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YN001 in Healthy Subjects and Patients With Coronary Atherosclerosis

Phase 1
Recruiting
Conditions
Atherosclerotic Cardiovascular Disease
Interventions
Drug: YN001
Drug: Placebo for YN001
Drug: rosuvastatin calcium tablets
Registration Number
NCT06048588
Lead Sponsor
Beijing Inno Medicine Co., Ltd.
Brief Summary

This study consists of two parts. The SAD and MAD of part I are a randomized, double-blind, placebo-controlled, single and multiple ascending dose study in healthy adult subjects. The MAD expansion cohort of part I is single arm and multipal ascending dose in heallthy subjects. Part II (phase Ib/IIa) is a multicenter, randomized, controlled, open label, multiple ascending dose study in patients with coronary atherosclerosis.

Detailed Description

Part I (phase Ia) is consists of 2 sections. The sections 1 is designed to evaluate the safety, tolerability, and pharmacokinetics of single and multiple ascending doses of intravenously administered YN001, and to evaluate the effect of SAD of intravenously administered YN001 on the QT/QTc interval, and the immunogenicity of MAD of intravenously administered YN001 in healthy subjects. Besides, the section 2 is designed to evaluate the safety and tolerability of multiple intravenous administration of YN001 without pre-medication or with different pre-medication regimens in Chinese healthy subjects.

Part II (phase Ib/IIa) is designed to evaluate the safety, tolerability, pharmacokinetics, preliminary efficacy, immunogenicity, and the effect on cytokine changes of MAD of intravenously administered YN001 in patients with coronary atherosclerosis.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
130
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
YN001YN001YN001 will be administrated intravenous by single ascending dose, multiple ascending doses weekly or twice a week.
Part I-Matching placebo for YN001Placebo for YN001Matching placebo for YN001 will be administrated intravenous.
Part II-Rosuvastatin calcium tabletsrosuvastatin calcium tabletsRosuvastatin calcium tablets will be given by orally.
Primary Outcome Measures
NameTimeMethod
Part I: The safety and tolerability of YN001 in healthy subjects.Up to 29 days

To evaluate the incidence of Adverse Events as Assessed by CTCAE v5.0, Clinically Significant Laboratory Abnormalities, Clinically Significant Electrocardiogram Abnormalities, Clinically Significant Vital Signs Abnormalities, Clinically Significant Physical Examination Abnormalities.

Part I: Maximum plasma concentration(Cmax) of YN001Up to 168 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects

Part I: Time of maximum concentration (Tmax) of YN001Up to 168 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects.

Part I: Elimination half-life (t1/2) of YN001Up to 168 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects.

Part I: Area under the plasma concentration-time curve from time 0 to the collection time point of the last measurable concentration (AUC0-t) of YN001Up to 168 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects.

Part II: The safety and tolerability of intravenously administered YN001 in patients with coronary atherosclerosis.Up to 29 days

To evaluate the incidence of Adverse Events as Assessed by CTCAE v5.0, Clinically Significant Laboratory Abnormalities, Clinically Significant Electrocardiogram Abnormalities, Clinically Significant Vital Signs Abnormalities, Clinically Significant Physical Examination Abnormalities, Clinically Significant Echocardiogram Abnormalities.

Secondary Outcome Measures
NameTimeMethod
Part II: Area under the plasma concentration-time curve from time 0 to the collection time point of the last measurable concentration (AUC0-t) of YN001Up to 96 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis.

Part II: Change in percent atheroma volume (PAV) of coronary plaque comparing to baselineUp to 91 days or EOT

PAV will be determined by intravascular ultrasound (IVUS)

Part I: C-QTc analysisPre-dose and up to 48 hours post initiation of infusion

To evaluate the effect of SAD of YN001 on QT/QTc interval prolongation and relationship between YN001 exposure and QT/QTc Interval changes in Chinese healthy subjects.

Part I: Pharmacodynamic evaluationUp to 96 hours of post initiation of last dose

To evaluate the change LDL-C, HDL-C,TC and TG from baseline to EOT

Part II: Elimination half-life (t1/2) of YN001Up to 96 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis.

Part I: Immunogenicity analysisUp to 96 hours of post initiation of last dose

To evaluate the immunogenicity of MAD of intravenously administered YN001 in Chinese healthy subjects.

Part II: Maximum plasma concentration(Cmax) of YN001Up to 96 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis.

Part II: Time of maximum concentration (Tmax) of YN001Up to 96 hours of post initiation of last dose

To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis.

Part II: Change in total atheroma volume (TAV) of coronary plaque comparing to baselineUp to 91 days or EOT

TAV will be determined by intravascular ultrasound (IVUS)

Part II: Change in detection rate of macrophage cluster within coronary plaque comparing to baselineUp to 91 days or EOT

detection rate of macrophage cluster will be determined by optical coherence tomography (OCT)

Part II: Change in atherosclerosis plaque located at other arteriesUp to 91 days or EOT

Other arteries plaque will be determined by CTA or MRA

Part II: Immunogenicity analysisUp to 91 days or EOT

To evaluate the immunogenicity of MAD of intravenously administered YN001 in Chinese patients with coronary atherosclerosis.

Part II: Pharmacodynamic analysisUp to 91 days or EOT

Change in LDL-C,HDL-C,TC and TG levels form baseline to EOT

Part II: Change in minimum fibrous cap thickness (FCT) of coronary plaque comparing to baselineUp to 91 days or EOT

FCT will be determined by optical coherence tomography (OCT)

Part II: Change in maximum IMT and plaque thicknessUp to 91 days or EOT

IMT will be determined by carotid ultrasound scans

Part II: Change in coronary minimal lumen area (MLA) comparing to baselineUp to 91 days or EOT

MLA will be determined by intravascular ultrasound (IVUS)

Part II: Change in maximum lipid arc and lipid core length of coronary plaque comparing to baselineUp to 91 days or EOT

lipid arc and lipid core length will be determined by optical coherence tomography (OCT)

Part II: Cytokines analysisUp to 91 days or EOT

To evaluate the effect of MAD of intravenously administered YN001 on Cytokines levels in Chinese patients with coronary atherosclerosis.

Trial Locations

Locations (6)

Beijing Anzhen Hospital, Capital Medical University

🇨🇳

Beijing, Beijing, China

Peking University first hospital

🇨🇳

Beijing, Beijing, China

Renji Hospital Shanghai Jiaotong Unv. school of Medicine

🇨🇳

Shanghai, Shanghai, China

First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Renmin Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

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