Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 and up

Testing RP-A601 for heart condition caused by PKP2 gene variants

Official title: A Phase 1 Dose Escalation Trial Evaluating an Intravenously Administered Recombinant Adeno-Associated Virus Serotype rh.74 (AAVrh.74) Vector Containing the Human Plakophilin-2a (PKP2a) Coding Sequence (RP-A601; AAVrh.74-PKP2a) in Subjects With Arrhythmogenic Cardiomyopathy Arising From Pathogenic PKP2 Variants (PKP2-ACM)

Run by Rocket Pharmaceuticals Inc. · NCT05885412 · Data updated 2026-11-12

This study is testing a new treatment called RP-A601 to see if it can help adults with a heart condition caused by changes in the PKP2 gene.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment9 (estimated)
SponsorRocket Pharmaceuticals Inc.
Industry-sponsored
Locations3 sites (La Jolla, California and 2 other locations)
StatusRecruiting
StartedAugust 29, 2023
Main results expectedSeptember 2028
Study endsSeptember 2029
Registry record updatedApril 16, 2026
Trial IDNCT05885412 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with a confirmed diagnosis of PKP2-ACM and a history of ICD implantation.

Probably not a fit

Patients with cardiomyopathy due to genetic causes other than PKP2 truncating variants or those with severe right ventricular dysfunction may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 1 dose escalation trial evaluates the safety and preliminary efficacy of RP-A601, administered as a single intravenous infusion, in high-risk adult patients diagnosed with PKP2 variant-mediated arrhythmogenic cardiomyopathy (PKP2-ACM). The study aims to determine the appropriate dosing and monitor any adverse effects while assessing initial treatment responses. Participants must meet specific inclusion criteria, including a documented PKP2 variant and a history of implantable cardioverter-defibrillator (ICD) implantation.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with PKP2-ACM, potentially improving their heart function and reducing the risk of sudden cardiac death.

How similar studies have gone: While this approach is novel in the context of PKP2-ACM, similar gene-targeted therapies have shown promise in other genetic cardiomyopathies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

1. Male or female ≥18 years at the time of signing the informed consent
2. Capable and willing to provide signed informed consent
3. Clinical diagnosis of ACM as defined by the 2010 revised Task Force Criteria (TFC)
4. Documentation of a pathogenic or likely pathogenic truncating variant in PKP2
5. History of Implantable Cardioverter-Defibrillator (ICD) implantation ≥6 months prior to enrollment
6. PVC frequency ≥500 per 24 hours by ambulatory rhythm monitoring
7. Left ventricular ejection fraction by echocardiogram or CMR ≥50%

Key Exclusion Criteria:

1. Anti-AAVrh.74 capsid neutralizing antibody titer of \>1:40
2. Cardiomyopathy related to a genetic etiology other than PKP2 truncating variant
3. Previous participation in a study of gene transfer or gene editing
4. Severe Right Ventricular (RV) dysfunction
5. New York Heart Association (NYHA) Class IV heart failure.

Where it's running

  • University of California, San Diego
    La Jolla, California, United States
    Recruiting
  • Duke University
    Durham, North Carolina, United States
    Recruiting
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania, United States
    Withdrawn

Study contacts

Similar studies

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

  • RP-A701 gene therapy for BAG3-related dilated cardiomyopathy

    This Phase 1 study will try a one-time intravenous RP-A701 gene therapy in adults with BAG3-related dilated cardiomyopathy to see if it is safe and may improve heart function.

    Recruiting at 3 sites Phase 1 Rocket Pharmaceuticals Inc. · San Diego, California and 2 other locations · NCT07137338

  • Natural history of PKP2-related arrhythmogenic cardiomyopathy

    This project will collect past and ongoing health information to see how PKP2-related arrhythmogenic cardiomyopathy progresses in people managed with standard care.

    Recruiting at 2 sites Rocket Pharmaceuticals Inc. · Boston, Massachusetts and 2 other locations · NCT06644742

  • Observing the natural history of Danon disease

    This study looks at how Danon disease affects boys over 8 and girls under 30 over time to see changes in their heart health, symptoms, and quality of life.

    Recruiting at 16 sites Rocket Pharmaceuticals Inc. · Phoenix, Arizona and 15 other locations · NCT06214507

  • RP-A501 gene therapy for males with Danon disease

    This gives a single IV dose of RP-A501 gene therapy to males aged 8 and older with Danon disease to see if it improves heart structure and symptoms.

    Recruiting at 6 sites Phase 2 Rocket Pharmaceuticals Inc. · La Jolla, California and 5 other locations · NCT06092034

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.