NCT07738107

Brief Summary

ATR 1072 is an investigational medicine being studied in adults with PRKAG2 Syndrome. This study will evaluate the safety of ATR 1072 and how the body processes the drug. Researchers will also assess how ATR 1072 affects PRKAG2 activity and measures of heart disease.

Trial Health

65
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
37

participants targeted

Target at P50-P75 for phase_1

Timeline
24mo left

Started Oct 2026

Typical duration for phase_1

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 26, 2026

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 31, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

October 1, 2026

Expected
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2028

5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2028

Last Updated

July 31, 2026

Status Verified

June 1, 2026

Enrollment Period

1.6 years

First QC Date

June 26, 2026

Last Update Submit

July 28, 2026

Conditions

Keywords

AMPKTfR1transferrin receptorATR 1072targeted RNA deliverysiRNAantibody-oligonucleotide conjugate (AOC)glycogen storage diseasePRKAG2 Syndromecardiac glycogenosiscardiomyopathyPRKAG2genetic cardiomyopathycorventis

Outcome Measures

Primary Outcomes (1)

  • Incidence of treatment-emergent adverse events (TEAEs)

    Incidence and severity of treatment-emergent adverse events (TEAEs).

    From first dose through end of study (approximately 48 weeks per participant)

Secondary Outcomes (4)

  • Change from baseline in cardiac muscle tissue concentration of ATR 1072 siRNA

    Through Week 24

  • Plasma pharmacokinetic (PK) parameters of ATR 1072

    Through Week 24

  • Plasma pharmacokinetic parameters of ATR 1072

    Through week 48

  • Plasma pharmacokinetic parameters of ATR 1072

    Through week 48

Study Arms (2)

Part A - MAD Dose Escalation Description Three sequential ascending dose

EXPERIMENTAL

Three sequential ascending dose cohorts (Dose Level 1, Dose Level 2 and Dose Level 3) with approximately 4 evaluable participants per cohort. ATR 1072 administered intravenously (IV) every 6 weeks (Q6W) for up to 8 doses (48-week treatment period).

Drug: ATR 1072

Part B - Expansion Cohort at the Recommended Phase 2 Dose

EXPERIMENTAL

Approximately 25 participants enrolled at the recommended phase 2 dose determined in Part A. ATR 1072 administered IV Q6W to further evaluate safety, PK, and pharmacodynamics.

Drug: ATR 1072

Interventions

ATR 1072 is an investigational therapy that delivers an siRNA to reduce PRKAG2 gene expression. Administered as an intravenous (IV) infusion every 6 weeks (Q6W). Formulated as a sterile liquid for injection.

Part A - MAD Dose Escalation Description Three sequential ascending dosePart B - Expansion Cohort at the Recommended Phase 2 Dose

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults 18 to 65 years of age.
  • Pathogenic, likely pathogenic, or variant of uncertain significance (VUS) in PRKAG2 confirmed by genetic testing.
  • Clinical manifestations consistent with PRKAG2 Syndrome.
  • Able and willing to comply with study procedures.
  • Able and willing to undergo endomyocardial biopsy procedures (Part A)

You may not qualify if:

  • Pregnancy or breastfeeding.
  • Significant hepatic, renal, hematologic, or cardiovascular abnormalities that may increase study risk.
  • NYHA Class IV heart failure or left ventricular ejection fraction \<45%.
  • Recent clinically significant cardiovascular events or procedures.
  • Prior treatment with prohibited investigational therapies or oligonucleotide therapies within protocol-defined washout periods.
  • Any condition that, in the investigator's

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

CardiomyopathiesHypertrophyWolff-Parkinson-White SyndromeGlycogen Storage Disease

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesPathological Conditions, AnatomicalPathological Conditions, Signs and SymptomsPre-Excitation SyndromesArrhythmias, CardiacCardiac Conduction System DiseaseHeart Defects, CongenitalCardiovascular AbnormalitiesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesCarbohydrate Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsGenetic Diseases, InbornMetabolic DiseasesNutritional and Metabolic Diseases

Central Study Contacts

Patient Recruitment Coordinator

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Masking Details
None (Open Label)
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Sequential Assignment (MAD escalation followed by expansion)
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2026

First Posted

July 31, 2026

Study Start (Estimated)

October 1, 2026

Primary Completion (Estimated)

May 1, 2028

Study Completion (Estimated)

October 1, 2028

Last Updated

July 31, 2026

Record last verified: 2026-06