A Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of SAL0195 Injection in Participants With or Without Elevated Lipoprotein(a)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This Phase 1 study is designed to evaluate the safety, tolerability, pharmacokinetics, immunogenicity, and pharmacodynamics of a single subcutaneous dose of SAL0195 injection in participants with or without elevated lipoprotein(a) [Lp(a)]. The relationship between SAL0195 plasma concentrations and QTc will also be explored, and metabolites in blood and urine will be characterized in selected dose cohorts.
The study uses a randomized, double-blind, placebo-controlled, sequential single-ascending-dose design. Five dose levels are planned: 30 mg, 100 mg, 300 mg, 600 mg, and an optional 900 mg dose. Each dose cohort will enroll approximately 8 participants randomized in a 3:1 ratio to SAL0195 or placebo.
In the 30 mg cohort, approximately 4 participants without elevated Lp(a) and 4 participants with elevated Lp(a) will be enrolled. Randomization will be stratified by Lp(a) status, with participants within each stratum randomized in a 3:1 ratio to SAL0195 or placebo. The remaining dose cohorts will enroll participants with elevated Lp(a) and will use block randomization in a 3:1 ratio.
Each participant will receive only one dose level. Dose escalation will proceed sequentially from the lowest dose after review of available safety, tolerability, pharmacokinetic, and pharmacodynamic data from the preceding cohort. Participants will be followed through Day 85. Participants whose Lp(a) level remains below 60% of baseline at Day 85 will enter an extended follow-up period with visits every 28 days until Lp(a) returns to at least 60% of baseline, the participant reaches approximately 52 weeks after dosing, or the participant withdraws or is lost to follow-up, whichever occurs first.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
1. Participants who have fully understood the study, voluntarily provided written informed consent, and are able to comply with the requirements and restrictions specified in the informed consent form.
2. Male or female participants aged 18 to 65 years, inclusive.
3. At screening, male participants must weigh at least 50 kg and female participants must weigh at least 45 kg, with a body mass index (BMI) between 19.0 and 28.0 kg/m², inclusive.
4. For participants required to have elevated lipoprotein(a) [Lp(a)], screening Lp(a) must be ≥75 nmol/L or ≥30 mg/dL. The 30 mg dose cohort may include participants with or without elevated Lp(a), as specified in the protocol.
5. At screening, physical examination, vital signs, hematology, urinalysis, serum chemistry, coagulation tests, viral serology, and glycated hemoglobin results, except for Lp(a), must be normal or show only minor abnormalities considered not clinically significant by the investigator. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) must not exceed the upper limit of normal.
6. Twelve-lead electrocardiogram findings must be normal or considered not clinically significant by the investigator, with QTcF <450 ms.
7. Participants and their partners must have no plans for pregnancy during the study and for 6 months after administration of the study intervention. Participants must agree to use effective contraception during this period. Hormonal contraceptives are prohibited during the study. Participants must not donate sperm or ova for reproductive or assisted reproductive purposes.
Exclusion Criteria:
1. Women who are pregnant or breastfeeding; women of childbearing potential with a positive pregnancy test; or women of childbearing potential who have had unprotected sexual intercourse within 14 days before the first dose.
2. Any disease or medical history considered by the investigator to alter or increase bleeding tendency, including but not limited to acute gastritis, gastrointestinal ulcer, allergic purpura, systemic lupus erythematosus, previous intracranial or intraocular hemorrhage, hemophilia, or von Willebrand disease.
3. A clinically significant acute drug or food allergic reaction within 2 weeks before screening; an allergic constitution, such as allergy to two or more drugs, foods, or pollens; a history of allergic disease such as asthma, urticaria, or eczematous dermatitis; or known or suspected hypersensitivity or clinically significant reaction to the study intervention, related drugs, placebo, or any excipient.
4. Positive test result for hepatitis B surface antigen, hepatitis C virus antibody, human immunodeficiency virus antibody, or Treponema pallidum-specific antibody.
5. Any of the following prior to the first dose:
- Administration of a small interfering RNA (siRNA) or antisense oligonucleotide within 18 months;
- Use of any metabolic enzyme or transporter inhibitor or inducer within 2 weeks;
Use of any prescription drug, over-the-counter drug, traditional Chinese medicine, herbal product, dietary supplement, vitamin, or health supplement within 2 weeks.
6. Drug abuse, excessive alcohol consumption, or excessive smoking, including:
- A history of drug abuse or a positive urine drug screen at screening;
- Average alcohol consumption of more than 14 units per week within 3 months before screening, a positive alcohol breath test at screening, or inability to abstain completely from alcohol-containing food or beverages during the study;
Average smoking of more than 5 cigarettes per day within 3 months before screening, or inability to abstain from tobacco products during the study.
7. Blood donation, including component donation, or blood loss ≥400 mL within 3 months before screening; blood donation or blood loss ≥200 mL or receipt of a blood transfusion within 1 month before screening; or planned donation of blood or blood components during the study or within 1 month after study completion.
8. Difficulty with blood collection, inability to tolerate repeated venipuncture, or a clinically significant history of needle or blood phobia as judged by the investigator.
9. Dysphagia or special dietary requirements that prevent compliance with the standardized diet required by the study.
10. Receipt of a live vaccine, live attenuated vaccine, or any vaccine containing live viral components within 3 months before screening, or planned receipt of such a vaccine during the study or within 1 month after study completion.
11. Severe trauma or major surgery requiring general anesthesia within 3 months before screening, or planned surgery during the study or within 3 months after study completion, except procedures performed under local anesthesia.
12. Participation within 3 months before screening in, or current participation in, any interventional clinical study involving administration of an investigational drug or vaccine, including another clinical study of SAL0195 or another cohort of this study.
13. Any clinically significant disease, medical history, infectious disease, or other condition that, in the investigator's judgment, could interfere with completion of the study or significantly alter drug absorption, metabolism, or elimination, including clinically significant respiratory, cardiovascular, gastrointestinal, genitourinary, hematologic, endocrine, neurologic, psychiatric, or malignant disease, or relevant gastrointestinal, renal, or gallbladder surgery.
14. Poor compliance or any other factor that, in the investigator's judgment, makes the participant unsuitable for participation in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SAL0195 30 mg
Participants will receive a single 30 mg dose of SAL0195 injection administered subcutaneously on Day 1.
The 30 mg cohort includes participants with and without elevated lipoprotein(a) [Lp(a)], with randomization stratified by baseline Lp(a) status.
|
A single 30 mg dose of SAL0195 injection will be administered subcutaneously on Day 1. SAL0195 injection is supplied at a concentration of 200 mg/mL.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Placebo Comparator: Placebo - 30 mg Cohort
Participants will receive a single subcutaneous dose of matching placebo on Day 1 according to the administration procedure for the 30 mg cohort.
The cohort includes participants with and without elevated Lp(a).
|
A single dose of matching placebo will be administered subcutaneously on Day 1.
The placebo is matched to SAL0195 injection in appearance, odor, packaging, and administration characteristics but contains no active SAL0195.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Experimental: SAL0195 100 mg
Participants with elevated Lp(a) will receive a single 100 mg dose of SAL0195 injection administered subcutaneously on Day 1.
|
A single 100 mg dose of SAL0195 injection will be administered subcutaneously on Day 1. SAL0195 injection is supplied at a concentration of 200 mg/mL.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Placebo Comparator: Placebo - 100 mg Cohort
Participants with elevated Lp(a) will receive a single subcutaneous dose of matching placebo on Day 1 according to the administration procedure for the 100 mg cohort.
|
A single dose of matching placebo will be administered subcutaneously on Day 1.
The placebo is matched to SAL0195 injection in appearance, odor, packaging, and administration characteristics but contains no active SAL0195.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Experimental: SAL0195 300 mg
Participants with elevated Lp(a) will receive a single 300 mg dose of SAL0195 injection administered subcutaneously on Day 1.
|
A single 300 mg dose of SAL0195 injection will be administered subcutaneously on Day 1. SAL0195 injection is supplied at a concentration of 200 mg/mL.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Placebo Comparator: Placebo - 300 mg Cohort
Participants with elevated Lp(a) will receive a single subcutaneous dose of matching placebo on Day 1 according to the administration procedure for the 300 mg cohort.
|
A single dose of matching placebo will be administered subcutaneously on Day 1.
The placebo is matched to SAL0195 injection in appearance, odor, packaging, and administration characteristics but contains no active SAL0195.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Experimental: SAL0195 600 mg
Participants with elevated Lp(a) will receive a single 600 mg dose of SAL0195 injection administered subcutaneously on Day 1.
|
A single 600 mg dose of SAL0195 injection will be administered subcutaneously on Day 1. SAL0195 injection is supplied at a concentration of 200 mg/mL.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Placebo Comparator: Placebo - 600 mg Cohort
Participants with elevated Lp(a) will receive a single subcutaneous dose of matching placebo on Day 1 according to the administration procedure for the 600 mg cohort.
|
A single dose of matching placebo will be administered subcutaneously on Day 1.
The placebo is matched to SAL0195 injection in appearance, odor, packaging, and administration characteristics but contains no active SAL0195.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
|
|
Experimental: SAL0195 900 mg
Participants with elevated Lp(a) will receive a single 900 mg dose of SAL0195 injection administered subcutaneously on Day 1.
This dose cohort is optional and may be initiated based on review of available safety, tolerability, pharmacokinetic, and pharmacodynamic data.
|
A single 900 mg dose of SAL0195 injection will be administered subcutaneously on Day 1. SAL0195 injection is supplied at a concentration of 200 mg/mL.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
This dose cohort is optional and may be initiated based on review of available safety, tolerability, pharmacokinetic, and pharmacodynamic data.
|
|
Placebo Comparator: Placebo - 900 mg Cohort
Participants with elevated Lp(a) will receive a single subcutaneous dose of matching placebo on Day 1 according to the administration procedure for the optional 900 mg cohort.
|
A single dose of matching placebo will be administered subcutaneously on Day 1.
The placebo is matched to SAL0195 injection in appearance, odor, packaging, and administration characteristics but contains no active SAL0195.
The preferred injection site is the abdomen, with the upper arm or thigh as alternative injection sites.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Clinically Significant Changes in Vital Signs
Time Frame: From baseline through the end of the study, up to Day 365 after dosing.
|
Vital signs will include respiratory rate, body temperature, pulse rate, and systolic and diastolic blood pressure.
Clinically significant abnormalities or worsening from baseline will be summarized by treatment and dose cohort.
|
From baseline through the end of the study, up to Day 365 after dosing.
|
|
Incidence and Severity of Treatment-Emergent Adverse Events
Time Frame: From study drug administration through the end of the study, up to Day 365 after dosing.
|
The number and percentage of participants with treatment-emergent adverse events (TEAEs), treatment-related adverse events, serious adverse events (SAEs), treatment-related serious adverse events, and adverse events leading to study discontinuation will be summarized by treatment and dose cohort.
Adverse events will be assessed for severity and relationship to the study intervention.
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From study drug administration through the end of the study, up to Day 365 after dosing.
|
|
Number of Participants With Clinically Significant Physical Examination Abnormalities
Time Frame: From baseline through the end of the study, up to Day 365 after dosing.
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Physical examinations will include assessments of the skin and mucous membranes, superficial lymph nodes, head, neck, chest, abdomen, spine and extremities, nervous system, and other clinically relevant findings.
Clinically significant abnormalities or worsening from baseline will be summarized.
|
From baseline through the end of the study, up to Day 365 after dosing.
|
|
Number of Participants With Clinically Significant Clinical Laboratory Abnormalities
Time Frame: From baseline through the end of the study, up to Day 365 after dosing.
|
Clinical laboratory evaluations will include hematology, serum chemistry, urinalysis, and coagulation tests.
Clinically significant post-baseline abnormalities or worsening from baseline will be summarized by treatment and dose cohort.
|
From baseline through the end of the study, up to Day 365 after dosing.
|
|
Number of Participants With Clinically Significant Twelve-Lead Electrocardiogram Abnormalities
Time Frame: From baseline through the end of the study, up to Day 365 after dosing.
|
Twelve-lead electrocardiograms will be evaluated for clinically significant abnormalities and changes from baseline.
Findings will be summarized by treatment and dose cohort.
|
From baseline through the end of the study, up to Day 365 after dosing.
|
|
Incidence and Severity of Injection-Site Reactions
Time Frame: From pre-dose through 72 hours after dosing.
|
Injection-site reactions, including local signs and symptoms such as erythema, induration, pain, pruritus, and swelling, will be assessed following subcutaneous administration of SAL0195 or matching placebo.
|
From pre-dose through 72 hours after dosing.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum Observed Plasma Concentration of SAL0195 (Cmax)
Time Frame: Pre-dose through 72 hours after dosing.
|
Maximum observed plasma concentration (Cmax) of SAL0195 following a single subcutaneous dose of SAL0195 injection.
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Pre-dose through 72 hours after dosing.
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Time to Maximum Observed Plasma Concentration of SAL0195 (Tmax)
Time Frame: Pre-dose through 72 hours after dosing.
|
Time to reach the maximum observed plasma concentration of SAL0195.
|
Pre-dose through 72 hours after dosing.
|
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Area Under the Plasma Concentration-Time Curve to the Last Quantifiable Concentration (AUClast)
Time Frame: Pre-dose through 72 hours after dosing.
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Area under the plasma concentration-time curve of SAL0195 from time zero to the last quantifiable concentration.
|
Pre-dose through 72 hours after dosing.
|
|
Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUCinf)
Time Frame: Pre-dose through 72 hours after dosing.
|
Area under the plasma concentration-time curve of SAL0195 from time zero extrapolated to infinity.
|
Pre-dose through 72 hours after dosing.
|
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Percentage of AUC Extrapolated to Infinity (AUC_%Extrap)
Time Frame: Pre-dose through 72 hours after dosing.
|
Percentage of the total AUC extrapolated from the last quantifiable concentration to infinity.
|
Pre-dose through 72 hours after dosing.
|
|
Terminal Elimination Half-Life of SAL0195 (t1/2)
Time Frame: Pre-dose through 72 hours after dosing.
|
Terminal elimination half-life of SAL0195 following a single subcutaneous dose.
|
Pre-dose through 72 hours after dosing.
|
|
Terminal Elimination Rate Constant of SAL0195 (λz)
Time Frame: Pre-dose through 72 hours after dosing.
|
Terminal elimination rate constant of SAL0195 estimated from the terminal phase of the plasma concentration-time profile.
|
Pre-dose through 72 hours after dosing.
|
|
Apparent Total Clearance of SAL0195 (CL/F)
Time Frame: Pre-dose through 72 hours after dosing.
|
Apparent total clearance of SAL0195 following subcutaneous administration.
|
Pre-dose through 72 hours after dosing.
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Apparent Volume of Distribution of SAL0195 (Vz/F)
Time Frame: Pre-dose through 72 hours after dosing.
|
Apparent volume of distribution of SAL0195 during the terminal phase following subcutaneous administration.
|
Pre-dose through 72 hours after dosing.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- SAL0195A101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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