First-in-human study of TN-201, an AAV9 gene replacement therapy in <i>MYBPC3</i> -associated hypertrophic cardiomyopathy: initial safety, pharmacodynamic, and imaging results from MyPEAK-1
This brief report details the initial findings from a Phase 1b/2 trial of TN-201, an adeno-associated virus serotype 9 (AAV9) gene therapy for MYBPC3-associated hypertrophic cardiomyopathy (HCM), a condition with significant morbidity, increased risk of mortality, and no approved therapy for the majority of patients. TN-201 was well tolerated, and changes to the management of potential immune responses resulted in a shorter period of immunosuppression. These results show consistent transduction and expression of TN-201 in cardiomyocytes, corresponding with increases in MyBP-C levels, reductions or stabilization of cardiac biomarkers, and reductions in key measures of left ventricular (LV) hypertrophy.
Authors
- Sherif F. Nagueh (ORCID: https://orcid.org/0000-0002-4911-8056)
- Fatbardha Varfaj
- Kathryn N. Ivey (ORCID: https://orcid.org/0000-0001-9883-6268)
- John R. Giudicessi (ORCID: https://orcid.org/0000-0001-5871-0265)
- Milind Y. Desai (ORCID: https://orcid.org/0000-0003-0010-9797)
- LaTanya Tomlinson
- Matthew J. Pollman
- Laura M. Lombardi (ORCID: https://orcid.org/0000-0002-1793-7524)
- Linda M. Yamamoto
- Michael J. Previs (ORCID: https://orcid.org/0000-0002-8851-7439)
- Gretchen Argast
- Richard Pushkin
- Brian Mangal
- Danielle Kellner
- W. G. Harrison
- Whittemore G. Tingley
- Laura Robertson
- Natasha Sonicheva-Paterson
Institutions
- University of Vermont (US)
- Houston Methodist (US)
- Cleveland Clinic (US)
- Rapt Therapeutics (United States) (US)
- Methodist Hospital (US)
- Mayo Clinic in Arizona (US)
Publication Details
- Journal
- Cardiovascular Research
- Published
- 2025-11-08
- DOI
- https://doi.org/10.1093/cvr/cvaf200
- Citations
- 4
- Primary Topic
- Cardiomyopathy and Myosin Studies
- Type
- article
- Field-Weighted Citation Impact
- 5.55
Funders
- Brigham and Women's Hospital
- Cincinnati Children's Hospital Medical Center
- Cleveland Clinic
- Houston Methodist Hospital
- Houston Methodist Research Institute