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AB-1002 gene therapy expressing active protein phosphatase inhibitor-1 in heart failure: Rationale and study design of the GenePHIT trial - PubMed

3 hours ago
  • #Clinical Trial
  • #Gene Therapy
  • #Heart Failure
  • AB-1002 is an investigational gene therapy using a cardiotropic adeno-associated viral vector to express active protein phosphatase inhibitor-1.
  • The therapy aims to restore cardiomyocyte calcium handling and improve cardiac contractility in heart failure patients.
  • GenePHIT is a Phase 2 adaptive, double-blinded, placebo-controlled, randomized multicenter trial evaluating AB-1002.
  • Participants are adults with non-ischemic cardiomyopathy, left ventricular ejection fraction 15%-35%, and NYHA class III symptoms.
  • The trial randomizes participants 1:1:1 to two doses of AB-1002 or placebo via a single antegrade intracoronary infusion.
  • The primary endpoint at 52 weeks is a hierarchical composite of cardiovascular death, NYHA class change, LVEF improvement, and six-minute walk test improvement.
  • Secondary efficacy, safety, and exploratory endpoints will be assessed at 52 weeks and through 4-year follow-up.
  • The trial aims to elucidate the risk-benefit profile of single-dose AB-1002 in non-ischemic heart failure.