In Vivo Base Editing of PCSK9 with VERVE-102 for Hypercholesterolemia.
Scott B Vafai, Jörg Täubel, Thomas Ashdown...
https://pubmed.ncbi.nlm.nih.gov/42187087/Actively Recruiting
Led by Verve Therapeutics, Inc. · Updated on 2026-08-03
85
Participants Needed
27
Research Sites
52 weeks
Total Duration
Researchers are evaluating the safety and pharmacodynamics of VERVE-102, a drug using base-editing technology to disrupt the PCSK9 gene in the liver. This study focuses on adults with heterozygous familial hypercholesterolemia HeFH or premature coronary artery disease CAD who need further lowering of LDL cholesterol. The trial is an open-label, Phase 1b, single ascending dose study designed to assess safety and drug behavior in this patient group. Participants will receive a single intravenous dose of VERVE-102 in one of several dose-escalation or fixed-dose cohorts. The study uses a sequential design without randomization or blinding. Each participant is administered one dose, and the study monitors responses up to one year after dosing. During the study, participants will be closely observed for treatment-emergent adverse events and serious adverse events for up to 365 days. Researchers will measure drug concentration levels, time to peak concentration, elimination half-life, and changes in plasma PCSK9 and LDL cholesterol from baseline. This extended follow-up helps evaluate the drugs safety profile and pharmacodynamic effects over time.
CONDITIONS
A Study of VERVE-102 in Patients With Familial Hypercholesterolemia or Premature Coronary Artery Disease
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Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
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Physicians interested in becoming principal investigators please contact
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Verve Therapeutics, Inc.
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | VERVE-102 (investigational gene-editing therapy) | Current guideline-based lipid-lowering therapy |
|---|---|---|
| What it is | A single-dose investigational gene-editing medicine designed to permanently deactivate the PCSK9 gene in the liver through in vivo base editing, aiming to lower LDL cholesterol (LDL-C) levels. | A combination of established cholesterol-lowering treatments, generally starting with high-intensity statins and ezetimibe, and including PCSK9 inhibitors for higher-risk or inadequately controlled patients. |
| Primary use | Being evaluated for the treatment of adults with heterozygous familial hypercholesterolemia (HeFH) or premature coronary artery disease whose cholesterol is not adequately controlled with existing therapies. | Guideline-directed treatment to lower LDL cholesterol and reduce the risk of cardiovascular events in people with heterozygous familial hypercholesterolemia or established cardiovascular disease. |
| How it is given or performed | Given as a single intravenous (IV) infusion in a monitored clinical setting. | Oral administration of statins and ezetimibe, with PCSK9 inhibitors as injectable therapies given every 2 to 4 weeks if indicated. |
| Evidence status | Evidence is limited to early-phase, small clinical studies. At present, only initial safety and LDL-C lowering data exist from ongoing clinical trials; longer-term effects, real-world outcomes, and clinical benefits are not established. | Supported by extensive clinical trial, guideline, and real-world evidence demonstrating LDL-C lowering and risk reduction for cardiovascular events in patients with HeFH or established cardiovascular disease. |
| Important limitations | Long-term safety and efficacy are unknown. Risks related to in vivo base editing (such as unintended edits or immune reactions) are not yet fully characterized. Only adults with HeFH or premature CAD meeting strict eligibility were included. | Many patients with HeFH or established vascular disease may not reach LDL-C targets on guideline therapy due to side effects, adherence challenges, cost, or limited access to advanced drugs like PCSK9 inhibitors. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Single dose with follow-up up to 365 days
Participants receive a single intravenous dose of VERVE-102.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
10
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Scott B Vafai, Jörg Täubel, Thomas Ashdown...
https://pubmed.ncbi.nlm.nih.gov/42187087/Verve Therapeutics, Inc.
Lead Sponsor