Recruiting
Phase 2

RP-A501

Sponsor:

Rocket Pharmaceuticals Inc.

Code:

NCT06092034

Conditions

Danon Disease

Eligibility Criteria

Sex: Male

Age: 8+

Healthy Volunteers: Not accepted

Interventions

RP-A501

Study Details

Brief summary:

This is a single arm Phase 2 trial to evaluate the efficacy and safety of RP-A501, a recombinant adeno-associated virus serotype 9 (rAAV9) vector containing the human lysosome-associated membrane protein 2 isoform B (LAMP2B) transgene, in male patients with Danon disease.

Conditions

Danon Disease

Study ID

NCT06092034

Start date

Sep 5, 2023

Status verified date

Oct, 2026

Completion date

Jun, 2032

Anticipated

Primary completion date

Jun, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: Male

Age: 8+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Documentation of a pathogenic or likely pathogenic variant of the LAMP2 gene.
2. Male.
3. Age ≥8 years.
4. Evidence of left ventricular hypertrophy with preserved systolic function phenotype as defined by each of the following:

1. Abnormal thickening of left ventricular wall,
2. Left ventricular ejection fraction (LVEF) ≥ 50%.
5. New York Heart Association (NYHA) Class II to III.
6. High sensitivity Troponin I (hsTnI) ≥20% above the upper limit of normal (ULN) ≤ 12 months prior to screening.
7. Ability to comply with study procedures including investigational therapy and follow-up evaluations.

Key Exclusion Criteria:

1. Anti-AAV9 neutralizing antibody titer >1:40.
2. Severe heart failure or requirement for advanced therapies (requirement for intravenous inotropic, vasodilator, or diuretic therapy within the 30 days prior to enrollment, presence or requirement for mechanical circulatory support (MCS), and presence or requirement for mechanical ventilation).
3. History of intracardiac thrombosis or arterial thromboembolic events including stroke, transient ischemic attack (TIA), acute coronary syndrome, myocardial infarction or unstable angina.
4. Prior cardiac or other organ (lung, liver, other) transplantation.

Study Design

Enrollment

18 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: RP-A501

A single intravenous infusion of RP-A501 in cohorts of subjects with a confirmed diagnosis of Danon disease.

Interventions

RP-A501

RP-A501 is a gene therapy product consisting of an rAAV9 capsid containing the human LAMP2B transgene which will be administered as a single IV infusion.

Dose of RP-A501: Cohorts 1, 2 \& 3 = 6.7 x10\^13 genome copies (GC)/kg; Cohort 4 = 3.8 x10\^13 GC/kg.

An immunomodulation regimen is initiated before RP-A501 administration to reduce the risk of gene therapy-related complications. The regimen includes rituximab or a biosimilar, administered in two doses for Cohorts 1-3 and three doses for Cohort 4, along with sirolimus and corticosteroids. Pegcetacoplan was incorporated into the immunomodulation regimen for Cohort 3 but excluded in Cohort 4.

Primary outcome measure

  • Evaluation of Efficacy: Improvement as assessed via primary endpoint comprised of LAMP2 myocardial tissue expression and left ventricular mass index (LVMI) [ 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

Boston Children's Hospital

Recruiting

Boston, Massachusetts, United States, 02115

Contacts

Principal Investigator:

Dominic Abrams, MD

Children's Hospital of Philadelphia

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Contacts

Joseph Rossano, MD

rossanoj@chop.edu

More Information

Sponsor

Rocket Pharmaceuticals Inc.

Last update posted

Oct 6, 2026

Last verified

Oct, 2026

Keywords

  • Hypertrophic Cardiomyopathy
  • HCM
  • X-linked disease
  • LAMP2
  • Pediatric
  • Skeletal Myopathies
  • Cardiomyopathy
  • Lysosomal Storage Disorder
  • Left Ventricular Hypertrophy

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-22. This information was provided to ClinicalTrials.gov by Rocket Pharmaceuticals Inc. on 2026-10-06. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.