ClinicalTrials.gg
RecruitingNCT06813339CTx-001Updated Sep 25, 2026

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

An Early Phase 1 interventional study of UDP-003 and Placebo in Atherosclerotic Cardiovascular Disease and Acute Coronary Syndromes, sponsored by Cyclarity Therapeutics, Inc.. Recruiting at 3 sites in Australia. Open to participants aged 18 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-25.

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

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 8 months later.
Updated Sep 25, 20262 sites addedGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years to 79 Years
Sex
All
01

Study 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.

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

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.

B. 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.

02

Conditions studied

  • Atherosclerotic Cardiovascular Disease
  • Acute Coronary Syndromes

Keywords

  • Atherosclerosis
  • 7-ketocholesterol (7KC)
  • Cyclodextrin
  • Plaque burden reduction
  • Healthy Participants
  • Acute coronary syndrome
03

In context

Atherosclerosis

1,517 studies on the registry are indexed under Atherosclerosis; 224 are open to participants now.

This study's planned enrollment of 84 is below the median of 100 across 879 interventional studies indexed under Atherosclerosis.

Browse Atherosclerosis studies →

Lead sponsor

This is the only study on the registry with Cyclarity Therapeutics, Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria

All Participants:

  1. Participant understands study procedures and provides written for the trial.
  2. Participant is able to comply with the protocol and the assessments therein.

Healthy Participants (SAD and MAD cohorts):

  1. Healthy adult males and females, 18 to 65 years of age (inclusive) at the time of screening.
  2. Adult males and females of (BMI) ≥ 18 and ≤ 32 kg/m² and body weight ≥ 50 and ≤ 120 kg.
  3. 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).
  4. Medically healthy with relevant renal parameters tests not exceeding 1.5 X the upper limits and no 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):

  1. 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).
  2. Adult males and females of body mass index (BMI) ≥ 18
  3. 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.
  4. Participants on a stable regimen and dose of ACS treatment including statins, anticoagulants, blood thinners, anti- 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.
Terms in these criteria, in plain language(4)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    UDP-003

    UDP-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.

    Drug: UDP-003

  • Placebo comparator
    Placebo

    Placebo 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.

    Other: Placebo

Interventions

  • DrugUDP-003

    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.

  • OtherPlacebo

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

06

What researchers measure

Primary outcomes

  1. Safety outcome measures (Adverse Events)

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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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)

    Time frame: 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

    Time frame: 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

    Time frame: 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 \[Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe) and Grade 4 (life threatening)\].

    Time frame: 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

    Time frame: 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 \[DHI\])

    Time frame: 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

    Time frame: 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

    Time frame: 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

  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

    Time frame: 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

    Time frame: 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%).

    Time frame: 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

    Time frame: 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

    Time frame: 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

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

07

Study locations

1 of 3 sites recruiting
08

Updates

1 registry update since Sep 25, 2026
Sites
2 sites added
Show 2 added (2 Australia)
  • Emeritus Research Camberwell · Camberwell, Australia
  • ACS Research Pty Ltd · Melbourne, Australia
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    2 sites added
    Show 2 added (2 Australia)
    • Emeritus Research Camberwell · Camberwell, Australia
    • ACS Research Pty Ltd · Melbourne, Australia

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06813339
Lead sponsor
Cyclarity Therapeutics, Inc.
Collaborators
Monash University
Responsible party
Sponsor
First posted
Feb 6, 2025
Start date
Feb 25, 2025
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Sep 25, 2026

Study contacts

Daniel M Clemens, Ph.D.
Contact
info@cyclaritytx.com
(707) 200-3610
Matthew O'Connor, Ph.D.
Contact
info@cyclaritytx.com
(707)200-3610

Oversight

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

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