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PrP-siRNA

Phase 1

Prion Disease | Small molecule | Other |Harvard Bioscience, Inc.|Last Updated: May 11, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
NO_TREATMENT_CONTROLLEDDMC
Total Trials1
Total Enrollment30
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07444580PrP-targeting siRNA Safety & Mechanism StudyPHASE1 RECRUITING 30Apr 1, 2026Aug 14, 2029May 11, 20264 United States
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Study Endpoints
Primary Endpoints
Frequency of adverse events
Baseline to week 24
Secondary Endpoints
CSF PrP concentration
4 weeks post-dose
Plasma concentration of PrP-siRNA
4 hours post-dose
CSF concentration of PrP-siRNA
4 weeks post-dose
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1: ObservationalNO_INTERVENTIONIn Arm 1, participants will undergo lumbar punctures and other study activities at baseline (Week 0) and at Week 4 and Week 8. Investigational drug will not be administered. We will prioritize enrollment in Arm 2; Arm 1 will be open to enrollment whenever Arm 2 is not open to enrollment.
Arm 2: Single ascending doseEXPERIMENTALIn Arm 2, participants will be admitted to the clinical trial center and receive a single intrathecal dose of PrP-siRNA. Dose levels to be sequentially evaluated are 50, 100, and 200 mg. Patients will be discharged on Day 2 and then periodically return to the study center on an outpatient basis at Week 1, 2, 4, 8, 12 and 24 for safety monitoring and study activities through the 24 week follow up period.
Interventions
NameTypeDescription
PrP-siRNADRUGIntrathecally administered divalent siRNA designed to target the PRNP mRNA. The structure has been published in DOI: 10.1101/2024.12.05.627039
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites4

Key inclusion criteria: 1. clinically manifested symptoms of prion disease, in the opinion of the investigator; 2. a diagnosis of probable prion disease according to CDC criteria; 3. a positive CSF RT-QuIC or PRNP genetic test; 4. no more than moderate functional impairment as quantified by an MRC-...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT07444580studyFirstPostDate: changed