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Atherosclerotic Cardiovascular DiseaseEarly Phase 1CTx-001NCT06813339

Placebo-controlled Study of Single and Multiple Ascending Doses of UDP-003 in Healthy Human Participants and Followed by an Open-label Patient Cohort

A Early Phase 1 study testing UDP-003 in people with Atherosclerotic Cardiovascular Disease and Acute Coronary Syndromes, run by Cyclarity Therapeutics, Inc. at 3 sites in Australia.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if UDP-003 is safe in healthy human participants and patients, assess the pharmacokinetics (PK)/pharmacodynamics (PD) of UDP-003 in healthy human participants and patients and its potential efficacy in patients. Read more about this study

Who is it for?
Ages 18 to 79 yearsHealthy volunteers can take part
What is being tested?
UDP-003
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
84 participants
Where
3 sitesAustralia
Study dates
25 Feb 2025to 30 Dec 2027
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 79 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All Participants:
  • Participant understands study procedures and provides written informed consent for the trial.
  • Participant is able to comply with the protocol and the assessments therein.
  • Healthy Participants (SAD and MAD cohorts):
  • Healthy adult males and females, 18 to 65 years of age (inclusive) at the time of screening.
  • Adult males and females of body mass index (BMI) ≥ 18 and ≤ 32 kg/m² and body weight ≥ 50 and ≤ 120 kg.
Show all 13Show fewer
  • Social smoking of less than 10 nicotine-containing products per month is acceptable. Absence of tobacco or nicotine containing product (including smoking cessation products) use, for a minimum of 2 weeks prior to dosing is required and will be confirmed by a negative cotinine test at check-in (one retest allowed at the discretion of the investigator).
  • Medically healthy with relevant renal parameters tests not exceeding 1.5 X the upper limits and no clinically significant screening results (e.g., laboratory profiles, medical history, vital signs, ECGs, physical examination) as deemed by the Principal Investigator; one retest is permitted at investigator discretion.
  • Participants with ACS (MD Patient cohort):
  • Adult males and females, 40 to 79 years of age (inclusive) at the time of screening, diagnosed with acute coronary syndrome (ACS), at least 12 months post event (NSTEMI or unstable angina).
  • Adult males and females of body mass index (BMI) ≥ 18
  • Medically stable with no clinically significant screening results (e.g., laboratory profiles including relevant renal parameters and liver function tests, medical history, vital signs, ECGs, physical examination) as deemed by the Principal Investigator.
  • Participants on a stable regimen and dose of ACS treatment including statins, anticoagulants, blood thinners, anti-platelets or other standard of care for 3 months prior to screening and for whom no change in this treatment is planned during the participation in the study.

Who cannot join

None listed.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Daniel M Clemens, Ph.D. contact

(707) 200-3610

info@cyclaritytx.com

Matthew O'Connor, Ph.D. contact

(707)200-3610

info@cyclaritytx.com

Australia3 sites, 3 recruiting
  • CMAX Clinical Research

    Adelaide, South Australia, 5000

    Jane Kelly, +61(08)70887900, cmax@cmax.com.au

    Sepehr Shakib, PhD

    Recruiting
  • Emeritus Research Camberwell

    Camberwell, Victoria, 3124

    Sewa Rijal, Dr, +61 (03) 95096166, sewarijal@emeritusresearch.com

    Not yet recruiting
  • ACS Research Pty Ltd

    Melbourne, Victoria, 3150

    Adam Brown, Associate Professor, +61 (03) 9791 3811, Adam@auscardio.com.au

    Not yet recruiting

Other trials in Australia

About this study

Official title: A Double Blind, Placebo-controlled Study in Healthy Participants to Investigate the Safety, Pharmacokinetics and Pharmacodynamics of Single and Multiple Ascending Doses of UDP-003 and Followed by an Open-label Multiple-dose Patient Cohort

The goal of this clinical trial is to learn if UDP-003 is safe in healthy human participants and patients, assess the pharmacokinetics (PK)/pharmacodynamics (PD) of UDP-003 in healthy human participants and patients and its potential efficacy in patients.

Researchers will compare UDP-003 to a placebo in a blinded manner.

Read more

This first in human, randomised, double-blind, placebo-controlled, prospective, single-centre trial with a modular dose-finding design will be conducted in 3 parts:

  • Part 1: 6 cohorts of 6 healthy participants receiving Single Ascending Doses (SADs),
  • Part 2: 3 cohorts of 12 healthy participants receiving Multiple Ascending Doses (MADs) (6 doses over 16 days),
  • Part 3: 1 cohort of up to 9 evaluable participants diagnosed with acute coronary syndrome (ACS; non-ST elevation myocardial infarction [NSTEMI] or unstable angina) at least 12 months post-event receiving multiple doses (6 administrations of the 25 mg/kg dose over 6 weeks).

The planned duration of the study for each participant will be:

  • 4 weeks for SAD Participants (1-day treatment period, 4-week safety follow-up)
  • 6 weeks for MAD Participants (16-day treatment period,4-week safety follow-up)
  • 180 Days for MD Patients (6-week treatment period, 6-month safety follow-up) Prior to participants being randomised to panels of increasing doses, all safety data will be reviewed for completed panels.
Read the detailed description

This trial's objective will be to collect the preliminary clinical safety and clinical pharmacology data. The study objective in the patient cohort is obtaining preliminary information on the safety of UDP-003 in those carrying a detectable plaque burden and obtaining preliminary indication of efficacy in respect to reducing the plaque burden.

This first in human, randomised, double-blind, placebo-controlled, prospective, single-centre trial with a modular dose-finding design will be conducted in 3 parts:

  • Part 1: 6 cohorts of 6 healthy participants receiving SADs,
  • Part 2: 3 cohorts of 12 healthy participants receiving MADs (6 doses over 16 days),
  • Part 3: 1 cohort of 12 participants diagnosed with acute coronary syndrome (ACS; non-ST elevation myocardial infarction [NSTEMI] or unstable angina) at least 12 months post-event receiving multiple doses (6 administrations of the 25 mg/kg dose over 6 weeks). The SAD part will include healthy participants randomised to either active or placebo with a 2:1 ratio (24 active, 12 placebo) and the MAD parts with a 3:1 ratio (27 active, 9 placebo), in addition to up to 12 MD patient cohort receiving UDP-003.

Prior to participants being randomised to panels of increasing doses, all safety data will be reviewed for completed panels. Within each dose group in the SAD portion of the study, sentinel dosing will be implemented wherein 2 participants (1 active, 1 placebo) will be dosed at least 24 hours before the remaining participants in the cohort. Dosing in the MAD portion of the study will commence only after the Data Safety Monitoring Committee (DSMC) reviews the safety data from the 5th (20 mg/kg) SAD cohort.

Investigational Products A. UDP-003, formulated as a sterile solution for injection, 300 mg/mL. Volume of administration is weight dependent and target doses are 1-25 mg/kg.

  1. Placebo formulated as sterile solution for injection. Volume injected will match the volumes of UDP-003 for each panel and each participant.

The investigational products will be administered as intravenous (IV) bolus push injection, in a blinded manner to sitting or supine participants. Doses lower than the highest dose will be diluted with vehicle (identical to placebo) to ensure the same dosing volume per body mass across placebo and active groups. No fasting is required.

In the MD panels, a single IV bolus push injection will be administered on Days 1, 8,15, 22, 29 and 36.

Being tested
UDP-003, Placebo
Keywords
Atherosclerosis, 7-ketocholesterol (7KC), Cyclodextrin, Plaque burden reduction, Healthy Participants, Acute coronary syndrome
Medical subject headings
Atherosclerosis, Acute Coronary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • UDP-003Drug

    The UDP-003 finished product is clear, colourless to yellow liquid that is intended to be a sterile solution for IV bolus push administration in sterile water at a concentration of 300 mg/mL.

  • PlaceboOther

    Placebo will be provided as a sterile clear, colourless solution formulated to match viscosity of the UDP-003 solution.

Study groups in NCT06813339
Study groupRoleWhat they receive
UDP-003ExperimentalUDP-003 will be administered to the participants randomised to this arm. UDP-003 is a formulated as a sterile solution for injection, 300 mg/mL. Volume of administration is weight dependent and target doses are 1-25 mg/kg.
Receives: Drug: UDP-003
PlaceboPlacebo comparatorPlacebo will be administered to the participants randomised to this arm. Placebo formulated as sterile solution for injection. Volume injected will match the volumes of UDP-003 for each panel and each participant.
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety outcome measures (Adverse Events)

    Occurrence of adverse events (AEs) of any type and severity

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  2. Safety outcome measures (Vital Signs: Systolic Blood Pressure)

    SBP will be measured in mmHg

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  3. Safety outcome measures (Vital Signs: Diastolic Blood Pressure)

    DBP will be measured in mmHg

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  4. Safety outcome measures (Vital signs: Heart Rate)

    Heart Rate will be measured in bpm

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  5. Safety outcome measures (Vital signs: Respiratory Rate)

    RR will be measured in rpm

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  6. Safety outcome measures (Vital signs: Temperature)

    Body temperature will be measured in Celsius (0C)

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  7. Safety outcome measures (Clinical Laboratory Parameters)

    For parameters outside of the reference range an assessment of the significance (clinically significant / non-clinically significant) will be provided and all data outside the reference range of the clinical laboratory will be listed for all study participants

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  8. Safety outcome measures (ECG QTCF Interval)

    The QTcF interval will be calculated using the formula QTcF = QT/√R-R interval in seconds

    Measured: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  9. Safety outcome measures (Injection site reactions)

    Assessment for signs of phlebitis, extravasation, infection and pain before, during and after intravenous administration is vital to ensure the patency and viability of the vein. The reactions will be assessed using the current FDA Toxicity Grading Scale provides a measure for classifying injection site AEs by four grades [Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe) and Grade 4 (life threatening)].

    Measured: From first dose administration (Day 1) through From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients

  10. Safety outcome measures (Audiometry: PTA)

    Air/Bone Pure-tone audiometry (PTA) conduction testing will be done at 250, 500, 1000, 3000, 4000, 6000 and 8000Hz

    Measured: From enrolment through 24 hours post dose for SAD Participants (Day 2), 24 hours post dose for MAD and MD Patients Participants (Day 17),

  11. Safety outcome measures (Audiometry: HFA)

    Bone/Air High-frequency audiometry (HFA) conduction testing will be done at 9000, 10 000, 11200 and 12500Hz, Tympanometry, Self-evaluation questionnaires (tinnitus handicap inventory [THI] and dizziness handicap inventory [DHI])

    Measured: From enrolment through 24 hours post dose for SAD Participants (Day 2), 24 hours post dose for MAD and MD Patients Participants (Day 17),

  12. Safety outcome measures (Audiometry: Self-evaluation questionnaire (THI))

    Self-evaluation questionnaire: using Tinnitus Handicap Inventory [THI] questionnaire

    Measured: From enrolment through 24 hours post dose for SAD Participants (Day 2), 24 hours post dose for MAD and MD Patients Participants (Day 17),

  13. Safety outcome measures (Audiometry: Self-evaluation questionnaire (DHI))

    Self-evaluation questionnaire: using Dizziness Handicap Inventory [DHI] questionnaire

    Measured: From enrolment through 24 hours post dose for SAD Participants (Day 2), 24 hours post dose for MAD and MD Patients Participants (Day 17),

Secondary outcomes (6)
  1. Pharmacokinetics Outcome Measures (Cmax)

    The maximum concentration achieved by UDP-003 in a specified compartment area of the body after the drug has been administered and before the administration of a second dose

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

  2. Pharmacokinetics Outcome Measures (Tmax)

    Time at which maximum concentration of UDP is reached

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

  3. Pharmacokinetics Outcome Measures (half-life (t1/2))

    The estimate of the time it takes for the concentration or amount in the body of that drug to be reduced by exactly one-half (50%).

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

  4. Pharmacokinetics Outcome Measures (AUC0-t and AUC0-inf)

    Area under the concentration curve (AUC0-t and AUC0-inf) reflects the actual body exposure to drug after administration of a dose of the drug and is expressed in mg*h/L

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

  5. Pharmacokinetics Outcome Measures (Total Plasma Clearance (CL))

    The volume of drug cleared from blood or plasma in unit time

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

  6. Pharmacokinetics Outcome Measures (Volume of Distribution (Vd))

    The participant's drug's propensity to either remain in the plasma or redistribute to other tissue compartments

    Measured: Day 1 for the SAD and Days 1 and 16 for the multiple dosing parts

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2025
  2. Study start25 Feb 2025
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
84 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06813339
Sponsor's protocol ID
CTx-001
Acronym
CTx-001
Status last verified
Jun 2026
First submitted
13 Jan 2025
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing UDP-003 in people with Atherosclerotic Cardiovascular Disease and Acute Coronary Syndromes, run by Cyclarity Therapeutics, Inc. at 3 sites in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Daniel M Clemens, Ph.D. ((707) 200-3610, info@cyclaritytx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety outcome measures (Adverse Events) (time frame: From enrolment through 4 weeks for SAD Participants, 6 weeks for MAD Participants and 28 weeks for MD Patients). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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