ClinicalTrials.gg
RecruitingNCT05885412Updated Apr 16, 2026

A Phase 1, Dose Escalation Trial of RP-A601 in Subjects With PKP2 Variant-Mediated Arrhythmogenic Cardiomyopathy (PKP2-ACM)

A Phase 1 interventional study of RP-A601 in PKP2 Arrhythmogenic Cardiomyopathy (PKP2-ACM), sponsored by Rocket Pharmaceuticals Inc.. Recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Rocket Pharmaceuticals Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2023; still recruiting 3 years 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study 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.

02

Conditions studied

  • PKP2 Arrhythmogenic Cardiomyopathy (PKP2-ACM)

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
03

In context

Arrhythmogenic Right Ventricular Dysplasia

48 studies on the registry are indexed under Arrhythmogenic Right Ventricular Dysplasia; 28 are open to participants now.

This study's planned enrollment of 9 is below the median of 22 across 15 interventional studies indexed under Arrhythmogenic Right Ventricular Dysplasia.

Browse Arrhythmogenic Right Ventricular Dysplasia studies →

Lead sponsor

Rocket Pharmaceuticals Inc. is the lead sponsor of 19 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Male or female ≥18 years at the time of signing the
  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. 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. (NYHA) Class IV heart failure.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    RP-A601

    Single ascending dose of RP-A601 in 2 consecutive cohorts

    Genetic: RP-A601

Interventions

  • GeneticRP-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)

06

What researchers measure

Primary outcomes

  1. Evaluation of safety associated with RP-A601

    Incidence of treatment emergent adverse events (TEAEs), incidence of Serious Adverse Events (SAEs), and identification of Dose Limiting Toxicities (DLTs)

    Time frame: 12 months post-infusion

Secondary outcomes

  1. Preliminary efficacy of RP-A601 - Myocardial PKP2 protein expression

    Assessment of changes in myocardial PKP2 protein expression

    Time frame: 12 months post-infusion

  2. Preliminary efficacy of RP-A601 - Ventricular ectopy and arrhythmia

    Assessment of changes in levels of ventricular ectopy and arrhythmia on cardiac rhythm monitoring

    Time frame: 12 months post-infusion

  3. Preliminary efficacy of RP-A601 - Cardiac biomarkers

    Assessment of changes in circulating levels of cardiac biomarkers of injury and stress

    Time frame: 12 months post-infusion

07

Study locations

2 of 3 sites recruiting
08

References and documents

Publications

  • Alexandrino FB, Faaborg-Andersen CC, daSilva-deAbreu A. Anticoagulation in patients with atrial fibrillation and heart failure: More than meets the eye? Int J Cardiol. 2024 Feb 15;397:131591. doi: 10.1016/j.ijcard.2023.131591. Epub 2023 Nov 17. No abstract available. PubMed 37979797 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05885412
Lead sponsor
Rocket Pharmaceuticals Inc.
Responsible party
Sponsor
First posted
Jun 2, 2023
Start date
Aug 29, 2023
Primary completion
Sep 2028 (estimated)
Completion
Sep 2029 (estimated)
Last update
Apr 16, 2026

Study contacts

Clinical Information
Contact
clinicaltrials@rocketpharma.com
646-627-0033
Barry Greenberg, MD
principal investigator · University of California, San Diego

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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