HS-10542, A ONCE-DAILY NOVEL SMALL-MOLECULE FACTOR B INHIBITOR, IN HEALTHY PARTICIPANTS: A FIRST-IN-HUMAN PHASE 1 TRIAL

 

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https://storage.unitedwebnetwork.com/files/1099/064c36e381fc92dfedcc41649a81e1ea.pdf
HS-10542, A ONCE-DAILY NOVEL SMALL-MOLECULE FACTOR B INHIBITOR, IN HEALTHY PARTICIPANTS: A FIRST-IN-HUMAN PHASE 1 TRIAL

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Yu
Cao
Chenjing Wang wangchenjing@qdu.edu.cn The Affiliated Hospital of Qingdao University Clinical Trials Center Qingdao China -
Yi Xu xuyi@qdu.edu.cn The Affiliated Hospital of Qingdao University Clinical Trials Center Qingdao China -
Feifei Sun sunfeifei@qdu.edu.cn The Affiliated Hospital of Qingdao University Clinical Trials Center Qingdao China -
Lin Fang fanglin@qdu.edu.cn The Affiliated Hospital of Qingdao University Clinical Trials Center Qingdao China -
Yusong Zhu zhuys1@hspharm.com Shanghai Hansoh Biomedical Co., Ltd. Clinical Pharmacology Shanghai China -
Jian Yang yangj21@hspharm.com Shanghai Hansoh Biomedical Co., Ltd. Translational Medicine Shanghai China -
Ran Liu liur3@hspharm.com Shanghai Hansoh Biomedical Co., Ltd. Biostatistics Shanghai China -
Wei Liu liuw13@hspharm.com Shanghai Hansoh Biomedical Co., Ltd. Medical Science Shanghai China -
Xiaoqing Zhang Xiaoqing.zhang@hspharm.com Shanghai Hansoh Biomedical Co., Ltd. Clinical Research Center Shanghai China -
Yu Cao caoyu@qdu.edu.cn The Affiliated Hospital of Qingdao University Clinical Trials Center Qingdao China *
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An over-active alternative complement pathway has been implicated in the pathophysiology of multiple diseases, including paroxysmal nocturnal hemoglobinuria and IgA nephropathy. HS-10542 is a once-daily oral selective small-molecule inhibitor of complement factor B, a key component of the alternative pathway. This first-in-human study assessed the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of HS-10542 in healthy Chinese participants.

This was a randomized, placebo-controlled, double-blind, single-center phase 1 study (NCT07040046) consisting of single-ascending-dose (SAD) and multiple-ascending-dose (MAD) parts. This study included 32 participants in the SAD part (from 100 mg to 800 mg) and 37 participants in MAD part (from 100 mg QD to 400 mg QD for 10 days).

Safety and tolerability were assessed by adverse events (AEs) and changes in laboratory parameters. Blood samples were collected to measure plasma concentrations of HS-10542 at predefined time points, and PD analysis was conducted by measuring complement alternative pathway (AP) activity with WIESLAB assay.

A total of 69 participants were enrolled, 32 in SAD and 35 in MAD receiving either HS-10542 or placebo. HS-10542 was well tolerated.

Safety Assessment: No deaths, serious adverse events (SAEs) or severe adverse events (AEs) were reported. All treatment-emergent adverse events (TEAEs) were mild. TEAEs were comparable between the HS-10542 groups and placebo groups in SAD (62.5% vs. 62.5%) and in MAD (76.9% vs. 88.9%) parts. No significantly increasing trend in the incidence of TEAEs was observed in MAD part.

PK: HS-10542 was rapidly absorbed, with a median Tmax of 1~2 hours. The terminal half-life was moderately long at 26 to 33 hours following single doses. Systemic exposure increase was less than dose proportional following both single and multiple doses. There was a low accumulation ratio of 1.2 to 1.3-fold following multiple doses.

PD: Robust AP inhibition (87.5-100%) was achieved by HS-10542 across doses of SAD within 24 hours. Throughout all time points up to 24 hours after last dosing of MAD, mean inhibition of AP exceeded 90% (92-100%) across doses, with >95% inhibition at 24 hours after last dosing of MAD across doses.

Conclusions: HS-10542 demonstrated favorable tolerability, safety, PK and robust inhibition of AP activity, supporting once daily dosing in clinical trials of complement-mediated diseases.

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