Clinical course of cardiomyopathy in people with Friedreich ataxia
Official title: Characteristics And Clinical Course Of Disease In Participants With Cardiomyopathy Associated With Friedreich Ataxia (CLARITY-FA)
Run by Lexeo Therapeutics · NCT06865482 · Data updated 2026-11-12
This study follows people with Friedreich ataxia who have cardiomyopathy to see how their heart disease changes over time and to identify who may later be eligible for a gene therapy study.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 6 Years and up |
| Sex | All |
| Enrollment | 65 (estimated) |
| Sponsor | Lexeo Therapeutics Industry-sponsored |
| Locations | 19 sites (La Jolla, California and 18 other locations) |
| Status | Recruiting |
| Started | September 30, 2025 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | October 19, 2026 |
| Trial ID | NCT06865482 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people aged 6 or older with genetically confirmed Friedreich ataxia (symptom onset ≤25 years) who have left ventricular hypertrophy, an ejection fraction of at least 40%, and no other major structural or ischemic heart disease.
✕Probably not a fit
Patients with other causes of cardiomyopathy, significant coronary or primary valvular disease, current IV inotrope therapy, ventricular assist devices, prior heart transplant, or advanced heart failure are unlikely to benefit from this natural-history study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
LX2006-02 is a prospective, longitudinal, low-intervention, multicenter study designed to define the nature and rate of cardiac disease progression in genetically confirmed FA-CM. Participants aged 6 years and older with confirmed GAA expansions, left ventricular hypertrophy, and an ejection fraction ≥40% undergo serial cardiac imaging (cMRI or echocardiography) and standardized clinical assessments. The protocol runs for at least 26 weeks at multiple U.S. centers to map changes in cardiac structure and function and capture markers of progression. Participants who meet eligibility criteria after this period may have the opportunity to enroll in a subsequent LX2006 interventional gene therapy study.
Why it matters
Potential benefit: If successful, the study could improve understanding of how heart disease progresses in FA-CM and help identify patients who might benefit from gene therapy earlier.
How similar studies have gone: Previous natural-history studies in Friedreich ataxia have described cardiac involvement, but applying a prospective multicenter protocol specifically to select patients for a gene therapy program is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female, ages ≥6 years at the time of signing the informed consent (and assent, if applicable). * Diagnosis of FA, based on clinical phenotype and genotype (GAA expansion on both alleles or compound heterozygous), with onset of FA occurring at ≤25 years of age * Confirmed left ventricular hypertrophy (LVH) * Left ventricular ejection fraction ≥30% Exclusion Criteria: * Presence of other form(s) of CM contributing to heart failure (HF), clinically significant cardiac anatomic abnormality or congenital cardiac malformation, clinically significant coronary artery, uncorrected, hemodynamically significant primary structural valvular disease not due to CM * Currently receiving intermittent or continuous intravenous (IV) inotrope infusion, presence of a ventricular assist device, or history of prior heart transplantation * Contraindication to cMRI, participants \<12 years of age who cannot complete the cMRI without sedation will instead undergo ECHOs and are exempt from this criterion. * Prior organ transplantation * Initiation of cardiac resynchronization therapy (CRT) within 6 months prior to screening. * History of prior gene transfer or cell therapy. * Poorly controlled diabetes (hemoglobin A1c ≥8%) * Active hematologic or solid organ malignancy
Where it's running
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University of California San Diego
La Jolla, California, United States Recruiting -
University of South Florida
Tampa, Florida, United States Recruiting -
Indiana University - Riley Children's Health
Indianapolis, Indiana, United States Recruiting -
Boston Children's Hospital
Boston, Massachusetts, United States Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Recruiting -
Washington University School of Medicine in St. Louis
St Louis, Missouri, United States Recruiting
Show 13 more locations
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Cincinnati Children's Hospital
Cincinnati, Ohio, United States Recruiting -
Hospital Universitário Walter Cantídio - Universidade Federal do Ceará
Fortaleza, Ceará, Brazil Recruiting -
Instituto D'or de Pesquisa e Ensino - Hospital São Rafael
Salvador, Estado de Bahia, Brazil Recruiting -
Hospital Das Clínicas Da Universidade Federal De Minas Gerais (UFMG)
Belo Horizonte, Minas Gerais, Brazil Recruiting -
Campinas State University (UNICAMP)
Campinas, São Paulo, Brazil Recruiting -
UPC Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto
Ribeirão Preto, São Paulo, Brazil Recruiting -
Centre Hospitalier de Universite de Montreal (CHUM)
Montreal, Quebec, Canada Recruiting -
Motol University Hospital and the Second Faculty of Medicine
Prague, Czechia Recruiting -
Institut de Cardiologie Hopital Pitie Salpetriere
Paris, France Recruiting -
University Hospital Tübingen
Tübingen, Baden-Wurttemberg, Germany Recruiting -
Federico II University
Naples, Italy Recruiting -
Hospital Univeritario Puerta de Hierro de Majadahonda
Majadahonda, Madrid, Spain Recruiting -
Oregon Health & Science University
Portland, Oregon, United States Withdrawn
Study contacts
- Study coordinator: Lexeo Clinical Trials
- Email: clinicaltrials@lexeotx.com
- Phone: 212-547-9879
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LX2006 Gene Therapy for Friedreich Ataxia Cardiomyopathy (FA-CM)
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.