Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 65

Single-dose test of CITY-FXI in adults with and without Factor V Leiden or Prothrombin G20210A mutation

Official title: A Phase 1, Randomised, Double-Blind, Placebo-Controlled Single Ascending and Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CITY-FXI, a FXI Targeting siRNA, Administered Subcutaneously in Healthy Adults, Adults With Factor V Leiden or Prothrombin G20210A Mutation, and Adults With a History of Provoked Venous Thromboembolism

Run by City Therapeutics · NCT07430397 · Data updated 2026-11-12

This will test a single dose of CITY-FXI, an siRNA that lowers Factor XI, in healthy adults and in adults who carry Factor V Leiden or the prothrombin G20210A mutation to see if it is safe and how it acts in the body.

More Venous Thromboembolism (VTE) trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment182 (estimated)
SponsorCity Therapeutics
Industry-sponsored
Locations1 site (London)
StatusRecruiting
StartedJanuary 22, 2026
Main results expectedMarch 2028
Study endsApril 2028
Registry record updatedNovember 9, 2026
Trial IDNCT07430397 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal participants are adults (Part A: ages 18–45 non-childbearing potential; Part B: ages 18–60) with BMI 18–25 kg/m2 who can comply with study procedures, and Part B participants must have genetically confirmed Factor V Leiden or prothrombin G20210A mutation.

Probably not a fit

Patients with active bleeding disorders, a history of clinically significant spontaneous bleeding, homozygous or combined thrombophilic defects, significant systemic diseases, pregnant or breastfeeding individuals, or those outside the age/weight/BMI criteria are unlikely to qualify or benefit from this early single-dose trial.

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 single ascending dose trial conducted at one center. It includes two parts: ascending single doses in healthy volunteers and ascending single doses in adults with confirmed Factor V Leiden or prothrombin G20210A mutation. The main goals are to characterize safety, tolerability, pharmacokinetics, and pharmacodynamics after a single administration of CITY-FXI compared with placebo. Participants are monitored for adverse events, blood markers of coagulation, and drug levels over a defined follow-up period.

Why it matters

Potential benefit: If successful, CITY-FXI could offer a new way to reduce clotting risk by lowering Factor XI activity, potentially with less bleeding than current anticoagulants.

How similar studies have gone: Previous clinical programs targeting Factor XI (using antisense oligonucleotides, antibodies, and other inhibitors) have shown promising reductions in thrombosis with relatively low bleeding rates, but CITY-FXI as an siRNA is being tested in humans for the first time.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Males and women of non-childbearing potential (WONCBP) aged 18 to 45 years (inclusive, for Part A only)
* Male and female participants aged 18 to 60 (inclusive, for Part B only), and aged 18 to 65 years (inclusive, for Part C only)
* Body Mass Index (BMI) between 18 and 25 kg/m2 (inclusive, for Parts A and B only) and 18 and 35 kg/m2 (inclusive, for Part C only) and a minimum weight of 50 kg (Parts A, B, and C)
* Ability and willingness to comply fully with all study procedures and lifestyle considerations
* Confirmed diagnosis of FVL or prothrombin G20210A mutation via genetic testing (Part B only)
* Women of childbearing potential (WOCBP) must agree to use acceptable highly effective contraceptive methods (Parts B and C only)
* History of provoked venous thromboembolism (VTE) within the last 10 years and/or confirmed diagnosis of heterozygosity for FVL or prothrombin G20210A mutation via genetic testing (Part C only)

Exclusion Criteria:

* Any clinically significant systemic disease or disorder, including but not limited to cardiovascular, hepatic, or oncological conditions
* History or evidence of any bleeding disorders
* History of clinically significant spontaneous bleeding
* Prior treatment with an investigational agent
* Confirmed diagnosis of homozygous mutations, or combined thrombophilic defects (e.g., FVL with prothrombin G20210A mutation) (Parts B and C only)

Where it's running

  • Richmond Pharmacology
    London, United Kingdom
    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.