Shares of Intellia Therapeutics (NASDAQ:NTLA) rose 4.8% to $14.44 in premarket trading on Monday after the company said the U.S. Food and Drug Administration removed a clinical hold on one of its late-stage trials for a gene-editing therapy aimed at heart disease.
The therapy, nexiguran ziclumeran, is being evaluated in patients with transthyretin amyloid cardiomyopathy, or ATTR-CM, a progressive heart condition in which abnormal protein deposits accumulate in the heart muscle. This buildup makes the heart stiffer and reduces its ability to pump blood effectively.
The FDA had placed pauses on two main late-stage studies of the treatment after a patient died last year from severe liver complications. Regulators subsequently required additional safety measures and oversight as part of their review of the programs.
Earlier this year, the FDA lifted a clinical hold on one of the trials, MAGNITUDE-2, after Intellia implemented a set of mitigation steps. Those measures included more intensive monitoring of liver laboratory tests and a policy to exclude individuals who present with certain liver abnormalities from enrollment.
Intellia and regulators have focused on reducing the risk of serious liver-related adverse events while continuing to advance evaluation of the therapy in patients with ATTR-CM. The company’s statements indicate the lifted hold followed the introduction of safety protocols designed to detect and respond to liver issues more quickly and to limit exposure among higher-risk patients.
Context and market reaction
Investors reacted to the regulatory update with a modest premarket uptick in Intellia shares. The regulatory development affects the company’s late-stage clinical program and may influence near-term development timelines and monitoring requirements for the therapy.
What we know and what remains uncertain
Regulators removed the hold on at least one of the late-stage trials after the company added safety measures. However, the prior pause was prompted by a patient death tied to severe liver complications, highlighting ongoing safety considerations. The lifted hold applies to trials following the specific mitigation steps described by the company and acknowledged by the FDA.