aKLmRNA-mediated Protein Replacement Therapy
A Randomized, Double-Blind, Placebo-controlled Phase 1b Study to Evaluate the Safety, Tolerability, and Pharmacokinetics (Protein Expression) of Multiple Administrations of Alpha Klotho mRNA (aKLmRNA), aKL003
1 other identifier
interventional
21
1 country
1
Brief Summary
This is a Phase 1b randomized, double-blind, placebo-controlled study to assess the safety and tolerability of a proprietary aKLmRNA formulated in lipid nanoparticles. Approximately 21 subjects will be enrolled. Each subject will receive a total of two injections during the study. The cohort will consist of approximately 21 subjects, with each receiving 0.5 mg aKLmRNA (AKL003) or placebo. Subjects will be randomized in a 2:1 ratio (active treatment:placebo). The placebo will be saline, matching the active treatment in both appearance and volume.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started May 2026
Shorter than P25 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 5, 2026
CompletedFirst Posted
Study publicly available on registry
April 22, 2026
CompletedStudy Start
First participant enrolled
May 15, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2026
Study Completion
Last participant's last visit for all outcomes
November 30, 2026
April 22, 2026
April 1, 2026
7 months
April 5, 2026
April 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Overall incidence and severity of unsolicited AEs by treatment group
• To characterize the overall safety and tolerability of multiple administrations of the Investigational Medicinal product (IMP), aKLmRNA (AKL003), in healthy volunteers
From first dose through end of study (Day 60)
• Overall incidence and severity of solicited reactogenicity events by treatment group
• To characterize the overall safety and tolerability of multiple administrations of the Investigational Medicinal product (IMP), aKLmRNA (AKL003), in healthy volunteers
From first dose through end of study (Day 60)
Secondary Outcomes (2)
• Increase in serum aKL levels over the mean of the baseline values until end of study
Baseline through Day 60
• aKL serum level by treatment group
Baseline through Day 60
Other Outcomes (11)
• Change from baseline to day 60 in episodic memory performance measrued by Face-Name Associative Memory Exam
Baseline through Day 60
• Change from baseline to day 60 in attention and inhibitory control measured Flanker Test
Baseline through Day 60
• Change from baseline to day 60 in working memory performance measured by NIH Toolbox List Sorting Working Memory Test
Baseline through Day 60
- +8 more other outcomes
Study Arms (2)
aKLmRNA (AKL003)
EXPERIMENTALEach subject will be treated every 4 weeks for a total of 2 times with aKLmRNA (AKL003)
Placebo
PLACEBO COMPARATOREach subject will be treated every 4 weeks for a total of 2 times with TRIS-Buffer
Interventions
Each subject will be treated every 4 weeks for a total of 2 times with aKLmRNA via i.v.
Each subject will be treated every 4 weeks for a total of 2 times with TRIS buffer
Eligibility Criteria
You may not qualify if:
- Subjects will be excluded from the trial if they present one or more of the following conditions:
- Known of suspected allergy to IMP or related procedure
- Known or suspected allergy, or history of anaphylaxis, to vaccines or their excipients, if considered relevant by the Investigator
- Contraindications for the use of emergency treatments
- Clinically relevant findings at screening, e.g., active diseases of any kind particularly infections
- History of chronic alcohol or drug abuse/ dependence within the past 5 yearsUse of any prescription or over-the-counter medication within 7 days prior to first dosing or planned use during the study period, with the exception of medications considered medically necessary and administered at a stable dose and regimen. Stable medication is defined as medication for which no initiation, discontinuation, or dose adjustment has occurred for at least 3 monthsprior to first dosing and for which no change is anticipated during the study period. Occasional use of paracetamol (acetaminophen) and/or ibuprofen is permitted at the discretion of the investigator.
- Employee at the study site, spouse/partner or relative of any study staff (e.g., investigator, sub investigators, or study nurse) or employee of the Sponsor
- Known or suspected pregnancy, planned pregnancy of lactation
- Clinically significant unstable psychiatric illness in the past 6 months
- Presence of autoimmune disease, autoinflammatory syndrome, or immunological deficiency syndrome (including human immunodeficiency virus (HIV) infection)
- Relevant cardiovascular, hepatic, gastroenterological, respiratory, endocrinological, hematologic disease, or any other condition that, in the Investigator's opinion, could interfere with the analyses of safety and efficacy in this study, unless patient has been on stable doses of medication for any of these concurrent illnesses for at least 3 months prior to study entry
- Presence of end stage kidney failure (on dialysis)
- Current or anticipated use of immunosuppressive drugs such as, but not limited to, azathioprine, cyclosporine, methotrexate, tacrolimus, or mycophenylate within 2 months or any myelosuppressive or cytotoxic chemotherapies within the 12 months prior to the screening visit. Use of systemic corticosteroids equivalent to ≥20mg/week prednisone within the past 4 weeks before screening and during the course of the study (intranasal or inhaled steroids for allergies/asthma is allowed)
- History within the last 2 years of a primary or recurrent malignant disease with the exception of resected cutaneous squamous cell carcinoma in situ, basal cell carcinoma, cervical carcinoma in situ, or in situ prostate cancer with a normal prostate-specific antigen posttreatment; or has a life expectancy of \<2 years.
- Patients with long covid-19 showing long-term neurological sequelae within the past 12 months at the time of screening
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Klothea Bio Inclead
Study Sites (1)
GARM
Roatán, Bay Islands, 34101, Honduras
Study Officials
- PRINCIPAL INVESTIGATOR
Douglas A Tucker, MD
GARM
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 5, 2026
First Posted
April 22, 2026
Study Start (Estimated)
May 15, 2026
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
November 30, 2026
Last Updated
April 22, 2026
Record last verified: 2026-04