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This study is to evaluate the efficacy and safety of intravenously administered YN001 in patients with coronary atherosclerosis in Australia. This study will be conducted in eligible participants with a diagnosis of coronary atherosclerosis, and at least 1 coronary artery is blocked determined by coronary computed tomography angiography (CCTA)
This is a multicenter, randomized, open label, parallel-group, proof of concept study. It is designed to determine if the study drug, called YN001, administered in addition to evolocumab can effectively reduce the total amount of plaque formed in the coronary artery as measured by CCTA from baseline to week 13.
A total of 24 patients with coronary atherosclerosis are expected to be enrolled and will be randomly assigned in a 1:1 ratio to 1 of 2 YN001 treatment arms (12 patients per arm) with 2 different dose levels for 12 weeks.
The study will be comprised of a maximum 41-day screening period (Day -42-Day -2), a baseline period (Day-1), a treatment and observation period (W1D1- W13D7), and a safety follow-up period (14 days post last dose).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose 1 treatment arm | Experimental | Dose 1 YN001 will be administrated intravenously weekly. |
|
| Dose 2 treatment arm | Experimental | Dose 2 YN001 will be administrated intravenously weekly. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dose 1 YN001 | Drug | Dose 1 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in coronary plaque characteristics (volume and composition) | Evaluating YN001 on top of evolocumab therapy in changing coronary plaque volume assessed by coronary computed tomography angiography (CCTA). | From baseline to Week 13 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in mean of mean carotid IMT | Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound. | From baseline to Week 13 |
| Change in mean of mean carotid IMT |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity(ADA) analysis | The proportion of patients who develop anti-drug antibodies (ADA) following drug administration. | From Week 1 to Week 13 |
| Immunogenicity (APA)analysis | The proportion of patients with pre-exsiting anti-PEG antibodies (APA), treatment emergent APA or treatment boosted APA following drug administration. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jean Zhang | Contact | 861082599080 | zhangjing@innovmedicine.com |
| Name | Affiliation | Role |
|---|---|---|
| Teresa Chen, PhD | Beijing Inno Medicine Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Canberra Hospital | Recruiting | Canberra | Australian Capital Territory | Australia |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| C577155 | evolocumab |
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| Dose 2 YN001 | Drug | Dose 2 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total. |
|
| Evolocumab | Drug | Evolocumab 140 mg will be administered subcutaneously every 2 weeks. |
|
|
Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.
| From baseline to Week 5 |
| Change in mean of mean carotid IMT | Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound. | From baseline to Week 9 |
| Change in mean peri-coronary Fat attenuation index (FAI) | Evaluating YN001 on top of evolocumab therapy in changing inflammation using the peri-coronary FAI value measured by quantitative CTA analysis. | From baseline to Week 13 |
| The safety profile of YN001 | Incidence of Adverse events (AEs)/Serious adverse events (SAEs) | From baseline to Week 15 |
| Plasma concentration of total and free drug | Plasma concentration of total and free drug at pre-dose (0 h) and at the end of infusion | From Week 1 to Week 13 |
| Population pharmacokinetics (PK) | Plasma PK parameter (AUC) and patient covariates of interest will be evaluated graphically and in the population PK model. | From Week 1 to Week 13 |
| From screening to Week 13 |
| Exploratory dose-response analysis of plaque volume | Exploratory dose-response analysis will be performed by comparing the difference of coronary plaque volume changing between 2 different dose levels | From Week 1 to Week 13 |
| Exploratory dose-response analysis of AEs | Exploratory dose-response analysis will be performed by comparing the difference of incidence of AEs between 2 different dose levels | From Week 1 to Week 13 |
| Albury Wodonga Private Hospital | Recruiting | Albury | New South Wales | 1125 | Australia |
|
| Sunshine Coast University Private Hospital | Recruiting | Birtinya | Queensland | 4575 | Australia |
|
| Core Research Group Pty Ltd | Withdrawn | Milton | Queesland | Australia |
| Altona Clinical Research | Recruiting | Melbourne | Victoria | 3025 | Australia |
|
| Peninsula Heart Centre | Recruiting | Melbourne | Victoria | 3199 | Australia |
|
| John Flynn Private Hospital | Not yet recruiting | Tugun | Australia |
|
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |