A Trial Evaluating Safety, Tolerability and Efficacy of CTX340 in Participants With Hypertension
A Phase 1/2 Multicenter, First-in-human, Ascending Dose Trial Evaluating the Safety, Tolerability, and Efficacy of a Lipid Nanoparticle Formulation of CRISPR-Guide RNA-Cas9 Nuclease (CTX340) for In Vivo Editing of the Angiotensinogen (AGT) Gene in Participants With Hypertension
1 other identifier
interventional
69
2 countries
2
Brief Summary
A Study of CTX340 in Participants with Uncontrolled Hypertension.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 hypertension
Started Aug 2026
Longer than P75 for phase_1 hypertension
2 active sites
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
August 6, 2026
CompletedStudy Start
First participant enrolled
August 8, 2026
CompletedFirst Posted
Study publicly available on registry
August 11, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2029
August 11, 2026
August 1, 2026
1.9 years
August 6, 2026
August 6, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Phase 1: Incidence of dose-limiting toxicities (DLTs)
To evaluate the safety and tolerability of a single ascending dose of CTX340 in participants with hypertension to determine the recommended Phase 2 dose (RP2D).
Up to 12 months
Phase 2: Percentage change in circulating angiotensinogen (AGT) concentration from baseline
To evaluate the pharmacodynamics (PD) effect of CTX340 at the recommended Phase 2 dose (RP2D)
Through 6 months of follow-up.
Secondary Outcomes (4)
To assess the safety of CTX340
From CTX340 infusion up to 12 months
To assess the effect of CTX340 on systolic blood pressure (SBP) by ambulatory blood pressure monitoring (ABPM)
From CTX340 infusion up to 12 months
To assess the pharmacodynamics (PD) effect of CTX340
Over 12 months, compared to baseline
To characterize the pharmacokinetics (PK) of CTX340
From CTX340 infusion up to 12 months
Study Arms (3)
Phase 1: CTX340
EXPERIMENTALPhase 1 is An Open-Label, Ascending Dose Design.
Phase 2: Recommended Phase 2 Dose CTX340
EXPERIMENTALPhase 2: Recommended Phase 2 Dose CTX340.
Phase 2: Placebo
EXPERIMENTALPhase 2: Placebo.
Interventions
CTX340 is an in vivo gene editing therapy designed to utilize clustered regularly interspaced short palindromic repeats-CRISPR-associated protein 9 (CRISPR-Cas9) to target and disrupt human angiotensinogen (AGT) gene in liver.
Eligibility Criteria
You may qualify if:
- Age: ≥18 and ≤75 years.
- Body mass index ≤40 kg/m2.
- hour mean ambulatory blood pressure monitoring (ABPM) systolic blood pressure (SBP) measurement of ≥130 mm Hg but ≤160 mm Hg despite treatment
- Be on treatment with ≥4 antihypertensive therapies at effective doses, of which ≥1 must be a diuretic.
- Participants who at any point had childbearing potential must currently be postmenopausal
- All participants capable of producing sperm must agree to the use of an acceptable method of effective contraception and their partners with childbearing potential should also agree to use an effective method of contraception.
You may not qualify if:
- Serum aldosterone and direct renin concentration (or plasma renin activity \[PRA\]) suggestive of primary aldosteronism
- Mean diastolic blood pressure (DBP) ≤65 mm Hg on screening ABPM.
- Participants with vascular cause of hypertension which may be amendable to revascularization
- Participants with treatable/reversible causes of uncontrolled hypertension
- History of renal artery denervation within past 12 months.
- Orthostatic hypotension
- Complete blood count (CBC) outside the specified ranges per protocol.
- Evidence of liver disease
- History of a significant coagulation disorder.
- Uncontrolled or untreated thyroid disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Research Site 1
Port Orange, Florida, 32127, United States
Research Site 2
Melbourne, 3168, Australia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Masking Details
- Phase 1 is Open-Label, while Phase 2 is Double-Blind (Participant, Investigator)
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 6, 2026
First Posted
August 11, 2026
Study Start
August 8, 2026
Primary Completion (Estimated)
July 1, 2028
Study Completion (Estimated)
July 1, 2029
Last Updated
August 11, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will not share