Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 to 65

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.

More High Cholesterol/Hyperlipidemia trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment60 (estimated)
SponsorIkaria Bioscience Pty Ltd
Industry-sponsored
Locations2 sites (Brisbane, Queensland and 1 other locations)
StatusRecruiting
StartedMarch 12, 2026
Main results expectedFebruary 2027
Study endsJuly 2027
Registry record updatedApril 3, 2026
Trial IDNCT07347678 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

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.