ClinicalTrials.gg
RecruitingNCT06092034Updated Oct 6, 2026

A Gene Therapy Study of RP-A501 in Male Patients With Danon Disease

A Phase 2 interventional study of RP-A501 in Danon Disease, sponsored by Rocket Pharmaceuticals Inc.. Recruiting at 6 sites in 4 countries. Open to male participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by Rocket Pharmaceuticals Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2023; still recruiting 3 years 2 months later.
Updated Oct 6, 2026Primary completion movedStudy completion moved+5 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
8 Years and older
Sex
Male
01

Study 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.

Read the detailed description

RP-A501-0123 is a Phase 2 global, multi-center, single arm, open-label, single dose trial in males with Danon disease. The study is designed to assess the efficacy and safety of a single intravenous dose of RP-A501 in treating the cardiomyopathy associated with Danon disease.

RP-A501-0123 will enroll subjects ≥ 8 years of age with a pathogenic or likely pathogenic LAMP2 variant. The trial will include a total of 5 years of follow-up after administration of RP-A501.

02

Conditions studied

  • Danon Disease

Keywords

  • Hypertrophic Cardiomyopathy
  • HCM
  • X-linked disease
  • LAMP2
  • Pediatric
  • Skeletal Myopathies
  • Cardiomyopathy
  • Lysosomal Storage Disorder
  • Left Ventricular Hypertrophy
03

In context

Cardiomyopathy, Hypertrophic

363 studies on the registry are indexed under Cardiomyopathy, Hypertrophic; 116 are open to participants now.

This study's planned enrollment of 18 is below the median of 60 across 180 interventional studies indexed under Cardiomyopathy, Hypertrophic.

Browse Cardiomyopathy, Hypertrophic 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

The criteria were revised on the registry on Oct 6, 2026. See what changed

Ages eligible
8 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

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. (LVEF) ≥ 50%.
  5. (NYHA) Class II to III.
  6. High sensitivity Troponin I (hsTnI) ≥20% above the (ULN) ≤ 12 months prior to screening.
  7. Ability to comply with study procedures including 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, (TIA), acute coronary syndrome, myocardial infarction or unstable angina.
  4. Prior cardiac or other organ (lung, liver, other) transplantation.
Terms in these criteria, in plain language(5)

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.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    RP-A501

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

    Genetic: RP-A501

Interventions

  • GeneticRP-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.

06

What researchers measure

Primary outcomes

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

    Myocardial tissue expression of LAMP2 protein improved from baseline to ≥ Grade 1 (by IHC), AND, ≥ 10% decrease in LVMI from baseline.

    Time frame: 12 months post-infusion

Secondary outcomes

  1. Evaluation of efficacy via components of the primary endpoint - LAMP2

    Myocardial tissue expression of LAMP2 protein improved from baseline to ≥ Grade 1 (by IHC)

    Time frame: 12 months post infusion

  2. Evaluation of efficacy via components of the primary endpoint - Left Ventricular Mass Index (LVMI)

    ≥ 10% decrease in LVMI from baseline

    Time frame: 12 months post infusion

  3. Evaluation of efficacy via biomarker evidence of myocardial injury - High Sensitivity Troponin I (hsTnI)

    ≥ 20% decrease in hsTnI from baseline

    Time frame: 12 months post infusion

  4. Evaluation of efficacy via biomarker evidence of myocardial injury - N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP)

    ≥ 20% decrease in NT-proBNP from baseline

    Time frame: 12 months post infusion

  5. Evaluation of efficacy via Quality of Life

    Change in KCCQ-12 Overall Score from baseline

    Time frame: 12 months post infusion

  6. Evaluation of efficacy via heart failure symptoms

    Change in NYHA class from baseline

    Time frame: 12 months post infusion

  7. Evaluation of efficacy via assessment of event-free survival

    1. Event free survival with events defined as death, heart transplant, mechanical circulatory support (MCS) or heart failure hospitalization 2. Incidence of death, heart transplant, MCS, or heart failure hospitalization

    Time frame: From infusion to 60 months post infusion

  8. Evaluation of safety

    Incidence, severity and duration of treatment emergent safety events.

    Time frame: From infusion to 60 months post infusion

07

Study locations

6 of 6 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2023 (actual). Primary completion is estimated for Jun 2028, 57 months after the start.

Of 20 phase 2 interventional studies under Cardiomyopathy, Hypertrophic, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 43. This study's planned 57 months is above that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 6, 2026: primary completion Apr 2028 → Jun 2028 and completion Apr 2032 → Jun 2032.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Oct 11, 2023
First posted
Oct 23, 2023
StartActual
Sep 5, 2023
Primary completionEst.
Jun 2028was Apr 2028
CompletionEst.
Jun 2032was Apr 2032
Last update
Oct 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added, 2 sites removed
Show 2 added (1 Italy, 1 United Kingdom)
  • Meyer Children's Hospital · Florence, Italy
  • Great Ormond Street Hospital & UCL Institute of Cardiovascular Science · London, United Kingdom
Show 2 removed
  • Meyer Childrens Hospital · Florence, Italy
  • Great Ormund Street Hospital & UCL Institute of Cardiovascular Science · London, United Kingdom
Oct 6, 2026
Primary completion
Apr 2028→Jun 2028
Oct 6, 2026
Study completion
Apr 2032→Jun 2032
Oct 6, 2026
Enrollment
14→18
Oct 6, 2026
Eligibility
2 criteria edited
What changed in the criteria
  • EditedHigh sensitivity Troponin I (hsTnI) ≥20% above the upper limit of normal (ULN) ≤ 12 months prior to screening.
  • ChangedBefore Severe heart failure or requirement for advanced therapies.Now 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).
Oct 6, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedEvaluation of efficacyEfficacy: Improvement as assessed via primary endpoint comprised of LAMP2 myocardial tissue expression and left ventricular mass index (LVMI)Time frame: 12 Months post-infusion → 12 months post-infusion
Oct 6, 2026
Secondary outcomes
2 time frame changed, 2 added, 4 description edited
What changed in the outcomes
  • AddedEvaluation of efficacy via Quality of LifeTime frame: 12 months post infusion
  • AddedEvaluation of efficacy via heart failure symptomsTime frame: 12 months post infusion
  • Time frameEvaluation of efficacy via assessment of event-free survival60 months post infusion → From infusion to 60 months post infusion
  • Time frameEvaluation of safety60 months post infusion → From infusion to 60 months post infusion
  • DescriptionEvaluation of efficacy via biomarker evidence of myocardial injury - High Sensitivity Troponin I (hsTnI): how it is measured was reworded
  • DescriptionEvaluation of efficacy via biomarker evidence of myocardial injury - N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP): how it is measured was reworded
  • DescriptionEvaluation of efficacy via components of the primary endpoint - LAMP2: how it is measured was reworded
  • DescriptionEvaluation of efficacy via components of the primary endpoint - Left Ventricular Mass Index (LVMI): how it is measured was reworded
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    2 sites added, 2 sites removed
    Show 2 added (1 Italy, 1 United Kingdom)
    • Meyer Children's Hospital · Florence, Italy
    • Great Ormond Street Hospital & UCL Institute of Cardiovascular Science · London, United Kingdom
    Show 2 removed
    • Meyer Childrens Hospital · Florence, Italy
    • Great Ormund Street Hospital & UCL Institute of Cardiovascular Science · London, United Kingdom
    Primary completion Apr 2028→Jun 2028
    Study completion Apr 2032→Jun 2032
    Enrollment 14→18
    Eligibility 2 criteria edited
    What changed in the criteria
    • EditedHigh sensitivity Troponin I (hsTnI) ≥20% above the upper limit of normal (ULN) ≤ 12 months prior to screening.
    • ChangedBefore Severe heart failure or requirement for advanced therapies.Now 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).
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedEvaluation of efficacyEfficacy: Improvement as assessed via primary endpoint comprised of LAMP2 myocardial tissue expression and left ventricular mass index (LVMI)Time frame: 12 Months post-infusion → 12 months post-infusion
    Secondary outcomes 2 time frame changed, 2 added, 4 description edited
    What changed in the outcomes
    • AddedEvaluation of efficacy via Quality of LifeTime frame: 12 months post infusion
    • AddedEvaluation of efficacy via heart failure symptomsTime frame: 12 months post infusion
    • Time frameEvaluation of efficacy via assessment of event-free survival60 months post infusion → From infusion to 60 months post infusion
    • Time frameEvaluation of safety60 months post infusion → From infusion to 60 months post infusion
    • DescriptionEvaluation of efficacy via biomarker evidence of myocardial injury - High Sensitivity Troponin I (hsTnI): how it is measured was reworded
    • DescriptionEvaluation of efficacy via biomarker evidence of myocardial injury - N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP): how it is measured was reworded
    • DescriptionEvaluation of efficacy via components of the primary endpoint - LAMP2: how it is measured was reworded
    • DescriptionEvaluation of efficacy via components of the primary endpoint - Left Ventricular Mass Index (LVMI): how it is measured was reworded
    + 4 other changes: verification date, description, design details and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06092034
Lead sponsor
Rocket Pharmaceuticals Inc.
Responsible party
Sponsor
First posted
Oct 23, 2023
Start date
Sep 5, 2023
Primary completion
Jun 2028 (estimated)
Completion
Jun 2032 (estimated)
Last update
Oct 6, 2026

Study contacts

Clinical Information
Contact
clinicaltrials@rocketpharma.com
646-627-0033
Joseph Rossano, MD
principal investigator · Children's Hospital of Philadelphia
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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