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This study consists of two parts. The SAD and MAD of part I are a randomized, double-blind, placebo-controlled, single and multiple ascending dose study in healthy adult subjects. The MAD expansion cohort of part I is single arm and multipal ascending dose in heallthy subjects. Part II (phase Ib/IIa) is a multicenter, randomized, controlled, open label, multiple ascending dose study in patients with coronary atherosclerosis.
Part I (phase Ia) is consists of 2 sections. The sections 1 is designed to evaluate the safety, tolerability, and pharmacokinetics of single and multiple ascending doses of intravenously administered YN001, and to evaluate the effect of SAD of intravenously administered YN001 on the QT/QTc interval, and the immunogenicity of MAD of intravenously administered YN001 in healthy subjects. Besides, the section 2 is designed to evaluate the safety and tolerability of multiple intravenous administration of YN001 without pre-medication or with different pre-medication regimens in Chinese healthy subjects.
Part II (phase Ib/IIa) is designed to evaluate the safety, tolerability, pharmacokinetics, preliminary efficacy, immunogenicity, and the effect on cytokine changes of MAD of intravenously administered YN001 in patients with coronary atherosclerosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YN001 | Experimental | YN001 will be administrated intravenous by single ascending dose, multiple ascending doses weekly or twice a week. |
|
| Part I-Matching placebo for YN001 | Placebo Comparator | Matching placebo for YN001 will be administrated intravenous. |
|
| Part II-Rosuvastatin calcium tablets | Active Comparator | Rosuvastatin calcium tablets will be given by orally. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YN001 | Drug | In single ascending dose (SAD) part of study in health subjects, YN001 will be administrated one time with dosage from 10 mg to 120 mg (planned). In multiple ascending doses (MAD) part of study in health subjects, YN001 will be given twice a week from 5 mg to 40 mg up to 15 days. In MAD part of study in patients with coronary atherosclerosis, YN001 will be injected weekly or twice a week from 5mg to 40mg up to 85 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Part I: The safety and tolerability of YN001 in healthy subjects. | To evaluate the incidence of Adverse Events as Assessed by CTCAE v5.0, Clinically Significant Laboratory Abnormalities, Clinically Significant Electrocardiogram Abnormalities, Clinically Significant Vital Signs Abnormalities, Clinically Significant Physical Examination Abnormalities. | Up to 29 days |
| Part I: Maximum plasma concentration(Cmax) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects | Up to 168 hours of post initiation of last dose |
| Part I: Time of maximum concentration (Tmax) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects. | Up to 168 hours of post initiation of last dose |
| Part I: Elimination half-life (t1/2) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects. | Up to 168 hours of post initiation of last dose |
| Part I: Area under the plasma concentration-time curve from time 0 to the collection time point of the last measurable concentration (AUC0-t) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in healthy subjects. | Up to 168 hours of post initiation of last dose |
| Part II: The safety and tolerability of intravenously administered YN001 in patients with coronary atherosclerosis. | To evaluate the incidence of Adverse Events as Assessed by CTCAE v5.0, Clinically Significant Laboratory Abnormalities, Clinically Significant Electrocardiogram Abnormalities, Clinically Significant Vital Signs Abnormalities, Clinically Significant Physical Examination Abnormalities, Clinically Significant Echocardiogram Abnormalities. |
| Measure | Description | Time Frame |
|---|---|---|
| Part I: C-QTc analysis | To evaluate the effect of SAD of YN001 on QT/QTc interval prolongation and relationship between YN001 exposure and QT/QTc Interval changes in Chinese healthy subjects. | Pre-dose and up to 48 hours post initiation of infusion |
| Part I: Immunogenicity analysis |
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Part I (Phase Ia)-Inclusion criteria:
Part I (Phase Ia)-Exclusion criteria:
Part II (Phase Ib/IIa)-Inclusion criteria:
Part II (Phase Ib/IIa)-Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Teresa Chen, Master | Beijing Inno Medicine Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Anzhen Hospital, Capital Medical University | Beijing | Beijing Municipality | 10000 | China | ||
| Peking University first hospital |
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| ID | Term |
|---|---|
| D050197 | Atherosclerosis |
| ID | Term |
|---|---|
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000068718 | Rosuvastatin Calcium |
| ID | Term |
|---|---|
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D005464 | Fluorobenzenes |
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|
| Placebo for YN001 | Drug | The injection solution to mimic the YN001 |
|
|
| rosuvastatin calcium tablets | Drug | In MAD part of study in patients with coronary atherosclerosis, Rosuvastatin calcium tablets will be taken orally by 10 mg daily up to 85 days |
|
|
| Up to 29 days |
To evaluate the immunogenicity of MAD of intravenously administered YN001 in Chinese healthy subjects. |
| Up to 96 hours of post initiation of last dose |
| Part I: Pharmacodynamic evaluation | To evaluate the change LDL-C, HDL-C,TC and TG from baseline to EOT | Up to 96 hours of post initiation of last dose |
| Part II: Maximum plasma concentration(Cmax) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis. | Up to 96 hours of post initiation of last dose |
| Part II: Time of maximum concentration (Tmax) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis. | Up to 96 hours of post initiation of last dose |
| Part II: Elimination half-life (t1/2) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis. | Up to 96 hours of post initiation of last dose |
| Part II: Area under the plasma concentration-time curve from time 0 to the collection time point of the last measurable concentration (AUC0-t) of YN001 | To evaluate the pharmacokinetics (PK) characteristics of of intravenously administered YN001 in patients with coronary atherosclerosis. | Up to 96 hours of post initiation of last dose |
| Part II: Change in percent atheroma volume (PAV) of coronary plaque comparing to baseline | PAV will be determined by intravascular ultrasound (IVUS) | Up to 91 days or EOT |
| Part II: Change in total atheroma volume (TAV) of coronary plaque comparing to baseline | TAV will be determined by intravascular ultrasound (IVUS) | Up to 91 days or EOT |
| Part II: Change in coronary minimal lumen area (MLA) comparing to baseline | MLA will be determined by intravascular ultrasound (IVUS) | Up to 91 days or EOT |
| Part II: Change in maximum lipid arc and lipid core length of coronary plaque comparing to baseline | lipid arc and lipid core length will be determined by optical coherence tomography (OCT) | Up to 91 days or EOT |
| Part II: Change in minimum fibrous cap thickness (FCT) of coronary plaque comparing to baseline | FCT will be determined by optical coherence tomography (OCT) | Up to 91 days or EOT |
| Part II: Change in detection rate of macrophage cluster within coronary plaque comparing to baseline | detection rate of macrophage cluster will be determined by optical coherence tomography (OCT) | Up to 91 days or EOT |
| Part II: Change in maximum IMT and plaque thickness | IMT will be determined by carotid ultrasound scans | Up to 91 days or EOT |
| Part II: Change in atherosclerosis plaque located at other arteries | Other arteries plaque will be determined by CTA or MRA | Up to 91 days or EOT |
| Part II: Immunogenicity analysis | To evaluate the immunogenicity of MAD of intravenously administered YN001 in Chinese patients with coronary atherosclerosis. | Up to 91 days or EOT |
| Part II: Cytokines analysis | To evaluate the effect of MAD of intravenously administered YN001 on Cytokines levels in Chinese patients with coronary atherosclerosis. | Up to 91 days or EOT |
| Part II: Pharmacodynamic analysis | Change in LDL-C,HDL-C,TC and TG levels form baseline to EOT | Up to 91 days or EOT |
| Beijing |
| Beijing Municipality |
| 100034 |
| China |
| Renmin Hospital of Wuhan University | Wuhan | Hubei | China |
| Zhongnan Hospital of Wuhan University | Wuhan | Hubei | China |
| First Hospital of Jilin University | Changchun | Jilin | 130000 | China |
| Renji Hospital Shanghai Jiaotong Unv. school of Medicine | Shanghai | Shanghai Municipality | China |
| D006845 |
| Hydrocarbons, Fluorinated |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |