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A Single-Center, Double-Blind, Randomized, Placebo-Controlled Phase 1 Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single- and Multiple-Ascending Doses of ACI-19764 in Healthy Participants and in Participants With Cardiovascular Risk Factors

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The main purposes of this study are: * to investigate the safety and tolerability of ACI-19764 when it is administered to healthy participants and participants with cardiovascular risk factors * to determine how quickly and to what extent ACI-19764 is absorbed, transported, metabolized, and excreted by the body (fasted and after a meal) * to determine the effect of ACI-19764 on specific markers in the blood that are part of the immune system The effects of ACI-19764 will be compared with the effects of a placebo. ACI-19764 is a brain-penetrant NLRP3 inhibitor. The study consists of 3 parts, Part A (SAD, single ascending dose) and Part B (MAD, multiple ascending doses) in healthy participants, and Part C (one multiple-dose level) in participants with cardiovascular risk factors. Participants in Part A will receive the study compound once, and participants in Part B and Part C will receive the study compound multiple times (daily over 14 and 28 days, respectively). Parts A and B will be divided into different groups of participants to test different doses of ACI-19764.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: t
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• Signed informed consent in a language understandable to the participant prior to any study-mandated procedure.

• Healthy male (Parts A and B) or female (Part B) aged between 18 and 65 years (inclusive) at screening or, male or female with cardiovascular risk factors between 18 and 75 years (inclusive) (Part C).

• For Parts A and B: Body mass index of 18.0 to 29.9 kg/m2 (inclusive) at screening.

• For Part C: Presence of either obesity (defined as a BMI of 30.0-42.0 kg/m2 inclusive) and/or existing diagnosis of well controlled type II diabetes (with HbA1c \>6.5% or 48 mmol/mol and ≤8.5% or 69 mmol/mol) (for participants with diabetes the BMI can range between 18.0-42.0 kg/m2 inclusive).

• For Part C: serum CRP \>3.0 mg/L and \<10.0 mg/L at screening and reconfirmed prior first dosing.

• Ability to communicate well with the investigator, and to understand and comply with the study requirements.

• Systolic blood pressure (SBP) 90-140 mmHg, diastolic blood pressure (DBP) 45-90 mmHg, and pulse rate 40 to 100 beats per minute (bpm) (all inclusive), measured on either arm (same arm used for both screening and admission), after 5 min in the supine position at screening and admission. For Part C: SBP may be 90-160 mmHg, and DBP 45-100 mmHg (all inclusive).

• 12-lead safety ECG: QT interval corrected for HR using Fridericia's formula (QTcF) \<450 ms for male participants and \<470 ms for female participants, QRS interval \<120 ms, PR interval \<220 ms, and HR 40 to 100 bpm (inclusive), and without clinically relevant abnormalities, measured after 5 min in the supine position at screening and admission.

• For Part C: Estimated glomerular filtration rate (eGFR) \>60 mL/min/1.73 m2

⁃ Fertile male participants (defined as physiologically capable of conceiving a child according to the investigator's judgment) must agree to refrain from fathering a child and:

∙ Be sexually abstinent with women of childbearing potential (WoCBP) or use condoms during sexual intercourse with WoCBP from (first) study treatment administration up to at least 90 days after (last) study treatment administration. Male participants must advise their WoCBP partners consistently to use a highly effective method of contraception with a failure rate of \<1% per year.

‣ Do not donate sperm from (first) study treatment administration up to at least 90 days after (last) study treatment administration.

⁃ Parts B and C only: Female participants must have a negative serum pregnancy test at screening and a negative urine pregnancy test at admission and a follicle-stimulating hormone (FSH) test must be performed at screening. WoCBP must agree to consistently and correctly use (from screening, during the entire study, and for at least 30 days after the last study treatment administration) a highly effective method of contraception with a failure rate of \<1% per year, be sexually inactive, or have a vasectomized partner with a post-vasectomy semen analysis negative for sperm at least 6 months before screening. If a hormonal contraceptive is used, it must be initiated at least 1 month before the first study treatment administration and should be used in conjunction with barrier methods. WoCBP must agree to not donate eggs from screening until at least 30 days after the last study treatment administration.

⁃ Parts B and C only: WoNCBP must be postmenopausal or have documented previous bilateral salpingectomy, bilateral salpingo-oophorectomy or hysterectomy, or with premature ovarian failure (confirmed by a specialist), XY genotype, uterine agenesis.

Locations
Other Locations
Netherlands
ICON
RECRUITING
Groningen
Contact Information
Primary
AC Immune Clinical Lead
clinicaltrials@acimmune.com
+41213459121
Time Frame
Start Date: 2026-01-28
Estimated Completion Date: 2026-12
Participants
Target number of participants: 114
Treatments
Placebo_comparator: Placebo for study Part A (SAD)
Participants receive a single oral dose of placebo
Experimental: ACI-19764 at dose A1 for study Part A (SAD)
Participants receive a single oral dose A1 of ACI-19764
Experimental: ACI-19764 at dose A2 for study Part A (SAD) (optional)
Participants receive a single oral dose A2 of ACI-19764
Experimental: ACI-19764 at dose A3 for study Part A (SAD) (optional)
Participants receive a single oral dose A3 of ACI-19764
Experimental: ACI-19764 at dose A4 for study Part A (SAD) (optional)
Participants receive a single oral dose A4 of ACI-19764
Experimental: ACI-19764 at dose A5 for study Part A (SAD) (optional)
Participants receive a single oral dose A5 of ACI-19764
Experimental: ACI-19764 at dose A6 for study Part A (SAD) (optional)
Participants receive a single oral dose A6 of ACI-19764
Placebo_comparator: Placebo for study Part B (MAD)
Participants receive multiple oral doses of placebo
Experimental: ACI-19764 at dose B1 for study Part B (MAD)
Participants receive multiple oral doses B1 of ACI-19764
Experimental: ACI-19764 at dose B2 for study Part B (MAD) (optional)
Participants receive multiple oral doses B2 of ACI-19764
Experimental: ACI-19764 at dose B3 for study Part B (MAD) (optional)
Participants receive multiple oral doses B3 of ACI-19764
Placebo_comparator: Placebo for study Part C
Participants receive multiple oral doses of placebo
Experimental: ACI-19764 at dose C1 for study Part C
Participants receive multiple oral doses C1 of ACI-19764
Related Therapeutic Areas
Sponsors
Collaborators: ICON Clinical Research
Leads: AC Immune SA

This content was sourced from clinicaltrials.gov

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