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Prime Medicine Announces U.S. FDA Clearance of Investigational New Drug Application for PM577a in H1069Q-mutated Wilson Disease

  • FDA cleared the Investigational New Drug (IND) application for PM577a, allowing the company to proceed with clinical studies in the United States.
  • The IND clearance combined with a previously cleared New Zealand Clinical Trial Application (CTA) establishes a global Phase 1/2 program for the investigational in vivo Prime Editor.
  • PM577a targets the ATP7B H1069Q mutation, which is the most prevalent Wilson disease-causing allele in North America & Europe.
  • Prime Medicine expects to initiate the Phase 1/2 trial in the second half of 2026 & anticipates initial clinical data in 2027.
  • The open-label, first-in-human study will evaluate safety, tolerability, biological activity, & efficacy of ascending doses in adults & adolescents with Wilson disease.
  • Initial trial enrollment will focus on adults who are clinically stable on standard-of-care therapy, with assessments including copper efflux via 64 Cu PET & hepatic copper biopsy.
  • PM577a is an LNP-formulated Prime Editing product designed to correct pathogenic ATP7B mutations in hepatocytes via a single intravenous infusion.
  • The H1069Q allele accounts for approximately 30–50% of Wilson disease-associated variants in the U.S. & Europe, while a follow-on candidate targeting R778L is in pre-clinical development for East Asian populations.
  • Wilson disease is a rare genetic disorder affecting 1 in 30,000 individuals globally, currently treated with lifelong non-curative therapies or high-risk liver transplantation.
  • Prime Medicine utilizes its proprietary Prime Editing platform to develop one-time curative genetic therapies that aim to repair almost all types of genetic mutations.