Bitterroot Bio has dosed the first participants in a Phase I trial investigating its candidate for the treatment of atherosclerotic cardiovascular disease.

The study involves healthy participants, who will receive subcutaneous administrations of BRB-002 – the US company’s cardio-immunology candidate.

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Atherosclerotic cardiovascular disease is a common but serious condition that involves the narrowing of arteries. The buildup of fats, cholesterol, and other substances in the vessel as plaque restricts blood flow.

There is around a 50% chance of developing atherosclerosis once over the age of 40, according to Heart Research Institute UK.

Bitterroot Bio has designed BRB-002 to inhibit the CD47 cell surface receptor which is widely expressed in vascular cells and tissues. The company, which emerged in June 2023 with a $145m Series A financing round, says that preclinical studies have demonstrated the drug’s ability to attenuate atherosclerosis in both prevention and established disease models.

The Phase I trial, being conducted in Brisbane, Australia, will evaluate the safety and tolerability of the therapy.

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Bitterroot Bio’s chief medical officer Craig Basson said: ā€œThe initiation of this Phase 1 trial is a vital step forward in our mission to address unmet cardiovascular needs, and marks Bitterroot’s transformation into a clinical-stage company.

ā€œWe are optimistic about the potential of BRB-002 to make a meaningful difference in the lives of patients and are committed to rigorously evaluating its safety and efficacy in the clinic.ā€

Also in early clinical phase in the atherosclerotic cardiovascular disease space is Silence Therapeutics. In November last year, the UK company reported positive results from a Phase I trial investigating its short interfering RNA therapy Zerlasiran.

The cardiovascular disease treatment space as a whole could undergo a major transformation with the emergence of high-profile weight loss drugs. Novo Nordisk’s blockbuster drug Wegovy, for example, may reduce cardiovascular risk by 20% for heart disease patients.