Osteoporotic Fracture
Conditions
Brief summary
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).
Detailed description
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 32 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.
Interventions
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.
In Part A, participants will receive single dose of the matched placebo administered as a subcutaneous (SC) injection. In Part B, participants will receive multiple doses of the matched placebo administered as a SC injection.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion Criteria for Part A: 1. Fully understand the purpose and requirements of the trial, voluntarily participate in the clinical study, and sign a written informed consent form. 2. Individuals aged 18 to 65 years (inclusive), regardless of gender; 3. Weight ≥ 50 kg for males or at least 45 kg for females, with a Body Mass Index (BMI) ranging from 18.0 to 30.0 kg/m² (inclusive). 4. Males and females of childbearing potential agree not to plan for childbearing and to use reliable contraceptive measures from the time of signing the written informed consent until 6 months after dosing. They also agree not to donate sperm or ova. Inclusion Criteria for Part B: 1. Fully understand the purpose and requirements of the trial, voluntarily participate in the clinical trial, and sign a written informed consent form. 2. Individuals aged 50-70 years (inclusive), female, and ambulatory. 3. Spontaneous amenorrhea lasting for at least two years or bilateral oophorectomy performed at least two years prior. For women under 60 years of age who have undergone hysterectomy but retained their ovaries, or when the status of bilateral oophorectomy is unknown, menopausal status must be confirmed by follicle-stimulating hormone (FSH) levels exceeding 40 mIU/mL or in accordance with the postmenopausal range established by the local laboratory. 4. During the screening process, at least two consecutive vertebrae within the L1-L4 region must be evaluable for DXA BMD assessment, and at least one hip must also be evaluable for DXA BMD assessment. 5. Low bone mass, as measured by Dual Energy X-ray Absorptiometry (DXA) during screening (BMD), shall meet the criteria if any site has a T-score less than -1.0 and greater than -2.5 at the lumbar spine L1-L4, femoral neck, or total hip.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events | Up to Day 91 from dosing in part A. Up to 175 from first dosing in part B. | 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bone turnover markers | Up to Day 91 in part A. Up to 175 in part B. | The changes from baseline following LYN101 SC administration. |
| Peak serum concentration (Cmax) | UP to Day 91 in part A. Up to Day 175 in part B | Cmax of LYN101. |
| Area under the plasma concentration-time curve from time 0 until the last measurable concentration (AUCtau) of LYN101 | Up to Day 91 in part A. Up to Day 175 in part B. | AUCtau of LYN101. |
| Time to cmax (Tmax) of LYN101 | Up to Day 91 in part A. Up to Day 175 in part B. | Tmax of LYN101 |
| Observed plasma concentration at the end of a dosing interval (Ctrough) of LYN101 | Up to Day 175 in part B. | Ctrough of LYN101 |
| Terminal Phase Elimination Half-Life (t1/2) of LYN101 | Up to Day 91 in part A. Up to Day 175 in part B. | T1/2 of LYN101. |
| Clearance (CL) for LYN101 SC | Up to Day 91 in part A. Up to Day 175 in part B. | CL for LYN101 SC. |
| Immunogenicity of LYN101 assessed by anti-drug antibodies (ADAs) | Up to Day 91 in part A. Up to Day 175 in part B. | Incidence and concentrations of ADAs. Neutralizing ADAs (NAb) may be evaluated. |
Countries
China
Contacts
The First Affiliated Hospital of Bengbu Medical University
The First Affiliated Hospital of Bengbu Medical University
Shanghai 6th People's Hospital