A Phase Ⅰ b Clinical Study of ART101 Injection
A Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of a Single Subcutaneous Injection of ART101 Injection in Patients With Hypertension
1 other identifier
interventional
16
1 country
1
Brief Summary
This is an open-label, single dose Phase Ib clinical study designed to evaluate the safety, tolerability, efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of a single subcutaneous injection of ART101 in patients with hypertension. The study plans to include 2 dose groups: ART101 600 mg and 800 mg. It is planned to enroll 8 subjects per group, for a total of 16 subjects. For dose escalation, a Safety Review Committee (SRC) will be established. If a dose group meets the dose escalation termination criteria, or if significant safety events occur during the dose escalation observation period (within 30 days), the SRC will discuss with the sponsor to decide whether to continue the dose escalation. The screening period for this study is ≤6 weeks. After fasting for at least 8 hours, subjects will receive a single subcutaneous injection of ART101 on Day 1 (D1). The treatment observation period is 24 weeks. At the end of the 24-week treatment observation period, if the subject's angiotensinogen level has not recovered to more than 50% of the baseline level, the follow-up period will be extended. Subjects will continue to receive visits every 12 weeks until the angiotensinogen level recovers to more than 50% of the baseline level, or until 48 weeks after administration of the investigational drug, whichever occurs first.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Oct 2025
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
Study Start
First participant enrolled
October 27, 2025
CompletedFirst Submitted
Initial submission to the registry
March 22, 2026
CompletedFirst Posted
Study publicly available on registry
May 29, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 14, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2026
May 29, 2026
March 1, 2026
12 months
March 22, 2026
May 26, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Assess safety of ART101 by the incidence of adverse events, adverse events of special interest and SAEs
Up to Day 169 post first dose administration
Number of participants with abnormal laboratory values and/or adverse events that are related to treatment
Fasting serum chemistry, fasting hematology, fasting coagulation, fasting LFTs, fasting lipid panel, fasting glycemic assessment, urinalysis will be assessed.
Up to Day 169 post first dose administration
Secondary Outcomes (9)
Change in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure(DBP ) measured by 24-hour ambulatory blood pressure monitoring (ABPM) from baseline after single-dose administration;
1 time during Screening Period pre dosing , day 22,day 29, Day 43, day 85 and Day 169 post dosing.
Change in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure(DBP )measured by electronic sphygmomanometer from baseline after single-dose administration;
Day -1 pre dosing, day 1, day 2, day 3,day 8, day 15, day 22, day 29, day 43, day 57, day 85, day 127, day 169.
serum PK Parameters:Maximum Concentration (Cmax)
Samples will be collected at 9 timepoints on day 1 including 1 timepoint pre dosing, 1 timepoints on day 2 and 1 timepoint on day 3 post dosing.
Concentration change in pharmacodynamics of ART101 by noting change from baseline of serum angiotensinogen.
Day -1 pre dosing, day 1, day 3, Day 8, Day 15, Day 22, Day 29, Day 43, Day 57, Day 85 (~3 Months), Day 127, Day 169 (6 Months), post first dose administration.
PK Parameters: Time for maximum concentration (Tmax)
Samples will be collected at 9 timepoints on day 1 including 1 timepoint pre dosing, 1 timepoints on day 2 and 1 timepoint on day 3 post dosing
- +4 more secondary outcomes
Study Arms (2)
600mg
EXPERIMENTAL8 subjects in this cohort will receive the investigational drug ART101 with a dose of 600 mg.
800mg
EXPERIMENTAL8 subjects in this cohort will receive the investigational drug ART101 with a dose of 800 mg.
Interventions
All participants will receive single subcutaneously of ART101 injection on day 1 .
Eligibility Criteria
You may qualify if:
- Aged 18 to 65 years (inclusive) at the time of signing the informed consent form (ICF), male or female.
- Patients diagnosed with essential hypertension.
- Previously untreated for hypertension, or previously treated with ≤2 types of antihypertensive medications and have undergone at least a 2-week washout period prior to Visit 2 (for long-acting antihypertensive drugs, a 4-week washout period is required, e.g., chlorthalidone, amlodipine, etc.), and meet the following blood pressure measurement criteria:
- ① During the screening period and at baseline, seated systolic blood pressure (SBP) measured by OBPM is ≥140 mmHg and \<160 mmHg;
- ② During the screening period, without the use of antihypertensive medications, 24-hour ABPM shows mean SBP ≥130 mmHg and \<160 mmHg.
- Male subjects with body weight ≥50.0 kg, female subjects with body weight ≥45.0 kg, and Body Mass Index (BMI) between 18.0 and 35.0 kg/m² (inclusive).
- Maintained a normal diet and salt intake for at least 4 weeks prior to the administration of the investigational product, and has no plans to significantly change diet or body weight during the study.
- Subjects of childbearing potential, or male subjects with partners of childbearing potential, must agree to use effective contraception from the signing of the ICF until 24 weeks after the administration of the investigational product, and must refrain from donating sperm or eggs.
- Voluntarily signed a written informed consent form, understands the study procedures and content, is able to communicate effectively with the investigator, and is willing to comply with study-related regulations.
You may not qualify if:
- \. Secondary hypertension, including but not limited to renovascular hypertension (unilateral or bilateral renal artery stenosis), coarctation of the aorta, primary aldosteronism, Cushing's syndrome, pheochromocytoma, polycystic kidney disease, or drug-induced hypertension.
- \. During the screening period and at baseline, seated diastolic blood pressure (DBP) measured by OBPM is ≥120 mmHg or \<75 mmHg.
- \. History or current presence of hypotension, orthostatic hypotension, or postural orthostatic tachycardia syndrome (POTS).
- \. Occurrence of cardiovascular or cerebrovascular events within 6 months prior to screening, including but not limited to stroke, transient ischemic attack (TIA), myocardial infarction, unstable angina, coronary artery bypass graft (CABG) surgery, percutaneous coronary intervention (PCI), or hospitalization due to heart failure.
- \. Presence of congestive heart failure (New York Heart Association \[NYHA\] functional class III-IV), or clinically significant valvular heart disease or arrhythmia (e.g., persistent atrial fibrillation) as determined by the investigator.
- \. Diagnosis of congenital long QT syndrome, family history of congenital long QT syndrome, or presence of an implanted pacemaker or automatic implantable cardioverter-defibrillator (AICD).
- \. Presence of clinically significant electrocardiogram (ECG) abnormalities as judged by the investigator at screening.
- \. Comorbid type 1 diabetes at screening, or poorly controlled type 2 diabetes (Glycated Hemoglobin \[HbA1c\] \>9.0%).
- \. Comorbid chronic liver disease, including but not limited to liver fibrosis and cirrhosis.
- \. Diagnosis of malignancy, or a history of malignancy within 5 years prior to signing the ICF (except for cured non-melanoma skin cancer and cervical intraepithelial neoplasia with no signs of recurrence).
- \. Accompanied by other severe, progressive, or uncontrolled diseases, including but not limited to diseases of the endocrine, hematological, urinary, hepatobiliary, respiratory, neurological, cardiovascular, gastrointestinal systems, or infectious diseases, wherein the investigator assesses that participation in the study would increase the risk to the subject.
- \. Positive for Hepatitis B surface antigen (HBsAg), Hepatitis C antibody (HCV-Ab), Treponema pallidum antibody (TP-Ab), or Human Immunodeficiency Virus antibody (HIV-Ab) at screening.
- \. Laboratory abnormalities during the screening period as follows:
- Platelet count \<100×10⁹/L;
- Hemoglobin \<90 g/L;
- +17 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Suzhou Arnatar Therapeutics Co., Ltd
Suzhou, Jiangsu, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ruihua Dong
Beijing Friendship Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 22, 2026
First Posted
May 29, 2026
Study Start
October 27, 2025
Primary Completion (Estimated)
October 14, 2026
Study Completion (Estimated)
November 1, 2026
Last Updated
May 29, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share