Heart failure & cardiomyopathies

Cardiotropic AAV gene therapy for heart failure: a phase 1 trial

Nat MedPublished Phase 1 trial

Authors' conclusion

The preliminary assessments of efficacy outcomes showed improvements in the New York Heart Association class and left ventricular ejection fraction in both cohorts and improvements in peak oxygen consumption and 6-min walk test performance in cohort 1.

Study context

Population
Nonischemic cardiomyopathy, NYHA class III HF, LVEF 15–35%9 men · 2 women
Participants
6 vs 5
Comparison
Cohort 1 vs Cohort 2
  • Cohort 1n = 6
  • Cohort 2n = 5
Outcome
Safety and feasibility of a single antegrade coronary artery infusion of AB-1002
Methodological detailsdose-escalation cohorts
  • Dose-escalation cohorts

Main finding

As reported in the abstract

Safety

Death, considered not related to AB-1002

1

Further findings

Preliminary efficacy

Improvements in NYHA class and LVEF in both cohorts
Improvements in peak oxygen consumption and 6-min walk test in cohort 1
  • Preliminary assessments

Safety

Adverse events

Adverse events (AEs) or serious AEs attributed to study treatment
0
Death (not treatment-related)
1
Mild, asymptomatic, self-limiting liver enzyme elevations, predominantly in cohort 2

Original publication

Cardiotropic AAV gene therapy for heart failure: a phase 1 trial. Nat Med. Published 21 October 2025. doi:10.1038/s41591-025-04011-z

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