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RP-A501

Phase 2

Danon Disease | Monoclonal antibody | Rare Disease |Rocket Pharmaceuticals, Inc.|Trials Updated: Oct 6, 2026

RP-A501 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Mar 2019

RP-A501 target and mechanism

Molecular targetLAMP2B
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment25

FDA Designations

RMATORPHAN_DRUGRARE_PEDIATRIC_DISEASEFAST_TRACK

RP-A501 clinical trials

RP-A501 · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT06092034A Gene Therapy Study of RP-A501 in Male Patients With Danon DiseaseDanon Disease
RECRUITING18 Analytics
PHASE2RECRUITING
A Gene Therapy Study of RP-A501 in Male Patients With Danon Disease
Danon DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluation of Efficacy: Improvement as assessed via primary endpoint comprised of LAMP2 myocardial tissue expression and left ventricular mass index (LVMI)
12 months post-infusion

Myocardial tissue expression of LAMP2 protein improved from baseline to ≥ Grade 1 (by IHC), AND, ≥ 10% decrease in LVMI from baseline.

Number of participants with treatment-related adverse events as assessed by United States (US) National Cancer Institute Common Terminology Criteria (NCI CTCAE)
3 years

Evaluation of safety associated with RP-A501

Number of participants within each dose level cohort with treatment-related adverse events as assessed by United States (US) National Cancer Institute Common Terminology Criteria (NCI CTCAE)
3 years

Assessment of safety at both doses (single IV administration)

Evaluation of cardiomyocyte histologic correction following administration of RP-A501 via endomyocardial biopsy
3 years

Assessment of cardiomyocyte histologic correction following administration of RP-A501 via endomyocardial biopsy

Preliminary evaluation of clinical stabilization of cardiomyopathy following administration of RP-A501 via cardiopulmonary testing
3 years

Assessment of clinical stabilization of cardiomyopathy following infusion of RP-A501 via cardiopulmonary testing

Secondary Endpoints

Evaluation of efficacy via components of the primary endpoint - LAMP2
12 months post infusion
Evaluation of efficacy via components of the primary endpoint - Left Ventricular Mass Index (LVMI)
12 months post infusion
Evaluation of efficacy via biomarker evidence of myocardial injury - High Sensitivity Troponin I (hsTnI)
12 months post infusion
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RP-A501EXPERIMENTALA single intravenous infusion of RP-A501 in cohorts of subjects with a confirmed diagnosis of Danon disease.

Interventions

NameTypeDescription
RP-A501GENETICRP-A501 is a gene therapy product consisting of an rAAV9 capsid containing the human LAMP2B transgene which will be administered as a single IV infusion. Dose of RP-A501: Cohorts 1, 2 \& 3 = 6.7 x10\^13 genome copies (GC)/kg; Cohort 4 = 3.8 x10\^13 GC/kg. An immunomodulation regimen is initiated before RP-A501 administration to reduce the risk of gene therapy-related complications. The regimen includes rituximab or a biosimilar, administered in two doses for Cohorts 1-3 and three doses for Cohort 4, along with sirolimus and corticosteroids. Pegcetacoplan was incorporated into the immunomodulation regimen for Cohort 3 but excluded in Cohort 4.
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Eligibility Criteria

Age Range8 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites6

Key Inclusion Criteria: 1. Documentation of a pathogenic or likely pathogenic variant of the LAMP2 gene. 2. Male. 3. Age ≥8 years. 4. Evidence of left ventricular hypertrophy with preserved systolic function phenotype as defined by each of the following: 1. Abnormal thickening of left ventricul...

Countries:United StatesGermanyItalyUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMOct 6, 2026NCT06092034Enrollment: 14 → 18
MEDIUMOct 6, 2026NCT06092034Enrollment: 14 → 18

Frequently asked questions about RP-A501

What is RP-A501?

RP-A501 is an investigational gene therapy being developed for Danon Disease, a rare inherited heart condition. It is designed to deliver the LAMP2B gene to patients and is currently in Phase 2 clinical development. Rocket Pharmaceuticals, Inc. (ticker RCKT) is the developer. RP-A501 has received RMAT, Orphan Drug, Rare Pediatric Disease, and Fast Track designations from the FDA.

What is RP-A501 used for in Danon Disease?

RP-A501 is being developed to treat Danon Disease, a rare genetic disorder that primarily affects the heart and is caused by mutations in the LAMP2 gene. The therapy is intended for male patients aged 8 years and older. It is investigational and has not been approved for commercial use.

What does RP-A501 target?

RP-A501 targets LAMP2B, the protein encoded by the LAMP2 gene. In Danon Disease, mutations in LAMP2 lead to deficient or absent LAMP2B protein, which causes cellular dysfunction, particularly in heart muscle. RP-A501 is designed to deliver a functional copy of the LAMP2B gene to restore production of this protein.

Who is developing RP-A501?

RP-A501 is being developed by Rocket Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker symbol RCKT. Rocket Pharmaceuticals is a clinical-stage biotech company focused on gene therapies for rare diseases. RP-A501 is its investigational gene therapy candidate for Danon Disease.

What phase is RP-A501 in?

RP-A501 is in Phase 2 clinical development. A Phase 1 trial has been completed, and a Phase 2 trial is currently recruiting. RP-A501 is investigational and has not been approved by the FDA. It holds RMAT, Orphan Drug, Rare Pediatric Disease, and Fast Track designations.

What clinical trials is RP-A501 in?

RP-A501 has been studied in two clinical trials. The completed Phase 1 trial, NCT03882437, enrolled 7 male patients with Danon Disease in the United States. The ongoing Phase 2 trial, NCT06092034, is recruiting 18 male patients aged 8 years and older across the United States, Germany, Italy, and the United Kingdom.