Phase I data from Netherlands-based Leyden Laboratories B.V.'s intranasal innate immune modulator RIG-101 showed acceptable safety and on-target pharmacodynamic activity in both healthy volunteers and asthma patients, clearing the path to a Phase I/II rhinovirus challenge study, the company reported.
RIG-101 is a stem-loop RNA (SLR) therapeutic that agonizes RIG-I, a cytosolic innate immune receptor that, when activated, triggers type I and type III interferon production in the respiratory epithelium. The rationale for targeting asthma is epidemiological: respiratory viruses, predominantly rhinovirus, are reported to trigger more than 80% of severe asthma exacerbations. Patients with asthma are thought to have impaired baseline interferon responses, making them disproportionately vulnerable to viral-driven disease flares. RIG-101 is delivered intranasally using the proprietary NEED (Nano-Emulsion Effective Delivery) platform, a non-lipid nanoparticle system designed to deposit therapeutic payloads directly at the respiratory mucosa.
In the completed Phase I study, intranasal RIG-101 was well tolerated at all dose levels tested with up to seven days of daily administration. Biomarker analyses in asthma patients confirmed the expected pharmacodynamic signature: induction of type I and type III interferons and upregulation of interferon-stimulating genes in the upper respiratory tract. Leyden Labs described the biomarker profile as consistent with the intended mechanism of action. No quantitative efficacy or detailed safety data were disclosed.
The next planned study is the RIG 101 Trial in Healthy Adults and Adults With Asthma, a two-part, randomized, double-blind, placebo-controlled Phase I/II design. Part A covers repeat-dose safety in healthy participants and asthma patients; Part B is a human rhinovirus challenge study in asthma patients, assessing whether pre-treatment with RIG-101 reduces viral replication or clinical consequences following controlled RV-A16 inoculation. The trial is currently recruiting.