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NCT Number: NCT07803835

Phase 1 Clinical Study of MWX401 Injection in Chinese Healthy Participants and Participants With Mild Hypertension

This is a single-center, randomized, double-blind, placebo-controlled, single ascending-dose phase 1 clinical study, aimed at evaluating the safety, tolerability, PK, PD and immunogenicity of single subcutaneous administration of MWX401 Injection in healthy Chinese participants and participants with primary mild hypertension.

The study comprises five dose cohorts with a planned enrollment of 46 subjects. The primary endpoint is the incidence and severity of treatment-emergent adverse events. Secondary endpoints include plasma and urinary PK parameters, changes in serum AGT and RAAS components, changes in blood pressure and hemodynamics, and immunogenicity indicators.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

The Affiliated Sir Run Run Hospital, Nanjing Medical University

Nanjing, Jiangsu, China

Location status: Recruiting

Location contact

Yuwen Su, Doctor

CONTACT

[email protected]

+86 13776688046

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female participants aged 18 to 60 years (inclusive) at the time of signing the informed consent form (ICF).
  • Body mass index (BMI) within 19.0 to 30.0 kg/m^2 (inclusive) at screening, with body weight >= 50 kg.
  • No use of antihypertensive medications within 30 days prior to signing the ICF, including beta-blockers, angiotensin-converting enzyme inhibitors (ACEIs), angiotensin receptor blockers (ARBs), calcium channel blockers (CCBs), angiotensin receptor-neprilysin inhibitors (ARNIs), and diuretics.
  • At screening and baseline, average seated office blood pressure: healthy participants: SBP 120-139 mmHg (inclusive) and DBP 75-89 mmHg (inclusive); participants with mild hypertension: SBP 140-159 mmHg (inclusive) and DBP 90-99 mmHg (inclusive).

5.12-lead electrocardiogram results normal or judged by the investigator as abnormal without clinical significance, with QTcF (Fridericia's formula) < 450 ms (male) or < 470 ms (female).

  • Voluntarily sign the ICF before any study-related procedure, able to understand and willing to comply with the requirements of the study protocol.

Exclusion criteria

  • History or evidence of secondary hypertension, including renal parenchymal hypertension, renovascular hypertension, aortic stenosis, primary aldosteronism, Cushing's syndrome, pheochromocytoma, polycystic kidney disease, drug-induced hypertension, etc.
  • History of type 1 or type 2 diabetes mellitus.
  • Pulse/heart rate <55 bpm or >100 bpm at screening.
  • eGFR (CKD-EPI) <80 mL/min/1.73 m² at screening.
  • Body weight loss >5% within 6 months before screening, or planned weight loss during study.
  • History of or current orthostatic hypotension (SBP drop ≥20 mmHg or DBP drop ≥10 mmHg within 1 min of standing from supine).
  • History of syncope before screening.
  • Use of prescription drugs, herbal products, or dietary supplements that may affect safety or data integrity within 30 days before randomization.
  • Excessive blood pressure fluctuation (SBP fluctuation >20 mmHg during screening).
  • History of needle phobia, difficult blood sampling, or intolerance to venipuncture.
  • Any other condition deemed unsuitable for study by investigator.

Treatment and study plan

MWX401 1

Drug

Administered subcutaneously (SC)

MWX401 2

Drug

Administered SC

MWX401 3

Drug

Administered SC

MWX401 4

Drug

Administered SC

MWX401 5

Drug

Administered SC

Placebo

Drug

Administered SC

Primary outcomes

  1. Incidence and severity of treatment-emergent adverse events (TEAEs)

    Time frame: Through study completion, for at least 85 days

    Incidence and severity of TEAEs.

Secondary outcomes

  1. Maximum Concentration (Cmax)

    Time frame: Up to 48 hours post-dose

    Cmax of MWX401.

  2. Time to Reach Maximum Concentration (Tmax)

    Time frame: Up to 48 hours post-dose

    Tmax of MWX401.

  3. Area Under the Curve From Time 0 to Last Quantifiable Time Point (AUC0-t)

    Time frame: Up to 48 hours post-dose

    AUC0-t of MWX401.

  4. Area Under the Curve From Time 0 to Infinity (AUC0-inf)

    Time frame: Up to 48 hours post-dose

    AUC0-inf of MWX401.

  5. Elimination Half-Life (t1/2)

    Time frame: Up to 48 hours post-dose

    t1/2 of MWX401.

  6. Cumulative Urinary Excretion (Ae)

    Time frame: Up to 72 hours post-dose

    Ae of MWX401.

  7. Cumulative Urinary Excretion from 0 to 48 hours (Ae0-48h)

    Time frame: Up to 72 hours post-dose

    Ae0-48h of MWX401

  8. Fraction of Dose Excreted in Urine (Ae%)

    Time frame: Up to 72 hours post-dose

    Ae% of MWX401.

  9. Fractional Excretion (Fe)

    Time frame: Up to 72 hours post-dose

    Fe of MWX401.

  10. Renal Clearance (CLr)

    Time frame: Up to 72 hours post-dose

    CLr of MWX401.

  11. Change from Baseline in Serum Angiotensinogen (AGT)

    Time frame: Through study completion, for at least 85 days

    Change value and percentage change from baseline in serum AGT.

  12. Change from Baseline in Other RAAS Component Biomarkers

    Time frame: Through study completion, for at least 85 days

    Change value and percentage change from baseline in other RAAS component biomarkers.

  13. Change from Baseline in Blood Pressure

    Time frame: Through study completion, for at least 85 days

    Change in systolic and diastolic blood pressure from baseline throughout the study.

  14. Change from Baseline in 24-hour Ambulatory Blood Pressure

    Time frame: Up to Day 85

    Changes in mean systolic and mean diastolic blood pressure from baseline throughout the study.

  15. Change from Baseline in Stroke Volume

    Time frame: Through study completion, for at least 85 days

    Change from baseline in stroke volume.

  16. Change from Baseline in Systemic Vascular Resistance

    Time frame: Through study completion, for at least 85 days

    Change from baseline in systemic vascular resistance.

  17. Detect anti-drug antibodies (ADA) and their titers

    Time frame: Through study completion, for at least 85 days

Study contacts

Contact information is provided by the study sponsor or research team.

Wanxiang Chen

CONTACT

[email protected]

+86 13359015677

Sponsors and collaborators

Lead sponsor

Shanghai Minwei Biotechnology Co., Ltd

Industry

Registry information

Official study title

A Phase 1 Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Subcutaneous Administration of MWX401 Injection in Chinese Healthy Participants and Participants With Mild Hypertension

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Sep 4, 2026
Registry last updated
Sep 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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