ClinicalTrials.gg
RecruitingNCT07736586Updated Oct 29, 2026

A Study of HL40626S Tablets in Healthy Adults

A Phase 1 interventional study of HL40626S tablets and HL40626S placebo in Skin Disease, Immune System Disease and Skin Diseases, Papulosquamous, sponsored by HighsLab Therapeutics Inc.. Recruiting at 2 sites in Australia. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-29.

Primary conditionPsoriasisRegistry: Skin DiseasesReclassifiedWhy we changed it
Registry
Skin Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Psoriasis
Why
  1. The study's listed conditions name Psoriasis, a narrower term within Skin Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

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

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Updated Oct 29, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This is a single-centre, randomized, double-blind, placebo-controlled Phase 1 study to assess safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of HL40626S tablets following single and multiple ascending oral doses to healthy adult participants aged 18-55 years.

Read the detailed description

In Part 1 (Single Ascending Dose, SAD), healthy participants are randomized to receive a single fasting oral dose of HL40626S tablets or matching placebo across five sequential ascending dose cohorts. Each cohort enrolls 8 participants. Sentinel dosing is implemented for every cohort to monitor initial safety before full cohort enrolment.

In Part 2 (Multiple Ascending Dose, MAD), healthy participants are randomized to receive once-daily fasting oral doses of HL40626S tablets or matching placebo for 14 consecutive days across three sequential ascending dose cohorts. Each cohort enrolls 8 participants. All decisions to escalate to the next dose cohort were reviewed and approved by an independent Safety Review Committee (SRC) following complete data review of the preceding cohort.

02

Conditions studied

  • Skin Disease
  • Immune System Disease
  • Skin Diseases, Papulosquamous
  • Psoriasis (PsO)

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Keywords

  • Phase 1
  • Healthy Participants
  • HL40626S
  • Oral Tablets
  • SAD
  • MAD
  • Safety
  • Pharmacokinetics
  • Immunogenicity
  • Pharmacodynamics
  • IL-23R
03

In context

Psoriasis Reclassified

2,028 studies on the registry are indexed under Psoriasis; 275 are open to participants now.

This study's planned enrollment of 64 is below the median of 75 across 1,565 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

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

Compared within Psoriasis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Skin Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  1. Capable of understanding the written document; willingly provides valid, signed written informed consent; willing and able to comply with the schedule, requirements and restrictions of the study.
  2. Between the ages of 18.0 and 55.0 years (inclusive) at the time of Screening.
  3. between 18.0 and 32.0 kg/m2 (inclusive) at the time of Screening, with a body weight ≥ 50 kg.
  4. In good general health, as determined by the Investigator.
  5. Female participants must be non-pregnant and non-lactating.
  6. Female participants must be of non-, or agree to use dual methods (female participants exclusively in same-sex relationships are exempt from the above contraception requirements), and abstain from ova (egg) donation throughout the entire duration of the study and for at least 90 days after the last dose, and have negative pregnancy test results at Screening (serum) and Day -1 (urine). (Note: As this is a first-in-human [FIH] study, the applicable t₁/₂ and corresponding restriction period may be adjusted based on emerging PK data).
  7. Male participants with female partners of must agree to practice complete abstinence or to use a condom (male participant) plus an additional highly effective method (female partner) of contraception for the duration of the study and for at least 90 days after last dosing (Male participants exclusively in same-sex relationships are exempt from the above contraception requirements); all male participants must also agree to refrain from sperm donation for at least 90 days after the last dose. (Note: As this is a FIH study, the applicable t₁/₂ and corresponding restriction period will be adjusted based on real-time PK data).

Exclusion criteria

Exclusion Criteria:

  1. abnormal medical history, such as gastrointestinal, cardiovascular, musculoskeletal, endocrine, hematologic, psychiatric, renal, hepatic, bronchopulmonary, neurologic, immunologic, lipid metabolism disorders, drug , as determined by the Investigator, any abnormal findings on physical examination, VS measurements, or laboratory tests at Screening, Admission or pre dose on Day 1 that, in the opinion of the Investigator, could jeopardize achieving the study objectives and/or compromise the participant's safety.
  2. Any of the following ECG findings at Screening, Admission and/or pre dose on Day 1:

    1. Any out-of-range ECG parameter(s) or abnormal finding(s) considered clinically significant by the Investigator.
    2. Any ECG finding that, in the opinion of the Investigator, may compromise interpretation of ECG for cardiac safety assessments and/or complicate interpretation of events that may occur post dose (e.g., not accurately measurable, conduction abnormalities).
    3. Participants with QTcF >450 msec (if male) or >470 msec (if female) will be excluded.
  3. Resting HR \< 40 bpm or >100 bpm when vital signs are measured at Screening
  4. SARS-CoV-2 positive by PCR at Admission regardless of symptoms.
  5. Unstable cardiovascular disease, including recent (within 6 months of screening) myocardial infarction or cardiac arrhythmia.
  6. Ongoing liver disease or unexplained liver function test (LFT) elevations, defined as , AST, gamma glutamyltransferase (GGT), alkaline phosphatase (ALP) or total/direct > upper limit of the reference range (ULRR) at Screening or Admission. Participants with confirmed Gilbert's syndrome will not be permitted to enroll in the study.
  7. Indications of pre-metabolic syndrome and/or systemic inflammation, as suggested by high-sensitivity C-reactive protein (hsCRP) of > 3 mg/L, elevated erythrocyte sedimentation rate (Male ≥ 15 mm/hr, Female ≥ 20 mm/hr) or (HbA1c) >5.3% at Screening.
  8. History of cancer () with the exception of basal or squamous cell carcinoma of the skin.
  9. Respiratory tract infection (upper and/or lower) treated with antibiotics within 12 weeks of Screening.
  10. Clinically significant infection or known inflammatory condition or history of clinically significant infection within 28 days prior to study drug administration on Day 1 that, in the opinion of the Investigator, would affect the participant's ability to participate in the trial.
  11. History of drug or alcohol abuse (as defined by ) within 12 months prior to Screening.
  12. Positive test result for alcohol (breath) or drugs of abuse (urine) at Screening or Admission.
  13. Positive serology result for surface antigen (HBsAg), antibody (HCV Ab) or antibody (HIV Ab) at Screening.
  14. Active or recent herpes simplex or herpes zoster infection, if considered clinically relevant as per investigator discretion.
  15. Venous access considered inadequate for PK sample collection; history of evidence of adverse symptoms associated with phlebotomy or blood donation.
  16. Participation in a study of any drug, device, biologic or other agent within 30 days (or 5 half-lives, whichever is longer [as applicable]) prior to Day 1.
  17. Loss or donation of blood >500 mL (within 30 days prior to Screening); donation of bone marrow or peripheral stem cells (within 90 days prior to Day 1); or donation of plasma (within 7 days prior to Screening).
  18. No more than 10 standard drinks per week per NHMRC alcohol guidelines within 90 days prior to screening.
  19. Use of alcohol within 72 hours prior to study drug administration on Day 1.
  20. Use of prescription drugs within 14 days (or 5 half-lives, whichever is longer), or non-prescription drugs and/or herbal supplements within 7 days (or 5 half-lives, whichever is longer) prior to study drug administration on Day 1. Exception: hormonal , acetaminophen ≤ 1 gram/day or ibuprofen ≤ 800 mg/day may be administered at Investigator's discretion.
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.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

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.

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
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
64 participants (estimated)

Study arms

  • Experimental
    Part 1(SAD): HL40626S

    Healthy participants receive single fasting oral HL40626S tablets in five sequential dose-escalation cohorts. Sentinel safety evaluation is required before full cohort dosing.

    Drug: HL40626S tablets

  • Placebo comparator
    Part 1(SAD): Placebo

    Healthy participants receive single fasting oral placebo tablets matching HL40626S, one dose per participant.

    Drug: HL40626S placebo

  • Experimental
    Part 2 (MAD): HL40626S

    Healthy participants receive once-daily fasting oral HL40626S tablets for 14 consecutive days across three sequential cohorts.

    Drug: HL40626S tablets

  • Placebo comparator
    Part 2 (MAD) : Placebo

    Healthy participants receive once-daily oral matching placebo tablets for 14 days.

    Drug: HL40626S placebo

Interventions

  • DrugHL40626S tablets

    Oral study tablets administered in a dose-escalation design

  • DrugHL40626S placebo

    Inactive oral placebo tablets matching the active drug dose-escalation scheme

06

What researchers measure

Primary outcomes

  1. Parts 1 (SAD) and 2 (MAD): Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Assess incidence, severity, causality and clinical outcome of treatment-emergent adverse events (TEAEs) graded per CTCAE Version 6.0 to characterize the safety and tolerability of HL40626S in Part 1 (SAD) and Part 2 (MAD).

    Time frame: From signed informed consent through Day 15 for SAD and Day 29 for MAD.

  2. Parts 1 (SAD) and 2 (MAD): Incidence of serious adverse events (SAEs) [Safety and Tolerability]

    Assess Incidence, severity, causality, and clinical outcome of serious adverse events (SAEs) graded per CTCAE Version 6.0 to characterize the safety and tolerability of HL40626S in Part 1 (SAD) and Part 2 (MAD).

    Time frame: From signed informed consent through Day 15 for SAD and Day 29 for MAD.

  3. Parts 1 (SAD) and 2 (MAD): Proportion of participants with clinically significant abnormal findings in physical examinations, vital signs, clinical laboratory tests, and 12-lead ECG assessments relative to baseline [Safety and Tolerability]

    Abnormal findings from physical examinations, vital sign measurements, laboratory analyses and 12-lead ECG tracings are compared against each participant's baseline values to support the overall safety and tolerability assessment of HL40626S in Part 1 (SAD) and Part 2 (MAD).

    Time frame: From signed informed consent through Day 15 for SAD and Day 29 for MAD.

Secondary outcomes

  1. Part 1 (SAD): Maximum observed plasma concentration (Cmax)

    Calculate peak plasma HL40626S concentration following a single fasting oral administration

    Time frame: Predose up to 5 days post single dose.

  2. Part 1 (SAD): Time to maximum observed plasma concentration (Tmax)

    Record the time point corresponding to the observed Cmax after single fasting oral administration.

    Time frame: Predose up to 5 days post single dose.

  3. Part 1 (SAD): Area under the plasma concentration-time curve from time zero to last measurable concentration (AUClast)

    Calculate AUClast via plasma concentration data collected over the sampling period following single-dose administration.

    Time frame: Predose up to 5 days post single dose.

  4. Part 1 (SAD): Area under the plasma concentration-time curve extrapolated to infinite time (AUCinf)

    Assess the area under the plasma concentration-time curve extrapolated to infinite time (AUCinf) following single dose of HL40626S.

    Time frame: Predose up to 5 days post single dose.

  5. Part 1 (SAD): Terminal elimination rate constant (Kel)

    Calculate terminal elimination rate constant following single dose of HL40626S tablets.

    Time frame: Predose up to 5 days post single dose.

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Feb 2027, 6 months after the start.

Of 137 industry-sponsored phase 1 interventional studies under Psoriasis, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 16. This study's planned 6 months is below that.

Counting every sponsor, half of 155 studies reached it within 10 months; a quarter within 5 and three quarters within 17.

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

Registered
Jul 24, 2026
First posted
Jul 30, 2026
StartActual
Aug 5, 2026
Primary completionEst.
Feb 2027
CompletionEst.
May 2027
Last update
Oct 29, 2026
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.
Status
Not yet recruiting→Recruiting
changed Oct 29, 2026
Sites
1 site added. Nucleus Network Pty Ltd is now Not yet recruiting
Show site
  • Nucleus Network · Melbourne, Australia
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Not yet recruiting→Recruiting
    1 site added. Nucleus Network Pty Ltd is now Not yet recruiting
    Show site
    • Nucleus Network · Melbourne, Australia
    + 4 other changes: index terms, verification date, date precision and conditions

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
NCT07736586
Lead sponsor
HighsLab Therapeutics Inc.
Responsible party
Sponsor
First posted
Jul 30, 2026
Start date
Aug 5, 2026
Primary completion
Feb 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Arockiaa P Aarthy Joseph, MBBS
Contact
a.joseph@nucleusnetwork.com.au
61-459 361 568

Oversight

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

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