A Trial Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of CTX460 in Adults With Emphysema Associated With Severe Alpha-1 Antitrypsin Deficiency (AATD)

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorCRISPR Therapeutics

About this trial

A Study of CTX460 in Adults with Emphysema Associated with Severe Alpha-1 Antitrypsin Deficiency (AATD).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age: ≥18 and ≤75 years.

Able to provide written informed consent.

Diagnosis of AATD with PiZZ homozygous genotype.

Serum total AAT level <11µM in the absence of augmentation.

Disqualifiers

Received augmentation therapy within the 6 weeks prior to CTX460 infusion

Lung or liver transplant or on waiting list for lung or liver transplant

Moderate to severe lung disease other than COPD that may confound results as per investigator discretion

Evidence of significant liver fibrosis/cirrhosis

Trial design

Design model

Sequential

Treatments tested in this trial

  • CTX460

    Drug

    CTX460 is a lipid nanoparticle (LNP) formulation of synthetic nucleotide template polymerase (SyNTase) editor for in vivo gene editing of the serine protease inhibitor A1 (SERPINA1) gene in adults with emphysema associated with severe alpha-1 antitrypsin deficiency (AATD).

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: Phase 1Experimental treatment 1 intervention
Group B: Phase 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Phase 1: To evaluate the safety and tolerability of CTX460 in adults with emphysema associated with severe AATD and to determine the recommended Phase 2 dose(s)

Incidence of DLTs and frequency of AEs

Time frame
From CTX460 infusion up to 36 months
2

Phase 2: To assess the efficacy of CTX460 in adults with severe AATD and emphysema

Absolute blood levels of total AAT at Month 6

Time frame
6 months from CTX460 infusion

Secondary outcomes

1

Phase 1: To assess the preliminary efficacy of CTX460

Absolute blood levels of total AAT at Month 6

Time frame
6 months from CTX460 infusion
2

Phase 2: To further characterize the safety of CTX460

Frequency and severity of clinically significant laboratory abnormalities, and clinically significant abnormal vital signs

Time frame
From CTX460 infusion up to 36 months
3

Phase 1/2: To assess the efficacy of CTX460

Rate of change in lung density (g/L per year) as measured by centralized, standardized CT lung densitometry

Time frame
From CTX460 infusion up to 36 months
4

Phase 1/2: To assess the efficacy of CTX460

Time to first moderate or severe COPD exacerbation

Time frame
From CTX460 infusion up to 36 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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