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Study of BMN 349 Single Dose in PiZZ and PiMZ/MASH Adult Participants

A Randomized, Double-Blind, Placebo-Controlled, Single Oral Dose Study Evaluating the Safety and Pharmacokinetics of BMN 349 in Homozygous for the Z Mutation of Alpha 1 Antitrypsin Gene (PiZZ) and Heterozygous for the Z Mutation (PiMZ/MASH)

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06738017
Enrollment
6
Registered
2024-12-17
Start date
2025-02-21
Completion date
2026-08-19
Last updated
2026-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Alpha 1-Antitrypsin Deficiency

Keywords

349, 349-102, AATD, MASH, PiZZ, PiMZ

Brief summary

The goal of this clinical trial is to assess the safety and tolerability of a single oral dose of BMN 349 in participants with PiZZ or PiMZ/MASH. Primary outcome measures include incidence of any adverse events (including serious adverse events, dose limit toxicities, and adverse events of special interest), incidence of any laboratory test abnormalities, incidence of lung function test abnormalities and 12-lead ECG parameters. Participants will receive a single dose of either BMN 349 or placebo and then monitored for safety and tolerability.

Interventions

DRUGBMN 349

250mg oral tablet

DRUGPlacebo

250mg oral tablet

Sponsors

BioMarin Pharmaceutical
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Participants must have confirmation of PiZZ or PiMZ genotype * Females and males, of any race, 18 to 75 years of age * Nonsmokers, defined as not using tobacco or nicotine-containing products for at least 6 months prior to Screening

Exclusion criteria

* International normalized ratio (INR) \> 1.2 * Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels \> 125 U/L * Current or recent use of AAT augmentation therapy * Participants with recent (last 3 months) diagnosis of pneumonia

Design outcomes

Primary

MeasureTime frameDescription
Participant Adverse Events, Serious Adverse Events, Dose Limit Toxicities, Adverse Event of Special Interests, abnormal laboratory tests, abnormal pulmonary function tests, and 12-lead ECG parameters78 daysNumber of participant AEs, SAEs, DLTs, AESIs per physician's assessment, abnormal laboratory tests through whole blood samples, abnormal pulmonary function spirometry tests, and 12-lead ECG parameters changes from baseline following a single oral dose of BMN 349

Secondary

MeasureTime frameDescription
C max78 daysMaximum observed plasma concentration
AUC 0-t78 daysArea under the concentration-time curve from time 0 to the last measurable concentration
AUC 0-inf78 daysArea under the concentration-time curve from time 0 to infinity
CL/F78 daysApparent total body clearance after oral dosing
T max78 daysTime to reach maximum concentration
t 1/278 daysTerminal half-life in plasma
Vz/F78 daysApparent volume of distribution during terminal phase
Assess functional activity of circulating Alpha1 AntiTrypsin in participants78 daysChanges in participant circulating AAT through whole blood samples following a single dose of BMN 349

Countries

United Kingdom, United States

Contacts

STUDY_DIRECTORMedical Director, MD

BioMarin Pharmaceutical

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 7, 2026