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YN001-004 hos patienter med koronar ateroskleros i Australien

21 september 2026 uppdaterad av: Beijing Inno Medicine Co., Ltd.

En fas Ⅱa klinisk studie för att utvärdera effektiviteten och säkerheten av YN001 hos patienter med koronar ateroskleros i Australien

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)

Studieöversikt

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Faktisk)

3

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Tugun, Australien
        • John Flynn Private Hospital
    • Australian Capital Territory
      • Canberra, Australian Capital Territory, Australien
        • Canberra Hospital
    • New South Wales
      • Albury, New South Wales, Australien, 1125
        • Albury Wodonga Private Hospital
    • Queensland
      • Birtinya, Queensland, Australien, 4575
        • Sunshine Coast University Private Hospital
    • Victoria
      • Melbourne, Victoria, Australien, 3025
        • Altona Clinical Research
      • Melbourne, Victoria, Australien, 3199
        • Peninsula Heart Centre

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.

Andra namn:
  • Repatha®
Experimentell: Dose 2 treatment arm

Dose 2 YN001 will be administrated intravenously weekly.

Evolocumab 140 mg will be administered subcutaneously every 2 weeks.

Andra namn:
  • Repatha®

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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Changes in coronary plaque characteristics (volume and composition)
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in mean of mean carotid IMT
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Immunogenicity(ADA) analysis
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Studierektor: Teresa Chen, PhD, Beijing Inno Medicine Co., Ltd.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

25 februari 2026

Primärt slutförande (Faktisk)

22 juli 2026

Avslutad studie (Faktisk)

22 juli 2026

Studieregistreringsdatum

Först inskickad

14 november 2024

Först inskickad som uppfyllde QC-kriterierna

19 november 2024

Första postat (Faktisk)

22 november 2024

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

23 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

21 september 2026

Senast verifierad

1 september 2026

Mer information

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