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NCT Number: NCT07179640

A Study to Assess Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ALE1 in Healthy Adults and Adults With Hypophosphatasia in Order to Identify Suitable Doses of ALE1

This is a phase 1/2a randomised, placebo controlled, double-blind study investigating the safety, tolerability, pharmacokinetics, and pharmacodynamics of ALE1 on healthy adult subjects and adult patients with Hypophosphatasia (HPP).

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

New Zealand Clinical Research, Grafton, Auckland, New Zealand

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Who can participate

Healthy volunteers accepted: Yes

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

Key Inclusion Criteria Part 1:

  • Participants are overtly healthy as determined by a medical evaluation
  • No concurrent medical conditions or significant medical history, in the opinion of the investigator.

Key Inclusion Criteria Part 2:

  • Documented ALPL gene variant

Key Exclusion Criteria Part 1:

  • History of conditions affecting bone or mineral metabolism

Key Exclusion Criteria Part 2:

  • Previous treatment with an enzyme replacement therapy (ERT) or any advanced therapeutic agent (e.g., gene therapy) for the treatment of hypophosphatasia (HPP) or any treatment for osteoporotic diseases
  • Previous exposure to any medication or investigational agent potentially affecting bone structure, muscle volume, muscle strength, or muscle or nerve function
  • Diagnosis of hyperparathyroidism
  • Diagnosis of hypoparathyroidism, unless secondary to HPP
  • New fracture within 12 weeks before first dosing

Treatment and study plan

ALE1

Drug

Specified dose on specified days

Placebo

Drug

Specified dose on specified days

Primary outcomes

  1. Evaluate the safety of ALE1 by assessing the number of treatment emergent adverse events (TEAEs)

    Time frame: From baseline up to day 16

  2. Evaluate safety of ALE1 by assessing the presence of clinically significant changes in participants haematology parameters post-dose

    Time frame: From baseline up to day 16

  3. Evaluate safety of ALE1 by assessing the presence of clinically significant changes in participants biochemistry parameters post-dose

    Time frame: From baseline up to day 16

  4. Evaluate safety of ALE1 by assessing changes in heart rhythms via electrocardiogram

    Time frame: From baseline up to day 16

  5. Evaluate safety of ALE 1 by assessing the presence of clinically significiant changes in participants vital signs

    Time frame: From baseline up to day 16

Secondary outcomes

  1. Pharmacokinetic parameter: area under the plasma concentration versus time curve (AUC (D0 - INF))

    Time frame: From baseline up to day 16

  2. Pharmacokinetic parameter: time at which maximum plasma concentration occurs (Tmax)

    Time frame: From baseline up to day 16

  3. Pharmacokinetic parameter: terminal elimination phase half-life (t(1/2))

    Time frame: From baseline up to day 16

  4. Pharmacokinetic parameter: total clearance (CL/F)

    Time frame: From baseline up to day 16

  5. Pharmacokinetic parameter: volume of distribution (Vd/F)

    Time frame: From baseline up to day 16

  6. Change in pharmacodynamic biomarker levels in blood samples of ALE1

    Time frame: From baseline up to day 16

  7. Dose proportionality of maximum observed plasma concentration (Cmax) Time at which maximum plasma concentration occurs (Tmax)

    Time frame: From baseline up to day 16

  8. Dose proportionality of area under the plasma concentration versus time curve (AUC (D0 - INF))

    Time frame: From baseline up to day 16

  9. Effect of food on area under the plasma concentration versus time curve (AUC (D0 - INF))

    Time frame: From baseline up to 16 days post dose

  10. Effect of food on maximum observed plasma concentration (Cmax)

    Time frame: From baseline up to day 16

Sponsors and collaborators

Lead sponsor

Alesta Therapeutics

Industry

Registry information

Official study title

A Randomised, Placebo Controlled, Double-Blind, Single-Ascending Dose And Multiple-Ascending Dose First-In-Human Study To Investigate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Orally Administered ALE1 With Or Without Food In Healthy Adult Subjects And Adult Patients With Hypophosphatasia

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Sep 18, 2025
Registry last updated
Jan 30, 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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