MRNA therapy trial for rare acidemia halted early
NCT ID NCT04899310
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested an mRNA therapy called mRNA-3705 in 18 people with a rare genetic condition called methylmalonic acidemia, which causes harmful acid buildup. The therapy aimed to help the body produce a missing enzyme to lower acid levels. The trial was terminated early, so final conclusions about safety and effectiveness are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mRNA-3705 (a messenger RNA therapy that helps the body produce a missing enzyme)
- What this could lead to
- If successful, this could lead to a treatment that reduces harmful MMA levels in people with methylmalonic acidemia, potentially easing disease burden.
- What could go wrong
- The trial was terminated early with only 18 participants, so results are limited. As an early-phase study, safety and effectiveness are not yet proven.
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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18 people
The number who actually took part.
- Started
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Aug 2021
- 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
-
1 year and older
- 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.
Key Inclusion Criteria: * (Part 1 only) Participant has a body weight of ≥11.0 kilograms at the screening visit. * Participant has a diagnosis of isolated MMA due to MUT deficiency confirmed by molecular genetic testing. * Participant has a blood vitamin B12 level equal to or above the lower limit of normal (based on laboratory reference range) confirmed in the screening period. * Participant or their legally authorized representative is willing and able to provide informed consent and/or assent as mandated by local regulations and is willing and able to comply with study-related assessments. * Sexually active participants of childbearing or reproductive potential agree to use a highly effective method of contraception, consistent with local regulations, during the study and for 3 months after the last administration of study drug. * (Part 2 only) Participants with 2 screening MMA levels ≥400 micromolar. * (Parts 2 and 3 only) Participant is ≥5 years of age at the time of informed consent/assent. Key Exclusion Criteria: * Participant has a diagnosis of isolated MMA cofactor adenosyl-cobalamin (cb1A, cb1B, or cb1D) enzymatic subtypes or methylmalonyl-CoA epimerase deficiency or combined MMA with homocystinuria. * Participant has previously received gene therapy for the treatment of MMA. * Participant has a history of organ transplantation or planned organ transplantation during the period of study participation. * Participant has an active, unstable, or clinically significant medical condition not related to MMA or history of noncompliance that, in the investigator's opinion, could potentiate the risk while participating in this study, interfere with the interpretation of study results, or limit the participant's participation in the study. This may include, but is not limited to, history of relevant food or drug allergies; history of cardiovascular, central nervous, gastrointestinal, or infectious disease; history of clinically significant pathology; and/or history of cancer. * (Part 2 only) Participant has the partial MUT deficiency disease phenotype, as assessed by genotyping, clinical phenotype/presentation, or vitamin B12-responsive MMA. Note: Additional inclusion/exclusion criteria may apply, per protocol.
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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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Erasmus MC
Rotterdam, 3015 AA, Netherlands
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Hospital For Sick Children
Toronto, Ontario, M5G 1X8, Canada
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Cruces
Barakaldo, 48903, Spain
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Hôpital Necker - Enfants Malades
Paris, 75015, France
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Lucile Packard Children's Hospital at Stanford
Palo Alto, California, 94304, United States
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Royal Manchester Children's Hospital
Manchester, M13 9WL, United Kingdom
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Stollery Children's Hospital University of Alberta
Edmonton, Alberta, T6G 2R7, Canada
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The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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UCLA Medical Center
Los Angeles, California, 90095, United States
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Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX, Netherlands
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