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

IS M8969 safety and PK/PD in healthy and at-risk adults

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Oral Doses of ISM8969 in Healthy Adult and Elderly Participants and Obese Adult Participants at Risk of Cardiovascular Disease

Run by InSilico Medicine Hong Kong Limited · NCT07581431 · Data updated 2026-11-12

This early-phase study tests ISM8969 versus placebo to see if it is safe, well tolerated, and how the body handles and responds to it in healthy adults and obese adults at risk for heart disease.

More Healthy Subjects (HS) trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment100 (estimated)
SponsorInSilico Medicine Hong Kong Limited
Industry-sponsored
Locations1 site (Melbourne, Victoria)
StatusRecruiting
StartedJune 15, 2026
Main results expectedJanuary 29, 2027
Study endsMarch 31, 2027
Registry record updatedJune 22, 2026
Trial IDNCT07581431 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 who are healthy or obese (BMI 30–42 kg/m2) with at least one cardiovascular risk factor.

Probably not a fit

Patients with conditions outside the inclusion criteria or who experience intolerable adverse effects may not benefit from this early-phase study.

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 single-center, Phase 1, randomized, double-blind, placebo-controlled study with sequential dosing. It evaluates single and multiple ascending oral doses of ISM8969 in healthy adults (including older adults) and obese adults at cardiovascular risk. The study looks at safety, tolerability, pharmacokinetics, and pharmacodynamics. Participants receive ISM8969 or placebo in a controlled, dose-escalation framework to identify initial safety signals and PK/PD profiles. Lead sponsor is InSilico Medicine Hong Kong Limited, with Nucleus Network Pty Ltd in Melbourne as the site.

Why it matters

Potential benefit: If successful, the trial could establish a safe dose range and PK/PD profile to guide future studies in related populations.

How similar studies have gone: Phase 1 trials of similar NLRP3 inhibitor approaches have informed safety and PK/PD in early testing, but results are experimental and site/condition dependent.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Participants must meet all the following criteria to be included in the study:

Inclusion criteria 1\~4 are only for the healthy participants in the SAD and MAD study:

1. Male or female participants, including adult participants (≥18 and \<65 years of age) for the SAD cohorts 1-6 and MAD cohorts 1-3, and elderly participants (≥65 and ≤80 years of age) for MAD cohort 4.
2. Body mass index (BMI) \>18.5 and \<30.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females.
3. Non-smokers (no use of tobacco or nicotine products within 1 month prior to screening).
4. Healthy as defined the current protocol.

   Inclusion criteria 5\~9 are only for the obese participants at risk of cardiovascular disease in MAD study):
5. Male or female, ≥18 and ≤65 years of age.
6. 30.0 kg/m2 ≤ BMI \< 42.0 kg/m2.
7. No change in body weight or self-reported change of less than 5.0% within 3 months before screening.
8. Presence of 1 or more risk factors for cardiovascular disease such as hypertension, hyperlipidemia. If present, must be controlled with stable medication dose/therapy (defined as a stable medication dose/therapy for 3 months or longer).
9. hsCRP ≥3 mg/L.

Exclusion Criteria:

Participants for whom any of the following applies will be excluded from the study:

1. Columbia suicide severity rating scale (C-SSRS) score above Type 1 ideation.
2. Positive serology test results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antigen and antibody, treponema pallidum antibody or QuantiFERON®-TB test at screening.
3. Positive pregnancy test or lactating female participant.
4. History of any central nervous system (CNS) disorder or history of seizure of any cause.
5. Clinically significant 12-lead ECG, physical examination, vital signs or laboratory abnormalities at screening, including but not limited to defined in the protocol.
6. History of significant cardiovascular or cerebrovascular disease within 6 months before screening, including but not limited to defined in the protocol.
7. History of an active or untreated malignancy or are in remission from a clinically significant malignancy (other than basal- or squamous-cell skin cancer, or in situ carcinomas of the cervix) for less than 5 years; or there is a potential malignancy during screening.
8. Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days (or 5 half-lives, whichever is longer) prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days (or 5 half-lives, whichever is longer) prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
9. Presence of contraindication to lumbar puncture or lumbar catheter as judged by Investigator.

Where it's running

  • Nucleus Network Pty Ltd.
    Melbourne, Victoria, Australia
    Recruiting

Study contacts

Similar studies

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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.