Experimental antibody IC14 tested in rare heart condition
NCT ID NCT06275893
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tested IC14 (atibuclimab), an antibody that targets inflammation, in one person with arrhythmogenic cardiomyopathy (ACM), a rare heart muscle disease that can cause dangerous heart rhythms. The study measured safety, blood markers of inflammation, and heart rhythm changes using the participant's implanted defibrillator and other tests. Because it involved only one participant and no placebo, the results are very preliminary.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IC14 (atibuclimab), a lab-made antibody targeting inflammation
- What this could lead to
- If it works, this could point toward a treatment that reduces inflammation and heart rhythm problems in people with arrhythmogenic cardiomyopathy.
- What could go wrong
- This is a very early, tiny trial with only 1 participant and no placebo group. It mainly checks safety, not effectiveness, so results may not apply to others.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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1 person
The number who actually took part.
- Started
-
Mar 2024
- Finished
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Apr 2026
- 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 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: Patients are eligible for the study if all of the following criteria are met: 1. Age ≥ 18 years 2. Diagnosis of arrhythmogenic cardiomyopathy and: 1) meeting the 2020 Modified Task Force Criteria as affected; 3. Left ventricular ejection fraction of ≥30% 4. Functioning implantable cardioverter/defibrillator with remote interrogation capability 5. One of the following: 1) a history of ventricular tachycardia or ventricular fibrillation (VF); 2) ≥500 ventricular premature contractions (VPCs) in 24 hours on the most recent 24-hour Holter monitor recording; or 3) C-reactive protein \>=1.5 mg/mL 6. Agreement by subject, physician, and cardiologist to not change concomitant ACM medications or to conduct catheter ablation during study participation unless needed for management of life-threatening conditions 7. Capable and willing to provide informed consent 8. Capable of completing study visits 9. Females participating in the study must meet one of the following criteria: 1. Surgically sterilized (e.g., hysterectomy, bilateral oophorectomy, or tubal ligation) for at least 6 months or postmenopausal (postmenopausal females must have no menstrual bleeding for at least 1 year) or 2. If not postmenopausal, agree to use a double method of contraception, one of which is a barrier method (e.g., intrauterine device plus condom, spermicidal gel plus condom) until 30 days after the IC14 treatment and have negative human chorionic gonadotropin (β-hCG) test for pregnancy at Screening 10. Males who have not had a vasectomy must use appropriate contraception methods (barrier or abstinence) until 30 days after IC14 treatment Exclusion Criteria: A patient fulfilling any of the following criteria is to be excluded from enrollment in the study: 1. Prior myocardial infarction 2. Receiving continuous infusion of antiarrhythmic medication at time of enrollment 3. Previous major vascular intervention within 4 weeks 4. NYHA heart failure class IV, except palpitations 5. Major surgery within 6 weeks 6. Patient has participated in any study using an investigational drug or device within 30 days 7. Life expectancy of less than 1 year due to non-cardiac pathology 8. History of allergic reaction to atibuclimab (IC14) or any monoclonal antibody drug product or other CD14-derived drug product or any component used in the study (including contrast media) 9. Known severe renal (creatinine clearance \<30 mL/min/m2) or hepatic insufficiency as well as alanine transaminase (ALT)/aspartate transaminase (AST) elevations ≥ 3x upper limit normal (ULN); isolated AST elevation is not considered an exclusion criterion from study participation 10. Current or planned use of continuous high-dose corticosteroids (short courses of corticosteroids are allowable) 11. Chronic immunosuppression with disease-modifying anti-rheumatic drugs (DMARDS) 12. Any clinically significant abnormality identified at the time of Screening that in the judgment of the Investigator or any sub-Investigator would preclude safe completion of the study 13. Patients who will be inaccessible due to geographic or social factors during treatment or follow-up
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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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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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