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Clinical Trials/NCT06677307
NCT06677307TerminatedPhase 1

A Phase 1/2a, Single- and Multiple-dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacodynamics, and Pharmacokinetics of KRRO 110 in Healthy Adult Volunteers and in Adult Participants With Alpha-1 Antitrypsin Deficiency (AATD) (REWRITE)

Korro Bio, Inc.7 sites in 2 countries42 target enrollmentStarted: January 13, 2025Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Enrollment
42
Locations
7
Primary Endpoint
Safety and Tolerability

Study Overview

Brief Summary

The purpose of this first-in human (FIH) study is to assess the safety, tolerability, and pharmacokinetics (PK) of single and multiple doses of KRRO-110 in both healthy adult participants and in clinically stable patients with Alpha-1 antitrypsin deficiency (AATD).

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to 70 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Part A SAD cohort Inclusion Criteria (Healthy Volunteers)
  • Adult male or female participants, 18 to 65 years of age
  • Documented PiMM genotype
  • Participants who are willing to and able to provide signed written informed consent
  • PiZZ Genotype (Part A SAD and Part B MAD cohorts) Inclusion Criteria (PiZZ Genotype)
  • Adult male or female participants 18 to 70 years of age (inclusive)
  • Documented PiZZ genotype
  • Baseline blood total AAT level < 11 µM/L

Exclusion Criteria

  • Exclusion Criteria (Healthy Volunteers)
  • Female participant of childbearing potential or male participant that is unable or unwilling to use an approved, reliable means of contraception
  • Body mass index (BMI) > 32 or < 18.5 kg/m2
  • History or current clinical evidence of hepatic disease
  • Evidence of active infection
  • History of medical condition(s), eg, advance cardiac disease, current or recent malignancy, organ transplantation, or other illness
  • Serology result indicative of any exposure (past or active) to hepatitis C, hepatitis B, or human immunodeficiency virus (HIV)
  • Respiratory or other acute illness within 8 weeks
  • Tobacco use of any kind within 6 months
  • Exclusion Criteria (PiZZ Genotype)
  • Female participant of childbearing potential or male participant that is unable or unwilling to use an approved, reliable means of contraception
  • BMI > 32 or < 18.5 kg/m2 or weight > 90 kg
  • History of FEV1 < 35%
  • History or current clinical evidence of advanced hepatic disease and/or pulmonary disease
  • Use of an experimental therapy except KRRO-110 within 6 months or 5 half-lives for the experimental therapy, whichever is greater
  • Tobacco use of any kind within 6 months
  • Use of conventionally dosed AAT augmentation therapy within 5 half-lives
  • Serology result consistent with exposure to HIV, or serology consistent with active hepatitis B or hepatitis C infection

Arms & Interventions

Arm 2: Placebo (Part A only)

Placebo Comparator

Placebo, IV administration

Intervention: KRRO-110 (Drug)

Arm 1: KRRO-110 (Part A and Part B)

Experimental

KRRO-110 is an RNA editing oligonucleotide encapsulated in a lipid nanoparticle (LNP) administered by intravenous (IV) infusion as a single dose in Part A (SAD), multi-dose in Part B (MAD).

Intervention: KRRO-110 (Drug)

Outcomes

Primary Outcomes

Safety and Tolerability

Time Frame: From Day 1 to Day 43 in the SAD and from Day 1 to Day 85 in the MAD

Type, frequency, and severity of treatment-emergent adverse events (TEAEs)

Secondary Outcomes

  • Pharmacodynamics (PD) of KRRO-110(Day 1 to Day 43 (SAD), and Day 1 to Day 85 (MAD))
  • Pharmacokinetics (PK) of KRRO-110(Day 1 to Day 43 (SAD), and Day 1 to Day 85 (MAD))

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (7)

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