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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06700720
Registration number
NCT06700720
Ethics application status
Date submitted
14/11/2024
Date registered
22/11/2024
Date last updated
30/04/2025
Titles & IDs
Public title
YN001-004 in Patients With Coronary Atherosclerosis in Australia
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Scientific title
A Phase ?a Clinical Study to Evaluate the Efficacy and Safety of YN001 in Patients With Coronary Atherosclerosis in Australia
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Secondary ID [1]
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YN001-004
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary Artery Disease
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Coronary Atherosclerotic Disease
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Dose 1 YN001
Treatment: Drugs - Dose 2 YN001
Treatment: Drugs - Evolocumab
Experimental: Dose 1 treatment arm - Dose 1 YN001 will be administrated intravenously twice in a week.
Experimental: Dose 2 treatment arm - Dose 2 YN001 will be administrated intravenously weekly.
Treatment: Drugs: Dose 1 YN001
Dose 1 YN001 will be administered on Day 1 and Day 5 of each week from Week 1 to Week 12, and on Day 1 of Week 13, 25 times in total.
Treatment: Drugs: Dose 2 YN001
Dose 2 YN001 will be administered on Day 1 of each week from Week 1 to Week 13, 13 times in total.
Treatment: Drugs: Evolocumab
Evolocumab 140 mg will be administered subcutaneously every 2 weeks.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Changes in coronary plaque characteristics (volume and composition)
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Assessment method [1]
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Evaluating YN001 on top of evolocumab therapy in changing coronary plaque volume assessed by coronary computed tomography angiography (CCTA).
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Timepoint [1]
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From baseline to Week 13
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Secondary outcome [1]
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Change in mean of mean carotid IMT
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Assessment method [1]
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Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.
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Timepoint [1]
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From baseline to Week 13
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Secondary outcome [2]
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Change in mean of mean carotid IMT
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Assessment method [2]
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Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.
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Timepoint [2]
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From baseline to Week 5
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Secondary outcome [3]
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Change in mean of mean carotid IMT
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Assessment method [3]
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Evaluating YN001 on top of evolocumab therapy in changing carotid intima-media thickness (IMT) assessed by carotid ultrasound.
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Timepoint [3]
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From baseline to Week 9
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Secondary outcome [4]
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Change in mean peri-coronary Fat attenuation index (FAI)
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Assessment method [4]
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Evaluating YN001 on top of evolocumab therapy in changing inflammation using the peri-coronary FAI value measured by quantitative CTA analysis.
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Timepoint [4]
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From baseline to Week 13
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Secondary outcome [5]
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The safety profile of YN001
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Assessment method [5]
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Incidence of Adverse events (AEs)/Serious adverse events (SAEs)
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Timepoint [5]
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From baseline to Week 15
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Secondary outcome [6]
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Plasma concentration of total and free drug
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Assessment method [6]
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Plasma concentration of total and free drug at pre-dose (0 h) and at the end of infusion
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Timepoint [6]
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From Week 1 to Week 13
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Secondary outcome [7]
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Population pharmacokinetics (PK)
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Assessment method [7]
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Plasma PK parameter (AUC) and patient covariates of interest will be evaluated graphically and in the population PK model.
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Timepoint [7]
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From Week 1 to Week 13
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Eligibility
Key inclusion criteria
1. Fully understand the purposes, features, and methods of the study, and sign the ICF before performing any assessment.
2. Male or female Australia patients between 18 and 75 years.
3. Patients diagnosed with coronary atherosclerosis, and at least 1 vessel with diameter stenosis determined by coronary computed tomography angiography (CTA).
4. Female patients must be non-pregnant and non-lactating, and females of childbearing potential (including a female partner of a male patient) must agree to use 1 effective contraception method from the screening period to 3 months after receiving their last dose of the study drug. In addition, male patients must be willing to refrain from sperm donation during this time.
5. Willing and able to comply with the requirements of protocol to the best of the patient's and investigator's knowledge.
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Prior treatment with other investigational drug(s) within 30 days or 5 half-lives, whichever is longer, prior to randomization.
2. Previously received YN001.
3. Any type of vaccination within 4 weeks prior to randomization.
4. Contraindication for coronary CTA (e.g., known history of anaphylactic contrast reactions).
5. Severe coronary calcification.
6. Multi-vessel severe disease.
7. Recent acute ST-segment elevation myocardial infarction (STEMI) occurred within 2 weeks prior to randomization.
8. Relapse and highly symptomatic arrhythmia uncontrolled by drugs within the past 3 months, such as ventricular tachycardia, atrial fibrillation with rapid ventricular rate and paroxysmal supraventricular tachycardia.
9. Prior treatment with CABG, heart transplantation, SAVR/TAVR, etc., or CABG, heart transplantation, SAVR/TAVR, etc., is required or planned during the study.
10. PCI performed within 4 weeks prior to randomization or PCI is required or planned during study treatment.
11. New York Heart Association (NYHA) class III or IV, or last known left ventricular ejection fraction (LVEF) <40%.
12. Recent clinically evident stroke occurred within 6 months prior to randomization (except for TIA).
13. Evidence of major diseases that not recovered within 2 weeks prior to randomization, or major surgery is expected during the study.
14. Presenting with history of malignancy (except in patients who have been disease-free >5 years; or whose only malignancy has been basal or squamous cell skin carcinoma).
15. Systolic blood pressure of =150 mmHg at final screening despite antihypertensive therapy.
16. Active liver disease or hepatic dysfunction defined by any of ALT, AST, or total bilirubin > 2 times upper limit of normal (ULN) at final screening.
17. Presence of renal insufficiency.
18. Poorly controlled (defined by HbA1c > 9%) type 2 diabetes mellitus.
19. A positive hepatitis B surface antigen (HBsAg), or positive antibody against hepatitis C virus (anti-HCV) or human immunodeficiency virus (anti-HIV), or positive treponema pallidum antibody (TP-Ab).
20. Presence of any other diseases or conditions (apart from those outlined above) that, in the opinion of the investigator, would make it unsuitable for the patient to participate in this study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/05/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/09/2025
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Actual
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QueeslandVIC
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Recruitment hospital [1]
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Canberra Hospital - Canberra
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Recruitment hospital [2]
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Albury Wodonga Private Hospital - Albury
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Recruitment hospital [3]
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Core Research Group Pty Ltd - Milton
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Recruitment hospital [4]
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Altona Clinical Research - Melbourne
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Recruitment hospital [5]
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Peninsula Heart Centre - Melbourne
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Recruitment postcode(s) [1]
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- Canberra
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Recruitment postcode(s) [2]
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1125 - Albury
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Recruitment postcode(s) [3]
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- Milton
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Recruitment postcode(s) [4]
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3025 - Melbourne
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Recruitment postcode(s) [5]
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3199 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Beijing Inno Medicine Co., Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is to evaluate the efficacy and safety of intravenously administered YN001 in patients with coronary atherosclerosis in Australia. This study will be conducted in eligible participants with a diagnosis of coronary atherosclerosis, and at least 1 coronary artery is blocked determined by coronary computed tomography angiography (CCTA)
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Trial website
https://clinicaltrials.gov/study/NCT06700720
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Teresa Chen, PhD
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Address
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Beijing Inno Medicine Co., Ltd.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jamie Zhang, Master
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Address
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Country
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Phone
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861082599080
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06700720
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