A Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of CITY-FXI in Healthy Adults, Adults With FV Leiden or Prothrombin G20210A Mutation, and Adults With a History of Provoked Venous Thromboembolism
A Phase 1, Randomised, Double-Blind, Placebo-Controlled Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CITY-FXI, a FXI Targeting siRNA, Administered Subcutaneously in Healthy Adults, Adults With Factor V Leiden or Prothrombin G20210A Mutation, and Adults With a History of Provoked Venous Thromboembolism
This is a first-in-human (FIH), single-center, randomized, double-blind, placebo-controlled, single ascending and multiple dose study evaluating the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of CITY-FXI in healthy adults, adults with Factor V Leiden (FVL) or prothrombin G20210A mutation, and adults with a history of provoked venous thromboembolism (VTE).
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
The study will be conducted in three parts:
- Part A: Single Ascending Dose in Healthy Adults
- Part B: Single Ascending Dose in Adults with Factor V Leiden (FVL) or Prothrombin G20210A Mutation
- Part C: Multiple Doses in Adults with FVL or Prothrombin G20210A Mutation and/or a History of Provoked Venous Thromboembolism (VTE)
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Fase 1
Contacten en locaties
Studiecontact
Studiecontact
- Naam: City Therapeutics
- Telefoonnummer: 857-219-5440
- E-mail: clinicaltrials@citytx.com
Studie Locaties
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London, Verenigd Koninkrijk, SE1 1YR
- Werving
- Richmond Pharmacology
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Contact:
- Dr. Ulrike Lorch
- Telefoonnummer: +44 0207 042 5800
- E-mail: volunteer@richmondpharmacology.com
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Males and women of non-childbearing potential (WONCBP) aged 18 to 45 years (inclusive, for Part A only)
- Male and female participants aged 18 to 60 (inclusive, for Part B only), and aged 18 to 65 years (inclusive, for Part C only)
- Body Mass Index (BMI) between 18 and 25 kg/m2 (inclusive, for Part B only) and 18 and 35 kg/m2 (inclusive, for Part C only) and a minimum weight of 50 kg (Parts A, B, and C)
- Ability and willingness to comply fully with all study procedures and lifestyle considerations
- Confirmed diagnosis of FVL or prothrombin G20210A mutation via genetic testing (Part B only)
- Women of childbearing potential (WOCBP) must agree to use acceptable highly effective contraceptive methods (Parts B and C only)
- History of provoked venous thromboembolism (VTE) within the last 10 years and/or confirmed diagnosis of heterozygosity for FVL and prothrombin G20210A mutation via genetic testing (Part C only)
Exclusion Criteria:
- Any clinically significant systemic disease or disorder, including but not limited to cardiovascular, hepatic, or oncological conditions
- History or evidence of any bleeding disorders
- History of clinically significant spontaneous bleeding
- Prior treatment with an investigational agent
- Confirmed diagnosis of homozygous mutations, or combined thrombophilic defects (e.g., FVL with prothrombin G20210A mutation) (Parts B and C only)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Sequentiële toewijzing
- Masker: Dubbele
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
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Experimenteel: CITY-FXI bij Gezonde Volwassenen (Deel A)
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siRNA (subcutaneous injection) |
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Placebo-vergelijker: In Gezonde Volwassenen (Deel A)
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Saline (subcutaneous injection) |
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Experimenteel: CITY-FXI bij volwassenen met Factor V Leiden of Prothrombin G20210A-mutatie (Deel B)
|
siRNA (subcutaneous injection) |
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Placebo-vergelijker: In volwassenen met factor V Leiden of protrombine G20210A-mutatie (deel B)
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Saline (subcutaneous injection) |
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Experimenteel: CITY-FXI in Adults with FVL, Prothrombin G20210A Mutation, and/or a History of Provoked VTE (Part C)
|
siRNA (subcutaneous injection) |
|
Placebo-vergelijker: In Adults with FVL, Prothrombin G20210A Mutation, and/or a History of Provoked VTE (Part C)
|
Saline (subcutaneous injection) |
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Incidence, severity, and relationship of treatment-emergent adverse events (TEAEs)
Tijdsspanne: Through study completion, up to Day 360
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To evaluate the safety and tolerability of a single dose of CITY-FXI in healthy adults and adults with Factor V Leiden (FVL) or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Through study completion, up to Day 360
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Maximum plasma concentration (Cmax)
Tijdsspanne: Day 1 to Day 3 (Parts A and B); Days 1, 2, 91, 92 (Part C)
|
To characterize the pharmacokinetics (PK) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Day 1 to Day 3 (Parts A and B); Days 1, 2, 91, 92 (Part C)
|
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Area under plasma concentration time curve (AUC) of CITY-FXI
Tijdsspanne: Day 1 to Day 3 (Parts A and B); Days 1, 2, 91, 92 (Part C)
|
To characterize the pharmacokinetics (PK) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Day 1 to Day 3 (Parts A and B); Days 1, 2, 91, 92 (Part C)
|
|
Amount excreted in urine (Ae) of CITY-FXI
Tijdsspanne: Day 1 to Day 3 (Parts A and B)
|
To characterize the pharmacokinetics (PK) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation |
Day 1 to Day 3 (Parts A and B)
|
|
Change from baseline in levels of plasma Factor XI (FXI)
Tijdsspanne: Up to Day 360
|
To characterize the pharmacodynamics (PD) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Up to Day 360
|
|
Change from baseline of Factor XI (FXI) activity
Tijdsspanne: Up to Day 360
|
To characterize the pharmacodynamics (PD) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Up to Day 360
|
|
Change from baseline in activated partial thromboplastin time (aPTT)
Tijdsspanne: Up to Day 360
|
To characterize the pharmacodynamics (PD) of a single dose of CITY-FXI in healthy adults and adults with FVL or prothrombin G20210A mutation, and of a multiple dose regimen of CITY-FXI in adults with FVL or prothrombin G20210A mutation and/or a history of provoked VTE |
Up to Day 360
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Onderzoekers
Onderzoekers
- Studie directeur: Medical Director, City Therapeutics
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- FXI-1101
- C24027 (Andere identificatie: Richmond Pharmacology)
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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