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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500114949 |
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最近更新日期: Date of Last Refreshed on: |
2025-12-19 11:38:11 |
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注册时间: Date of Registration: |
2025-12-19 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
评价EPI-001T注射液治疗冠状动脉粥样硬化性血管疾病(ASCVD)或其ASCVD风险等效者的耐受性、安全性剂量递增及剂量扩展的研究 |
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Public title: |
A study to evaluate the tolerance, safety, dose escalation and dose expansion of EPI-001T injection in the treatment of atherosclerotic cardiovascular disease (ASCVD) or its ASCVD risk equivalents |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
评价EPI-001T注射液治疗冠状动脉粥样硬化性血管疾病(ASCVD)或其ASCVD风险等效者的耐受性、安全性、药代动力学特征和初步有效性的开放、单臂、剂量递增及剂量扩展的研究者发起研究(IIT) |
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Scientific title: |
An open-label, single-arm, dose-escalation and dose-expansion investigator-initiated trial (IIT) to evaluate the tolerability, safety, pharmacokinetic characteristics and preliminary efficacy of EPI-001T injection in the treatment of atherosclerotic cardiovascular disease (ASCVD) or its ASCVD risk equivalents. |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
王晓林 |
研究负责人: |
夏强 |
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Applicant: |
Xiaolin Wang |
Study leader: |
Xia Qiang |
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申请注册联系人电话: Applicant telephone: |
+86 13825619560 |
研究负责人电话: Study leader's telephone: |
+86 21 58752345 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
xiaolin.wang@epigenictx.com |
研究负责人电子邮件: Study leader's E-mail: |
xiaqiang@medmail.com.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
上海浦东新区自由贸易试验区巴圣路160号4幢1单元6楼 |
研究负责人通讯地址: |
上海市浦建路160号 |
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Applicant address: |
6th Floor, Unit 1, Building 4, No. 160, Bashi Road, Pudong New Area, Shanghai Free Trade Zone |
Study leader's address: |
No.160, Pujian Road, Shanghai, China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
益杰立科(上海)生物科技有限公司 |
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Applicant's institution: |
Epigenic (Shanghai) Biotechnology Co., Ltd. |
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研究负责人所在单位: |
上海交通大学医学院附属仁济医院 |
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Affiliation of the Leader: |
Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
LY2025-347-B |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
上海交通大学医学院附属仁济医院研究伦理分委会B组 |
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Name of the ethic committee: |
Shanghai Jiaotong University School of Medicine Renji Hospital Ethics Committee |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-11-05 00:00:00 |
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伦理委员会联系人: |
陆麒 |
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Contact Name of the ethic committee: |
Lu Qi |
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伦理委员会联系地址: |
上海市浦建路160号 |
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Contact Address of the ethic committee: |
No.160, Pujian Road, Shanghai, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 5875 2345 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
rjluqi@hotmail.com |
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研究实施负责(组长)单位: |
上海交通大学医学院附属仁济医院 |
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Primary sponsor: |
Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine |
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研究实施负责(组长)单位地址: |
上海市浦建路160号 |
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Primary sponsor's address: |
No.160, Pujian Road, Shanghai, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
益杰立科(上海)生物科技有限公司 |
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Source(s) of funding: |
Epigenictx CO,.LTD |
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Target disease: |
atherosclerotic cardiovascular disease |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
主要目的:评估EPI-001T注射液治疗ASCVD或ASCVD风险等效者的耐受性和安全性,并确认后续研究的推荐剂量; 次要目的:评估EPI-001T注射液治疗ASCVD或ASCVD风险等效者的初步有效性、药代动力学特征及免疫原性。 |
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Objectives of Study: |
The primary objective is to evaluate the tolerability and safety of EPI-001T injection in patients with ASCVD or ASCVD risk equivalents, and to determine the recommended dose for subsequent studies. The secondary objective is to assess the preliminary efficacy, pharmacokinetic characteristics and immunogenicity of EPI-001T injection in patients with ASCVD or ASCVD risk equivalents. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.筛选时年龄为18周岁~75周岁(含临界值)的男性或女性受试者。 |
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Inclusion criteria |
1. Male or female subjects aged 18 to 75 years (inclusive) will be screened. 2. Individuals with a confirmed history of ASCVD (coronary heart disease CHD, cerebrovascular disease CVD, or peripheral artery disease PAD) or those belonging to equivalent ASCVD risk groups (such as individuals with type 2 diabetes, familial hypercholesterolemia FH, or those with a Framingham risk score or an equivalent score indicating a cardiovascular event risk of 20% or higher). 3. During the screening process, individuals with a weight of 40 kg or more and a body mass index (BMI) greater than 18 kg/m^2 were included. 4. During the screening process, the subjects must meet the following laboratory standards: Blood routine: Absolute neutrophil count (ANC) >= 1.5×10^9/L, platelet (PLT) >= 100×10^9/L, hemoglobin (HGB) >= 90 g/L; Liver function: Aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP) < 2.0×ULN, total bilirubin (TBIL) <= 1.5×ULN (for Gilbert syndrome patients, TBIL <= 2×ULN); Kidney function: Serum creatinine (Cr) <= 1.5×ULN, and glomerular filtration rate (GFR) > 60 mL/min*1.73m^2; Coagulation function: Prothrombin time (PT), activated partial thromboplastin time (APTT), international normalized ratio (INR) < 1.5×ULN; Fasting triglycerides (TG) <= 4.5 mmol/L (400 mg/dL). 5. Receive stable treatment with moderate-intensity or higher statin drugs (combined with or without ezetimibe) for at least 4 weeks (for subjects with statin intolerance*, they must have been using ezetimibe for at least 4 weeks), and have a LDL-C level of >= 2.6 mmol/L (100 mg/dL) (for subjects with equivalent ASCVD risk); or for subjects with extremely high-risk ASCVD, have a LDL-C level of >= 1.8 mmol/L (70 mg/dL) or for subjects with very high-risk ASCVD, have a LDL-C level of >= 1.4 mmol/L. 6. The subjects (both male and female individuals with reproductive potential) and their sexual partners are willing to undergo pre-screening until 6 months after the last administration of the study drug, during which they have no intention of having children, and they voluntarily adopt effective contraceptive measures, and have no plans for sperm donation or egg donation. 7. The subjects are able to understand the procedures and methods of this clinical trial, agree to participate in the study, voluntarily sign the informed consent form, and the investigator determines that they can comply with the requirements of the protocol. |
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排除标准: |
1.既往合并用药或治疗规定: 既往使用过除外他汀和依折麦布的影响血脂代谢的药物或治疗:a.接受研究药物前至少14天内(或药物5个半衰期内,以较长者为准)使用过任何影响血脂代谢的处方药、非处方药、中草药/中成药、保健品或营养补充剂或;3个月内使用过PCSK9单抗或;1年内使用过PCSK9小核酸药物或ASO或;既往接受过PCSK9基因治疗者;正在参加其他降脂类药物临床试验者;或曾经使用过研究药物者;b.筛选前1年内进行过脂蛋白血浆置换治疗;c.筛选前参加过另一项试验用非生物制剂(筛选前30天或5个半衰期内给药,以较长者为准)或试验用生物制剂(抗体或其他)(筛选前3个月或5个半衰期内,以较长者为准)的临床研究;d.入组前14天内进行抗血栓治疗(如:华法林、达比加群、阿哌沙班)者。 |
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Exclusion criteria: |
1. Previous concomitant medications or treatments: Previous use of drugs or treatments that affect lipid metabolism, excluding statins and ezetimibe: a. At least 14 days before receiving the study drug (or within 5 half-lives of the drug, whichever is longer), used any prescription drugs, over-the-counter drugs, herbal medicines/mass-produced Chinese medicines, health supplements or nutritional supplements that affect lipid metabolism; used PCSK9 monoclonal antibody within 3 months; used PCSK9 small nucleic acid drugs or ASO within 1 year; had received PCSK9 gene therapy before; was participating in other lipid-lowering drug clinical trials; or had used the study drug before; b. Had undergone lipoprotein plasma exchange treatment within 1 year before screening; c. Had participated in another clinical study using non-biological agents (administered within 30 days or 5 half-lives before screening, whichever is longer) or biological agents (antibodies or others) (administered within 3 months or 5 half-lives before screening, whichever is longer) before screening; d. Had received antithrombotic treatment (such as warfarin, dabigatran, apixaban) within 14 days before enrollment. 2. Previous history of drug allergy: Based on the assessment by the investigators, the subjects were found to be allergic to the drugs contained in the lipid nanoparticles (LNP), or to the components of the LNP-mRNA vaccine, or had experienced adverse reactions due to LNP-based drug treatments. 3. Subjects with homozygous FH (HoFH), double heterozygous FH or compound heterozygous FH identified through genetic testing. 4. Regulations on pre-existing comorbidities: a. During the screening process, there is NYHA-defined grade Ⅲ-Ⅳ heart failure, or left ventricular ejection fraction < 50%, or prolonged QTc interval (for females > 470ms, for males > 450ms). b. Within the past 3 months before screening, there are severe arrhythmias that are not well controlled, such as recurrent and highly symptomatic ventricular tachycardia, rapid ventricular reactivity atrial fibrillation or supraventricular tachycardia, when the condition is not well controlled by medication. c. Within the past 3 months before screening, there is myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, coronary artery bypass grafting, severe deep vein thrombosis or pulmonary embolism; within the past 6 months before screening, there has been cerebrovascular accident or planned cardiac surgery or cardiac revascularization during the main study period. d. Patients with poorly controlled hypertension who are receiving conventional treatment (systolic blood pressure (SBP) >= 160mmHg and/or diastolic blood pressure (DBP) ≥ 100mmHg). e. Patients with poorly controlled diabetes (glycated hemoglobin > 8.5%). f. Patients with diseases that significantly affect lipid levels and are uncontrolled, such as nephrotic syndrome, severe liver disease, Cushing's syndrome, thyroid dysfunction, etc. (patients with hypothyroidism before screening who have received stable thyroid replacement treatment for >= 28 days, with normal TSH test results, and agree to maintain the same thyroid replacement drug dosage during the study can be considered for inclusion). g. Patients with bleeding tendencies or a history of coagulation disorders (such as liver cirrhosis, malignant hematological diseases, antiphospholipid syndrome), etc. h. Patients with a history of malignant tumors within the past 5 years (excluding cured skin basal cell carcinoma, skin squamous cell carcinoma, cervical carcinoma in situ, low-grade prostate carcinoma, and cured thyroid papillary carcinoma). 5. Those with an expected survival period of less than 2 years. 6. Merged Infection Regulations: a. Individuals who are known or suspected to have systemic viruses, parasites, or fungi, or who are expected to receive antibiotic treatment within 14 days after screening. b. Those with positive human immunodeficiency virus (HIV) antibody at screening; positive syphilis antibody; positive hepatitis B surface antigen (HBsAg) must have HBV DNA below the detection limit to be eligible for enrollment; those with positive hepatitis C virus antibody (HCV Ab) must have HCV RNA below the detection limit to be eligible. 7. Other regulations: a. Within 3 months prior to screening, there was a continuous history of alcohol abuse (more than 14 alcohol units per week, 1 bottle of 350ml beer, 120ml wine or 30ml alcohol with an 40% alcohol content is considered as 1 alcohol unit). b. Those who donated blood more than 500 mL within 3 months prior to screening. c. Pregnant or lactating women. d. According to the researcher's judgment, any safety issues or personal conditions that are not suitable for participating in the study, including but not limited to diseases in other systems such as the blood system, digestive system or central nervous system (including cerebrovascular diseases, degenerative diseases), etc.; patients with severe mental disorders that cannot be adequately controlled by medication; those who refused to follow the research procedures or were unwilling to fully cooperate; other situations that prevent participation in clinical trials. |
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研究实施时间: Study execute time: |
从 From 2025-11-27 00:00:00至 To 2027-11-27 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2026-01-15 00:00:00 至 To 2026-12-31 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
NA |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
NA |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
易迪西EDC系统 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Clinflash EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |