Single- and multiple-dose testing of ZL-1503 in adults with moderate to severe atopic dermatitis and healthy volunteers
Official title: A Phase 1/1b Randomized, Double Blind, Placebo-controlled, Single and Multiple Dose Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ZL-1503 in Healthy Volunteers and Participants With Moderate to Severe Atopic Dermatitis (AD)
Run by Zai Lab (Hong Kong), Ltd. · NCT07235384 · Data updated 2026-11-12
This study will test whether single and repeated doses of the investigational drug ZL-1503 are safe and how the body processes them in healthy adults and adults with moderate to severe atopic dermatitis.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 84 (estimated) |
| Sponsor | Zai Lab (Hong Kong), Ltd. Industry-sponsored |
| Locations | 14 sites (Woolloongabba, Queensland and 13 other locations) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | December 28, 2027 |
| Study ends | December 28, 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07235384 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18–65 with moderate-to-severe atopic dermatitis (EASI ≥16, BSA ≥10%, vIGA-AD ≥3) who have had AD for at least 12 months, an average peak pruritus score ≥4, and an inadequate response to topical treatments; healthy adults meeting Part A criteria may enroll in the single-dose cohorts.
✕Probably not a fit
People with mild AD, those under 18 or over 65, pregnant women, individuals with significant comorbidities or positive HIV/HBV/HCV tests, or those outside the permitted BMI ranges are unlikely to benefit or be eligible for participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, double-blind, placebo-controlled Phase 1/1b trial uses single ascending dose (SAD) and multiple ascending dose (MAD) cohorts to measure safety, tolerability, and pharmacokinetics of ZL-1503. Part A enrolls healthy volunteers for single ascending doses, while Part B enrolls adults with moderate-to-severe atopic dermatitis for multiple ascending doses. Participants are randomized to receive ZL-1503 or placebo and undergo clinical exams, laboratory monitoring, and scheduled PK sampling with dose-escalation guided by safety data. Results will inform dosing and go/no-go decisions for later-stage studies.
Why it matters
Potential benefit: If ZL-1503 is safe and has favorable pharmacokinetics, it could become a new systemic treatment option for people with moderate to severe atopic dermatitis.
How similar studies have gone: While other systemic therapies for AD (such as biologics and JAK inhibitors) have proven effective, ZL-1503 is a novel investigational compound and its safety and efficacy in patients have not yet been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Part A:
1. Healthy male and female volunteers, 18-65 years of age
2. Body mass index (BMI) between ≥ 18.5 and \< 32.5 kg/m2
3. Negative pregnancy tests for women of childbearing potential.
* Part B:
1. 18-65 years of age;
2. BMI between ≥18.5 and \<40.0 kg/m2
3. Have a diagnosis of AD at least 12 months prior to Day 1;
4. Moderate-to-severe AD at Screening and Baseline visit, defined as:
1. Eczema Area and Severity Index (EASI) score ≥ 16;
2. Affected Body Surface Area (BSA)≥ 10%;
3. vIGA-AD™ score ≥ 3
5. History of an inadequate response to treatment with topical medications
6. Average peak pruritus numeric rating scale (PP-NRS) score ≥4 in the 7 days before randomization.
7. Negative pregnancy tests for women of childbearing potential.
Exclusion Criteria:
* Part A and B:
1. Significant health issues, such as positive tests for human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B surface antigen (HBsAg), active tuberculosis, immunodeficiencies or autoimmune diseases.
2. History of major metabolic, liver, kidney, hematologic or other significant disorders.
3. Abnormal Electrocardiogram (ECG) findings
4. Clinically relevant abnormal lab results, including low blood counts, or abnormal liver and kidney function, in the investigator's judgment, make the participant unsuitable for study participation.
5. History of drug abuse or addiction within 6 months prior to screening
6. Donated \>500mL blood within 2 months of dosing.
* For Part B only:
1. Presence of dermatologic conditions and/or comorbidities that might confound the diagnosis of AD and/or might interfere with study assessments.
2. Uncontrolled chronic disease that might require bursts of oral corticosteroids.
3. Any other sound medical, psychiatric, and/or social reason as determined by the investigator.
4. Smoke \> 10 cigarettes or the equivalent (including electronic cigarettes) per day.
Where it's running
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Veracity Clinical Research
Woolloongabba, Queensland, Australia Recruiting -
Skin Health Institute
Carlton, Victoria, Australia Recruiting -
Peking University Third Hospital
Beijing, Beijing Municipality, China Recruiting -
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China Recruiting -
Dermatology Hospital of Jiangxi Province
Nanchang, Jiangxi, China Recruiting -
Shandong Provincial Dermatology Hospital
Jinan, Shandong, China Recruiting
Show 8 more locations
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Shanghai Skin Disease Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Hangzhou First People's Hospital
Hangzhou, Zhejiang, China Recruiting -
Aotearoa Clinical Trials
Auckland, Auckland, New Zealand Recruiting -
Momentum Auckland
Takapuna, Auckland, New Zealand Recruiting -
Momentum Hamilton
Hamilton, Hamilton, New Zealand Recruiting -
Momentum Palmerston North
Palmerston North, Mananwatu, New Zealand Recruiting -
Momentum Hutt Valley
Upper Hutt, Wellington Region, New Zealand Recruiting -
Momentum Kapiti
Waikanae, Wellington Region, New Zealand Recruiting
Study contacts
- Study coordinator: ZaiLab Medical Director
- Email: ZaiLab_1503-001_StudyTeam@zailaboratory.com
- Phone: +86 021-61632588
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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.