATTRwt-CM)

Detailed Description

For ATTRv-PN participants, Part 1 consists of an open-label, single-ascending dose study, which identifies the dose for evaluation in the cohort expansion of Part 2. Part 2 will follow as an open-label, dose expansion study to further characterize the activity of NTLA-2001, provide an initial assessment of the effect of NTLA-2001 on clinical measures of neuropathy and neurological function, and obtain additional safety data.

For ATTR-CM participants, Part 1 consists of an open-label, single-ascending dose study, which identifies the dose for evaluation in the cohort expansion of Part 2. Part 2 will follow as an open-label, dose expansion study to further characterize the activity of NTLA-2001, provide an initial assessment of the effect of NTLA-2001 on cardiac measures, and obtain additional safety data.

All participants who are dosed with NTLA-2001 will be offered to participate in a long-term safety monitoring follow-up study via a separate protocol.

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 90 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Polyneuropathy Inclusion Criteria:
  • Male and/or female participants 18 to 80 years of age inclusive, at the time of signing the informed consent
  • Diagnosis of polyneuropathy (PN) due to transthyretin (TTR) amyloidosis (ATTR)
  • Must have a body weight of at least 45 kilograms (kg) at Screening visit
  • Lack of access to approved treatments for ATTR and/or progression of hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN) despite use of approved treatment for ATTRv-PN
  • Polyneuropathy

Exclusion Criteria

  • Amyloidosis attributable to non-TTR protein, e.g., amyloid light-chain (AL) amyloidosis
  • Known leptomeningeal transthyretin amyloidosis
  • Use of any of the following TTR-directed therapy for ATTR within certain timeframe:
  • Doxycycline and/or tauroursodeoxycholic acid
  • Any other investigational agent for the treatment of ATTRv-PN:
  • Other protocol defined Inclusion/Exclusion criteria may apply
  • Cardiomyopathy Inclusion Criteria (UK only):
  • Male and/or female participants 18 to 90 years of age inclusive, at the time of signing the informed consent
  • Diagnosis of transthyretin (ATTR) amyloidosis with cardiomyopathy, classified as hereditary ATTR amyloidosis with cardiomyopathy (ATTRv-CM) or wild type cardiomyopathy (ATTRwt-CM).
  • Must have a body weight of at least 45 kilograms (kg) at Screening visit
  • New York Heart Association (NYHA) Class I-III heart failure
  • At least 1 prior hospitalization for heart failure and/or clinical evidence of heart failure.
  • Able to complete ≥150 meters on the 6-minute walk test (6-MWT) during the Screening period.
  • Cardiomyopathy Exclusion Criteria (UK only):
  • Amyloidosis attributable to non-TTR protein, e.g., amyloid light-chain (AL) amyloidosis
  • Known leptomeningeal transthyretin amyloidosis
  • Use of any of the following TTR-directed therapy for ATTR within certain timeframes:
  • Doxycycline and/or tauroursodeoxycholic acid
  • Investigational TTR stabilizer (e.g., AG-10)
  • Participants with heart failure that in the opinion of the investigator is caused by ischemic heart disease, hypertension, or uncorrected valvular disease and not primarily due to transthyretin amyloid cardiomyopathy.
  • Participants with a history of sustained ventricular tachycardia or aborted ventricular fibrillation or with a history of atrioventricular (AV) nodal or sinoatrial (SA) nodal dysfunction for which a pacemaker is indicated but will not be placed. Pacemaker or defibrillator placement, initiation of or change in anti-arrhythmic medication within 28 days prior to study drug administration.
  • Other protocol defined Inclusion/Exclusion criteria may apply

Arms & Interventions

Polyneuropathy Part 1: NTLA-2001

Experimental

Participants, assigned to one of 4 dose-escalation cohorts, will receive a single dose of NTLA-2001.

Intervention: NTLA-2001 (Biological)

Polyneuropathy Part 2: NTLA-2001

Experimental

Participants, assigned to the dose-expansion cohort, will receive a single dose of NTLA-2001.

Intervention: NTLA-2001 (Biological)

Cardiomyopathy Part 1 (UK only): NTLA-2001

Experimental

Participants, assigned to one of 2 dose-escalation cohorts, will receive a single dose of NTLA-2001.

Intervention: NTLA-2001 (Biological)

Cardiomyopathy Part 2 (UK only): NTLA-2001

Experimental

Participants, assigned to the dose-expansion cohort, will receive a single dose of NTLA-2001.

Intervention: NTLA-2001 (Biological)

Polyneuropathy Follow-on Dosing (PN Part 1 Dose Level 1 Subjects only): NTLA-2001

Experimental

Participants assigned to the follow-on dosing cohort will receive a subsequent dose of NTLA-2001.

Intervention: NTLA-2001 (Biological)

Outcomes

Primary Outcomes

Number of Participants with Treatment-Emergent Adverse Events

Time Frame: up to Day 730

Number of Participants with Clinically Significant Clinical Laboratory Test Findings

Time Frame: up to Day 730

Number of Participants with Clinically Significant Safety Measurements

Time Frame: up to Day 730

Percent Change from Baseline in Serum TTR (enzyme-linked immunosorbent assay [ELISA])

Time Frame: up to Day 730

Percent Change from Baseline in Serum Prealbumin

Time Frame: up to Day 730

Mean Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Measurable Concentration (AUClast) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Area Under the Plasma Concentration-Time Curve from Time Zero to Infinity (AUCinf) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Maximum Concentration (Cmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Time of the Maximum Concentration (Tmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Terminal Half-Life (t½) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Apparent Clearance (CL) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Mean Volume of Distribution (Vd) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA

Time Frame: up to Day 730

Change from Baseline in Anti-Drug Antibody to NTLA-2001 and Anti-Cas9 Protein Antibody to Transgene Product Levels

Time Frame: up to Day 730

Secondary Outcomes

  • Polyneuropathy only: Change from Baseline in Familial Amyloid Polyneuropathy (FAP) Stage.(up to Day 730)
  • Polyneuropathy only: Change from Baseline in Polyneuropathy Disability (PND) Score(up to Day 730)
  • Polyneuropathy only: Change from Baseline in Modified Body Mass Index (mBMI)(up to Day 730)
  • Polyneuropathy only: Change from Screening in Neuropathy Impairment Score (NIS)(up to Day 730)
  • Polyneuropathy only: Change from Baseline in Modified Neuropathy Impairment Score +7 (mNIS+7)(up to Day 730)
  • Polyneuropathy only: Change from Screening in 10-Meter Walk Test (10-MWT)(up to Day 730)
  • Polyneuropathy only: Change from Baseline in Norfolk Quality of Life-Diabetic Neuropathy (QOL-DN)(up to Day 730)
  • Polyneuropathy only: Change from Baseline in EuroQOL (EQ)-5D-5L(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in N-terminal prohormone of brain natriuretic peptide (NT-proBNP)(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in hs Troponin T(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in Magnetic resonance imaging (MRI)(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in Echocardiogram(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in Cardio-pulmonary exercise test(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in 6-Minute Walk Test (6-MWT)(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in New York Heart Association (NYHA) Classification(up to Day 730)
  • Cardiomyopathy only: Change from Baseline in Patient-reported outcomes (KCCQ)(up to Day 730)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor
Principal Investigator

Adia Leung

Scientific

Intellia Therapeutics Inc.

Study Sites (4)

Loading locations...

Similar Trials

Related News

Study to Evaluate Safety, Tolerability,... | Clinical Trial