All therapiesEvidence snapshot 2026-10-02
Lipids & cardiovascular health

VERVE-102

Designed to edit the PCSK9 gene in liver cells, reducing PCSK9 production. Source

At a glance

Selected evidence in this atlas
Studied use & population

Adults with heterozygous familial hypercholesterolemia or premature coronary artery disease

Study context
Approval & development

Current approval status is not summarized in this therapy record. A trial phase or a brand name does not establish approval for this use.

Status & indications
Selected efficacy evidence

LDL-C: 62% reduction within arm · Time-averaged from day 28 through each participant’s last follow-up

Heart-2 · Phase 1 · Peer-reviewed trial · 1.0 mg/kg, single dose · Open-label, uncontrolled dose escalation; mean of participant time-averaged responses from day 28 onward.

Evidence & limitations
Important safety context

Infusion reactions and transient ALT elevations occurred; no dose-limiting toxicity. One aspiration-pneumonitis serious event was judged unrelated.

Safety context
Next milestone

October 2026 · HEART-3 VERVE-102 phase 2 start.

Registry estimate; not yet recruiting

Milestone details

Study results apply to their own population, dose and analysis. They do not establish a ranking between therapies.

Evidence in the atlas

1 result

Each result belongs to its own study population, dose and analysis. Open a result for its chart, comparator, safety findings and limitations.

Lipid lowering

Heart-2

LDL-C: 62% reduction within arm · Time-averaged from day 28 through each participant’s last follow-up

1.0 mg/kg, single dose

Adults with heterozygous familial hypercholesterolemia or premature coronary artery disease

Open-label, uncontrolled dose escalation; mean of participant time-averaged responses from day 28 onward.

Safety context

Infusion reactions and transient ALT elevations occurred; no dose-limiting toxicity. One aspiration-pneumonitis serious event was judged unrelated.

Limitations: Seven participants received this dose. This is early biomarker evidence, without a randomized comparator or demonstrated cardiovascular benefit.

Biology & identity

Status in this atlas: Current approval status is not summarized in this therapy record. A trial phase or a brand name does not establish approval for this use.

Designed to edit the PCSK9 gene in liver cells, reducing PCSK9 production.

Mechanism source

Uses, doses and availability depend on the formulation, indication and country. Study doses below describe research; they are not prescribing instructions.

The molecule

A delivery system containing messenger RNA encoding an adenine base editor and a guide RNA directed at PCSK9, packaged in a GalNAc lipid nanoparticle.
Structure reference

VERVE-102

A delivery system containing messenger RNA encoding an adenine base editor and a guide RNA directed at PCSK9, packaged in a GalNAc lipid nanoparticle.

Shown: Multicomponent RNA and lipid-nanoparticle formulation.

This is a multicomponent gene-editing formulation, not one small molecule. The source describes components and delivery architecture; no exact whole-formulation atomic structure has been verified. No generic DNA helix is presented as the drug.

Verve Therapeutics first Heart-2 dosing announcement, 2024-05-07

Development timeline

Next milestone

October 2026 · HEART-3 VERVE-102 phase 2 start.

Registry estimate; not yet recruiting

Milestone calendar
Development history4 selected milestones

VERVE-102 · compound history across indications

Selected sourced milestones, not a complete development history. Dates distinguish study starts, publications, announcements and approvals; the first listed date is not necessarily when development began.

  1. Announcement

    First Heart-2 participant dosed

    Verve announced that the first participant had received VERVE-102 in Heart-2, an early clinical trial in adults with HeFH or premature coronary artery disease. This date records the dosing announcement rather than an inferred exact study-start date.

    Verve Therapeutics — first participant dosed in Heart-2 (May 7, 2024)
  2. Announcement

    Initial Heart-2 data announced

    Verve reported early results in 14 participants, including dose-dependent PCSK9 and LDL-C lowering after one infusion. These were sponsor-reported interim findings from small dose cohorts.

    Verve Therapeutics — positive initial Heart-2 data (April 14, 2025)
  3. Publication

    Heart-2 peer-reviewed results

    The phase 1 report included 35 treated participants across six dose cohorts and described sustained PCSK9 and LDL-C reductions, with at least one year of follow-up in 15 participants. This is the plotted trial; its small, open-label design cannot establish cardiovascular-event benefit or long-term safety.

    In Vivo Base Editing of PCSK9 with VERVE-102 for Hypercholesterolemia — NEJM (2026)
  4. Announcement

    Placebo-controlled HEART-3 registered

    First public registration of phase 2 HEART-3 (NCT07839936): approximately 175 participants, not yet recruiting in the checked record. LDL-C at day 90 is primary and ApoB is secondary. The October 2026 start and August 2028 primary completion are registry estimates, not confirmed dosing or results dates. No cardiovascular-event benefit is established.

    ClinicalTrials.gov — HEART-3 first posted September 24, 2026

Selected sources checked Oct 2, 2026. This is not an exhaustive history.