NTLA halts nex-z Phase 3 dosing after Grade 4 liver event
Rhea-AI Filing Summary
Intellia Therapeutics temporarily paused dosing and screening in its Phase 3 MAGNITUDE (ATTR-CM) and MAGNITUDE-2 (ATTRv-PN) trials of nexiguran ziclumeran (nex-z) after a safety event met protocol-defined pausing criteria.
The action follows an October 24 report of Grade 4 liver transaminases and increased total bilirubin in a patient dosed on September 30 in MAGNITUDE. More than 650 patients with ATTR-CM are enrolled in MAGNITUDE and 47 patients with ATTR-PN are enrolled in MAGNITUDE-2; over 450 patients are estimated to have been dosed with nex-z. The company furnished a press release as Exhibit 99.1 and included standard forward-looking statements regarding the ability to resume and complete these studies.
Positive
- None.
Negative
- Temporary pause of Phase 3 MAGNITUDE and MAGNITUDE-2 after a Grade 4 liver transaminase and bilirubin event in a MAGNITUDE patient, meeting protocol-defined pausing criteria.
Insights
Phase 3 programs paused after a serious liver event; material clinical risk.
Intellia paused dosing and screening in the Phase 3 MAGNITUDE and MAGNITUDE-2 trials for nex-z after a MAGNITUDE patient experienced Grade 4 liver transaminases with elevated bilirubin, triggering protocol-defined pausing criteria. Such pauses are designed to assess causality and safety signals in a controlled manner.
The trials enroll adults with ATTR-CM and ATTRv-PN. The company reports more than 650 enrolled in MAGNITUDE and 47 in MAGNITUDE-2, with over 450 estimated to have received nex-z. The scale underscores the importance of a careful safety review before resuming.
Next steps hinge on safety evaluations and interactions described generally in forward-looking language. Any resumption or modifications would come through subsequent disclosures; the timing is not specified in the excerpt.