Menu
Not yet recruiting NCT07693777

A Phase III Study to Evaluate the Efficacy and Safety of of DR10624 in Subjects With Severe Hypertriglyceridemia

Phase III Interventional Severe Hypertriglyceridemia (sHTG) Hypertriglyceridemia

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: DR10624 Injection, Matching Placebo for DR10624.
Who it may be relevant to
Registry conditions: Severe Hypertriglyceridemia (sHTG), Hypertriglyceridemia. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase III Trial to Evaluate the Efficacy and Safety of DR10624 in Subjects With Severe Hypertriglyceridemia Receiving Stable Lipid-Modifying Therapy

Overview

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.

Interventions

  • Biological DR10624 Injection
    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.
  • Other Matching Placebo for DR10624
    Volume-matched inert subcutaneous injection placebo, visually identical to DR10624 to maintain double-blind masking for all study participants.

Primary outcome measures

  • Percentage change from baseline in central laboratory-measured fasting serum triglyceride at Week 26 [Time frame: Baseline to Week 26 of double-blind treatment]
Secondary outcome measures (8)
  • Percentage change from baseline in central laboratory-measured apolipoprotein C3 (ApoC3) at Week 26 [Time frame: Baseline to Week 26 double-blind treatment]
  • Percentage change from baseline in central laboratory-measured triglyceride-rich lipoprotein cholesterol (TRL-C) at Week 26 [Time frame: 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 [Time frame: Baseline to Week 26 double-blind treatment]
  • Proportion of participants achieving fasting triglyceride <5.65 mmol/L at Week 26 [Time frame: Week 26]
  • Proportion of participants achieving fasting triglyceride <1.70 mmol/L at Week 26 [Time frame: Week 26]
  • Percentage change from baseline in liver fat content quantified by blinded central MRI-PDFF imaging at Week 26 [Time frame: Baseline to Week 26 double-blind treatment]
  • Cumulative proportion of participants with Event Adjudication Committee (EAC)-confirmed acute pancreatitis from randomization through Week 64 [Time frame: Randomization through Week 64 double-blind treatment]
  • Overall incidence and maximum severity grade of all treatment-emergent adverse events (TEAEs) [Time frame: First study drug injection through 4-week post-treatment safety follow-up]

Eligibility criteria

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Quadruple blind
Primary purpose
Treatment

Study locations

China · 1 center
  • Zhongshan Hospital — Shanghai

Identifiers

NCT: NCT07693777 · DR10624-301

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗