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KRRO-121

Phase 1

Urea Cycle Disorders, Inborn | Small molecule | Rare Disease |Korro Bio, Inc.|Trials Updated: Oct 8, 2026

KRRO-121 development status

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

KRRO-121 target and mechanism

Molecular targetGLUL
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

KRRO-121 clinical trials

KRRO-121 · 1 trial · 11 indications

Phase 1 1
NCT07773246Phase 1/2 Study of KRRO-121 in Healthy Volunteers and Patients With UCDUrea Cycle Disorders, Inborn
RECRUITING30 Analytics
PHASE1RECRUITING
Phase 1/2 Study of KRRO-121 in Healthy Volunteers and Patients With UCD
Urea Cycle Disorders, InbornUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of dose limiting toxicities (DLT) (Safety and Tolerability)
Day 1 through 14 days post-dose

General toxicity: Any Grade 3 or higher adverse event (AE) per Common Terminology Criteria for Adverse Events (CTCAE); Serious adverse events: Any serious adverse event (SAE) assessed as related or possibly related to KRRO-121.

Frequency and severity of treatment-emergent adverse events (TEAEs; per Common Terminology Criteria for Adverse Events [CTCAE]) (Safety and Tolerability)
Day 1 through Day 50

Any adverse event (AE) per Common Terminology Criteria for Adverse Events (CTCAE),

Secondary Endpoints

Maximum blood concentration (Cmax)
Day 1 to Day 50
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
KRRO-121EXPERIMENTALKRRO-121 is a GalNAc-conjugated RNA-editing oligonucleotide that recruits endogenous hepatic ADAR to edit mRNA, producing a de novo glutamine synthetase (GS) protein resistant to feedback-driven proteasomal degradation. By stabilizing hepatic GS, KRRO-121 augments ammonia clearance capacity independently of the underlying urea cycle enzyme defect.
PlaceboPLACEBO_COMPARATORPlacebo

Interventions

NameTypeDescription
KRRO-121DRUGKRRO-121, subcutaneous injection
PlaceboDRUGPlacebo, subcutaneous injection
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Adult male or female participants, 18 to 65 years of age * Healthy as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and screening laboratory assessments, in the opinion of the Investigator. * Female participant of childbeari...

Countries:Australia
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Recent Changes (Last 90 Days)

LOWOct 8, 2026NCT07773246Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 8, 2026NCT07773246Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 20, 2026NCT07773246NEW_TRIAL: changed
LOWAug 20, 2026NCT07773246NEW_TRIAL: changed
LOWAug 20, 2026NCT07773246NEW_TRIAL: changed
LOWAug 20, 2026NCT07773246NEW_TRIAL: changed

Frequently asked questions about KRRO-121

What is KRRO-121?

KRRO-121 is an investigational small molecule being developed by Korro Bio, Inc. for inborn urea cycle disorders, a group of rare inherited conditions. It is currently in Phase 1 clinical development and has not been approved by the FDA.

What is KRRO-121 used for?

KRRO-121 is being developed for inborn urea cycle disorders, including ornithine transcarbamylase deficiency, arginase 1 deficiency, NAGS deficiency, carbamylphosphate synthetase I deficiency, citrin deficiency, and other related enzyme and transporter defects that impair the urea cycle.

What does KRRO-121 target?

KRRO-121 targets GLUL, the gene encoding the enzyme glutamine synthetase. By acting on this target, the small molecule is designed to address the impaired ammonia processing that characterizes inborn urea cycle disorders.

Who is developing KRRO-121?

KRRO-121 is being developed by Korro Bio, Inc., a biopharmaceutical company that trades on the Nasdaq under the ticker symbol KRRO. The company is the sponsor of the clinical program evaluating the drug in urea cycle disorders.

What phase is KRRO-121 in?

KRRO-121 is in Phase 1 development. It is an investigational drug and has not received FDA approval. The ongoing study is a Phase 1/2 trial, and no trials of KRRO-121 have been completed to date.

What clinical trials is KRRO-121 in?

KRRO-121 is being evaluated in a single recruiting Phase 1/2 study, NCT07773246, titled a Phase 1/2 Study of KRRO-121 in Healthy Volunteers and Patients With UCD. The trial is placebo-controlled, randomized, double-blind, and plans to enroll 30 participants in Australia.