ClinicalTrials.gg
CompletedNCT04442347Updated Aug 2, 2024

Phase 1b Study to Assess Safety, Tolerability, and Pharmacokinetics of ARCT-810 in Stable Adult Subjects With Ornithine Transcarbamylase Deficiency

A Phase 1 interventional study of ARCT-810 and Placebo in Ornithine Transcarbamylase Deficiency, sponsored by Arcturus Therapeutics, Inc.. Completed at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-02.

Sponsored by Arcturus Therapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Aug 2023, 3 years 2 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 28 studies in Ornithine Carbamoyltransferase Deficiency Disease with a site in United States — 6 open to participants now, 11 under way, 2 of them phase 3. Ornithine Carbamoyltransferase Deficiency Disease · United States.

Enrollment
5th of 12
16 · median 15
Started
2020
with 3 others
Phase 1
3 of 28
none open now
Registered
17th of 28
by date
Lead sponsor
2 of 28
Arcturus Therapeutics, Inc.

Among the 28 studies in Ornithine Carbamoyltransferase Deficiency Disease with a site in United States, this one is the 5th largest by enrollment of the 12 interventional ones that give a count, is one of 4 that started in 2020, is one of 3 in phase 1, and was the 17th registered.

Ornithine Carbamoyltransferase Deficiency Disease

59 studies on the registry are indexed under Ornithine Carbamoyltransferase Deficiency Disease; 13 are open to participants now.

Browse Ornithine Carbamoyltransferase Deficiency Disease studies →

Open to participants now

6 of the 28 studies in Ornithine Carbamoyltransferase Deficiency Disease with a site in United States are open now. Recruiting first, the newest first:

1 more — sign in →

All 6 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 10 Ornithine Carbamoyltransferase Deficiency Disease studies recruiting now, 3 (30%) set no upper age limit and 6 (60%) stop at 75 or younger; 7 take children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Determine the safety, tolerability and pharmacokinetics of single doses of ARCT-810 in clinically stable patients (stable on standard of care treatment, e.g. diet ± ammonia scavengers) with ornithine transcarbamylase deficiency (OTCD).

Read the detailed description

This is a single ascending dose study of ARCT-810 in which approximately 12 (up to a maximum of 20) clinically stable patients with ornithine transcarbamylase deficiency (OTCD) are planned to be enrolled.

Each study subject's participation length is approximately 8 weeks, from screening through last study visit. The study comprises an up to 4-week screening period, and a 4-week diet run-in period, to occur concurrently, followed by a 1-day dosing period and a 28-day post-treatment period.

Study participants will be allocated to one of the three single-dose treatment groups (also referred to as cohorts), to test different doses of ARCT-810. Four subjects will be enrolled in each group. Within each cohort, subjects will be randomized 3:1 to receive ARCT-810 or placebo as an IV infusion.

03

Conditions studied

  • Ornithine Transcarbamylase Deficiency
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adequate cognitive ability to consent and recall symptoms over a 1-week time period
  2. Males and females ≥18 years of age with documented diagnosis of ornithine transcarbamylase deficiency (OTCD) confirmed with genetic testing, or willing to consent to OTC gene sequencing and deletion/duplication testing
  3. Subject's ornithine transcarbamylase deficiency (OTCD) is stable as evidenced by

    1. no clinical symptoms of hyperammonemia AND
    2. an ammonia level \<100 µmol/L (170 µg/dL) at the screening evaluation

    Subjects must remain free from symptoms of hyperammonemia throughout the screening period.

  4. If using nitrogen ammonia scavenger therapy, must be on a stable regimen (no change in dose or frequency) for ≥ 28 days prior to providing and throughout the screening period
  5. Must have maintained a stable protein-restricted diet (+/- amino acid supplementation) for at least 28 days prior to providing informed consent and continue to maintain a stable diet for the duration of the study
  6. Good general health other than OTCD, in the opinion of the Investigator
  7. Willing to refrain from strenuous exercise/activity and alcohol for 72 hours before study visits
  8. Willingness to comply with procedures and visits
  9. Willingness to follow guidelines

Exclusion criteria

Exclusion Criteria:

  1. History of disease(s), in the opinion of the Investigator
  2. Clinically significant screening laboratory values
  3. Uncontrolled diabetes
  4. Clinically significant anemia
  5. Subjects who develop infection during screening must be asymptomatic for at least 7 days prior to dosing
  6. Unwillingness to comply with study requirements
  7. History of positive , , or chronic
  8. Uncontrolled hypertension
  9. within 5 years prior to study
  10. Treatment with another drug, biological agent, or device within 30 days of screening, or 5 half-lives of investigational drug
  11. Treatment with any oligonucleotide or mRNA within 6 months of screening, with exceptions for some vaccinations and investigational treatments
  12. History of gene therapy, hepatocyte or mesenchymal stem cell transplantation
  13. Prior organ transplant
  14. History of severe allergic reaction to a liposomal product
  15. Recent history of, or current, drug or alcohol abuse
  16. Dependence on inhaled (smoked or vaped) or oral cannabis products
  17. Systemic within 6 weeks prior to screening
  18. Blood donation of 50 to 499 mL within 30 days of screening or of .499 mL within 60 days of screening
  19. Other conditions, in the opinion of the Investigator, that would make the subject unsuitable for participation
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    ARCT-810

    Ascending single doses of ARCT-810 administered intravenously

    Biological: ARCT-810

  • Placebo comparator
    Placebo

    Single doses of 0.9% Saline administered intravenously

    Other: Placebo

Interventions

  • BiologicalARCT-810

    ARCT-810 is an investigational medicinal product comprising Ornithine Transcarbamylase (OTC) mRNA formulated in a lipid nanoparticle (LNP) under development.

  • OtherPlacebo

    The placebo for this study is 0.9% sterile saline.

06

What researchers measure

Primary outcomes

  1. Incidence, severity and dose-relationship of adverse events (AEs)

    Safety and tolerability of ARCT-810 assessed by determining the incidence, severity and dose-relationship of AEs by dose

    Time frame: 4 weeks

Secondary outcomes

  1. Change in area under the curve after single dose of ARCT-810

    Area under the plasma concentration versus time curve (AUC) from time zero to the last quantifiable time point

    Time frame: Up to 4 weeks

  2. Maximum observed plasma concentration (Cmax) after single dose of ARCT-810

    The maximum observed plasma concentration (Cmax)

    Time frame: Up to 4 weeks

  3. Time at which Cmax occurred after single dose of ARCT-810

    The time at which Cmax occurred (Tmax)

    Time frame: Up to 4 weeks

  4. AUC0-inf after single dose of ARCT-810

    AUC from time zero extrapolated to infinity

    Time frame: Up to 4 weeks

  5. AUCExtrap after single dose of ARCT-810

    The relative portion of AUC0-inf extrapolated beyond AUC0-t

    Time frame: Up to 4 weeks

  6. T1/2 after single dose of ARCT-810

    Terminal half-life

    Time frame: Up to 4 weeks

  7. MRT0-inf after single dose of ARCT-810

    The mean residence time extrapolated to infinity

    Time frame: Up to 4 weeks

  8. CL after single dose of ARCT-810

    Total body clearance, calculated as dose divided by AUC0-inf

    Time frame: Up to 4 weeks

  9. Vss after single dose of ARCT-810

    Volume of distribution

    Time frame: Up to 4 weeks

07

Study locations

8 sites
  • University of Florida
    Gainesville, Florida 32608, United States
  • M Health Fairview Masonic Children's Hospital
    Minneapolis, Minnesota 55454, United States
  • The Mount Sinai Hospital
    New York, New York 10029, United States
  • Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
  • University of Texas Southwestern Medical Center at Dallas
    Dallas, Texas 75390, United States
  • Baylor University
    Waco, Texas 76706, United States
  • University of Utah
    Salt Lake City, Utah 84112, United States
  • Children's Wisconsin - Milwaukee Hospital
    Milwaukee, Wisconsin 53226, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2020 to primary completion in Aug 2023, 33 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 19, 2020
First posted
Jun 22, 2020
StartActual
Nov 3, 2020
Primary completionActual
Aug 30, 2023
CompletionActual
Apr 30, 2024
Last update
Aug 2, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 2, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04442347
Lead sponsor
Arcturus Therapeutics, Inc.
Responsible party
Sponsor
First posted
Jun 22, 2020
Start date
Nov 3, 2020
Primary completion
Aug 30, 2023
Completion
Apr 30, 2024
Last update
Aug 2, 2024

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: ARCT-810

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