ClinicalTrials.gg
RecruitingNCT07431112RepAIR1Updated Oct 23, 2026

A Study of AIR-001 in Adults With Alpha-1 Antitrypsin Deficiency (AATD)

A Phase 1 interventional study of AIR-001 SAD dose level 1 and AIR-001 SAD dose level 2 in Alpha 1 Antitrypsin Deficiency, sponsored by AIRNA Corporation. Recruiting at 13 sites in 9 countries. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by AIRNA Corporation · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Updated Oct 23, 2026First sites in 4 new countriesSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
18 Years to 74 Years
Sex
All
01

Study summary

This is a Phase 1, open-label, single ascending dose (SAD) and multiple dose (MD) study of AIR-001 in participants with alpha-1 antitrypsin deficiency (AATD) due to PiZZ genotype.

Read the detailed description

The study is designed to evaluate the safety, tolerability, PK, and PD of AIR-001.

02

Conditions studied

  • Alpha 1 Antitrypsin Deficiency

Keywords

  • Lung Diseases
  • Liver Diseases
  • Respiratory Tract Diseases
  • Genetic Disease
  • Inborn Congenital, Hereditary, Neonatal Diseases and Abnormalities
  • Subcutaneous Emphysema
  • Emphysema
  • Pathologic Processes
  • Pathological Conditions, Signs and Symptoms
  • Alpha 1 Antitrypsin Deficiency
03

In context

alpha 1-Antitrypsin Deficiency

142 studies on the registry are indexed under alpha 1-Antitrypsin Deficiency; 32 are open to participants now.

This study's planned enrollment of 54 is above the median of 32 across 86 interventional studies indexed under alpha 1-Antitrypsin Deficiency.

Browse alpha 1-Antitrypsin Deficiency studies →

Lead sponsor

This is the only study on the registry with AIRNA Corporation as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 74 Years
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. Male or female participants >18 years and \<75 years of age at the time of signing
  2. Total serum AAT levels \< 11µM (57 mg/dL)
  3. Pi*ZZ genotype confirmed by DNA sequencing within the SERPINA1 gene with no known co-occurring SERPINA1 null variants
  4. Spirometry: (FEV1) ≥ 40% of predicted
  5. Non-smoker, including vaping, for at least 6 months prior to screening
  6. between 18-33.0 kg/m²
  7. Body weight ≥ 45 kg and ≤110 kg
  8. Willing and able to give written informed consent prior to the initiation of any study procedure by the participant
  9. Negative beta human chorionic gonadotropin (β-hCG) at enrolment for women of (WOCBP) only.
  10. Participants who are either a WOCBP or male participant who is heterosexually active with a WOCBP must consent to use a highly effective method of from screening visit until at least 4 weeks after the last dose of medicinal product (IMP).
  11. Willing and able to comply with the study design schedule, all study procedures, and other requirements

Exclusion criteria

Exclusion Criteria:

  1. Female participants who are nursing or lactating
  2. Participant has received AAT augmentation therapy within 30 days prior to Screening Visit or plans to receive AAT augmentation therapy at any time during study participation.
  3. Known or suspected allergy or intolerance to AIR-001 or its components
  4. Acute respiratory tract infection or clinically-diagnosed (COPD) exacerbation that required antibiotic treatment and/or systemic within the 8 weeks prior to dosing.
  5. Positive screening test for COVID-19 and/or Influenza.
  6. Lung disease that requires use of continuous oral corticosteroids, continuous supplemental oxygen, day-time ventilatory support, or any participant who is on a lung transplant waiting list.
  7. Liver Fibrosis score > 10 kPa defined by screening liver elastography, historical liver showing ≥ F3 fibrosis (METAVIR or comparable scoring system), or established diagnosis of hepatic cirrhosis.
  8. Any of the following screening laboratory abnormalities:

    1. (ALT), aspartate aminotransferase (AST), or gamma-glutamyl transferase (GGT) > 3 x (ULN)
    2. Total > ULN (note: for participants with documented Gilbert's syndrome and direct bilirubin ≤ ULN , exclusion criterion is total bilirubin is > 2.5 mg/dL)
    3. > ULN (for participants taking stable doses of anticoagulants, the exclusion criterion is INR > 3.0)
    4. count ≤ 150 k/μL
    5. Estimated (eGFR) ≤ 60 mL/min/1.73m² by Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) equation
    6. Urine Albumin-to-Creatinine Ratio > 300 mg/g
    7. Urine Protein-to-Creatinine Ratio > 500 mg/g
  9. Prolonged on (ECG), defined as QTcF ≥ 450ms (men) or ≥ 470ms (women)
  10. ECG findings at screening that render measurements of QT interval imprecise.
  11. History of congestive heart failure, serious cardiac arrythmias requiring anti-arrhythmic medications or unexplained black-outs or fainting episodes with a suspected cardiac origin
  12. Positive screening test or known chronic infection with , , or .
  13. Known history of coagulopathy or bleeding diathesis
  14. History or intolerance to subcutaneous (SC) injection including relevant dermatological conditions affecting standard injection sites
  15. History or presence of any medical condition, behavioral or psychiatric disorder, or planned surgical procedure or surgical history that may interfere with participation in the study or interpretation of study results, and/or put the participant at significant risk (in the opinion of the investigator) if he/she participates in the study.
  16. History of any lung-volume reduction procedure in the 6 months prior to screening.
  17. Laboratory value(s) outside the laboratory reference range that is (are) considered to be and may affect the safety, efficacy, PK, or PD assessments or interpretation by the Investigator, at screening
  18. History of alcohol or drug abuse within the past three months
  19. Current or previous participation in any other clinical study where the participant has received a dose of an IMP within 3 months or 5 half-lives of the IMP, whichever is longest, prior to Screening Visit
  20. Any previous gene replacement or DNA-editing therapy
  21. Any previous use of an RNA-based therapeutic (except for AIR-001 or RNA-based vaccines) within the 6 months prior to the Screening Visit or at any time if stopped due to drug-related adverse event.
  22. Use of any new prescription, vaccine, herbal remedy, over-the-counter medication, or supplement, or changes in chronic therapies within the 28 days prior to dosing unless approved by study Medical Monitor.
Terms in these criteria, in plain language(21)

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
54 participants (estimated)

Study arms

  • Experimental
    AIR-001 SAD Cohort 1

    AIR-001 is an RNA-editing oligonucleotide in sterile preservative-free solution administered by subcutaneous (SC) injection as a single dose.

    Drug: AIR-001 SAD dose level 1

  • Experimental
    AIR-001 SAD Cohort 2

    AIR-001 administered by SC injection as a single dose.

    Drug: AIR-001 SAD dose level 2

  • Experimental
    AIR-001 SAD Cohort 3

    AIR-001 administered by SC injection as a single dose.

    Drug: AIR-001 SAD dose level 3

  • Experimental
    AIR-001 SAD Cohort 4

    AIR-001 administered by SC injection, single dose.

    Drug: AIR-001 SAD dose level 4

  • Experimental
    AIR-001 MD Cohort 1

    AIR-001 is an RNA-editing oligonucleotide in sterile preservative-free solution administered by subcutaneous (SC) injection as multiple doses.

    Drug: AIR-001 MD dose level 1

  • Experimental
    AIR-001 MD Cohort 2

    AIR-001 administered by SC injection as multiple doses.

    Drug: AIR-001 MD dose level 2

  • Experimental
    AIR-001 MD Cohort 3

    AIR-001 administered by SC injection as multiple doses.

    Drug: AIR-001 MD dose level 3

  • Experimental
    AIR-001 MD Cohort 4

    AIR-001 administered by SC injection as multiple doses.

    Drug: AIR-001 MD dose level 4

  • Experimental
    AIR-001 MD Cohort 5

    AIR-001 administered by SC injection as multiple doses.

    Drug: AIR-001 MD dose level 5

  • Experimental
    AIR-001 MD Cohort 6

    AIR-001 administered by SC injection as multiple doses.

    Drug: AIR-001 MD dose level 6

Interventions

  • DrugAIR-001 SAD dose level 1

    AIR-001 drug product, SC

  • DrugAIR-001 SAD dose level 2

    AIR-001 drug product, SC

  • DrugAIR-001 SAD dose level 3

    AIR-001 drug product, SC

  • DrugAIR-001 SAD dose level 4

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 1

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 2

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 3

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 4

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 5

    AIR-001 drug product, SC

  • DrugAIR-001 MD dose level 6

    AIR-001 drug product, SC

06

What researchers measure

Primary outcomes

  1. Number of participants with treatment-emergent adverse events (TEAEs)

    Time frame: Up to Day 169

  2. Incidence of laboratory abnormalities and shifts from baseline, including hematology, chemistry, coagulation, and urinalysis parameters

    Time frame: Baseline through up to Day 169

  3. Incidence of abnormal vital signs

    Time frame: Baseline through up to Day 169

  4. Incidence of abnormal electrocardiogram (ECG) findings

    Time frame: Baseline through up to Day 169

Secondary outcomes

  1. Area under the plasma concentration time curve for AIR-001 from time of dosing to the last measurable concentration (AUClast)

    Time frame: Up to Day 169

  2. Maximum concentration of AIR-001 in plasma (Cmax)

    Time frame: Up to Day 169

  3. Change from baseline in levels of total serum AAT protein, including serum M-AAT, Z-AAT, and functional AAT protein

    Time frame: Up to Day 169

07

Study locations

11 of 13 sites recruiting
  • Clinical Study Center
    Melbourne, Australia
    Recruiting
  • Clinical Study Center 1
    Tbilisi, Georgia
    Withdrawn

    Not enrolling at this site.

  • Clinical Study Center 2
    Tbilisi, Georgia
    Terminated

    Not enrolling at this site.

  • Clinical Study Center
    Hanover, Germany
    Recruiting
  • Clinical Study Center
    Tübingen, Germany
    Recruiting
  • Clinical Study Center
    Leiden, Netherlands
    Recruiting
  • Clinical Study Center
    Auckland, New Zealand
    Recruiting
  • Clinical Study Center
    Matosinhos Municipality, Portugal
    Recruiting
  • Clinical Study Center
    Barcelona, Spain
    Recruiting
  • Clinical Study Center
    Stockholm, Sweden
    Recruiting
  • Clinical Study Center
    Cambridge, United Kingdom
    Recruiting
  • Clinical Study Center
    London, United Kingdom
    Recruiting
  • Clinical Study Center
    Southampton, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
5 sites added — first sites in Germany, Netherlands, New Zealand and Sweden. 2 sites changed recruiting status (1 now withdrawn, 1 now terminated)
Show 2 sites
  • Clinical Study Center 1 · Tbilisi, GeorgiaActive, not recruiting→Withdrawn
  • Clinical Study Center 2 · Tbilisi, GeorgiaActive, not recruiting→Terminated
Show 5 added (2 Germany, 1 Netherlands, 1 New Zealand, 1 Sweden)
  • Clinical Study Center · Tübingen, Germany
  • Clinical Study Center · Leiden, Netherlands
  • Clinical Study Center · Auckland, New Zealand
  • Clinical Study Center · Stockholm, Sweden
  • Clinical Study Center · Hanover, Germany
across 2 updates, Oct 6, 2026 – Oct 23, 2026
Show all 2 updates
  1. Oct 23, 2026
    1 site added
    Show site
    • Clinical Study Center · Hanover, Germany
  2. Oct 6, 2026
    4 sites added — first sites in Germany, Netherlands, New Zealand and Sweden. 2 sites changed recruiting status (1 now withdrawn, 1 now terminated)
    Show 2 sites
    • Clinical Study Center 1 · Tbilisi, GeorgiaActive, not recruiting→Withdrawn
    • Clinical Study Center 2 · Tbilisi, GeorgiaActive, not recruiting→Terminated
    Show 4 added (1 Germany, 1 Netherlands, 1 New Zealand, 1 Sweden)
    • Clinical Study Center · Tübingen, Germany
    • Clinical Study Center · Leiden, Netherlands
    • Clinical Study Center · Auckland, New Zealand
    • Clinical Study Center · Stockholm, Sweden
    + 1 other change: verification date

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 ↗

10

Registry details

Key details

Study ID
NCT07431112
Lead sponsor
AIRNA Corporation
Responsible party
Sponsor
First posted
Feb 24, 2026
Start date
Mar 17, 2026
Primary completion
Nov 2028 (estimated)
Completion
Jan 2029 (estimated)
Last update
Oct 23, 2026

Study contacts

AIRNA Corporation Clinical Trials Information
Contact
patients@airna.com
617-609-8790
Clinical Information
study director · AIRNA Corporation

Oversight

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

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