Promising liver drug trial halted early: what it means for patients
NCT ID NCT04764448
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new drug called belcesiran in people with a genetic condition called alpha-1 antitrypsin deficiency that causes liver damage. The goal was to see if the drug is safe and can lower harmful protein levels in the liver. The trial was stopped early, so results are limited.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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16 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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May 2024
- Lead sponsor
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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
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide 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: * 18 to 75 years, inclusive, at the time of consent. * Documented diagnosis of PiZZ-type alpha-1 antitrypsin deficiency, confirmed by genotyping. Historical genotyping data may be used, if available. * AATD-associated liver disease documented by liver biopsy at Screening. * Consent to undergo paired liver biopsies. * Lung, renal and liver function within acceptable limits * Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol. Exclusion Criteria: * History of chronic liver disease other than non-alcoholic fatty liver disease from any cause other than PiZZ-type alpha-1 antitrypsin deficiency. * Child-Pugh Score B or C. * History of one single severe exacerbation of underlying lung disease in the year prior to randomization. * History of clinically significant respiratory infections (including pneumonia and lower respiratory tract infections), as determined by the Investigator, in the 3 months prior to screening * Use of an RNAi drug at any time.
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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.
Contacts and locations
Locations
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Addenbrooke's Hospital, Cambridge University
Cambridge, United Kingdom
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Auckland Clinical Studies
Grafton, Auckland, 1010, New Zealand
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Beaumont Hospital
Dublin, Ireland
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CHU Bordeaux - Hopital Haut-Leveque - Centre François Magendie
Pessac, France
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CTC Clinical Trial Consultants AB Uppsala
Uppsala, Sweden
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Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, Canada
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Centro Hospitalar Universitario de Sao Joao
Porto, Portugal
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Centro Hospitalar de Trás-os-Montes e Alto Douro, EPE
Vila Real, Portugal
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Hospital Universitario La Paz
Madrid, Spain
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Hospital Universitario Marques de Valdecilla Santander
Santander, Cantabria, Spain
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Hospital da Senhora da Oliveira - Guimaraes
Creixomil, Portugal
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Leeds Teaching Hospitals NHS Trust
Leeds, United Kingdom
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Leiden University Medical Center
Leiden, Netherlands
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Medizinische Universitaet Innsbruck
Innsbruck, Austria
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Royal Free London NHS Foundation Trust, Royal Free Hospital
London, United Kingdom
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St Vincent's Hospital Melbourne
Melbourne, Australia
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Universitaetsklinikum Aachen, AoeR
Aachen, Germany
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Universitaetsklinikum Schleswig-Holstein Campus Kiel
Kiel, Germany
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Universitaire Ziekenhuizen Leuven
Leuven, Belgium
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University of California - San Diego
La Jolla, California, 92093, United States
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University of Florida
Gainesville, Florida, 32611, United States
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Waikato Hospital
Hamilton, New Zealand
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- AI model could predict who needs a lung transplant for rare emphysema
- Could a simple shot replace IV drips for Alpha-1 patients?
- Hidden liver harm: study tracks silent damage in genetic disorder
- Gene-Editing shot aims to fix lung and liver damage in rare disease
- New drug AIR-001 enters first human tests for rare lung condition