FDA lifts Intellia (NTLA) MAGNITUDE-2 ATTRv-PN Phase 3 trial hold
Rhea-AI Filing Summary
Intellia Therapeutics reports that the U.S. FDA has removed the clinical hold on the investigational new drug application for its MAGNITUDE-2 Phase 3 trial of nexiguran ziclumeran ("nex-z") in patients with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN). The FDA had placed MAGNITUDE-2 and the related MAGNITUDE Phase 3 cardiomyopathy (ATTR-) trial on hold after a MAGNITUDE patient experienced Grade 4 liver transaminase elevations with increased total bilirubin and subsequently died, triggering protocol-defined pausing criteria. Intellia has now agreed with the FDA on study modifications and mitigation measures, including enhanced liver safety monitoring, and is working with investigators, ethics committees, regulators and other stakeholders to restart enrollment in MAGNITUDE-2.
The FDA clinical hold on the MAGNITUDE Phase 3 trial in ATTR- remains in place, and Intellia’s engagement with the agency on a path forward for that program is ongoing. The company plans to provide an update once alignment with the FDA is reached on next steps for the cardiomyopathy trial.
Positive
- FDA lift of MAGNITUDE-2 hold: The FDA has removed the clinical hold on the MAGNITUDE-2 Phase 3 trial of nexiguran ziclumeran in ATTRv-PN, allowing Intellia to move toward resuming enrollment after agreeing on study modifications and enhanced liver safety monitoring.
Negative
- Serious prior safety event and remaining hold: The earlier clinical hold followed Grade 4 liver transaminase elevations, increased bilirubin and a subsequent patient death in the MAGNITUDE trial, and the separate MAGNITUDE Phase 3 cardiomyopathy trial for ATTR- remains under FDA clinical hold with the path forward still under discussion.
Insights
FDA clears MAGNITUDE-2 to resume, while MAGNITUDE cardiomyopathy trial remains on hold.
Intellia Therapeutics discloses that the FDA has lifted the clinical hold on the MAGNITUDE-2 Phase 3 trial of nexiguran ziclumeran ("nex-z") in ATTRv-PN. The earlier hold covered both MAGNITUDE-2 and the MAGNITUDE Phase 3 cardiomyopathy trial after a MAGNITUDE patient developed Grade 4 liver enzyme elevations, increased bilirubin and later died, meeting protocol pausing criteria. Intellia has now aligned with the FDA on study modifications and mitigation measures, including enhanced liver safety monitoring.
The company is engaging trial investigators, ethics committees and international regulators to restart enrollment in MAGNITUDE-2, which restores momentum for its ATTRv-PN program. At the same time, the MAGNITUDE cardiomyopathy trial remains under FDA clinical hold, and discussions on a path forward continue. The balance of progress in one pivotal program against unresolved safety and regulatory questions in the other will be an important factor in how the ATTR franchise evolves as more data and regulatory feedback emerge.
FAQ
What did Intellia Therapeutics (NTLA) announce in this 8-K?
Why were Intellia’s MAGNITUDE and MAGNITUDE-2 trials previously placed on FDA clinical hold?
Which Intellia trial has had its FDA clinical hold lifted and which remains on hold?
What changes did Intellia agree to for the MAGNITUDE-2 Phase 3 trial?
How is Intellia planning to restart MAGNITUDE-2 after the FDA hold lift?
What forward-looking risks does Intellia highlight related to nexiguran ziclumeran?