Can a new injection tame the toxic ammonia of urea cycle disorders?

NCT ID NCT07773246

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 19, 2026 · Last updated Aug 21, 2026 · Updated 2 times

Summary

This early-stage trial is evaluating an experimental drug called KRRO-121, given as a shot under the skin, to see if it is safe and tolerable. The study first tests KRRO-121 in healthy adults, then in people with urea cycle disorders—a group of inherited conditions that impair the body's ability to remove ammonia, a toxic byproduct of protein breakdown. The goal is to understand how the drug behaves in the body and whether it might help manage these disorders.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
KRRO-121, an experimental drug given as a subcutaneous injection
What this could lead to
If successful, KRRO-121 could offer a new treatment option to help manage urea cycle disorders, potentially reducing the risk of dangerous ammonia buildup.
What could go wrong
This is an early-phase trial focused on safety, so it's unknown if KRRO-121 will be effective. Possible side effects and the need for long-term treatment are key uncertainties.
Why investors are watching

Korro Bio is testing KRRO-121, a drug for urea cycle disorders, in a small phase 1/2 trial with 30 participants. The study checks safety first, then how the drug works in patients. For a small company, this readout is a key test of whether its main pipeline candidate is viable.

If it works: If the trial shows KRRO-121 is safe and shows signs of working, Korro Bio could advance the drug to later-stage studies. That result would validate the company's core research program.

If it fails: The trial could fail to show safety or effectiveness, or the company could face delays. Trials often fail, and for a small company with few other assets, a negative result would be a serious setback.

AI-written from the trial record. Speculative, and not investment advice.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

About 30 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Sep 2027

An estimate. End dates often move.

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 65 years

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Adult male or female participants, 18 to 65 years of age * Healthy as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and screening laboratory assessments, in the opinion of the Investigator. * Female participant of childbearing potential or male participant that is willing to use an approved, reliable means of contraception * Willing and able to provide signed written informed consent and to comply with all study requirements Exclusion Criteria: * Any medical history that is clinically significant in the opinion of the Principal Investigator and Sponsor Medical Monitor * Any laboratory value at screening or predose on Day -1 outside the local laboratory reference range that is clinically significant in the opinion of the Principal Investigator and Sponsor Medical Monitor * Evidence of active systemic infection at Screening or Day 1 requiring antimicrobial, antiviral, or antifungal therapy * Use of any investigational drug or device within 3 months or 5 half-lives (whichever is longer) prior to Day 1 * Concurrent participation in any other interventional clinical study

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Nucleus Network Pty Ltd

    Melbourne, Victoria, 3004, Australia

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