Recruiting
Phase 1

RP-A601

Sponsor:

Rocket Pharmaceuticals Inc.

Code:

NCT05885412

Conditions

PKP2 Arrhythmogenic Cardiomyopathy (PKP2-ACM)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

RP-A601

Study Details

Brief summary:

This Phase 1 dose escalation trial will assess the safety and preliminary efficacy of a single dose intravenous infusion of RP-A601 in high-risk adult patients with PKP2-ACM.

Conditions

PKP2 Arrhythmogenic Cardiomyopathy (PKP2-ACM)

Study ID

NCT05885412

Start date

Aug 29, 2023

Status verified date

Apr, 2026

Completion date

Sep, 2029

Anticipated

Primary completion date

Sep, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

9 participants

Anticipated

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: RP-A601

Single ascending dose of RP-A601 in 2 consecutive cohorts

Interventions

RP-A601

RP-A601 is a recombinant viral vector composed of an AAV serotype rh.74 (AAVrh.74) capsid encapsulating the transgene, human plakophilin 2 (PKP2), transcript variant 2a (PKP2a)

Primary outcome measure

  • Evaluation of safety associated with RP-A601 [ Time Frame: 12 months post-infusion ]

Central Contacts and Locations

Central contacts

Locations

University of California, San Diego

Recruiting

La Jolla, California, United States, 92037

Contacts

Duke University

Recruiting

Durham, North Carolina, United States, 27710

Contacts

Meghan Pergola, MPH

meghan.pergola@duke.edu

Principal Investigator:

James Daubert, MD

More Information

Sponsor

Rocket Pharmaceuticals Inc.

Last update posted

Apr 16, 2026

Last verified

Apr, 2026

Keywords

  • Arrhythmogenic cardiomyopathy
  • Arrhythmogenic Right Ventricular Cardiomyopathy
  • Arrhythmogenic Right Ventricular Dysplasia
  • Sudden Cardiac Death
  • Genetic cardiomyopathy
  • Gene therapy
  • PKP2
  • ARVC
  • ARVD
  • ACM
  • Cardiac Arrest
  • Ventricular Arrhythmia

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Rocket Pharmaceuticals Inc. on 2026-04-16.