Safety and Tolerability Study of rAvPAL-PEG to Treat Phenylketonuria
Primary Purpose
Phenylketonuria
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
rAvPAL-PEG
Sponsored by
About this trial
This is an interventional treatment trial for Phenylketonuria
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of PKU with both of the following:
- Current blood Phe concentration of ≥600 µmol/L at Screening.
- Average blood Phe concentration of ≥600 µmol/L over the past 3 years, using available data.
- Willing and able to provide written, signed informed consent, or, in the case of participants under the age of 18, provide written assent (if required) and written informed consent by a parent or legal guardian, after the nature of the study has been explained, and prior to any research-related procedures.
- Willing and able to comply with all study procedures.
- Between the ages of 16 and 50 years, inclusive.
- Females of childbearing potential must have a negative pregnancy test at Screening and be willing to have additional pregnancy tests during the study. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or had tubal ligation at least 1 year prior to Screening, or who have had total hysterectomy.
- Sexually active subjects must be willing to use an acceptable method of contraception while participating in the study.
- Stable diet with no significant modifications during the 4 weeks preceding the administration of study drug.
- In generally good health as evidenced by physical examination, clinical laboratory evaluations (hematology, chemistry, and urinalysis), and electrocardiogram (ECG) at Screening.
Exclusion Criteria:
- Use of any investigational product or investigational medical device within 30 days prior to Screening, or requirement for any investigational agent prior to completion of all scheduled study assessments.
- Pregnant or breastfeeding at Screening or planning to become pregnant (self or partner) or to breastfeed at any time during the study.
- Concurrent disease or condition that would interfere with study participation or safety (eg, history or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurological, oncologic, or psychiatric disease).
- Any condition that, in the view of the Principal Investigator (PI), places the subject at high risk of poor treatment compliance or of not completing the study.
- Known hypersensitivity to rAvPAL PEG or its excipients.
- Alanine aminotransferase (ALT) concentration > 2 times the upper limit of normal.
- Creatinine above the upper limit of normal.
- Donation of blood or plasma within 30 days prior to the administration of study drug.
- Use of any over-the-counter (OTC) medication, including vitamins, within 7 days prior to the administration of study drug, without evaluation and approval by the Investigator.
- Use of any prescription medication within 14 days prior to the administration of study drug without evaluation and approval by the Investigator.
- Treatment with any drug known to affect hepatic enzyme activity, including (but not limited to) barbiturates, phenothiazines, cimetidine, or carbamazepine, within 30 days prior to study drug administration.
- Use of any tobacco products within 60 days prior to study drug administration.
- Positive urine screen for use of nicotine (cotinine) or drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, cannabinoids, and opiates).
- Positive test or has been treated for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
Sites / Locations
- Children's Memorial Hospital
- University of Minnesota Medical Center-Fairview
- Washington University Center for Applied Research Sciences
- Mount Sinai Medical Center
- Oregon Health & Science University
- University of Pittsburgh
- University of Utah Hospital
- University of Wisconsin
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm Type
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Arm Label
0.001 mg/kg
0.003 mg/kg
0.01 mg/kg
0.03 mg/kg
0.1 mg/kg
0.3 mg/kg
1.0 mg/kg
Arm Description
One subcutaneous injection of 0.001 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 0.003 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 0.01 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 0.03 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 0.1 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 0.3 mg/kg of rAvPAL-PEG.
One subcutaneous injection of 1.0 mg/kg of rAvPAL-PEG.
Outcomes
Primary Outcome Measures
• To assess the incidence of treatment-emergent adverse events of a single, subcutaneous (SC) injections of rAvPAL-PEG in subjects with PKU.
Specifically, safety was to be assessed by examining the incidence of all treatment-emergent adverse events reported during the study period and clinically significant changes in vital signs and clinical laboratory results, including development of rAvPAL-PEG antibodies.
Secondary Outcome Measures
• To evaluate the pharmacokinetics (PK) of single, SC injections of rAvPAL-PEG administered at escalating doses, in subjects with PKU.
Specifically, exposure, AUC- and Cmax -dose proportionality, Tmax , λz and t1/2
• To evaluate the effect of different dose levels of rAvPAL-PEG on blood Phe concentrations in subjects with PKU.
Specifically, exposure, AUC- and Cmax -dose proportionality, Tmax , λz and t1/2
Full Information
NCT ID
NCT00634660
First Posted
March 6, 2008
Last Updated
January 30, 2017
Sponsor
BioMarin Pharmaceutical
1. Study Identification
Unique Protocol Identification Number
NCT00634660
Brief Title
Safety and Tolerability Study of rAvPAL-PEG to Treat Phenylketonuria
Official Title
A Phase I, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single, Subcutaneous Doses of rAvPAL-PEG in Subjects With Phenylketonuria
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
May 2008 (undefined)
Primary Completion Date
April 2009 (Actual)
Study Completion Date
October 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioMarin Pharmaceutical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to assess the safety and tolerability of injections of rAvPAL-PEG in subjects with PKU.
Detailed Description
This is a Phase 1, open-label, single-dose study in approximately 35 subjects with PKU who are 16 to 50 years old. Seven cohorts are planned, each consisting of 5 subjects; the cohorts as planned are 0.001, 0.003, 0.01, 0.03, 0.1, 0.3, and 1.0 mg/kg. Increasing doses of rAvPAL-PEG will be assessed sequentially until the final dose is evaluated or any of the stopping criteria are reached. Subjects will each receive a single dose and then will be followed for a total of 42 days (6 weeks) with visits to the clinical research unit (CRU) as specified in the Schedule of Events Toxicity will be measured according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE, v 3).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Phenylketonuria
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
25 (Actual)
8. Arms, Groups, and Interventions
Arm Title
0.001 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.001 mg/kg of rAvPAL-PEG.
Arm Title
0.003 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.003 mg/kg of rAvPAL-PEG.
Arm Title
0.01 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.01 mg/kg of rAvPAL-PEG.
Arm Title
0.03 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.03 mg/kg of rAvPAL-PEG.
Arm Title
0.1 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.1 mg/kg of rAvPAL-PEG.
Arm Title
0.3 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 0.3 mg/kg of rAvPAL-PEG.
Arm Title
1.0 mg/kg
Arm Type
Active Comparator
Arm Description
One subcutaneous injection of 1.0 mg/kg of rAvPAL-PEG.
Intervention Type
Drug
Intervention Name(s)
rAvPAL-PEG
Intervention Description
rAvPAL-PEG will be administered as a single, SC injection at dose levels of 0.001, 0.003, 0.01, 0.03, 0.1, 0.3, and 1.0 mg/kg. The duration of treatment is a single dose of study drug with 42 days (6 weeks) of follow-up.
Primary Outcome Measure Information:
Title
• To assess the incidence of treatment-emergent adverse events of a single, subcutaneous (SC) injections of rAvPAL-PEG in subjects with PKU.
Description
Specifically, safety was to be assessed by examining the incidence of all treatment-emergent adverse events reported during the study period and clinically significant changes in vital signs and clinical laboratory results, including development of rAvPAL-PEG antibodies.
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
• To evaluate the pharmacokinetics (PK) of single, SC injections of rAvPAL-PEG administered at escalating doses, in subjects with PKU.
Description
Specifically, exposure, AUC- and Cmax -dose proportionality, Tmax , λz and t1/2
Time Frame
6 weeks
Title
• To evaluate the effect of different dose levels of rAvPAL-PEG on blood Phe concentrations in subjects with PKU.
Description
Specifically, exposure, AUC- and Cmax -dose proportionality, Tmax , λz and t1/2
Time Frame
6 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of PKU with both of the following:
Current blood Phe concentration of ≥600 µmol/L at Screening.
Average blood Phe concentration of ≥600 µmol/L over the past 3 years, using available data.
Willing and able to provide written, signed informed consent, or, in the case of participants under the age of 18, provide written assent (if required) and written informed consent by a parent or legal guardian, after the nature of the study has been explained, and prior to any research-related procedures.
Willing and able to comply with all study procedures.
Between the ages of 16 and 50 years, inclusive.
Females of childbearing potential must have a negative pregnancy test at Screening and be willing to have additional pregnancy tests during the study. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or had tubal ligation at least 1 year prior to Screening, or who have had total hysterectomy.
Sexually active subjects must be willing to use an acceptable method of contraception while participating in the study.
Stable diet with no significant modifications during the 4 weeks preceding the administration of study drug.
In generally good health as evidenced by physical examination, clinical laboratory evaluations (hematology, chemistry, and urinalysis), and electrocardiogram (ECG) at Screening.
Exclusion Criteria:
Use of any investigational product or investigational medical device within 30 days prior to Screening, or requirement for any investigational agent prior to completion of all scheduled study assessments.
Pregnant or breastfeeding at Screening or planning to become pregnant (self or partner) or to breastfeed at any time during the study.
Concurrent disease or condition that would interfere with study participation or safety (eg, history or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurological, oncologic, or psychiatric disease).
Any condition that, in the view of the Principal Investigator (PI), places the subject at high risk of poor treatment compliance or of not completing the study.
Known hypersensitivity to rAvPAL PEG or its excipients.
Alanine aminotransferase (ALT) concentration > 2 times the upper limit of normal.
Creatinine above the upper limit of normal.
Donation of blood or plasma within 30 days prior to the administration of study drug.
Use of any over-the-counter (OTC) medication, including vitamins, within 7 days prior to the administration of study drug, without evaluation and approval by the Investigator.
Use of any prescription medication within 14 days prior to the administration of study drug without evaluation and approval by the Investigator.
Treatment with any drug known to affect hepatic enzyme activity, including (but not limited to) barbiturates, phenothiazines, cimetidine, or carbamazepine, within 30 days prior to study drug administration.
Use of any tobacco products within 60 days prior to study drug administration.
Positive urine screen for use of nicotine (cotinine) or drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, cannabinoids, and opiates).
Positive test or has been treated for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Celeste Decker, MD
Organizational Affiliation
BioMarin Pharmaceutical
Official's Role
Study Director
Facility Information:
Facility Name
Children's Memorial Hospital
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60614
Country
United States
Facility Name
University of Minnesota Medical Center-Fairview
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Washington University Center for Applied Research Sciences
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Mount Sinai Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
University of Utah Hospital
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
University of Wisconsin
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53705
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Safety and Tolerability Study of rAvPAL-PEG to Treat Phenylketonuria
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