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One-Time CRISPR Edit Halves LDL and Triglycerides in Early Human Trial

Investigators urge larger, longer studies given unresolved long-term safety and plans to advance to Phase 2 in 2026.

Overview

  • Results published in The New England Journal of Medicine and presented at the American Heart Association meeting detail a 15-person Phase 1 study in the UK, Australia, and New Zealand.
  • At the highest dose, LDL cholesterol fell about 49% and triglycerides about 55% within weeks, with effects maintained for at least two months and reported out to six months in early follow-up.
  • The infusion, called CTX310, uses lipid nanoparticles to deliver CRISPR to the liver to knock out ANGPTL3, with dose-dependent reductions in the ANGPTL3 protein confirmed.
  • Short-term tolerability appeared acceptable, with transient infusion reactions and a temporary liver enzyme rise; one participant with advanced heart disease died months later and investigators judged the death unrelated.
  • CRISPR Therapeutics plans to seek U.S. clearance to begin Phase 2 in 2026, and participants will undergo long-term safety monitoring consistent with FDA recommendations for gene-editing therapies.