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Recruiting NCT05836259

Multi-center, Open-label, Single-ascending Dose Study of Safety and Tolerability of TN-201 in Adults With Symptomatic MYBPC3 Mutation-associated HCM

Phase I / Phase II Interventional Hypertrophic Cardiomyopathy

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: TN-201.
Who it may be relevant to
Registry conditions: Hypertrophic Cardiomyopathy. Basic parameters: 18 years — 75 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

First-in-Human, Open-Label, Safety, Tolerability, Dose-Finding, Pharmacodynamic and Cardiac Transgene Expression Study of TN-201, a Recombinant Adeno-associated Virus Serotype 9 (AAV9) Containing Myosin Binding Protein C Transgene, in Adults With MYBPC3 Mutation-associated Hypertrophic Cardiomyopathy (HCM)

Overview

This is a first-in-human, non-randomized, open-label study designed to evaluate the safety, tolerability, and pharmacodynamics (PD) of TN-201 in adult patients with symptomatic hypertrophic cardiomyopathy (HCM) caused by mutations in the MYBPC3 gene.

Detailed description

The study will consist of 2 escalating dose cohorts (groups). The study will enroll at least 6 and as many as 30 patients. All patients will receive active drug (TN-201 Gene Therapy). The study will follow patients for 5 years following a single dose of TN-201.

Interventions

  • Genetic TN-201
    TN-201 is a recombinant adeno-associated virus serotype 9 (AAV9) containing Myosin Binding Protein C (MYBPC3) transgene. It is a single (one-time) intravenous dose.

Primary outcome measures

  • Number and severity of Adverse Events over the course of the study. [Time frame: 5 Years]
  • Number of Serious Adverse Events related to study drug. [Time frame: 5 Years]
Secondary outcome measures (1)
  • Change from baseline to Week 52 in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS). [Time frame: 52 Weeks]

Eligibility criteria

Inclusion criteria

  • MYBPC3 mutation
  • Hypertrophic Cardiomyopathy (obstructive and nonobstructive)
  • Left Ventricular Ejection Fraction ≥45%
  • NYHA Functional Class II or III symptoms
  • NT-proBNP ≥160pg/ml

Exclusion criteria

  • High AAV9 neutralizing antibody titer

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Non-randomized
Model
Sequential
Masking
Open label
Primary purpose
Treatment

Study locations

United States · 10 centers
  • UC San Diego Altman Clinical and Translational Research Institute - Center for Clinical Re — La Jolla
  • University of California San Francisco — San Francisco
  • Emory University — Atlanta
  • Brigham and Women's Hospital — Boston
  • Mayo Clinic — Rochester
  • The Christ Hospital Physicians - The Ohio Heart and Vascular Center — Cincinnati
  • Cleveland Clinic — Cleveland
  • Oregon Health & Science University — Portland
  • … and 2 more centers

Publications

  • Grisorio L, Bongianino R, Gianeselli M, Priori SG. Gene therapy for cardiac diseases: methods, challenges, and future directions. Cardiovasc Res. 2024 Nov 25;120(14):1664-1682. doi: 10.1093/cvr/cvae207. PMID 39302117

Identifiers

NCT: NCT05836259 · TN-201-0009

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗