~12 spots leftby Sep 2025

ALN-PNP for Healthy Subjects

Recruiting at 5 trial locations
CT
Overseen ByClinical Trials Administrator
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 1
Recruiting
Sponsor: Regeneron Pharmaceuticals
Disqualifiers: Chronic liver disease, Type 1 diabetes, others

Trial Summary

What is the purpose of this trial?

This trial is testing a new drug called ALN-PNP on healthy people and those with a specific liver condition (NAFLD) and gene variant. The goal is to see if the drug is safe, tolerable, and effective in reducing liver fat. Researchers are also studying how the body processes the drug.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

How is the drug ALN-PNP different from other treatments?

ALN-PNP is unique because it uses an active placebo control, which mimics the side effects of the actual drug to prevent participants from knowing if they are receiving the real treatment or a placebo, enhancing the reliability of the trial results.12345

Research Team

CT

Clinical Trial Management

Principal Investigator

Regeneron Pharmaceuticals

Eligibility Criteria

This trial is for healthy adults, including specific criteria for Japanese participants such as being born in Japan with Japanese parents and grandparents, living a Japanese lifestyle, and not having lived outside of Japan for more than 10 years. Participants must have a BMI between 18-32 and be in good health based on lab tests. Smokers or recent smokers, those with significant diseases or abnormal lab results are excluded.

Inclusion Criteria

For Japanese cohorts ONLY; the Japanese participant must:
Be Japanese, born in Japan, and have both biologic parents and 4 biologic grandparents who are ethnically Japanese and born in Japan
Have maintained a Japanese lifestyle, with no significant change since leaving Japan, including having access to Japanese food and adhering to a Japanese diet
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Exclusion Criteria

History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, neurological, or dermatologic disease, as assessed by the investigator, that may confound the results of the study or poses an additional risk to the participant by study participation
Presents any concern to the study investigator that might confound the results of the study or poses an additional risk to the participant by their participation in the study
Hospitalized for any reason within 30 days of the screening visit
See 6 more

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single dose of ALN-PNP or placebo to assess safety, tolerability, and pharmacokinetics

Up to 36 weeks
Multiple visits for blood sampling and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 36 weeks

Optional Extension

Optional cohort for additional dose characterization of ALN-PNP

Treatment Details

Interventions

  • ALN-PNP (RNAi Therapeutics)
  • Placebo (Other)
Trial OverviewThe study is testing the safety and how well people tolerate ALN-PNP when given once to healthy adults compared to a placebo. It will also look at how the body processes ALN-PNP, its effects on immune response, and any changes it might cause in blood lipid levels.
Participant Groups
12Treatment groups
Experimental Treatment
Placebo Group
Group I: Part B: ALN-PNP Dose 5Experimental Treatment1 Intervention
Up to 32 Participants Randomized 1:1:1:1 resulting in 8 participants per arm
Group II: Part B: ALN-PNP Dose 4Experimental Treatment1 Intervention
Up to 32 Participants Randomized 1:1:1:1 resulting in 8 participants per arm
Group III: Part B: ALN-PNP Dose 3Experimental Treatment1 Intervention
Up to 32 Participants Randomized 1:1:1:1 resulting in 8 participants per arm
Group IV: Part A: Optional ALN-PNP Dose 5 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2 This is an optional cohort, if there is a need for additional dose characterization of ALN-PNP.
Group V: Part A: JPN ALN-PNP Dose 5 or PBExperimental Treatment2 Interventions
8 Japanese Participants only, Randomized 6:2
Group VI: Part A: JPN ALN-PNP Dose 4 or PBExperimental Treatment2 Interventions
8 Japanese Participants only, Randomized 6:2
Group VII: Part A: ALN-PNP Dose 5 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2
Group VIII: Part A: ALN-PNP Dose 4 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2
Group IX: Part A: ALN-PNP Dose 3 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2
Group X: Part A: ALN-PNP Dose 2 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2
Group XI: Part A: ALN-PNP Dose 1 or PBExperimental Treatment2 Interventions
8 Participants, Randomized 6:2
Group XII: Part B: PlaceboPlacebo Group1 Intervention
Up to 32 Participants Randomized 1:1:1:1 resulting in 8 participants per arm

Find a Clinic Near You

Who Is Running the Clinical Trial?

Regeneron Pharmaceuticals

Lead Sponsor

Trials
690
Recruited
948,000+
Founded
1988
Headquarters
Tarrytown, USA
Known For
Precision medicine
Top Products
Dupixent, EYLEA, Libtayo, Praluent
Leonard Schleifer profile image

Leonard Schleifer

Regeneron Pharmaceuticals

Chief Executive Officer since 1988

MD and PhD in Medicine

George Yancopoulos profile image

George Yancopoulos

Regeneron Pharmaceuticals

Chief Medical Officer since 1997

MD from Harvard Medical School

Findings from Research

In a study involving 100 patients undergoing lumbar spine fusion surgeries, batroxobin and its combination with tranexamic acid significantly reduced both intraoperative and postoperative blood loss compared to a placebo.
The mean intraoperative blood loss was lowest in the batroxobin group (268.32 mL) and the combination group (256.96 mL), indicating their effectiveness, while no significant differences were found in blood transfusion needs or complications like deep vein thrombosis.
Effectiveness and Safety of Batroxobin, Tranexamic Acid and a Combination in Reduction of Blood Loss in Lumbar Spinal Fusion Surgery.Nagabhushan, RM., Shetty, AP., Dumpa, SR., et al.[2021]
The C1-C2 self-sustained natural apophyseal glide (SNAG) technique significantly improved the range of motion in the cervical spine by 15 degrees in participants with cervicogenic headaches, compared to only 5 degrees in the placebo group, indicating its effectiveness in addressing C1-C2 dysfunction.
Participants using the C1-C2 self-SNAG reported a substantial reduction in headache symptoms, with scores decreasing by 54% over 12 months, demonstrating its long-term efficacy in managing cervicogenic headaches.
Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache.Hall, T., Chan, HT., Christensen, L., et al.[2022]
As effective therapies become more available, conducting placebo-controlled trials for serious illnesses may raise ethical concerns, making it challenging to deny patients effective treatments.
The article proposes a new method for analyzing data from active-controlled trials by leveraging existing knowledge from previous placebo-controlled trials, which can help determine the likelihood of significant differences between active treatments and placebos, thus improving the interpretation of trial results.
Another view of active-controlled trials.Gould, AL.[2019]

References

Active placebo control groups of pharmacological interventions were rarely used but merited serious consideration: a methodological overview. [2018]
Effectiveness and Safety of Batroxobin, Tranexamic Acid and a Combination in Reduction of Blood Loss in Lumbar Spinal Fusion Surgery. [2021]
Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache. [2022]
Another view of active-controlled trials. [2019]
Neuromuscular electrical stimulation of completely paralyzed abdominal muscles in spinal cord-injured patients: a pilot study. [2011]