A Phase 1 Study to Evaluate the Safety, Tolerability, PK/PD of SRSD107 in Healthy Participants

PHASE1RECRUITING

The primary aim of this study is to evaluate safety and tolerability data when SRSD107 is administered as single SC injections to healthy participants. This information, along with PK/PD data, will help establish the appropriate doses and dosing regimen for future studies in patients.

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Study details:

SRSD107 is a synthetic, chemically modified double-stranded, small interfering ribonucleic acid (siRNA). The antisense strand is specifically designed to recognize and cleave human factor XI (FXI) messenger ribonucleic acid (mRNA) which reduces FXI protein. FXI protein reduction may prevent thromboembolic events without increasing the risk of bleeding.

This study will be a Phase 1, randomized, double-blind, placebo-controlled, single ascending dose study conducted in two parts. A total of 40 participants will be studied in 5 groups (Groups A1 to A5), each group consisting of 8 participants. In each group, 6 participants will receive SRSD107 and 2 will receive a placebo.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Body mass index between 18.0 and 32.0 kg/m2, inclusive.
  • In good health, based on no clinically significant findings from medical history, 12 lead ECG, vital signs measurements, and clinical laboratory evaluations.
  • Activated partial thromboplastin time and PT within the normal range.
  • Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  • Able to understand and willing to sign an ICF and to abide by the study restrictions.
  • Exclusion criteria

  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee).
  • History or evidence of any abnormal bleeding or coagulation disorder; or evidence of coagulopathy, prolonged or unexplained, clinically significant bleeding, or frequent unexplained bruising or thrombus formation; or a history of spontaneous bleeding.
  • Evidence of an active or suspected cancer, or a history of malignancy, within 5 years prior to screening. Nonmelanoma skin cancer, curatively treated localized prostate cancer, or other carcinoma in situ are not exclusionary, providing that they did not require systemic therapy and are considered cured.
  • Acute of febrile illness within 7 days prior to dose administration or evidence of active infection.
  • Any major surgery within 3 months prior to screening or plan to have any surgery during the study.
  • History of clinically significant hypersensitivity, intolerance, or allergy to any drug compound, oligonucleotide, GalNAc, food, or other substance, as determined by the investigator (or designee).
  • Confirmed systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg.
  • QT interval corrected for heart rate using Fridericia's method (QTcF) >450 ms in males or >470 ms in females confirmed by repeat measurement.
  • White blood cell count <3.5 × 10^9/L, platelets <100 × 10^9/L, or hemoglobin below the lower limit of normal.
  • Alanine aminotransferase, aspartate aminotransferase, gamma glutamyl transferase, alkaline phosphatase, or total bilirubin >1.5 × the upper limit of normal (ULN).
  • Estimated glomerular filtration rate <80 mL/min/1.73m2, as calculated by the 2021 Chronic Kidney Disease Epidemiology Collaboration equation.
  • Positive hepatitis panel and/or positive human immunodeficiency virus test.
  • Positive pregnancy test at screening or check in.
  • Receipt of blood products within 2 months prior to check in.
  • Loss of >500 mL whole blood or donation of blood products within 1 month prior to screening.
  • History of intolerance to SC injections, or scarring (eg, from surgical procedures or burns) in areas when SC dose administration may occur.
  • Participants who, in the opinion of the investigator (or designee), should not participate in this study.
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : Yes

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2024-01-23

    Primary completion: 2025-01-01

    Study completion finish: 2025-01-01

    study type

    Study type

    PREVENTION

    phase

    Phase

      PHASE1

    trial

    Trial ID

    NCT06116617

    Intervention or treatment

    DRUG: SRSD107

    DRUG: Placebo

    Conditions

    • Thrombosis

    Find a site

    Closest Location:

    Linear Clinical Research

    Research sites nearby

    Select from list below to view details:

    • Linear Clinical Research

      Perth, Other (Non U.s.), Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: SRSD107
    • SRSD107 for subcutaneous (s.c.) injection Group A1, 15mg, single dose Group A2, 45mg, single dose Group A3, 120mg, single dose Group A4, 240mg, single dose Group A5, 450mg, single dose
    DRUG: SRSD107
    • SRSD107 is a synthetic, chemically modified double-stranded, small interfering ribonucleic acid (siRNA).
    PLACEBO_COMPARATOR: Placebo
    • Sodium chloride for subcutaneous (s.c.) injection
    DRUG: Placebo
    • Sodium chloride

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Proportion of adverse events (AEs)An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment.up to 168 days post last dose
    Proportion of Serious Adverse Events (SAEs)A serious AE (SAE) is defined as any untoward medical occurrence that at any dose either: * results in death * is life threatening * requires inpatient hospitalization or prolongation of existing hospitalization * results in persistent or significant disability/incapacity (disability is defined as a substantial disruption of a person's ability to conduct normal life functions) * results in a congenital anomaly/birth defect * results in an important medical event (see below).up to 168 days post last dose

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    CmaxMaximum observed plasma concentrationGroup A, Day 1 to Day 3; Group B, Day 1 to Day 3 and Day 29 to 31
    tmaxTime to maximum plasma concentrationGroup A, Day 1 to Day 3; Group B, Day 1 to Day 3 and Day 29 to 31
    t1/2Plasma half-lifeGroup A, Day 1 to Day 3; Group B, Day 1 to Day 3 and Day 29 to 31
    AUCArea under the plasma concentration-time curve from 0 to infinityGroup A, Day 1 to Day 3; Group B, Day 1 to Day 3 and Day 29 to 31
    CL/FApparent total clearanceGroup A, Day 1 to Day 3; Group B, Day 1 to Day 3 and Day 29 to 31
    Effect of SRSD107 on circulating FXI LevelsDetermination of % Lowering of FXI to Baseline FXI Levelup to 168 days post last dose
    Effect of SRSD107 on coagulationDetermination of % APTT to baseline APTTup to 168 days post last dose

    Frequently Asked Questions

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    References

    Clinical Trials Gov: A Phase 1 Study to Evaluate the Safety, Tolerability, PK/PD of SRSD107 in Healthy Participants

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