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ION-682884

Phase 3FDA approved

hATTR Amyloidosis | RNA therapy | Rare Disease |Ionis Pharmaceuticals, Inc.|Trials Updated: Sep 3, 2026

ION-682884 development status

FDA approval on record Approved
Highest phase Phase 3 (NCT05667493)
Phase scored for IONSPhase 1
Registered trials 8 across 2 sponsors since Nov 2018

ION-682884 target and mechanism

ModalityRNA therapy

Also known as Eplontersen, AKCEA-TTR-LRx, IONIS-TTR-LRx

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials4
Total Enrollment3,036

FDA Designations

No designations recorded

ION-682884 clinical trials

ION-682884 · 4 trials · 4 indications

Phase 3 3Phase 1 1
NCT05667493An Extension Study to Assess Long-Term Safety of Eplontersen in Adults With Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR-CM)Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)
ENROLLING BY_INVITATION1,400 Analytics
NCT05071300A Study to Assess the Long-Term Safety and Efficacy of Eplontersen (Formerly Known as ION-682884, IONIS-TTR-LRx and AKCEA-TTR-LRx) in Patients With Hereditary Transthyretin-Mediated Amyloid PolyneuropathyHereditary Transthyretin-Mediated Amyloid Polyneuropathy
ACTIVE NOT_RECRUITING151 Analytics
NCT04136171CARDIO-TTRansform: A Study to Evaluate the Efficacy and Safety of Eplontersen (Formerly Known as ION-682884, IONIS-TTR-LRx and AKCEA-TTR-LRx) in Participants With Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)
COMPLETED1,438 Analytics
PHASE3ENROLLING BY_INVITATION
An Extension Study to Assess Long-Term Safety of Eplontersen in Adults With Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR-CM)
Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess the Long-Term Safety and Efficacy of Eplontersen (Formerly Known as ION-682884, IONIS-TTR-LRx and AKCEA-TTR-LRx) in Patients With Hereditary Transthyretin-Mediated Amyloid Polyneuropathy
Hereditary Transthyretin-Mediated Amyloid PolyneuropathyUnlock trial analytics
PHASE3COMPLETED
CARDIO-TTRansform: A Study to Evaluate the Efficacy and Safety of Eplontersen (Formerly Known as ION-682884, IONIS-TTR-LRx and AKCEA-TTR-LRx) in Participants With Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)
Transthyretin-Mediated Amyloid Cardiomyopathy (ATTR CM)Unlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Baseline up to 36 months
Change From Baseline in Platelet Count
Baseline up to 36 months
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR)
Baseline up to 36 months
Change From Baseline in Urine Protein Creatinine Ratio (UPCR)
Baseline up to 36 months
Number of Participants With Clinically Significant Changes From Baseline in Renal Function
Baseline to Week 181
Number of Participants with Clinically Significant Changes from Baseline in Transaminases
Baseline to Week 181
Change From Baseline in Adverse Events
Baseline to Week 181
Change From Baseline in Number of Concomitant Medications Used
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Vital Signs
Baseline to Week 181
Change From Baseline in Body Weight
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Physical Examination Findings
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Clinical Laboratory Tests
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Electrocardiogram (ECG) Parameters
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Thyroid Panel Tests
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Coagulation Tests
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Inflammatory Panel Tests
Baseline to Week 181
Number of Participants With Clinically Significant Changes From Baseline in Complement and Immunogenicity Tests
Baseline to Week 181
Composite Outcome of Cardiovascular (CV) Mortality and Recurrent CV Clinical Events up to Week 140
Baseline up to Week 140
Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAE)
Up to Day 176

An adverse event (AE) is any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not the AE was considered related to the medicinal (investigational) product. An AE was to be regarded as a TEAE if it was present prior to receiving the first dose of study drug and subsequently worsened or was not present prior to receiving the first dose of study drug but subsequently appeared.

Percentage of Participants Using Concomitant Medications
Up to Day 176

A concomitant therapy was any non-protocol-specified drug or substance (including over-the-counter \[OTC\] medications, herbal medications, and vitamin supplements) administered between signing of informed consent and the last study visit.

Number of Participants With Clinically Significant Laboratory Values
Up to Day 176

Laboratory parameters included measurement of blood chemistry, hematology, coagulation, complement, or urinalysis parameters for the single-dose and multiple-dose cohorts. Number of participants with clinically significant values in laboratory based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

Number of Participants With Clinically Significant Physical Examination Findings
Up to Day 176

Physical examination included measurement of height and weight for body mass index (BMI) determination. Number of participants with clinically significant findings in physical examination based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Values
Up to Day 176

ECG measurements included assessment of ventricular rate (VR), PR interval, QR interval, QT interval, QT corrected using Fridericia's formula (QTcF), and QT corrected using Bazett's formula (QTcB). Number of participants with clinically significant values in electrocardiogram based on Investigator's assessment are reported. Any value outside the normal range was to be flagged for the attention of the investigator was to assess whether or not a flagged value is of clinical significance.

Secondary Endpoints

Change From Baseline in Transthyretin (TTR) Serum Levels
Baseline up to 36 months
Change From Baseline in 6-minute Walk Test (6MWT)
Baseline up to 36 months
Change From Baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ)
Baseline up to 36 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EplontersenEXPERIMENTALEplontersen will be administered once every month by sub-cutaneous (SC) injection for up to 36 months or 6 months after eplontersen is approved and available in the site's country, whichever occurs first.
PlaceboPLACEBO_COMPARATOREplontersen-matching placebo by subcutaneous injection once every 4 weeks
Multiple Dose Cohort: PlaceboPLACEBO_COMPARATORParticipants received ION-682884 matching placebo, subcutaneously (SC) once every 4 weeks \[Q4W\] (total of 4 doses) along with daily oral supplemental doses of the recommended daily allowance (RDA) of vitamin A during the 13-week Treatment Period.
Multiple Dose Cohort A: ION-682884 45 mgEXPERIMENTALParticipants received ION-682884, 45 milligrams (mg), SC, Q4W (total of 4 doses) along with daily oral supplemental doses of the RDA of vitamin A during the 13-week Treatment Period.
Multiple Dose Cohort E: ION-682884 60 mgEXPERIMENTALParticipants received ION-682884, 60 mg, SC, Q4W (total of 4 doses) along with daily oral supplemental doses of the RDA of vitamin A during the 13-week Treatment Period.
Multiple Dose Cohort B: ION-682884 90 mgEXPERIMENTALParticipants received ION-682884, 90 mg, SC, Q4W (total of 4 doses) along with daily oral supplemental doses of the RDA of vitamin A during the 13-week Treatment Period.
Single Dose Cohort: PlaceboPLACEBO_COMPARATORParticipants received single dose of ION-682884 matching placebo, SC along with daily oral supplemental doses of the RDA of vitamin A on Day 1.
Single Dose Cohort C: ION-682884 120 mgEXPERIMENTALParticipants received single dose of ION-682884, 120 mg, SC along with daily oral supplemental doses of the RDA of vitamin A on Day 1.

Interventions

NameTypeDescription
EplontersenDRUGEplontersen will be administered by SC injection.
PlaceboDRUGEplontersen-matching placebo by subcutaneous injection
ION-682884DRUGION-682884 administered SC
Vitamin ADIETARY_SUPPLEMENTOral supplement
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites134

Inclusion Criteria: 1. Satisfactory completion of Treatment Period and the End of Treatment Visit of the Index Study (ION-682884-CS2) OR diagnosis of ATTR-CM and satisfactory participation on ISIS 420915- CS101 study as judged by the Investigator and Sponsor. 2. Investigator is willing to treat the...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaCzechiaDenmarkFranceGermanyGreeceIsraelItalyJapanPolandPortugalSpainSwedenUnited KingdomCyprusTaiwanTurkey (Türkiye)Puerto Rico
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Recent Changes (Last 90 Days)

MEDIUMOct 4, 2026NCT04136171TRIAL_REMOVED: changed
MEDIUMOct 4, 2026NCT04136171TRIAL_REMOVED: changed
MEDIUMOct 4, 2026NCT04136171TRIAL_REMOVED: changed
LOWSep 3, 2026NCT04136171lastUpdatePostDate: changed
LOWSep 3, 2026NCT04136171lastUpdatePostDate: changed
HIGHAug 25, 2026NCT04136171Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 25, 2026NCT04136171Status: ACTIVE_NOT_RECRUITING → COMPLETED

Frequently asked questions about ION-682884

What is ION-682884 used for?

ION-682884 is being developed for hereditary transthyretin-mediated amyloidosis, also called hATTR amyloidosis, a rare disease in which misfolded transthyretin protein deposits in tissues. It is an investigational therapy and has been studied in healthy volunteers as well as patients with hATTR amyloidosis.

Who is developing ION-682884?

ION-682884 is being developed by Ionis Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker IONS. Ionis is the sponsor of the clinical program evaluating the drug in hATTR amyloidosis and in healthy volunteers.

What phase is ION-682884 in?

ION-682884 is in Phase 1 clinical development. It is an investigational drug and is not approved for any indication. One Phase 1 trial has been completed, and no active trials of ION-682884 are currently listed.

What clinical trial has studied ION-682884?

ION-682884 was evaluated in the Phase 1 trial NCT03728634, titled a study of single and multiple subcutaneous doses of eplontersen in healthy volunteers and patients with hereditary transthyretin-mediated amyloidosis. The trial was completed, enrolled 47 participants, was randomized, double-blind, and placebo-controlled, and was conducted in Canada.

Is ION-682884 the same as eplontersen?

Yes. ION-682884 is also known as eplontersen, the name used in its clinical trial NCT03728634. People searching for either name are looking at the same investigational compound being developed by Ionis Pharmaceuticals for hATTR amyloidosis.

How was the ION-682884 Phase 1 trial designed?

The completed Phase 1 trial NCT03728634 was a randomized, double-blind, placebo-controlled study of single and multiple subcutaneous doses of ION-682884. It enrolled 47 participants, including healthy volunteers and patients with hATTR amyloidosis, at sites in Canada, and participants were 18 years or older.