MedPath

A Phase 1/2a, Single- and Multiple-dose Escalation Study of KRRO-110

Phase 1
Recruiting
Conditions
Alpha-1 Anti-trypsin Deficiency
AATD
Interventions
Registration Number
NCT06677307
Lead Sponsor
Korro Bio, Inc.
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).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
64
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 < 50%
  • 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Arm 2: Placebo (Part A only)KRRO-110Placebo, IV administration
Arm 1: KRRO-110 (Part A and Part B)KRRO-110KRRO-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).
Primary Outcome Measures
NameTimeMethod
Safety and TolerabilityFrom 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 Outcome Measures
NameTimeMethod
Pharmacokinetics (PK) of KRRO-110Day 1 to Day 43 (SAD), and Day 1 to Day 85 (MAD)

PK profile of KRRO-110 half-life (t1/2), area under the concentration-time curve (AUC), and trough level (MAD cohorts only).

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

PD profile of KRRO-110 based on change from Baseline in alpha-antitrypsin (AAT) enzyme levels at all measured timepoints (PiZZ participants only).

Trial Locations

Locations (2)

New Zealand Clinical Research

🇳🇿

Christchurch, New Zealand

Nucleus Network Pty Ltd

🇦🇺

Melbourne, Victoria, Australia

© Copyright 2025. All Rights Reserved by MedPath