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New drug aims to tame dangerous heart rhythms in genetic disorder

NCT ID NCT07277582

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 Jun 25, 2026 · Last updated Sep 21, 2026 · Updated 4 times

Summary

This study tests whether the drug THRV-1268 can safely shorten the heart's electrical recovery time (QT interval) in people with Long QT Syndrome Type 2, a genetic condition that raises the risk of dangerous heart rhythms and sudden cardiac arrest. About 64 participants will take the drug twice daily at different doses for 6 weeks, with heart monitoring and clinic visits. The goal is to find a dose that works best and is safe, with the possibility of continuing treatment for up to a year.

What this could mean

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

Active substance
THRV-1268
What this could lead to
If it works, this could provide a new treatment option to control heart rhythm and reduce the risk of dangerous events in people with Long QT Syndrome Type 2.
What could go wrong
This is an early-to-mid-stage trial with only 64 participants, so results may not apply to everyone. The drug may cause side effects or fail to shorten the QT interval effectively.

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 2/3

Runs two stages together: whether the treatment works, then large-scale confirmation.

Participants

About 84 people

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

Started

Mar 2026

Expected to finish

Jun 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

15 years and older

Sex

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

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

Inclusion Criteria: * Male and female participants over 15 years of age at Screening (at least the first 3 participants enrolled in Part A must be 18 years of age or older). * Part A and Part B Cohort 1 LQTS 2 genotype: Demonstration of KCNH2 mutation by clinical laboratory test result that is autosomal dominant (heterozygous) and considered to be pathologic or likely pathologic can be included after approval from the sponsor medical monitor or qualified delegate. * Part B, Cohort 2 LQTS 3 genotype: Demonstration of SCN5A mutation by clinical laboratory test result that is autosomal dominant (heterozygous) and considered to be pathologic or likely pathologic for LQTS (and not Brugada syndrome) can be included after approval from the sponsor medical monitor or qualified delegate. * QTcF interval \>480 ms and ≤600 ms based on Screening ECG. * Body weight of at least 45 kg with body mass index between 18.0 and 40.0 kg/m2, inclusively at Screening. * Male and female participants of childbearing potential must agree to use highly effective contraception throughout the duration of the study. * Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. * Participants age 15 to \<18 years capable of providing signed assent. Exclusion Criteria: * Within 1 month prior to Screening, Participant has a history of an aborted cardiac arrest, ICD implantation, or syncopal episode due to a ventricular arrhythmia. * History of structural or functional cardiovascular disease, myocardial infarction or stroke or transient ischemic attack (TIA), persistent atrial fibrillation or atrial flutter, heart failure, bundle branch block, angina pectoris, or hemodynamically significant ventricular tachycardia not due to TdP. (Individuals with history of paroxysmal atrial fibrillation are allowed if in sinus rhythm at time of screening and enrollment.) * Active or known liver disease. * Active or past oncologic disease, except for non-melanoma skin cancer. * Advanced pulmonary disease that requires more than a steroid inhaler. * Pulmonary artery hypertension. * Is pregnant, lactating, or breastfeeding, or planning to become pregnant. * Has a positive result for the urine pregnancy test at the Screening Visit or the serum pregnancy test at the Day -7 Visit. * Clinically significant abnormal findings on the physical examination or medical history during Screening or Day -21 as deemed by the investigator. * Has experienced an acute illness that has resolved in less than 14 days before the first study drug dose or has had a major illness or hospitalization within 1 month before the first study drug dose. * Has a recent history of alcohol or substance abuse that would pose a risk for the participant's safety and compliance with the study protocol, in the opinion of the investigator. * Has a pacemaker or ICD that is actively used for ventricular pacing. * Is currently taking or anticipates the use of any restricted drugs * Is known at the time of screening to be considering or scheduled to undergo any elective surgical procedure during the study. * Current participation or recent within 1 month of participating in another interventional clinical study. * Screening Visit diastolic blood pressure \>95 mm Hg, systolic blood pressure \<90 or \>150 mm Hg. * At Screening, if the 12-lead triplicate ECG demonstrates any of the following: PR \>280 ms; QRS \>120 ms, or QTcF \>600 ms or ≤480 ms; bundle branch block or significant ST-T wave abnormalities or flat T waves that could interfere with QT analysis. HR \<50 bpm, unless receiving a beta-blocker in which case \<40 bpm, or HR \>100 bpm at rest. * Atrial pacing rate set to \>80 bpm in those participants with atrial pacing. * Abnormal renal function with an eGFR of \<70 mL/min/1.73 m2 (with eGFR calculated by the CKD-EPI formula at Screening). One retest of the exclusionary eGFR value is allowed at the discretion of the investigator. * Has abnormal liver function tests: * ALT, AST, GGT, ALP \> 1.5 the ULN. * Total bilirubin \>ULN. * INR \>1.2 ULN (requires measurement of prothrombin time (PT)). * Has clinically significant abnormality in serum chemistry values at Screening for hemoglobin, potassium, magnesium, or calcium levels as determined by the investigator. A single repeat test and/or correction of abnormal values (e.g., electrolyte repletion) is permitted at the investigator's discretion prior to enrollment. * Any participant, who, for any reason, is deemed by the investigator to be inappropriate for this study or has any condition which would confound or interfere with the evaluation of the safety, tolerability, or efficacy of the investigational medicinal product (IMP) or prevent compliance with the study protocol. * Consumes on average more than 21 standard alcoholic drinks per week in men and 14 standard drinks per week in women over the last 2 years.

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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

    9 sites. 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

  • Heart Center Clinical Research Program | MGH

    RECRUITING

    Boston, Massachusetts, 02114, United States

  • Honor Health Research and Innovation Institute

    RECRUITING

    Scottsdale, Arizona, 85258, United States

  • Mayo Clinic

    RECRUITING

    Rochester, Minnesota, 55905, United States

  • NYU Langone Health

    NOT_YET_RECRUITING

    New York, New York, 10016, United States

  • Oregon Health & Science University

    RECRUITING

    Portland, Oregon, 97239, United States

  • University of California San Francisco

    RECRUITING

    San Francisco, California, 94143, United States

  • University of Illinois Chicago

    RECRUITING

    Chicago, Illinois, 60612, United States

  • University of Michigan

    NOT_YET_RECRUITING

    Arbor, Michigan, 48109, United States

  • Wilmington Health

    RECRUITING

    Wilmington, North Carolina, 28401, United States

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