RN5681 dosing and safety in healthy adults with elevated LDL and Lp(a)
Official title: A Phase 1a, Randomized, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RN5681 in Healthy Volunteers
Run by Ikaria Bioscience Pty Ltd · NCT07347678 · Data updated 2026-11-12
This trial will test single doses of RN5681 versus placebo to see if the drug is safe, how the body handles it, and how it changes LDL-C and Lp(a) in healthy adults with elevated levels.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Ikaria Bioscience Pty Ltd Industry-sponsored |
| Locations | 2 sites (Brisbane, Queensland and 1 other locations) |
| Status | Recruiting |
| Started | March 12, 2026 |
| Main results expected | February 2027 |
| Study ends | July 2027 |
| Registry record updated | April 3, 2026 |
| Trial ID | NCT07347678 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are healthy adults (BMI 18–35 kg/m2) with fasting LDL-C and Lp(a) meeting the study thresholds, normal liver and kidney tests, non‑smokers, and not taking prescription lipid‑lowering or recent genetic therapies.
✕Probably not a fit
People with significant liver or kidney disease, HbA1c ≥6.5%, very high triglycerides, current regular smokers, those on prescription lipid‑lowering medications, or recent recipients of siRNA/ASO/gene therapies are unlikely to be eligible or to benefit from this Phase 1a dosing study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 1a, randomized, placebo-controlled single ascending dose study gives one dose of RN5681 to healthy adult volunteers who meet specified LDL-C and Lp(a) thresholds to measure safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity. The protocol includes multiple single ascending dose (SAD) cohorts and a proof-of-concept (POC) cohort with higher required Lp(a) levels. Participants receive RN5681 or placebo at clinical research units in Brisbane and Melbourne with serial blood sampling, safety monitoring, and scheduled follow-up visits. People using prescription lipid-lowering medications or with significant liver, kidney, or metabolic abnormalities are excluded to focus on safety and early pharmacology signals.
Why it matters
Potential benefit: If successful, RN5681 could safely reduce Lp(a) and/or LDL-C and potentially provide a new treatment option to lower cardiovascular risk in people with elevated levels.
How similar studies have gone: Other oligonucleotide and siRNA approaches targeting Lp(a) have shown large reductions in Lp(a) in early clinical studies, so this approach builds on prior promising results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Body mass index (BMI) 18 to 35 kg/m2 * Fasting LDL-C ≥70 mg/dL (1.81 mmol/L) (all SAD cohorts); fasting LDL-C ≥100 mg/dL (2.59 mmol/L) (POC cohort only) * Lp(a) at Screening: SAD cohort: ≥25 nmol/L POC cohort: ≥100 nmol/L * Fasting triglycerides \<400 mg/dL (4.51 mmol/L) at Screening * No clinically significant abnormalities of hepatic or renal function Exclusion Criteria: * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>1.5× the upper limit of normal at screening * Hemoglobin A1c (HbA1c) ≥6.5% at screening * Current regular smoker (defined as \>2 cigarettes/day or \>10 cigarettes/week) within 3 months prior to screening * Use of any siRNA, antisense oligonucleotide (ASO), cell and gene therapy, or clustered regularly interspaced short palindromic repeats (CRISPR) agent in the prior 12 months * Received any prescription lipid-lowering medication, including but not limited to statins, ezetimibe, and PCSK9 inhibitors to alter serum lipids within 30 days before screening
Where it's running
-
Q-Pharm Pty Ltd.
Brisbane, Queensland, Australia Recruiting -
Nucleus Network Pty Ltd.
Melbourne, Victoria, Australia Recruiting
Study contacts
- Study coordinator: Dan Xiang
- Email: dan.xiang@ronatherapeutics.com
- Phone: +86 18516063568
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.