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Nex-z (NTLA-2001)

by Intellia TherapeuticsUS

DeployStage 4 of 5

Phase 3 trials restarted in 2026 after the FDA lifted its hold, with extra liver checks.

Updated 6 Aug 2026Checked 25 Sep0 updates this week

Milestones

Next · Finish enrolling and following the Phase 3
  1. First in-body CRISPR data in humans (NEJM)Jun 2021Complete.
  2. Phase 3 in heart patients startsDoneComplete.
  3. Dosing paused after severe liver injury; FDA hold29 Oct 2025Complete.
  4. Hold lifted on nerve-disease trial27 Jan 2026Complete.
  5. Hold lifted on heart-disease trial2 Mar 2026Complete.
  6. Finish enrolling and following the Phase 3NowCurrent milestone.

Most important updates

  • 6 Aug 2026
  • 2 Mar 2026
  • 27 Jan 2026
  • 29 Oct 2025
  • 26 Jun 2021

Current obstacles

  • Liver harm in frail heart patientsThe hold followed severe liver injury in a heart patient; trials now exclude people with some liver problems or very weak hearts.

Physics limits

  • Fat-bubble delivery mostly reaches the liverIn the blood, lipid nanoparticles pick up a protein (ApoE) that liver cells absorb. That makes the liver easy to edit, but most other organs (brain, muscle, lungs) remain hard to reach with enough dose.
  • Edits in the body are permanent and can't be recalledOnce liver cells are edited, the change lasts for life and is copied as cells renew. Any off-target cut or unexpected long-term effect can't be undone, so safety must be proven over years.
  • Removing new protein doesn't clear old depositsStopping TTR production halts new amyloid, but fibres already in the heart clear slowly, if at all. Damage done before treatment may stay, so benefit shows over years.

How it works

3 parts
Heart muscle clogged by amyloid under the microscope: the misfolded protein deposits that switching off TTR aims to stop
Heart muscle clogged by amyloid under the microscope: the misfolded protein deposits that switching off TTR aims to stopPhoto: Nephron · CC BY-SA 3.0 (opens commons.wikimedia.org)
Deliver

One infusion to the liver

Lipid nanoparticles carry Cas9 mRNA and a guide RNA into liver cells, which make almost all of the body's TTR protein.

Cut

Knock out the TTR gene

Cas9 cuts TTR and the repair disrupts it, cutting TTR levels in blood by about 90% in early trials.

Effect

Less misfolded protein

TTR that misfolds builds up as fibres (amyloid) in heart and nerves. Making far less TTR aims to halt the build-up for good.

Papers & demos

1 item
  1. Jun 2021paper
    CRISPR-Cas9 in vivo gene editing for transthyretin amyloidosis (NEJM) (opens doi.org)First proof CRISPR can edit a gene inside the human body: the target protein fell 87% on average.

Update log

5 updates

Thu 6 Aug

  • Minor: PressTest

Mon 2 Mar

  • Minor: FilingRegulatory

Tue 27 Jan

  • Minor: FilingRegulatory

Wed 29 Oct 2025

  • Major: FilingRegulatory

Sat 26 Jun 2021

  • Major: PaperResearch

About Intellia Therapeutics

The team behind Nex-z (NTLA-2001)

Intellia Therapeutics

In-body CRISPR, lonvo-z, nex-z

Company co-founded by Jennifer Doudna that pioneered CRISPR inside the body. One drip carries the editor to the liver to switch off a disease gene for good. Lonvo-z, for hereditary angioedema, passed Phase 3; its ATTR drug resumed after a 2025 safety hold.

  • Phase 3 (Apr 2026): lonvo-z cut swelling attacks 87% vs placebo; 62% had none. Filing with the FDA for a 2027 launch.
  • Oct 2025: a patient had severe liver injury and later died; the FDA paused nex-z trials. They restarted in 2026 with more liver checks.
  • In Jan 2025 Intellia dropped outside-the-body editing and cut staff to focus on its two liver drugs.
Founded
201412 yrs
Headquarters
United States
Status
Public
Valuation
public
Works in
BiotechGene editing
Coverage
2 programs · 11 updateslatest 8 Sep 2026checked 25 Sep
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