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This is a Randomized, Single-blind, Placebo-Controlled Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Ascending Doses of Subcutaneously Administered RBD4059 in Healthy Subjects. The study will be performed in single ascending dose (SAD) phase in healthy subjects. The decision to escalate to subsequent dose levels will be made by the SRC based on the review of all available safety information and PK/PD data in each cohort.
RBD4059, a GalNAc conjugated siRNA, is an FXI-targeted new molecular entity independently developed by Ribo using its proprietary siRNA delivery system - RIBO-GalSTARTM.
RBD4059, a GalNAc conjugated siRNA, is an FXI-targeted new molecular entity independently developed by Ribo using its proprietary siRNA delivery system - RIBO-GalSTARTM. As a GalNAc-based liver targeting delivery system, RIBO-GalSTARTM incorporates a unique technology for the delivery of oligonucleotide therapeutics for various targets and indications associated with the liver, thus enabling highly specific and highly durable enrichment of the siRNA in hepatocytes, the primary source of FXI. RBD4059 is, therefore, proposed to be a novel effective and durable antithrombotic treatment, with low bleeding risk via inhibition of FXI activity and prolongation of APTT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RBD4059 SAD experimental group | Experimental | Subjects in SAD experimental groups will receive a single subcutaneous injection of RBD4059 on Day 1. |
|
| Placebo SAD group | Placebo Comparator | Subjects in SAD placebo groups will receive a single subcutaneous injection of placebo on Day 1. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RBD4059 | Drug | Subcutaneously Administered RBD4059 in Healthy Subjects. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Treatment Related Adverse Events as Assessed by CTCAE v5.0 | SAD: Up to Day 169 ; |
| Measure | Description | Time Frame |
|---|---|---|
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:Cmax | Up to 48 hours post-dose | |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:Tmax | Up to 48 hours post-dose |
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Inclusion Criteria:
Exclusion Criteria:
Note: additional inclusion/exclusion criteria may apply, per protocol.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Q-Pharm Pty Limited | Brisbane | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41512172 | Derived | Gabrielsen A, Ueckert S, Nilsson C, Egnell AC, Fu J, Wikstrom J, Svedlund S, Friend R, Zhang H, Liang Z, Gao S, Gan LM. RNA interference therapy targeting coagulation factor XI: a first-in-human trial of RBD4059 (vortosiran). Blood Adv. 2026 Apr 14;10(7):2541-2548. doi: 10.1182/bloodadvances.2025018348. |
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| Placebo |
| Drug |
Subcutaneously Administered Placebo in Healthys Subject. |
|
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:AUC0-t | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:AUC0-inf | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:t1/2 | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:MRT | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:λz | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:CL/F | Up to 48 hours post-dose |
| To characterize the pharmacokinetics (PK) of RBD4059 in healthy subjects:Vz | Up to 48 hours post-dose |
| To evaluate the pharmacodynamics (PD) effect of RBD4059 on levels of Coagulation factor XI (FXI) antigen in healthy subjects. | SAD: Up to Day 169 ; |
| To evaluate the pharmacodynamics (PD) effect of RBD4059 on levels of FXI activity in healthy subjects. | SAD: Up to Day 169 ; |
| To evaluate the pharmacodynamics (PD) effect of RBD4059 on levels of Activated partial thromboplastin time (APTT) in healthy subjects. | SAD: Up to Day 169 ; |