ClinicalTrials.gg
RecruitingNCT07735728Updated Nov 9, 2026

A First-in-Human Study of ZE66-0205 in Healthy Volunteers

A Phase 1 interventional study of ZE66-0205 and Placebo in Healthy Volunteers (HV), sponsored by Eilean Therapeutics. Recruiting at 1 site in Australia. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Eilean Therapeutics · Phase 1, Interventional, and Other

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 9, 2026Now RecruitingSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This first-in-human study will evaluate ZE66-0205 in healthy adults. The main purpose is to assess the safety and tolerability of single oral doses and, if evaluated, two doses given on Day 1. The study will also assess how ZE66-0205 is absorbed, distributed, and eliminated from the body and how it affects MALT1 levels in blood cells. Participants will be assigned by chance to receive ZE66-0205 or placebo in sequential ascending-dose cohorts.

Read the detailed description

This is a Phase 1, randomised, double-blind, placebo-controlled, first-in-human study in healthy male and female adult volunteers. The study will evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of ZE66-0205, a novel orally administered small-molecule degrader of mucosa-associated lymphoid tissue lymphoma translocation protein 1 (MALT1).

Up to 32 participants are planned to be enrolled in four sequential dose-escalation cohorts. Each cohort will include 8 participants, with 6 participants randomised to ZE66-0205 and 2 participants randomised to matching placebo. The starting dose is 50 mg. The nominal dose levels for Cohorts 2, 3, and 4 are 100 mg, 200 mg, and 300 mg, respectively; however, the dose level for each subsequent cohort may be adjusted by the Safety Review Committee (SRC) after review of blinded safety and available PK and PD data. Sequential dose escalation will generally not exceed a 2-fold increase, except that escalation from Cohort 1 to Cohort 2 may be up to 4-fold based on emerging PK data.

Dosing within each cohort will begin with 2 sentinel participants, with 1 sentinel assigned to ZE66-0205 and 1 assigned to placebo. Sentinel safety and tolerability data through Day 3 will be reviewed before the remaining participants in the cohort are dosed. The SRC will review all available blinded safety data through the End-of-Study visit and available blinded PK data before recommending escalation, dose adjustment, repetition of a dose level, evaluation of fed conditions or twice-daily dosing, addition of another cohort, or termination of enrolment. Additional higher-dose, food-effect, or twice-daily cohorts may be added as permitted by the protocol. Evaluation of CYP3A4 interaction or the effect of a proton pump inhibitor would require a protocol amendment before implementation.

Participants will be screened from Day -28 to Day -2, admitted to the clinical facility on Day -1, dosed on Day 1, and remain confined through Day 4. A follow-up telephone call will occur between Days 5 and 7, and the End-of-Study visit will occur on Day 8 (plus or minus 1 day). Safety assessments include adverse-event monitoring, physical examinations, body weight, vital signs, 12-lead electrocardiograms, and clinical laboratory testing. Blood samples for PK and PD assessments will be collected through approximately 168 hours after dosing.

02

Conditions studied

  • Healthy Volunteers (HV)

Keywords

  • ZE66-0205
  • MALT1
  • MALT1 degrader
  • proteolysis-targeting chimera
  • PROTAC
  • first-in-human
  • single ascending dose
  • pharmacokinetics
  • pharmacodynamics
03

In context

Lead sponsor

Eilean Therapeutics is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Written provided before any study-related activities; able to understand the nature, purpose, risks, and possible adverse effects of the study.
  • Male or female, 18 to 55 years of age, inclusive, at Screening.
  • 18.0 to 32.0 kg/m², inclusive, and body weight no more than 100 kg at Screening.
  • Medically healthy in the opinion of the Investigator or delegate based on medical history and absence of abnormalities, including: no clinically relevant physical-examination findings; systolic blood pressure 90 to 160 mmHg and diastolic blood pressure 50 to 95 mmHg after at least 5 minutes of rest; pulse rate 40 to 100 beats/minute after at least 5 minutes of rest; tympanic body temperature 35.5°C to 37.7°C; and without clinically significant abnormalities, including less than 450 msec for males and less than 470 msec for females.
  • Female participants must be of non- (surgically sterilised at least 6 weeks before Screening or with confirmatory follicle-stimulating hormone level) or, if of childbearing potential, must have negative pregnancy tests at Screening and Day -1, agree not to become pregnant or donate ova until at least 30 days after the last dose, and use protocol-defined adequate during this period unless exclusively in a same-sex relationship or abstinent as a committed lifestyle.
  • Male participants must agree not to donate sperm until at least 90 days after the last dose. When engaging in sexual intercourse with a female partner who could become pregnant, the participant must use a condom together with a protocol-defined highly effective method of contraception until at least 90 days after the last dose. When engaging in sexual intercourse with a female partner who is not of childbearing potential or with a same-sex partner, the participant must use a condom until at least 5 days after the last dose.
  • Suitable venous access for blood sampling.
  • Willing and able to comply with all study assessments, schedule requirements, and restrictions.

Exclusion criteria

Exclusion Criteria:

  • History of anaphylaxis or another significant allergy that, in the opinion of the Investigator or delegate, could interfere with study participation.
  • History or presence of cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, psychiatric, or neurological disease or disorder, including any clinically relevant acute illness within the previous 3 months.
  • Surgery or hospitalization within 3 months before Screening, or planned surgery during the study.
  • History of malignant disease within the previous 10 years, except surgically resected squamous-cell or basal-cell skin carcinoma with histopathologically confirmed clear margins.
  • Clinically relevant , including immunodeficiency conditions such as common variable hypogammaglobulinemia.
  • History of risk factors for torsade de pointes, including family history of long syndrome or sudden cardiac death, or a known arrhythmia.
  • Gastrointestinal, hepatic (including Gilbert syndrome), renal, or other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Gamma-glutamyl transferase, total , alkaline phosphatase, , or alanine aminotransferase greater than 1.5 times the , unless an isolated elevation is considered a normal variant by the Investigator or delegate and is not accompanied by clinical signs.
  • Estimated below 60 mL/min using the Cockcroft-Gault formula or serum creatinine greater than 1.5 times the upper limit of normal.
  • History of or positive Screening test for , surface antigen, or virus antibodies.
  • Positive urine drug-of-abuse test, carbon monoxide breath test, or alcohol breath test at Screening or Day -1.
  • Regular smoking of more than 5 cigarettes per week or equivalent, including tobacco, nicotine replacement therapy, e-cigarettes, or marijuana. Casual smokers may be eligible only if all protocol requirements are met.
  • Pregnant or breastfeeding female, or female planning to breastfeed from Screening until 3 months after the last dose or 5 half-lives, whichever is longer.
  • Unable to swallow oral medication.
  • Use of prescription medication, including oral , within 14 days or 5 half-lives, whichever is longer, before the first dose; or use of over-the-counter medication within 7 days or 5 half-lives, whichever is longer, before the first dose, except protocol-permitted paracetamol.
  • Current infection requiring a systemically absorbed antibiotic, antifungal, antiparasitic, or antiviral medication within 10 days before the first dose.
  • Receipt of an inactivated vaccination within 14 days or a within 30 days before the first dose, or planned vaccination during the study.
  • Use of systemic immunosuppressive or immunomodulating medication within 28 days or 5 half-lives, whichever is longer, before dosing or during the study.
  • Blood or plasma donation within 30 days before the first dose; loss of more than 500 mL of whole blood within 30 days before the first dose; or receipt of a blood transfusion within 1 year before the first dose.
  • Participation in a clinical study of an drug or device within 30 days or 5 half-lives of the investigational drug, whichever is longer, before Screening.
  • Any other condition or prior therapy that, in the opinion of the Investigator or delegate, makes the participant unsuitable for the study, including inability to cooperate fully or likely noncompliance with study requirements.
Terms in these criteria, in plain language(18)

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.

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.

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.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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 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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Single (Participant)
Enrollment
32 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    Matching placebo. Two participants in each planned cohort will receive placebo capsules that match ZE66-0205 in appearance. Placebo will be administered orally under the same dosing and meal conditions as the corresponding active cohort. If twice-daily dosing is evaluated, placebo participants will receive a second dose approximately 12 hours after the first dose.

    Drug: Placebo

  • Experimental
    Experimental: Cohort 1

    ZE66-0205 50 mg. Six participants will receive a single oral 50 mg dose on Day 1 under fasted conditions.

    Drug: ZE66-0205

  • Experimental
    Experimental: Cohort 2

    ZE66-0205 nominal 100 mg. Six participants will receive the SRC-confirmed oral dose on Day 1. The nominal dose is 100 mg; the actual dose may be adjusted based on emerging safety, PK, and PD data. Fed conditions or twice-daily dosing may be evaluated if selected by the SRC.

    Drug: ZE66-0205

  • Experimental
    Experimental: Cohort 3

    ZE66-0205 nominal 200 mg. Six participants will receive the SRC-confirmed oral dose on Day 1. The nominal dose is 200 mg; the actual dose may be adjusted based on emerging safety, PK, and PD data. Fed conditions or twice-daily dosing may be evaluated if selected by the SRC.

    Drug: ZE66-0205

  • Experimental
    Experimental: Cohort 4

    ZE66-0205 nominal 300 mg. Six participants will receive the SRC-confirmed oral dose on Day 1. The nominal dose is 300 mg; the actual dose may be adjusted based on emerging safety, PK, and PD data. Fed conditions or twice-daily dosing may be evaluated if selected by the SRC.

    Drug: ZE66-0205

Interventions

  • DrugZE66-0205

    ZE66-0205 oral soft gelatin capsules, 50 mg strength. Participants will receive the assigned total dose orally with approximately 240 mL of water. Planned nominal single-dose levels are 50 mg, 100 mg, 200 mg, and 300 mg. If twice-daily dosing is evaluated, a second dose will be administered approximately 12 hours after the morning dose.

  • DrugPlacebo

    Placebo formulation not containing the active drug

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events (TEAEs)

    Number and percentage of participants with one or more TEAEs. Events will be summarised by severity and relationship to study drug; adverse events leading to withdrawal will also be reported.

    Time frame: From the first dose on Day 1 through the End-of-Study visit on Day 8 (±1 day)

  2. Incidence of serious adverse events (SAEs)

    Number and percentage of participants with one or more SAEs, including severity and relationship to study drug.

    Time frame: From the first dose on Day 1 through the End-of-Study visit on Day 8 (±1 day)

  3. Change from Baseline in body weight

    Observed body weight and change from the Day 1 pre-dose Baseline, measured in kilograms.

    Time frame: Baseline to Day 8 (±1 day)

  4. Change from Baseline in systolic and diastolic blood pressure

    Observed values and changes from the Day 1 pre-dose Baseline in systolic and diastolic blood pressure, measured in mmHg.

    Time frame: Baseline through Day 8 (±1 day)

  5. Change from Baseline in pulse rate

    Observed pulse rate and change from the Day 1 pre-dose Baseline, measured in beats per minute.

    Time frame: Baseline through Day 8 (±1 day)

  6. Change from Baseline in respiratory rate

    Observed respiratory rate and change from the Day 1 pre-dose Baseline, measured in breaths per minute.

    Time frame: Baseline through Day 8 (±1 day)

  7. Change from Baseline in body temperature

    Observed body temperature and change from the Day 1 pre-dose Baseline, measured in degrees Celsius.

    Time frame: Baseline through Day 8 (±1 day)

  8. Change from Baseline in electrocardiogram parameters

    Observed values and changes from the Day 1 pre-dose Baseline in ventricular heart rate, PR interval, QRS duration, QT interval, and QT interval corrected using Fridericia's formula (QTcF).

    Time frame: Baseline through Day 8 (±1 day)

  9. Participants with clinically significant post-Baseline clinical laboratory abnormalities

    Number and percentage of participants with clinically significant abnormalities in haematology, clinical chemistry, coagulation, or urinalysis. Observed values and changes from the Day 1 pre-dose Baseline will also be summarised.

    Time frame: Baseline through Day 8 (±1 day)

Secondary outcomes

  1. Maximum observed plasma concentration (Cmax) of ZE66-0205

    Cmax derived from the plasma concentration-time profile of ZE66-0205.

    Time frame: Pre-dose through 168 hours post-dose

  2. Time to maximum observed plasma concentration (Tmax) of ZE66-0205

    Tmax derived from the plasma concentration-time profile of ZE66-0205.

    Time frame: Pre-dose through 168 hours post-dose

  3. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-last)

    AUC0-last for ZE66-0205 calculated using noncompartmental methods.

    Time frame: Pre-dose through 168 hours post-dose

  4. Area under the plasma concentration-time curve from time 0 to 24 hours (AUC0-24)

    AUC0-24 for ZE66-0205 calculated using noncompartmental methods.

    Time frame: Pre-dose through 24 hours post-dose

  5. Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf)

    AUC0-inf for ZE66-0205 calculated using noncompartmental methods, as data permit.

    Time frame: Pre-dose through 168 hours post-dose

  6. Apparent terminal elimination half-life (t1/2) of ZE66-0205

    Terminal elimination half-life calculated from the plasma concentration-time profile, as data permit.

    Time frame: Pre-dose through 168 hours post-dose

  7. Terminal elimination rate constant (lambda z) of ZE66-0205

    Terminal elimination rate constant calculated from the terminal portion of the plasma concentration-time profile, as data permit.

    Time frame: Pre-dose through 168 hours post-dose

  8. Total apparent body clearance after oral administration (CL/F) of ZE66-0205

    Apparent oral clearance calculated using noncompartmental methods, as data permit.

    Time frame: Pre-dose through 168 hours post-dose

  9. Apparent volume of distribution after oral administration (Vz/F) of ZE66-0205

    Apparent volume of distribution during the terminal phase calculated using noncompartmental methods, as data permit.

    Time frame: Pre-dose through 168 hours post-dose

Other outcomes

  1. Change from Baseline in MALT1 level in peripheral blood mononuclear cells (PBMCs)

    MALT1 levels in PBMCs will be measured at Screening, before dosing, and after dosing. The Day 1 pre-dose value will be used as Baseline; observed values and changes from Baseline will be summarised.

    Time frame: Screening and pre-dose through 168 hours post-dose

  2. Relationship between ZE66-0205 plasma concentrations and MALT1 levels in PBMCs

    Where data permit, plasma ZE66-0205 concentrations will be correlated with MALT1 levels in PBMCs as an exploratory PK/PD analysis.

    Time frame: Pre-dose through 168 hours post-dose

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 9, 2026
Sites
Scientia Clinical Research Ltd is now Recruiting
Nov 9, 2026
Start date
Aug 15, 2026→Aug 31, 2026 (actual)
Nov 9, 2026
Contact
Study contact's phone or email changed: •••4108→•••8309. See the current contact
Nov 9, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Scientia Clinical Research Ltd · Randwick, AustraliaContact none listed→c•••@scientiaclinicalresearch.com.au
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    Not yet recruiting→Recruiting
    Scientia Clinical Research Ltd is now Recruiting
    Start date Aug 15, 2026→Aug 31, 2026 (now actual)
    Contact Study contact's phone or email changed: •••4108→•••8309. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Scientia Clinical Research Ltd · Randwick, AustraliaContact none listed→c•••@scientiaclinicalresearch.com.au
    + 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
NCT07735728
Lead sponsor
Eilean Therapeutics
Responsible party
Sponsor
First posted
Jul 30, 2026
Start date
Aug 31, 2026
Primary completion
Aug 15, 2027 (estimated)
Completion
Aug 15, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Ekaterina Dokukina, MD
Contact
kdokukina@eilenther.com
+38269728309
Carlo Cervi
Contact
ccervi@diagenta.com
Ekaterina Dokukina, MD
study director · Eilean Therapeutics AU Pty Ltd

Oversight

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

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