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オーストラリアの冠動脈アテローム性動脈硬化症患者におけるYN001-004

2026年9月21日 更新者:Beijing Inno Medicine Co., Ltd.

オーストラリアの冠状動脈硬化症患者におけるYN001の有効性と安全性を評価するための第IIa相臨床研究

This study is to evaluate the efficacy and safety of intravenously administered YN001 in patients with coronary atherosclerosis in Australia. This study will be conducted in eligible participants with a diagnosis of coronary atherosclerosis, and at least 1 coronary artery is blocked determined by coronary computed tomography angiography (CCTA)

調査の概要

状態

終了しました

条件

介入・治療

詳細な説明

This is a multicenter, randomized, open label, parallel-group, proof of concept study. It is designed to determine if the study drug, called YN001, administered in addition to evolocumab can effectively reduce the total amount of plaque formed in the coronary artery as measured by CCTA from baseline to week 13.

A total of 24 patients with coronary atherosclerosis are expected to be enrolled and will be randomly assigned in a 1:1 ratio to 1 of 2 YN001 treatment arms (12 patients per arm) with 2 different dose levels for 12 weeks.

The study will be comprised of a maximum 41-day screening period (Day -42-Day -2), a baseline period (Day-1), a treatment and observation period (W1D1- W13D7), and a safety follow-up period (14 days post last dose).

研究の種類

介入

入学 (実際)

3

段階

  • フェーズ2

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

      • Tugun、オーストラリア
        • John Flynn Private Hospital
    • Australian Capital Territory
      • Canberra、Australian Capital Territory、オーストラリア
        • Canberra Hospital
    • New South Wales
      • Albury、New South Wales、オーストラリア、1125
        • Albury Wodonga Private Hospital
    • Queensland
      • Birtinya、Queensland、オーストラリア、4575
        • Sunshine Coast University Private Hospital
    • Victoria
      • Melbourne、Victoria、オーストラリア、3025
        • Altona Clinical Research
      • Melbourne、Victoria、オーストラリア、3199
        • Peninsula Heart Centre

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~75年 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Fully understand the purposes, features, and methods of the study, and sign the ICF before performing any assessment.
  2. Male or female Australia patients between 18 and 75 years.
  3. Patients diagnosed with coronary atherosclerosis, and at least 1 vessel with diameter stenosis determined by coronary computed tomography angiography (CTA).
  4. Female patients must be non-pregnant and non-lactating, and females of childbearing potential (including a female partner of a male patient) must agree to use 1 effective contraception method from the screening period to 3 months after receiving their last dose of the study drug. In addition, male patients must be willing to refrain from sperm donation during this time.
  5. Willing and able to comply with the requirements of protocol to the best of the patient's and investigator's knowledge.

Exclusion Criteria:

  1. Prior treatment with other investigational drug(s) within 30 days or 5 half-lives, whichever is longer, prior to randomization.
  2. Previously received YN001.
  3. Any type of vaccination within 4 weeks prior to randomization.
  4. Contraindication for coronary CTA (e.g., known history of anaphylactic contrast reactions).
  5. Multi-vessel severe disease.
  6. Recent acute ST-segment elevation myocardial infarction (STEMI) occurred within 2 weeks prior to randomization.
  7. Relapse and highly symptomatic arrhythmia uncontrolled by drugs within the past 3 months, such as ventricular tachycardia, atrial fibrillation with rapid ventricular rate and paroxysmal supraventricular tachycardia.
  8. Prior treatment with CABG, heart transplantation, SAVR/TAVR, etc., or CABG, heart transplantation, SAVR/TAVR, etc., is required or planned during the study.
  9. PCI performed within 4 weeks prior to randomization or PCI is required or planned during study treatment.
  10. New York Heart Association (NYHA) class III or IV, or last known left ventricular ejection fraction (LVEF) <40%.
  11. Recent clinically evident stroke occurred within 6 months prior to randomization (except for TIA).
  12. Presenting with history of myopathy/myalgia, or susceptible to myopathy/rhabdomyolysis.
  13. Known inflammatory bowel disease, ulcers, gastrointestinal or rectal bleeding within 6 months prior to randomization.
  14. Evidence of major diseases that not recovered within 2 weeks prior to randomization, or major surgery is expected during the study.
  15. Presenting with history of malignancy (except in patients who have been disease-free >5 years; or whose only malignancy has been basal or squamous cell skin carcinoma).
  16. Presence of any type of autoimmune disease.
  17. Allergy to multiple food or drugs or known sensitivity to any components to be administered during dosing
  18. Life expectancy is less than 1 year.
  19. Systolic blood pressure of ≥150 mmHg at final screening despite antihypertensive therapy.
  20. Known familial hypercholesterolemia
  21. Triglycerides≥400 mg/dl (4.5 mmol/l) at final screening.
  22. Active liver disease or hepatic dysfunction defined by any of ALT, AST, or total bilirubin > 2 times upper limit of normal (ULN) at final screening.
  23. Presence of renal insufficiency.
  24. Untreated or inadequately treated hypothyroidism defined by thyroid stimulating hormone (TSH) > 1.5 times ULN at final screening.
  25. Poorly controlled (defined by HbA1c > 9%) type 2 diabetes mellitus.
  26. A positive hepatitis B surface antigen (HBsAg), or positive antibody against hepatitis C virus (anti-HCV) or human immunodeficiency virus (anti-HIV), or positive treponema pallidum antibody (TP-Ab).
  27. Current smoker who has smoked an average of≥5 cigarettes (or equivalent) per day over the preceding year.
  28. Presence of any other diseases or conditions (apart from those outlined above) that, in the opinion of the investigator, would make it unsuitable for the patient to participate in this study.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
実験的:Dose 1 treatment arm

Dose 1 YN001 will be administrated intravenously weekly.

Dose 1 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total.

Evolocumab 140 mg will be administered subcutaneously every 2 weeks.

他の名前:
  • レパーサ®
実験的:Dose 2 treatment arm

Dose 2 YN001 will be administrated intravenously weekly.

Evolocumab 140 mg will be administered subcutaneously every 2 weeks.

他の名前:
  • レパーサ®

Dose 2 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Changes in coronary plaque characteristics (volume and composition)
時間枠:From baseline to Week 13

Evaluating YN001 on top of evolocumab therapy in changing coronary plaque volume assessed by coronary computed tomography angiography (CCTA).

From baseline to Week 13

二次結果の測定

結果測定
メジャーの説明
時間枠
Change in mean of mean carotid IMT
時間枠:From baseline to Week 13

Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.

From baseline to Week 13
Change in mean of mean carotid IMT
時間枠:From baseline to Week 5

Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.

From baseline to Week 5
Change in mean of mean carotid IMT
時間枠:From baseline to Week 9

Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.

From baseline to Week 9
Change in mean peri-coronary Fat attenuation index (FAI)
時間枠:From baseline to Week 13

Evaluating YN001 on top of evolocumab therapy in changing inflammation using the peri-coronary FAI value measured by quantitative CTA analysis.

From baseline to Week 13
The safety profile of YN001
時間枠:From baseline to Week 15

Incidence of Adverse events (AEs)/Serious adverse events (SAEs)

From baseline to Week 15
Plasma concentration of total and free drug
時間枠:From Week 1 to Week 13

Plasma concentration of total and free drug at pre-dose (0 h) and at the end of infusion

From Week 1 to Week 13
Population pharmacokinetics (PK)
時間枠:From Week 1 to Week 13

Plasma PK parameter (AUC) and patient covariates of interest will be evaluated graphically and in the population PK model.

From Week 1 to Week 13

その他の成果指標

結果測定
メジャーの説明
時間枠
Immunogenicity(ADA) analysis
時間枠:From Week 1 to Week 13

The proportion of patients who develop anti-drug antibodies (ADA) following drug administration.

From Week 1 to Week 13
Immunogenicity (APA)analysis
時間枠:From screening to Week 13

The proportion of patients with pre-exsiting anti-PEG antibodies (APA), treatment emergent APA or treatment boosted APA following drug administration.

From screening to Week 13
Exploratory dose-response analysis of plaque volume
時間枠:From Week 1 to Week 13

Exploratory dose-response analysis will be performed by comparing the difference of coronary plaque volume changing between 2 different dose levels

From Week 1 to Week 13
Exploratory dose-response analysis of AEs
時間枠:From Week 1 to Week 13

Exploratory dose-response analysis will be performed by comparing the difference of incidence of AEs between 2 different dose levels

From Week 1 to Week 13

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • スタディディレクター:Teresa Chen, PhD、Beijing Inno Medicine Co., Ltd.

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2026年2月25日

一次修了 (実際)

2026年7月22日

研究の完了 (実際)

2026年7月22日

試験登録日

最初に提出

2024年11月14日

QC基準を満たした最初の提出物

2024年11月19日

最初の投稿 (実際)

2024年11月22日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月23日

QC基準を満たした最後の更新が送信されました

2026年9月21日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • YN001-004

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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