Clinical trial Recruiting at 18 sites Observational Ages 6 and up

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.

More Cardiomyopathy trials

Quick facts

Study typeObservational
Ages6 Years and up
SexAll
Enrollment65 (estimated)
SponsorLexeo Therapeutics
Industry-sponsored
Locations19 sites (La Jolla, California and 18 other locations)
StatusRecruiting
StartedSeptember 30, 2025
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedOctober 19, 2026
Trial IDNCT06865482 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Nomlabofusp by injection for Friedreich's Ataxia: efficacy and safety

    This study tests whether subcutaneous nomlabofusp helps adults and children with Friedreich's Ataxia compared with placebo.

    Recruiting at 3 sites Phase 3 Larimar Therapeutics, Inc. · Tampa, Florida and 3 other locations · NCT07778836

  • ATR 1072 in PRKAG2 Syndrome

    A first-in-human study tests ATR 1072 to see if it is safe and how it behaves in adults with PRKAG2 Syndrome.

    Recruiting Phase 1/2 Atrium Therapeutics · Kansas City, Missouri · NCT07738107

  • LX2006 Gene Therapy for Friedreich Ataxia Cardiomyopathy (FA-CM)

    A Phase 2 study tests LX2006 gene therapy in people with Friedreich ataxia who also have cardiomyopathy to see if it helps heart function and safety.

    Recruiting Phase 2 Lexeo Therapeutics · Tampa, Florida · NCT07721025

  • Modeling heart failure in Duchenne and Becker muscular dystrophy to find surrogate heart measures

    This study will look at heart disease in people with Duchenne/Becker muscular dystrophy and carriers to see if MRI-based heart measures can predict death or major heart problems.

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  • Multimodal Cardiac MRI to See How the Heart Is Working

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    Recruiting Second Affiliated Hospital, Zhejiang University, School of Medicine · Hangzhou, Zhejiang · NCT07617844

  • Genetic testing for AF-triggered cardiomyopathy

    We will test whether people who develop heart failure during atrial fibrillation carry specific disease-causing gene variants compared with people who have AF but do not weaken their heart.

    Recruiting Barts & The London NHS Trust · London · NCT07574697

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.