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Alnylam Announces Positive Initial Phase 1b Data for Brezosiran (ALN-HTT02) Demonstrating Deep and Durable Huntingtin Lowering in Huntington’s Disease

$ALNYPress releaseOct 23, 2026, 3:45 AM ETRead the release

Alnylam reported positive initial Phase 1b data for brezosiran (ALN-HTT02), an investigational RNAi therapeutic for Huntington's disease, with mean CSF mutant huntingtin reductions of 60-64% at month 3 and up to 83% in individuals in the highest dose group evaluated. The data, presented at the EHDN Clinical Research Congress in Krakow, show an encouraging safety profile through up to 12 months of follow-up with no dose-dependent increases in CSF inflammatory markers, NfL, or brain ventricular volume, supporting potential twice-yearly dosing.

Key figures

Drug Name
Brezosiran (ALN-HTT02)
Phase Of Trial
Phase 1b
Dosing potential
twice-yearly
Ole duration months
36
Pivotal study start
2027
Enrolled participants
48
Dose cohorts evaluated
5
Csf mhtt mean reduction
60-64%
Csf mhtt max individual reduction
83%

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