New drug aims to tame dangerous heart rhythms in genetic disorder
NCT ID NCT07277582
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
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 84 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- 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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15 years 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.
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.
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The places running it
9 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Heart Center Clinical Research Program | MGH
RECRUITINGBoston, Massachusetts, 02114, United States
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Honor Health Research and Innovation Institute
RECRUITINGScottsdale, Arizona, 85258, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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NYU Langone Health
NOT_YET_RECRUITINGNew York, New York, 10016, United States
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Oregon Health & Science University
RECRUITINGPortland, Oregon, 97239, United States
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University of California San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of Illinois Chicago
RECRUITINGChicago, Illinois, 60612, United States
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University of Michigan
NOT_YET_RECRUITINGArbor, Michigan, 48109, United States
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Wilmington Health
RECRUITINGWilmington, North Carolina, 28401, United States
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