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Ultragenyx’s gene therapy helps control ammonia levels in late-stage study

By Thomson Reuters Mar 12, 2026 | 7:47 AM

March 12 (Reuters) – Ultragenyx Pharmaceutical said on Thursday its experimental gene therapy helped patients in a late-stage trial to better control ammonia levels ​linked to a rare inherited disorder.

The therapy, ‌called DTX301, improved a key measure of ammonia control by 18% after 36 weeks in patients with ornithine transcarbamylase, or OTC deficiency, compared with a placebo, the company said.

Shares ‌of ​the company were up 3.5% ⁠following the news.

OTC deficiency ⁠is a rare inherited disorder caused by the lack of a liver enzyme that helps clear ammonia, leading to a toxic buildup that can ​trigger confusion, seizures and coma.

Most patients who started the study with abnormal ammonia levels reached normal ⁠levels quickly and generally stayed ⁠there through the 36-week period, Ultragenyx ​said.

The company also said treated patients were able to ​cut back on ammonia-lowering medicines and eat 13% ‌more protein while keeping ammonia under control.

The placebo group recorded five hospitalizations tied to dangerous ammonia spikes, including one death, compared with one such hospitalization ⁠and no deaths among the treated patients, Ultragenyx said.

The company said the drug was generally well tolerated. The most ⁠common side effects ‌were liver-related problems that were managed ⁠with steroids.

Ultragenyx said the trial will ​continue ‌to its second study goal, which will ​evaluate if ⁠DTX301 can reduce treatment burden, including the need for ammonia-lowering drugs and dietary restrictions.

The company expects those data in the first half of 2027.

(Reporting by Padmanabhan Ananthan in Bengaluru; Editing by Krishna Chandra Eluri ​and Shreya Biswas)