Rheumatoid arthritis

First-in-human (phase I) trial of SOL-116, a humanised IgG4 monoclonal antibody targeting bile salt-stimulated lipase, in healthy participants and rheumatoid arthritis patients

RMD OpenPublished Randomised controlled trial

Authors' conclusion

This study demonstrated that SOL-116 has a favourable safety and PK profile.

Study context

Population
Healthy participants and patients with rheumatoid arthritis (RA)48 healthy, 8 with RA
Comparison
SC SOL-116 vs placebo
Primary endpoint
Safety and tolerability
Methodological detailsfirst-in-human, phase I, double-blind, placebo-controlled, single ascending dose, multiple dose
  • First-in-human, phase I
  • Double-blind
  • Placebo-controlled
  • Single ascending dose
  • Multiple dose

Primary result

As reported in the abstract

  • SOL-116 safe and well tolerated at the tested dose levels in healthy participants and patients with RA

Secondary outcomes

Pharmacokinetics (PK): AUC and maximum concentration

Dose-proportional increase across single dose cohorts in healthy participants; PK comparable between healthy participants and patients with RA

Immunogenicity (anti-drug antibodies)

Low frequency of anti-drug antibodies

Free circulating bile salt-stimulated lipase (BSSL) (exploratory)

SOL-116 effectively reduced free BSSL levels, confirming target engagement

Other inflammation markers (exploratory)

No clear changes observed

Safety

Safety and tolerability

Safe and well tolerated at the tested dose levels

Original publication

First-in-human (phase I) trial of SOL-116, a humanised IgG4 monoclonal antibody targeting bile salt-stimulated lipase, in healthy participants and rheumatoid arthritis patients. RMD Open. Published 22 June 2026. doi:10.1136/rmdopen-2026-006712

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