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Nexiguran ziclumeran

Phase 3

Neuromuscular Disease | RNA therapy | Rare Disease |Intellia Therapeutics, Inc.|Trials Updated: Apr 16, 2026

Nexiguran ziclumeran development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Oct 2020

Nexiguran ziclumeran target and mechanism

Molecular targetTTR
ModalityRNA therapy

Also known as NTLA-2001

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,332

FDA Designations

RMATORPHAN_DRUG

Nexiguran ziclumeran clinical trials

Nexiguran ziclumeran · 3 trials · 24 indications

Phase 3 2Phase 1 1
NCT06672237A Phase 3 Study of NTLA-2001 in ATTRv-PNNeuromuscular Disease
RECRUITING60 Analytics
NCT06128629MAGNITUDE: A Phase 3 Study of NTLA-2001 in Participants With Transthyretin Amyloidosis With Cardiomyopathy (ATTR-CM)Transthyretin Amyloidosis (ATTR) With Cardiomyopathy
RECRUITING1,200 Analytics
PHASE3RECRUITING
A Phase 3 Study of NTLA-2001 in ATTRv-PN
Neuromuscular DiseaseUnlock trial analytics
PHASE3RECRUITING
MAGNITUDE: A Phase 3 Study of NTLA-2001 in Participants With Transthyretin Amyloidosis With Cardiomyopathy (ATTR-CM)
Transthyretin Amyloidosis (ATTR) With CardiomyopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Modified Neuropathy Impairment Score +7 (mNIS+7)
18 Months
Serum TTR
29 Days
Composite outcome of cardiovascular (CV) mortality and CV events
Maximum study duration is dependent on event rates and is estimated to be at least 18 months and up to approximately 5 years
Number of Participants with Treatment-Emergent Adverse Events
up to Day 730
Number of Participants with Clinically Significant Clinical Laboratory Test Findings
up to Day 730
Number of Participants with Clinically Significant Safety Measurements
up to Day 730
Percent Change from Baseline in Serum TTR (enzyme-linked immunosorbent assay [ELISA])
up to Day 730
Percent Change from Baseline in Serum Prealbumin
up to Day 730
Mean Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Measurable Concentration (AUClast) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Area Under the Plasma Concentration-Time Curve from Time Zero to Infinity (AUCinf) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Maximum Concentration (Cmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Time of the Maximum Concentration (Tmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Terminal Half-Life (t½) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Apparent Clearance (CL) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Mean Volume of Distribution (Vd) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
up to Day 730
Change from Baseline in Anti-Drug Antibody to NTLA-2001 and Anti-Cas9 Protein Antibody to Transgene Product Levels
up to Day 730

Secondary Endpoints

Norfolk Quality of Life-Diabetic Neuropathy (Norfolk QoL-DN) Questionnaire
18 Months
Modified Body Mass Index (mBMI)
18 Months
Serum TTR
18 Months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
nexiguran ziclumeranEXPERIMENTALnexiguran ziclumeran 55 mg by single IV infusion
Normal SalinePLACEBO_COMPARATORPlacebo; Normal saline (0.9% NaCl) by single IV infusion
NTLA-2001EXPERIMENTALSingle intravenous (IV) infusion of NTLA-2001
PlaceboPLACEBO_COMPARATORSingle IV infusion of normal saline
Polyneuropathy Part 1: NTLA-2001EXPERIMENTALParticipants, assigned to one of 4 dose-escalation cohorts, will receive a single dose of NTLA-2001.
Polyneuropathy Part 2: NTLA-2001EXPERIMENTALParticipants, assigned to the dose-expansion cohort, will receive a single dose of NTLA-2001.
Cardiomyopathy Part 1 (UK only): NTLA-2001EXPERIMENTALParticipants, assigned to one of 2 dose-escalation cohorts, will receive a single dose of NTLA-2001.
Cardiomyopathy Part 2 (UK only): NTLA-2001EXPERIMENTALParticipants, assigned to the dose-expansion cohort, will receive a single dose of NTLA-2001.
Polyneuropathy Follow-on Dosing (PN Part 1 Dose Level 1 Subjects only): NTLA-2001EXPERIMENTALParticipants assigned to the follow-on dosing cohort will receive a subsequent dose of NTLA-2001.

Interventions

NameTypeDescription
nexiguran ziclumeranBIOLOGICALnexiguran ziclumeran 55 mg by single IV infusion
Normal Saline as PlaceboDRUGNormal saline (0.9% NaCl) by single IV infusion
NTLA-2001BIOLOGICALNTLA-2001 (55mg) by IV infusion
PlaceboDRUGNormal saline (0.9% NaCl) by IV infusion
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Diagnosis of ATTRv-PN * Karnofsky Performance Status (KPS) ≥ 60 Exclusion Criteria: * Other causes of amyloidosis (amyloidosis caused by non-TTR protein) * Other known causes of sensorimotor or autonomic neuropathy * Diabetes mellitus * New York Heart Association Class III o...

Countries:ArgentinaBrazilMexicoSingaporeTaiwanThailandUnited StatesAustraliaAustriaBelgiumCanadaCzechiaDenmarkFranceGermanyHungaryIsraelItalyJapanNetherlandsNew ZealandNorwayPortugalSouth KoreaSpainSwedenUnited Kingdom
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Frequently asked questions about Nexiguran ziclumeran

What is Nexiguran ziclumeran used for?

Nexiguran ziclumeran is an investigational RNA therapy being developed for transthyretin amyloidosis, including ATTR with cardiomyopathy and ATTR familial amyloid polyneuropathy. It is also being studied in neuromuscular disease associated with ATTR. The drug is designed to reduce production of the transthyretin protein that forms amyloid deposits in these conditions.

What does Nexiguran ziclumeran target?

Nexiguran ziclumeran targets transthyretin (TTR), the protein that misfolds and accumulates as amyloid in ATTR amyloidosis. By targeting TTR, the therapy aims to lower circulating TTR levels and reduce amyloid deposition in nerves and the heart. It is an RNA-based therapy given as a single intravenous infusion.

Who is developing Nexiguran ziclumeran?

Nexiguran ziclumeran is being developed by Intellia Therapeutics, Inc., which trades on the Nasdaq under the ticker NTLA. Intellia is the sponsor of the clinical trials evaluating the drug in transthyretin amyloidosis with cardiomyopathy and in ATTR familial amyloid polyneuropathy.

What phase is Nexiguran ziclumeran in?

Nexiguran ziclumeran is in Phase 3 clinical development. Two Phase 3 trials are currently recruiting: one in ATTR with cardiomyopathy and one in ATTRv-PN. A completed Phase 1 study evaluated its safety, tolerability, pharmacokinetics, and pharmacodynamics. The drug has received RMAT and orphan drug designations from the FDA.

What clinical trials is Nexiguran ziclumeran in?

Nexiguran ziclumeran is being studied in three clinical trials. The Phase 3 MAGNITUDE trial (NCT06128629) is evaluating it in transthyretin amyloidosis with cardiomyopathy and has an enrollment of 1,200 participants. A separate Phase 3 trial (NCT06672237) is testing it in ATTRv-PN with 60 participants. The completed Phase 1 trial (NCT04601051) enrolled 72 patients.

Is Nexiguran ziclumeran the same as NTLA-2001?

Yes, Nexiguran ziclumeran is also known as NTLA-2001. NTLA-2001 was the original investigational code used by Intellia Therapeutics during early development, and the drug has since been given the international nonproprietary name nexiguran ziclumeran. Both names refer to the same RNA therapy targeting transthyretin.