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OpenTrials
Completed

NCT Number: NCT05984992

The First-in-human Study of SRN-001 in Healthy Participants

SRN-001 is a novel small interfering RNA (siRNA) drug being developed to treat fibrosis using Self Assembled Micelle inhibitory ribonucleic acid (SAMiRNA™) technology. Amphiregulin (AREG) is a growth factor involved in fibroblast proliferation and myofibroblast transformation which is the hallmark of fibrosis in lung and kidney tissues. AREG is a downstream gene overexpressed by Transforming growth factor-β (TGF-β) during fibrosis, promoting fibroblast to myofibroblast transition (FMT). SRN-001 is designed to downregulate generating amphiregulin by RNA interference (RNAi). The goal of this clinical trial is to evaluate safety, tolerability, and pharmacokinetics in healthy participants. This trial is first-in-human clinical trial to develop SAMiRNA™ to utilize as therapeutic use.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

CMAX Clinical Research

Adelaide, South Australia, 5000, Australia

About this study

Participants with part in consent will be enrolled in a phase 1a study of SRN-001. Prior to initiation of treatment, participants will undergo several screening test for checking their condition of health. There is no specific test comparing with the general other clinical trial in healthy volunteers. They will be randomized into two groups, active drug and inactive placebo(normal saline) as ratio 2:1. Starting dose is planned 15mg. For confirming maximal tolerable dose, dose will be escalated when no dose-limiting toxicity (DLT) confirmed. Each cohort will take single dose and for 4 weeks, safety observation will be taken. If safety abnormality will be retained in 4 weeks, the participant's safety observation will be prolonged by the end of the adverse event once 2 weeks.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Age 18-70
  • BMI ≥18.0 kg/㎡ and ≤35 kg/㎡
  • 12-lead triplicate electrocardiogram (ECG) readings within normal limits or with no clinically significant abnormalities
  • systolic blood pressure ≥ 90 mmHg and ≤160 mmHg; a diastolic blood pressure ≥ 50 mmHg and ≤95 mmHg; pulse ≥ 45 bpm and ≤100 bpm; tympanic temperature ≥ 35.5°C and ≤37.7°C and respiratory rate 12rpm to 22rpm
  • Negative urinary cotinine
  • Compliance to contraception and sperm donation restriction
  • Participants who are able and willing to give written informed consent
  • Fully vaccinated against SARS-CoV-2

Exclusion criteria

  • Who has clinically significant history
  • Who is with history of multiple drug allergies or history of allergic reaction to an oligonucleotide or common medicine (eg, aspirin, antibiotics, etc) or clinically significant hypersensitivity
  • No tolerance to IV injections or significant potential of intolerance
  • Clinically significant surgical history within 1 year
  • History of drug abuse or alcoholism within 2 years, and a restriction of consuming alcohol during study period
  • Pregnant or lactating females
  • Liver function test is 1.5 times greater than upper limit of normal (ULN)
  • Albumin ≥ 35 g/L and ≤ 50 g/L
  • Hb < 115 g/L (female), < 125 g/L (male)
  • estimated glomerular filtration rate (eGFR) < 60 mL/min (CKD-EPI), 90 mL/min (MDRD)
  • Glucose < 3 mmol/L
  • Positive screen for alcohol or drugs of abuse
  • HBsAg, Hepatitis B virus (HBV), Hepatitis C virus (HCV), or HIV infection
  • QTcF > 450 msec for male, > 470 msec for female
  • Inappropriate lab result by physician's discretion
  • Who have donated > 500 mL of blood within 3 months
  • Who have received an investigational agent within 3 months, or 5 half-lives
  • Who have used prescription medication within 4 weeks including vaccines
  • Who have used OTC medication within 7 days
  • With clinically relevant wounds, following a clinically relevant surgery or have recently completed any invasive procedures (ie, Endoscopy) within 1 week, or who are scheduled for an elective surgical procedure
  • Who have a significant infection or known inflammatory process ongoing
  • Any conditions that, in physician's opinion, would make the participant unsuitable for enrollment or could interfere with the participant's participation

Treatment and study plan

SRN-001

Drug

siRNA therapeutics, Self Assembled Micelle inhibitory RNA platform utilized

Placebo

Drug

0.9% Sodium Chloride(Normal saline)

Primary outcomes

  1. Number of participants with treatment-emergent adverse events(TEAEs)

    Time frame: Up to 4 weeks

  2. Number of participants with serious adverse events(SAEs)

    Time frame: Up to 4 weeks

Secondary outcomes

  1. Cmax

    Time frame: Up to 168 hours post-dose

    Maximum observed concentration

  2. Clast

    Time frame: Up to 168 hours post-dose

    Observed concentration corresponding to Tlast

  3. Tlast

    Time frame: Up to 168 hours post-dose

    Time of last measurable observed concentration

  4. AUClast

    Time frame: Up to 168 hours post-dose

    Area under the drug concentration-time curve, from time zero to the last measurable concentration

  5. AUCinf

    Time frame: Up to 168 hours post-dose

    Area under the drug concentration-time curve, from time zero to infinity

  6. Time frame: Up to 168 hours post-dose

    Apparent terminal half-life

  7. Kel

    Time frame: Up to 168 hours post-dose

    Apparent terminal elimination rate constant

  8. CL

    Time frame: Up to 168 hours post-dose

    Total body clearance

  9. Vz

    Time frame: Up to 168 hours post-dose

    Volume of distribution

  10. MRT

    Time frame: Up to 168 hours post-dose

    Mean residence time

Other outcomes

  1. Incidence of treatment-emergent Anti-Drug Antibody(ADA)

    Time frame: Up to 672 hours post-dose

  2. Change from baseline in specific biomarkers

    Time frame: Up to 24 hours post-dose

Sponsors and collaborators

Lead sponsor

siRNAgen Therapeutics Inc.

Industry

Registry information

Official study title

A Randomized, Double-blinded, Placebo-controlled, Single Ascending Dose Study to Assess the Safety, Tolerability and Pharmacokinetics of SRN-001 in Healthy Participants

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 9, 2023
Registry last updated
Nov 4, 2024

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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