ClinicalTrials.gg
RecruitingNCT07218887DCMRestoreUpdated Aug 28, 2026

ALXN2350 in Adult Participants With BAG3-Associated Dilated Cardiomyopathy

A Phase 1/2 interventional study of ALXN2350 in BAG3 Mutation Associated Dilated Cardiomyopathy, sponsored by Alexion Pharmaceuticals, Inc.. Recruiting at 11 sites in 4 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This Phase 1/2 study is an open-label, dose finding and dose expansion study investigating the safety, tolerability, and efficacy of a single IV infusion of ALXN2350 in adult participants with BAG3 associated DCM.

02

Conditions studied

  • BAG3 Mutation Associated Dilated Cardiomyopathy

Keywords

  • ALXN2350
  • Gene Therapy
  • BAG3 Mutation Associated Dilated Cardiomyopathy
03

In context

Cardiomyopathy, Dilated

255 studies on the registry are indexed under Cardiomyopathy, Dilated; 66 are open to participants now.

This study's planned enrollment of 6 is below the median of 43 across 145 interventional studies indexed under Cardiomyopathy, Dilated.

Browse Cardiomyopathy, Dilated studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 23 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 75 (74%) have results posted.

First submitted after Alexion Pharmaceuticals, Inc. became part of AstraZeneca.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pathogenic or likely pathogenic mutation in BAG3
  • Medical history of diagnosis of DCM
  • Stable combination of HF SoC medications
  • Adequate acoustic windows for echocardiography
  • > 15% and ≤ 45% at Screening by echocardiography
  • Diagnosis of chronic HF for at least 3 months
  • Class I/II/III at Screening

Exclusion criteria

Exclusion Criteria:

  • Presence of antibodies to AAV9
  • Presence of a pathogenic or likely pathogenic variant in another gene where that other gene is authoritatively recognized as causal for DCM
  • Decompensated HF
  • Cardiac ventricular arrhythmia that requires treatment
  • History of untreated valve disease or a Screening confirmation of severe aortic stenosis, severe mitral stenosis, moderate or severe aortic insufficiency or severe mitral insufficiency
  • Class IV
  • History of substance abuse that could contribute to cardiac dysfunction

Note: Other inclusion and exclusion criteria may apply.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (estimated)

Study arms

  • Experimental
    ALXN2350

    Participants will receive one of three dose levels of ALXN2350 depending on the cohort.

    Drug: ALXN2350

Interventions

  • DrugALXN2350

    ALXN2350 is a gene therapy product consisting of an AAV9 capsid containing BAG3 transgene. It is administered as a single intravenous (IV) infusion.

06

What researchers measure

Primary outcomes

  1. Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Time frame: Baseline up to Week 78

Secondary outcomes

  1. Part B: Number of Participants With TEAEs and SAEs

    Time frame: Baseline up to Week 78

  2. Parts A and B: Number of Participants With Cardiac Events at Weeks 52 and 78

    Time frame: Weeks 52 and 78

  3. Parts A and B: Time to the First Event of Death, Heart Transplant, Mechanical Circulating Support, or Aborted Sudden Cardiac Death

    Time frame: Baseline up to Week 78

  4. CFB in cardiac serum biomarker NT-pro-BNP

    Time frame: Weeks 52 and 78

07

Study locations

11 of 11 sites recruiting
  • Research Site
    Birmingham, Alabama 35233, United States
    Recruiting
  • Research Site
    Palo Alto, California 94304, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02115, United States
    Recruiting
  • Research Site
    Cincinnati, Ohio 45219, United States
    Recruiting
  • Research Site
    Portland, Oregon 97239-3098, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
    • Jennifer Garrett · Contact346-238-4516
  • Research Site
    Massa, 54100, Italy
    Recruiting
  • Research Site
    Barcelona, 08035, Spain
    Recruiting
  • Research Site
    Majadahonda, 28222, Spain
    Recruiting
  • Research Site
    London, SW3 6NP, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07218887
Responsible party
Sponsor
First posted
Oct 20, 2025
Start date
Oct 24, 2025
Primary completion
Jan 27, 2032 (estimated)
Completion
Jan 27, 2032 (estimated)
Last update
Aug 28, 2026

Study contacts

Alexion Pharmaceuticals, Inc. (Sponsor)
Contact
clinicaltrials@alexion.com
1-855-752-2356

Oversight

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

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