Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 80

Inhaled RB042 in healthy adults and adult smokers

Official title: A Phase 1a/1b, Randomised, Double Blind, Placebo-controlled, Dose-escalating Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Doses of RB042 Administered Via Inhalation to Healthy Adult Volunteers, Healthy Adult Smokers and Patients With Chronic Obstructive Pulmonary Disease

Run by Atisama Therapeutics · NCT07285122 · Data updated 2026-11-12

This trial will try an inhaled medicine called RB042 to see if it is safe and how the body handles it in healthy adults and current adult smokers.

More COPD trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment105 (estimated)
SponsorAtisama Therapeutics
Industry-sponsored
Locations1 site (Nedlands, Western Australia)
StatusRecruiting
StartedFebruary 16, 2026
Main results expectedOctober 2027
Study endsOctober 2027
Registry record updatedAugust 12, 2026
Trial IDNCT07285122 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Healthy adults (and a separate group of current adult smokers with ≥10 pack-years) with normal lung function (FEV1 ≥80% predicted and FEV1/FVC ≥0.7), BMI 18.0–32.0 kg/m2, not pregnant or lactating, and willing to use effective contraception are the intended participants.

Probably not a fit

People with significant medical conditions, abnormal lung function, recent or chronic respiratory disease, pregnant or breastfeeding individuals, or those otherwise excluded by the protocol are unlikely to benefit from participating.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a first-in-human, randomized, double-blind, placebo-controlled, three-part Phase 1 trial of inhaled RB042 focused on safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD). Part A administers a single dose to healthy volunteers, while Parts B and C give multiple doses to healthy volunteers and to healthy adult smokers, respectively. Participants will attend multiple site visits and include inpatient stays (4 days in Part A; up to 17 days plus a short rehospitalization in Parts B and C) with follow-up over several months. Primary endpoints are safety and tolerability, with PK/PD sampling to characterize systemic and pulmonary exposure.

Why it matters

Potential benefit: If RB042 is safe and shows predictable lung exposure, it could enable development of a new inhaled therapy approach for respiratory conditions in the future.

How similar studies have gone: This is the first-in-human trial of RB042 specifically, although randomized, placebo-controlled inhaled PK/PD Phase 1 trials are a standard and established step in respiratory drug development.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Part A, B, C only: Participants must be 18 to 55 years of age inclusive.
* Part D only: Patients must be 40 to 80 years of age inclusive.
* Part A, B, C only: Participants must be overtly healthy as determined by medical evaluation.
* Part C only: have a ≥10 pack years smoking history, have smoked tobacco products (cigarettes, cigars, or equivalent) regularly for the past 12 months, and currently smoke daily.
* Part D only: Former smokers (smoked a total of 100 or more cigarettes in their lifetime but has not smoked in the past 6 months to over a year).
* Part A, B, C only: Have forced expiratory volume (FEV1) ≥80% predicted and FEV1 to FVC ratio (FEV1/FVC) ≥0.7 at Screening and on Day -1.
* Part D only: Have forced expiratory volume (FEV1) between ≥30% and \<80% predicted and FEV1 to FVC ratio (FEV1/FVC) \<0.7 post-bronchodilation at Screening.
* Part D only: Documented clinical diagnosis of COPD per 2026 Global Initiative for Chronic Obstructive Lung Disease (GOLD) for greater than ≥1 year and a history of chronic bronchitis as evidenced by frequent productive cough in the 2-year period immediately before Screening.
* Part D only: Have clinically stable COPD with no moderate to severe exacerbations in the past 3 months.
* Part D only: Must be on stable assigned maintenance COPD therapy.
* Body weight at least 50 kg and have a body mass index (BMI) within the range 18.0 and 32.0 kg/m2 (inclusive)
* Women of childbearing potential (WOCBP) must have a negative pregnancy test and must not be lactating.
* Participants must agree to use an approved method(s) of highly effective contraception as defined in the protocol.

Exclusion Criteria:

* Part A, B and C only: Clinically significant history or presence of gastrointestinal, hepatic, renal, cardiovascular, respiratory, endocrine, neurologic, hematologic, metabolic, autoimmune, or oncologic disorders that may affect safety or study outcomes.
* Part D only: Current unstable clinically significant history or presence of gastrointestinal, hepatic, renal, cardiovascular, respiratory, endocrine, neurologic, hematologic, metabolic, autoimmune, or oncologic disorders that may affect safety or study outcomes.
* Part A, B and C only: Chronic or active respiratory disease (e.g., asthma, COPD) or history of angioedema within 3 years.
* Part D only: Patients with other respiratory conditions other than COPD (for example, clinically significant asthma, active tuberculosis, pulmonary fibrosis) are excluded if these conditions are the primary cause of their respiratory symptoms.
* Active or chronic liver disease, or abnormal liver function tests (ALT, AST, or bilirubin outside reference range, except Gilbert's syndrome).
* QTcF \>450 msec (males) or \>470 msec (females).
* Renal impairment (creatinine clearance \<90 mL/min) or thrombocytopenia (\<150 × 10⁹/L).
* Positive test for hepatitis B surface or core antigen, hepatitis C (unless HCV-RNA negative), or HIV.
* Active respiratory infection within 5 days before study start.
* Recent or concurrent use of medications, herbal supplements, vaccines, or blood products that could interfere with study safety or interpretation.
* Participation in another investigational study within 30 days, or blood donation \>400 mL within 30 days.
* Parts A, B and D only: Regular smoking (≥1 day per week) within 6 months prior to dosing, or a positive urine cotinine test at screening or Day -1.
* Excessive alcohol consumption (\>21 drinks/week for males or \>14 for females).
* History of severe drug reaction or anaphylaxis.
* Part B and C only: Contraindication to, or unwillingness to undergo, bronchoscopy.
* Any psychiatric or medical condition that, in the investigator's opinion, could compromise safety or compliance.

Where it's running

  • Linear Clinical Research
    Nedlands, Western Australia, Australia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.