We are testing an investigational drug called RGLS8429. “Investigational” means that the study drug being tested is not approved by the United States Food and Drug Administration for use in humans. The main purpose of this study is to get more information about the safety, tolerability (whether side effects can be handled by a subject), pharmacodynamics (how it works on the kidneys), and pharmacokinetics (how the drug is processed in the body) of RGLS8429 in patients with ADPKD. This is a randomized, double blind study, meaning that subjects will be assigned either to the investigational drug or to a placebo. RGLS8429 will be administered by subcutaneous injection (a shot just under the skin) and is being tested in different dose levels.