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| ID | Type | Description | Link |
|---|---|---|---|
| CTR20253437 | Registry Identifier | National Medical Products Administration |
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This is a Phase 1, two-part, first-in-human, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of a single dose of LYN101 in healthy subjects (part A) and multiple doses in postmenopausal women with low bone mass (part B).
The study includes Part A and Part B. Up to four dose levels will be tested in the single ascending dose stage, involving approximately 32 healthy volunteer subjects, with eight subjects per dose level (Part A). After completing Part A, one dose level or additional optional levels will be tested in multiple doses in Part B, enrolling about 12 postmenopausal women with low bone mass. In both Part A and Part B, eligible subjects will be randomized in a 3:1 ratio to receive either LYN101 or a matched placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LYN101 | Experimental | In part A, up to 4 single ascending dose cohorts. In part B, one or additional doses for multiple dose cohorts. |
|
| Placebo | Placebo Comparator | Eligible participants will receive the matched placebo via SC injection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LYN101 | Drug | In Part A, participants will receive single dose of LYN101 administered as a subcutaneous (SC) injection. In Part B, participants will receive multiple doses of LYN101 administered as a SC injection. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events | An AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related during study | Up to Day 91 from dosing in part A. Up to 265 from first dosing in part B. |
| Measure | Description | Time Frame |
|---|---|---|
| Bone turnover markers | The changes from baseline following LYN101 SC administration. | Up to Day 91 in part A. Up to 265 in part B. |
| Peak serum concentration (Cmax) | Cmax of LYN101. |
| Measure | Description | Time Frame |
|---|---|---|
| Bone mineral density | The change from baseline after LYN101 or placebo administration | Up to Day 91 in part A. Up to Day 265 in part B |
Inclusion Criteria:
Inclusion Criteria for Part A:
Inclusion Criteria for Part B:
Exclusion Criteria:
Exclusion Criteria for Part A:
Systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg after at least five minutes of rest during screening assessments.
Clinically significant abnormalities observed in the 12-lead ECG at screening include, but are not limited to, a Mean QTcF > 450 ms for males or > 470 ms for females. The measurement is taken while the subject is supine after resting for at least 10 minutes, with three readings obtained at intervals of at least 1 minute. If the mean QTcF exceeds these limits, the ECG measurement should be repeated three times. If the retest results are still abnormal, the subject is excluded.
PR interval < 120 ms PR interval > 200 ms
Clinically significant abnormalities in laboratory tests, chest X-ray, and/or abdominal ultrasound at Screening unless the Investigator determines they are non-interfering.
25-hydroxyvitamin D3 concentration < 20 ng/mL at screening and unwilling to supplement vitamin D.
Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and/or total bilirubin (TBIL) levels exceeding the upper limit of normal (ULN) at screening.
International normalized ratio (INR) greater than 1.5 at screening.
Corrected serum calcium and phosphorus levels outside the laboratory reference range at Screening (calcium and phosphorus supplements should not be taken for at least 8 hours before measuring serum calcium and phosphorus).
Estimated creatinine clearance <60 mL/min (using the Cockcroft-Gault formula) at screening.
Any disease that might impact the safety evaluation of the subject or the in vivo process of the investigational product, including the central nervous system, cardiovascular system, digestive system, respiratory system, urinary system, hematopoietic system, metabolic endocrine system, and others.
Participation in any other drug or device clinical trials within 30 days or five half-lives (whichever is longer) before screening.
Use of prescription drugs within 14 days or five half-lives (whichever is longer) before administering the investigational product, unless the Investigator and Sponsor determine they are non-interfering (e.g., hormonal contraceptives).
Use of over-the-counter (OTC) drugs within 7 days or five half-lives (whichever is longer) before administering the investigational product, unless the Investigator and Sponsor determine they are non-interfering.
Test results show positive for the hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, Treponema pallidum antibody, or human immunodeficiency virus (HIV) antibody.
Use of more than 10 sticks per day of tobacco or nicotine products within the past 30 days before screening.
History of alcohol, drug, or substance abuse within the 12 months before screening.
Known allergy to human immunoglobulins, the investigational product or its components, calcium preparations, or vitamin D preparations.
Receiving a live vaccine (excluding influenza vaccine) within 4 weeks before screening, or planning to receive a live vaccine during the study.
Blood donation or blood loss of 400 mL or more within the past thirty days before screening.
Pregnant or breastfeeding women.
Any condition that, in the investigator's opinion, makes the subject unsuitable for enrollment or may interfere with the subject's participation or completion of the study.
Exclusion Criteria for Part B:
13. Known allergies to human immunoglobulins, the investigational product, its components, calcium supplements, or vitamin D supplements.
14. Receiving a live vaccine (excluding influenza vaccine) within 4 weeks before screening, or planning to receive a live vaccine during the study.
15. History of alcohol, drug, or substance abuse. 16. Fragility fracture within six months before enrollment or when the Investigator considers subjects to be at high risk of fragility fracture requiring treatment with active medications (other than calcium and vitamin D supplements) (Fragility fracture: a fracture occurring under normal or minimal external force due to the inherent fragility of the bone).
17. Any condition that, in the Investigator's opinion, makes the subject unsuitable for enrollment or may interfere with the subject's participation or completion of the study.
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| Name | Affiliation | Role |
|---|---|---|
| Huan Zhou | The First Affiliated Hospital of Bengbu Medical University | Study Director |
| Huan Zhou, Dr | The First Affiliated Hospital of Bengbu Medical University | Principal Investigator |
| Lin Zhen Zhang, Dr | Shanghai 6th People's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Bengbu Medical College | Bengbu | Anhui | 233060 | China | ||
| Shanghai Sixth People's Hospital |
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| Placebo | Drug | In Part A, participants will receive single dose of the matched placebo administered as a subcutaneous (SC) injection (4 cohorts). In Part B, participants will receive multiple doses of the matched placebo administered as a SC injection. |
|
| UP to Day 91 in part A. Up to Day 265 in part B |
| Area under the plasma concentration-time curve from time 0 until the last measurable concentration (AUCtau) of LYN101 | AUCtau of LYN101. | Up to Day 91 in part A. Up to Day 265 in part B. |
| Time to cmax (Tmax) of LYN101 | Tmax of LYN101 | Up to Day 91 in part A. Up to Day 265 in part B. |
| Observed plasma concentration at the end of a dosing interval (Ctrough) of LYN101 | Ctrough of LYN101 | Up to Day 265 in part B. |
| Terminal Phase Elimination Half-Life (t1/2) of LYN101 | T1/2 of LYN101. | Up to Day 91 in part A. Up to Day 265 in part B. |
| Clearance (CL) for LYN101 SC | CL for LYN101 SC. | Up to Day 91 in part A. Up to Day 265 in part B. |
| Immunogenicity of LYN101 assessed by anti-drug antibodies (ADAs) | Incidence and concentrations of ADAs. Neutralizing ADAs (NAb) may be evaluated. | Up to Day 91 in part A. Up to Day 265 in part B. |
| Shanghai |
| China |
| ID | Term |
|---|---|
| D058866 | Osteoporotic Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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