Product information and disease descriptionProduct description
Phase of product development
43 evidence topics · 33 sources
Regulatory submission: BLA planned for late 2028
Investigational status as of October 2026
Current phase: pivotal phase 2 trial with cohort 4 enrolling (October 2026)
Enrollment completion announced in September 2024 under the original design (history; the pivotal population was redefined in 2026 as the 12 participants of cohort 4)
Phase 1 trial: seven participants treated, trial completed, long-term follow-up ongoing
IND clearance in January 2019 and Fast Track designation in February 2019
FDA orphan drug designation: designated 1 February 2019
| Field | Quoted record |
|---|---|
| Generic name | “Adeno-associated virus serotype 9 vector containing the human lysosome-associated membrane glycoprotein 2 isoform B transgene (AAV9.LAMP2B)” |
| Date designated | “02/01/2019” |
| Orphan designation | “Treatment of Danon Disease” |
| Orphan designation status | “Designated” |
| FDA orphan approval status | “Not FDA Approved for Orphan Indication” |
| Sponsor | “Rocket Pharmaceuticals, Inc.” |
Rare pediatric disease designation: held by January 2023, grant date not stated
Regenerative medicine advanced therapy designation: announced 7 February 2023
Benefits of RMAT designation as the company describes them
EMA PRIME eligibility: entry in the EMA list of medicines in the PRIME scheme (date of granting 25 May 2023)
| Field | Quoted record |
|---|---|
| Name | “RP-A501” |
| Substance type | “Advanced Therapy Medicinal Product” |
| Therapeutic area | “Cardiovascular Diseases” |
| Therapeutic indication | “Treatment of Danon disease” |
| Type of data supporting request | “Non-clinical + Clinical exploratory” |
EMA PRIME designation: company announcement of 31 May 2023
EU orphan designation EU/3/23/2826: designated 16 August 2023
| Field | Quoted record |
|---|---|
| Active substance | “adeno-associated virus serotype 9 vector containing the human LAMP2 isoform B transgene” |
| Intended use | “Treatment of Danon disease” |
| Orphan designation status | “Positive” |
| EU designation number | “EU/3/23/2826” |
| Date of designation | “16/08/2023” |
| Sponsor | “Rocket Pharmaceuticals B.V.” |
EU classification as an advanced therapy medicinal product (Committee for Advanced Therapies recommendation dated 15 June 2023)
| Field | Quoted record |
|---|---|
| Public description of active substance | “Recombinant Adeno-associated virus serotype 9 vector containing the human-lysosome-associated membrane glycoprotein 2 isoform B transgene (AAV9.LAMP2B)” |
| Indication | “Treatment of Danon Disease” |
| Classification conclusion | “the EMA/CAT considers that the Product falls within the definition of a gene therapy medicinal product.” |
EMA paediatric investigation plan: decision P/0004/2025 of 27 January 2025
| Field | Quoted record |
|---|---|
| Decision number | “P/0004/2025” |
| PIP number | “EMEA-003639-PIP01-24” |
| Decision type | “P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s)” |
| Decision date | “27/01/2025” |
| Condition or indication | “Treatment of Danon Disease” |
Designations held as the company lists them in 2026
Clinical hold of May 2021 on the phase 1 trial (announced 10 May 2021): FDA request for protocol changes
Clinical hold of 2021: discontinuation of the higher dose by agreement with FDA (August 2021)
Lifting of the 2021 hold: announced 16 August 2021
Safety measures added to the protocols after the phase 1 high-dose experience
Clinical hold of 23 May 2025 on the phase 2 trial: announcement of 27 May 2025
Clinical hold of 2025: root cause focus stated on 27 May 2025
Clinical hold of 2025: two participants with capillary leak syndrome and the conclusion of the investigation, as stated in 2026 filings
Lifting of the 2025 hold: announced 20 August 2025
Conditions of resumption after the 2025 hold: recalibrated dose, sequential dosing, and revised immunomodulation
Resumption of dosing after the 2025 hold: guidance of November 2025 and status in May and August 2026
FDA end-of-phase 1 meeting: registration path announced 22 December 2022
FDA alignment of September 2023 on the pivotal design (original design at 6.7 × 10¹³ GC/kg, later modified)
FDA alignment of September 2026 on completing the pivotal trial
Accelerated approval path: endpoints confirmed by FDA in September 2026
Efficacy success criterion for the pivotal cohort (October 2026)
Company timeline as of October 2026: dosing completion mid-2027 and topline results mid-2028
“9 additional patients in Cohort 4” (opens the source at this quote in a new tab)
“MID-2027 Dosing completion” (opens the source at this quote in a new tab)
“MID-2028 TOPLINE TARGET” (opens the source at this quote in a new tab)
“Primary efficacy readout from pivotal Cohort 4” (opens the source at this quote in a new tab)