Intellia Therapeutics shares interim clinical results from the Phase 1 portion of the ongoing Phase 1/2 trial of NTLA-2002 in hereditary angioedema (HAE). NTLA-2002 is an investigational in vivo CRISPR-based gene editing therapy in development as a single-dose treatment for HAE, and the results were were published online in the Ne
Hereditary angioedema (HAE) is a rare genetic disorder characterized by severe inflammatory attacks accompanied by swelling of various organs and tissues. Plasma kallikrein is a protein known to drive multiple inflammatory pathways, including the production of the inflammatory mediator bradykinin, which is overproduced in HAE. Researchers have therefore developed the NTLA-2002 treatment, which is designed to eliminate the target gene kallikrein B1 in hepatocytes. It is administered intravenously as a single dose of Cas9 mRNA and gRNA via lipid nanoparticles. Preclinical studies have demonstrated a sustained and therapeutically relevant reduction in plasma kallikrein activity after a single dose in non-human primates, and the candidate is currently being evaluated in a Phase 1/2 combination clinical trial to assess its safety, tolerability, pharmacokinetics and pharmacodynamics. Clinical data from the Phase 1 dose-escalation portion of this trial showed that a single dose of NTLA-2002 produced robust, dose-dependent and durable reductions in total plasma kallikrein levels, and no serious adverse events were observed. In addition, a reduction in the number of angioedema attacks per month was observed at all dose levels (25 mg, 50 mg or 75 mg).