NCT07693777

Brief Summary

This is a multicenter, randomized, double-blind, placebo-controlled Phase 3 clinical trial to assess the efficacy and safety of weekly subcutaneous DR10624 injection in adult patients with severe hypertriglyceridemia (sHTG). Eligible participants have persistently elevated fasting triglycerides despite stable background lipid-lowering therapy. Subjects will be randomized at a 2:2:1 ratio to three treatment arms: DR10624 low dose, DR10624 high dose, or matching placebo, receiving weekly subcutaneous injections for a total of 64 weeks double-blind treatment, followed by a 4-week post-treatment safety follow-up. The primary goal is to evaluate the percentage reduction in fasting triglycerides at Week 26. Secondary assessments include changes in ApoC3, remnant cholesterol, liver fat content measured by MRI-PDFF, incidence of adjudicated acute pancreatitis, and overall safety profile including treatment-emergent adverse events and immunogenicity.

Trial Health

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Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
480

participants targeted

Target at P50-P75 for phase_3

Timeline
40mo left

Started Aug 2026

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

July 1, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

July 9, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

August 17, 2026

Expected
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 14, 2029

10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 5, 2029

Last Updated

July 10, 2026

Status Verified

July 1, 2026

Enrollment Period

2.5 years

First QC Date

July 1, 2026

Last Update Submit

July 8, 2026

Conditions

Keywords

Severe hypertriglyceridemiahypertriglyceridemiatriglycerideApolipoprotein C3remnant cholesterolnonalcoholic fatty liver diseaseMRI-PDFFacute pancreatitisDR10624subcutaneous injectionlipid lowering therapyphase 3 clinical trialinvestigational new drughyperlipidemia

Outcome Measures

Primary Outcomes (1)

  • Percentage change from baseline in central laboratory-measured fasting serum triglyceride at Week 26

    Baseline to Week 26 of double-blind treatment

Secondary Outcomes (8)

  • Percentage change from baseline in central laboratory-measured apolipoprotein C3 (ApoC3) at Week 26

    Baseline to Week 26 double-blind treatment

  • Percentage change from baseline in central laboratory-measured triglyceride-rich lipoprotein cholesterol (TRL-C) at Week 26

    Baseline to Week 26 double-blind treatment

  • Percentage change from baseline in central laboratory-measured non-high-density lipoprotein cholesterol (non-HDL-C) at Week 26

    Baseline to Week 26 double-blind treatment

  • Proportion of participants achieving fasting triglyceride <5.65 mmol/L at Week 26

    Week 26

  • Proportion of participants achieving fasting triglyceride <1.70 mmol/L at Week 26

    Week 26

  • +3 more secondary outcomes

Other Outcomes (1)

  • Absolute and percentage change from baseline in serum DR10624 concentration quantified by validated central laboratory bioanalytical assay

    First study drug injection through 4-week post-treatment safety follow-up

Study Arms (3)

Dose 1 DR10624 Group

EXPERIMENTAL

Subcutaneous injection of DR10624 once weekly.

Biological: DR10624 Injection

Dose 2 DR10624 Group

EXPERIMENTAL

Subcutaneous injection of DR10624 once weekly.

Biological: DR10624 Injection

Placebo Group

PLACEBO COMPARATOR

Subcutaneous injection of placebo once weekly.

Other: Matching Placebo for DR10624

Interventions

Novel investigational biologic agent for severe hypertriglyceridemia, administered via weekly subcutaneous injection with two titrated dose regimens (low-dose and high-dose) for 64 weeks double-blind treatment period.

Dose 1 DR10624 GroupDose 2 DR10624 Group

Volume-matched inert subcutaneous injection placebo, visually identical to DR10624 to maintain double-blind masking for all study participants.

Placebo Group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female aged ≥18 years at screening.
  • BMI 19.0-45.0 kg/m², body weight ≥50.0 kg.
  • Fasting triglyceride meets protocol-specified threshold at local lab and average of two separate central lab fasting samples collected ≥1 week apart.
  • On stable guideline lipid-lowering therapy ≥4 weeks.
  • Able to follow protocol and maintain stable lifestyle; sign voluntary written informed consent.

You may not qualify if:

  • Confirmed/suspected familial severe hypertriglyceridemia subtypes (Fredrickson Type 1/3, ApoC-II deficiency).
  • Unstable body weight, severe liver/kidney disease, uncontrolled diabetes or hypertension, NYHA III-IV heart failure, Cushing syndrome.
  • History of acute pancreatitis within 6 months, chronic pancreatitis or symptomatic gallbladder disease.
  • Recent major cardiovascular events, bone disorders, abnormal thyroid function or active malignancy within 5 years.
  • Severe psychiatric disorders, substance abuse/excessive alcohol intake, or MTC/MEN2 family/personal history.
  • Prior exposure to GLP-1R/GCGR/FGF21R agonists, relevant investigational drugs or other interventional trials within 3 months.
  • Unqualified lab results at screening: abnormal liver/pancreas/renal indexes, elevated HbA1c, positive HIV/HBV/HCV, severe arrhythmia.
  • Pregnancy/lactation, contraception refusal, hypersensitivity to study drug, blood donation ≥400mL recently, or any conditions judged by investigator to affect trial safety/efficacy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Zhongshan Hospital

Shanghai, China

Location

MeSH Terms

Conditions

HypertriglyceridemiaNon-alcoholic Fatty Liver DiseasePancreatitisHyperlipidemias

Condition Hierarchy (Ancestors)

DyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesFatty LiverLiver DiseasesDigestive System DiseasesPancreatic Diseases

Study Officials

  • Junbo Ge

    Shanghai Zhongshan Hospital

    STUDY CHAIR

Central Study Contacts

Yongliang Fang

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 1, 2026

First Posted

July 9, 2026

Study Start (Estimated)

August 17, 2026

Primary Completion (Estimated)

February 14, 2029

Study Completion (Estimated)

December 5, 2029

Last Updated

July 10, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations