Intellia (NASDAQ: NTLA) details nex-z trial death and FDA hold status
Rhea-AI Filing Summary
Intellia Therapeutics reported safety updates from its Phase 3 MAGNITUDE and MAGNITUDE-2 trials of nexiguran ziclumeran ("nex-z") for transthyretin amyloidosis. A previously disclosed patient in MAGNITUDE experienced Grade 4 liver transaminase elevations and increased bilirubin, triggering a protocol-defined pause, and the FDA placed a clinical hold on the nex-z Phase 3 programs. The patient later died on November 5, 2025, with the principal investigator attributing the death to septic shock secondary to a perforated duodenal ulcer, with a clinical course that included acute liver injury treated with corticosteroids and supported by autopsy findings.
More than 650 patients with ATTR-CM are enrolled in MAGNITUDE and 47 patients with hereditary ATTRv-PN are enrolled in MAGNITUDE-2. Grade 4 liver transaminase elevations have occurred in less than one percent of MAGNITUDE patients, with no such events in MAGNITUDE-2, and all cases except the fatal one resolved within weeks without reported clinical sequelae. The company also updated its corporate presentation for investor and analyst meetings and plans to provide a further update after finalizing a path forward for nex-z with regulators.
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- FDA clinical hold on key nex-z Phase 3 trials following a Grade 4 liver injury case and subsequent patient death in MAGNITUDE increases uncertainty for this ATTR amyloidosis program.
Insights
FDA clinical hold on nex-z Phase 3 after rare severe liver event and one patient death heightens development risk.
Intellia Therapeutics outlines a serious safety signal in its MAGNITUDE Phase 3 trial of nexiguran ziclumeran ("nex-z") for ATTR-CM. A patient developed Grade 4 liver transaminase elevations and increased bilirubin, triggering protocol pausing criteria, and the FDA subsequently imposed a clinical hold on the MAGNITUDE and MAGNITUDE-2 Phase 3 studies. The same patient later died from septic shock secondary to a perforated duodenal ulcer, following a complicated course that included acute liver injury treated with corticosteroids and supported by autopsy findings.
The company provides broader context: more than 650 ATTR-CM patients are enrolled in MAGNITUDE and 47 ATTRv-PN patients in MAGNITUDE-2. Grade 4 liver transaminase elevations have occurred in less than
Intellia states it plans to provide an update after it finalizes a plan with regulators on the path forward for nex-z, emphasizing that resolving the clinical hold is a key near-term objective. The updated corporate presentation furnished as Exhibit 99.1 indicates an effort to keep investors and analysts informed while the hold remains in place. Subsequent regulatory feedback and any protocol modifications will shape how, and if, these Phase 3 programs continue.
FAQ
What did Intellia Therapeutics (NTLA) disclose about the nex-z MAGNITUDE trials?
Intellia disclosed that in the MAGNITUDE Phase 3 trial of nexiguran ziclumeran ("nex-z") for ATTR-CM, a patient experienced Grade 4 liver transaminase elevations and increased bilirubin, triggering protocol-defined pausing criteria and leading the FDA to place a clinical hold on the MAGNITUDE and MAGNITUDE-2 Phase 3 studies.
What were the circumstances of the patient death reported by Intellia (NTLA)?
The company reported that the patient died on November 5, 2025. According to the principal investigator, the cause of death was septic shock secondary to a perforated duodenal ulcer, after a complicated clinical course that included acute liver injury treated with corticosteroids, with an autopsy supporting the clinical diagnoses.
How many patients are enrolled in Intellia's nex-z MAGNITUDE and MAGNITUDE-2 trials?
More than 650 patients with ATTR-CM are enrolled in the MAGNITUDE trial, and 47 patients with hereditary ATTR amyloidosis with polyneuropathy (ATTRv-PN) are enrolled in the MAGNITUDE-2 Phase 3 trial.
What liver safety data did Intellia (NTLA) report for nex-z?
Intellia stated that Grade 4 liver transaminase elevations have occurred in less than one percent of all patients enrolled in MAGNITUDE, with no Grade 4 liver transaminase elevations reported in MAGNITUDE-2. For all Grade 4 events except the fatal case, onset occurred within 3–5 weeks of dosing and resolved within several weeks without reported clinical sequelae.
What are Intellia Therapeutics' next steps regarding the nex-z clinical hold?
The company indicated that it plans to provide an update after it has finalized a plan with regulators on the path forward for nex-z, following the FDA clinical hold on the MAGNITUDE and MAGNITUDE-2 Phase 3 trials.
What additional materials did Intellia (NTLA) provide with this 8-K?
Intellia updated its corporate presentation for use in meetings with investors, analysts and others, and furnished it as Exhibit 99.1. The company noted that this information is being furnished, not filed, under the Exchange Act.