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CTX460

Phase 1

Alpha-1 Antitrypsin Deficiency (AATD) | Small molecule | Other |CRISPR Therapeutics AG|Last Updated: Sep 30, 2026

Development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Sep 2026

Target and mechanism

Molecular targetSERPINA1
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment68

FDA Designations

No designations recorded

Clinical trial landscape

CTX460 · 1 trial · 1 indication

Phase 1 1
NCT07850076A Trial Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of CTX460 in Adults With Emphysema Associated With Severe Alpha-1 Antitrypsin Deficiency (AATD)Alpha-1 Antitrypsin Deficiency (AATD)
NOT YET_RECRUITING68 Analytics
PHASE1NOT YET_RECRUITING
A Trial Evaluating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of CTX460 in Adults With Emphysema Associated With Severe Alpha-1 Antitrypsin Deficiency (AATD)
Alpha-1 Antitrypsin Deficiency (AATD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1: To evaluate the safety and tolerability of CTX460 in adults with emphysema associated with severe AATD and to determine the recommended Phase 2 dose(s)
From CTX460 infusion up to 36 months

Incidence of DLTs and frequency of AEs

Phase 2: To assess the efficacy of CTX460 in adults with severe AATD and emphysema
6 months from CTX460 infusion

Absolute blood levels of total AAT at Month 6

Secondary Endpoints

Phase 1: To assess the preliminary efficacy of CTX460
6 months from CTX460 infusion
Phase 2: To further characterize the safety of CTX460
From CTX460 infusion up to 36 months
Phase 1/2: To assess the efficacy of CTX460
From CTX460 infusion up to 36 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1EXPERIMENTALPhase 1 begins with dose escalation based on a single infusion of CTX460.
Phase 2EXPERIMENTALRecommended Phase 2 dose of CTX460.

Interventions

NameTypeDescription
CTX460DRUGCTX460 is a lipid nanoparticle (LNP) formulation of synthetic nucleotide template polymerase (SyNTase) editor for in vivo gene editing of the serine protease inhibitor A1 (SERPINA1) gene in adults with emphysema associated with severe alpha-1 antitrypsin deficiency (AATD).
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Age: ≥18 and ≤75 years. 2. Able to provide written informed consent. 3. Diagnosis of AATD with PiZZ homozygous genotype. 4. Serum total AAT level \<11µM in the absence of augmentation. 5. Emphysema on a CT scan at screening. 6. A postbronchodilator forced expiratory volume in...

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Recent Changes (Last 90 Days)

LOWSep 30, 2026NCT07850076NEW_TRIAL: changed
LOWSep 30, 2026NCT07850076NEW_TRIAL: changed

Frequently asked questions about CTX460

What is CTX460?

CTX460 is an investigational small molecule developed by CRISPR Therapeutics AG for alpha-1 antitrypsin deficiency (AATD), a genetic condition that can lead to emphysema. It is designed to target SERPINA1, the gene that encodes the alpha-1 antitrypsin protein. CTX460 is currently in Phase 1 clinical development and has not been approved by the FDA.

What is CTX460 used for in alpha-1 antitrypsin deficiency?

CTX460 is being developed for adults with emphysema associated with severe alpha-1 antitrypsin deficiency (AATD). AATD is a genetic disorder in which the liver produces insufficient or dysfunctional alpha-1 antitrypsin protein, leaving the lungs vulnerable to damage. CTX460 is investigational and its safety and efficacy in this indication have not been established.

What does CTX460 target?

CTX460 targets SERPINA1, the gene that encodes the alpha-1 antitrypsin protein. In alpha-1 antitrypsin deficiency, mutations in SERPINA1 reduce or impair production of functional alpha-1 antitrypsin, which normally protects lung tissue. By acting on SERPINA1, CTX460 is intended to address the underlying genetic cause of the disease.

Who is developing CTX460?

CTX460 is being developed by CRISPR Therapeutics AG, a biotechnology company whose common stock trades on the Nasdaq under the ticker symbol CRSP. CRISPR Therapeutics is the sponsor of the clinical program evaluating CTX460 in adults with emphysema associated with severe alpha-1 antitrypsin deficiency.

What phase is CTX460 in?

CTX460 is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA for any indication. The Phase 1 program is evaluating the drug in adults with emphysema associated with severe alpha-1 antitrypsin deficiency, and no trials of CTX460 have been completed to date.

What clinical trials is CTX460 in?

CTX460 is being evaluated in one clinical trial, NCT07850076, titled a trial evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of CTX460 in adults with emphysema associated with severe alpha-1 antitrypsin deficiency (AATD). The Phase 1 study is controlled, is not yet recruiting, and is planned to enroll 68 participants aged 18 years and older.