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This phase 1 study is designed to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of TLC-2716 after single- and multiple-ascending doses in healthy subjects.
This study is a randomized, placebo-controlled, sponsor-unblinded, and comprised of three parts: Part A (single-ascending dose), Part B (multiple-ascending dose), and Part C (adaptive single- and/or multiple-ascending dose).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Single Ascending Dose (SAD) | Experimental | Part A will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive a single oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level). |
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| Part B: Multiple Ascending Dose (MAD) | Experimental | Part B will be comprised of up to 50 healthy participants over 5 cohorts of 10. Each participant will receive 14 oral doses of TLC-2716 or placebo over 14 days (given once daily) at different dose levels (1 cohort per dose level). |
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| Part C: Adaptive SAD and/or MAD | Experimental | Part C is an adaptive style where the dosing level is a single- or multiple-ascending dose design. Based on safety and pharmacokinetic data from Parts A and B, doses for Part C will be chosen. Part C will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive an oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TLC-2716 | Drug | TLC-2716 |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with treatment-emergent adverse events (TEAEs) in single ascending dose (SAD) compared to placebo | TEAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment. | Up to Day 15 |
| Number of subjects with clinically significant change from Baseline in vital signs in SAD | Vital signs include blood pressure, heart rate, respiratory rate, and temperature. | Day 1-Day 4, and Follow-up (after 11 days) |
| Number of subjects with laboratory abnormalities in SAD | Hematology and serum chemistry. | Up to 15 days |
| Number of subjects with electrocardiogram (ECG) abnormalities in SAD | 12-lead ECG. | Up to 15 days |
| Number of subjects with TEAEs in multiple ascending dose (MAD) compared to placebo | TEAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment. | Up to Day 28 |
| Number of subjects with clinically significant change from Baseline in vital signs in MAD | Vital signs include blood pressure, heart rate, respiratory rate, and temperature. | Day 1 - Day 3, Day 5, Day 7, Day 10, Day 14, Day 17, and Follow-up (after 11 days) |
| Number of subjects with laboratory abnormalities in MAD | Hematology and serum chemistry. |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration of each dose of study drug to determine AUClast in SAD | AUClast is defined as the concentration of drug from time zero to the last observable concentration. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine AUCinf in SAD |
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Inclusion Criteria:
Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| OrsoBio Study Director | OrsoBio, Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OrsoBio Research Site | Auckland | New Zealand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41545590 | Derived | Li X, Benegiamo G, Vijayakumar A, Sroda N, Kimura M, Huss RS, Weng S, Murakami E, Kirby BJ, von Alvensleben GVG, Kremoser C, Gane EJ, Takebe T, Myers RP, Subramanian GM, Auwerx J. An oral, liver-restricted LXR inverse agonist for dyslipidemia: preclinical development and phase 1 trial. Nat Med. 2026 Mar;32(3):883-893. doi: 10.1038/s41591-025-04169-6. Epub 2026 Jan 16. |
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Open to Sponsor
| Placebo | Other | Placebo to match |
|
| Up to 28 days |
| Number of subjects with ECG abnormalities in MAD | 12-lead ECG | Up to 28 days |
AUCinf is defined as the concentration of drug extrapolated to infinite time. |
| Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine %AUCexp in SAD | %AUCexp is defined as the percentage of AUC extrapolated between AUClast and AUCinf. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine CL/F in SAD | CL/F is defined as the apparent oral clearance following administration of the drug. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine Cmax in SAD | Cmax is defined as the maximum concentration of drug. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine Tmax in SAD | Tmax is defined as the time (observed time point) of Cmax. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine Clast in SAD | Clast is defined as the last observable concentration of drug. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine Tlast in SAD | Tlast is defined as the time (observed time point) of Clast. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine t1/2 in SAD | t1/2 is defined as the estimate of the terminal elimination half-life of the drug. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine λz in SAD | λz is defined as the terminal elimination rate constant, estimated by linear regression of the terminal elimination phase of the log plasma concentration of drug versus time curve of the drug. | Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose |
| Plasma concentration of each dose of study drug to determine AUClast in MAD | AUClast is defined as the concentration of drug from time zero to the last observable concentration. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine AUCtau in MAD | AUCtau is the concentration of drug over time (area under the plasma concentration versus time curve over the dosing interval). | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine Ctau in MAD | Ctau is defined as the observed drug concentration at the end of the dosing interval. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine CLss/F in MAD | CLss/F is the total body clearance for extravascular administration divided by the fraction of dose absorbed. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine Cmax in MAD | Cmax is defined as the maximum concentration of drug. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine Tmax in MAD | Tmax is defined as the time (observed time point) of Cmax. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine Clast in MAD | Clast is defined as the last observable concentration of drug. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine Tlast in MAD | Tlast is defined as the time (observed time point) of Clast. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine t1/2 in MAD | t1/2 is defined as the estimate of the terminal elimination half-life of the drug. | Day 1, Day 3, Day 7, Day 14 |
| Plasma concentration of each dose of study drug to determine λz in MAD | λz is defined as the terminal elimination rate constant, estimated by linear regression of the terminal elimination phase of the log plasma concentration of drug versus time curve of the drug. | Day 1, Day 3, Day 7, Day 14 |