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AMT-191

Phase 1

Fabry Disease | Small molecule | Rare Disease |uniQure N.V.|Trials Updated: Sep 24, 2026

AMT-191 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Feb 2024

AMT-191 target and mechanism

Molecular targetα-Gal A
Target classEnzyme
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment20

FDA Designations

ORPHAN_DRUG

AMT-191 clinical trials

AMT-191 · 1 trial · 1 indication

Phase 1 1
NCT06270316Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry DiseaseFabry Disease
RECRUITING20 Analytics
PHASE1RECRUITING
Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease
Fabry DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate the safety and tolerability of different dose levels of intravenously-administered AMT-191 in Participants with FD
60 Months

Secondary Endpoints

Characterize the vector shedding of intravenously-administered AMT-191
60 Months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose Ranging Cohort 1EXPERIMENTAL -
Dose Ranging Cohort 2EXPERIMENTAL -
Dose Ranging Cohort 3EXPERIMENTAL -

Interventions

NameTypeDescription
AMT-191DRUGA recombinant serotype 5 based adeno-associated viral vector (AMT-191) for one-time intravenous (IV) administration will be investigated in this study. This recombinant AAV5-based vector contains a coding deoxyribonucleic acid (DNA) sequence for human α-galactosidase A. Delivery of AMT-191 to the systemic circulation is expected to result in a therapeutic effect by promoting the liver expression of the lysosomal enzyme GLA in plasma levels in patients with Fabry disease.
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Eligibility Criteria

Age Range18 Years to 65 Years
SexMALE
Healthy VolunteersNo
Study Sites10

Key Inclusion Criteria: * Male of age ≥ 18 years and ≤65 years * Confirmed clinical diagnosis of classic Fabry disease (FD) defined as: 1. Absent or minimal αGAL A enzyme activity \< 1% of mean normal measured in plasma regardless of variant status; OR 2. α-galactosidase A (GLA) pathogenic or ...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMSep 24, 2026NCT06270316Enrollment: 12 → 20
MEDIUMSep 24, 2026NCT06270316Enrollment: 12 → 20

Frequently asked questions about AMT-191

What is AMT-191 used for?

AMT-191 is an investigational gene therapy being developed for the treatment of classic Fabry disease, a rare inherited lysosomal storage disorder. It is designed to deliver a functional copy of the GLA gene to enable patients' cells to produce the missing enzyme on their own, addressing the root cause of the disease rather than just managing symptoms.

How does AMT-191 work?

AMT-191 is designed to deliver a functional copy of the GLA gene, which encodes the enzyme alpha-galactosidase A (α-Gal A). In Fabry disease, mutations in GLA lead to deficient or absent α-Gal A activity, causing harmful substrate accumulation. By restoring enzyme production, AMT-191 aims to address the underlying cause of the disease.

Who is developing AMT-191?

AMT-191 is being developed by uniQure N.V., a gene therapy company traded on the Nasdaq under the ticker symbol QURE. uniQure specializes in adeno-associated virus (AAV)-based gene therapies for rare diseases, and AMT-191 is part of its pipeline for Fabry disease.

What phase is AMT-191 in?

AMT-191 is currently in Phase 1 clinical development. The only trial to date is a Phase 1 study evaluating the safety, pharmacokinetics, pharmacodynamics, and exploratory efficacy of AMT-191 in patients with classic Fabry disease. The trial is actively recruiting participants.

What clinical trials is AMT-191 in?

AMT-191 is being evaluated in a single Phase 1 clinical trial, NCT06270316, titled "Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease." The study is currently recruiting up to 20 adult male participants in the United States. It is a controlled trial without randomization or blinding.

Does AMT-191 have any FDA designations?

AMT-191 has received Orphan Drug designation from the FDA for the treatment of Fabry disease. This designation is granted to therapies intended for rare diseases affecting fewer than 200,000 people in the United States and provides incentives to support development.