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Pharmacokinetic, Safety and Tolerability Study of SC Administered Bisphosphonate With rHuPH20 vs Bisphosphonate Alone

Primary Purpose

Risk Factors for or a Diagnosis of Osteoporosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
rHuPH20
zoledronic acid
Sponsored by
Halozyme Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Risk Factors for or a Diagnosis of Osteoporosis focused on measuring Pharmacokinetics, rHuPH20

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female volunteers 18 to 60 years of age, inclusive.
  • Intact normal skin in the area intended for administration.
  • Adequate venous access in both upper extremities.
  • Dental examination by an appropriately trained professional within 14 days of administration demonstrating no signs, symptoms, or risk factors of osteonecrosis of the jaw (ONJ).
  • Vital signs (BP, HR, temperature, respiratory rate) within normal range or, if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this reason.
  • Electrocardiogram within normal range or if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this reason.
  • Within 14 days prior to administration, metabolic panel (e.g., sodium, potassium, chloride, bicarbonate, BUN, creatinine, glucose, calcium, AST, ALT, alkaline phosphatase, total bilirubin, albumin, and total protein) and complete blood count within the laboratory normal reference range or, if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this laboratory value.
  • A negative serum or urine pregnancy test (if female of child-bearing potential) within 14 days of study drug administration.
  • Female subjects of child-bearing potential must agree to be currently practicing effective birth control or abstinence and agree to continue to do so for at least 30 days after duration of their time on study.
  • Decision-making capacity and willingness and ability to comply with the requirements for full completion of the trial.
  • Signed, written IRB/EC-approved informed consent.

Exclusion Criteria:

  • Lower extremity edema.
  • Lower extremity pathology that could interfere with any protocol-specified outcome assessment (e.g., cellulitis, lymphatic disorder or prior surgery, pre-existing pain syndrome, auxiliary lymph node dissection, etc.).
  • Creatinine clearance < 60 mL/min (Cockcroft-Gault formula).
  • Any risk factor for bisphosphonate-related renal toxicity including by not limited to known predisposition to or history of renal insufficiency or renal failure, hypertension, diabetes mellitus, volume depletion, sepsis, paraproteinemia, and subjects receiving known nephrotoxic drugs.
  • Dehydration Grade 2 or higher based on NCI CTCAE V3.0.
  • Known parathyroid gland dysfunction or any other disease that could lower blood calcium levels.
  • Known history and/or electrocardiographic evidence of atrial fibrillation.
  • Known allergy to any hyaluronidase.
  • Bisphosphonate treatment within preceding six months.
  • Known allergy or intolerance to any bisphosphonate.
  • Pregnancy or breast-feeding woman.
  • Known clinically significant cardiovascular, gastrointestinal, hepatic, neurological, psychiatric, endocrine, cancer, HIV infection, diabetes mellitus, intercurrent illness such as influenza, or other major systemic disease that would unduly risk the subject's safety or interfere with the interpretation of results.
  • Participation in a study of any investigational drug or device within 30 days of enrollment in this study.

Sites / Locations

  • Healthcare Discoveries, LLC/ICON Development Solutions

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Stage 1: rHuPH20 plus ZA

Stage 2: ZA

Stage 3: rHuPH20 plus ZA

Stage 4: ZA

Stage 4: ZA with rHuPH20

Arm Description

Participants will receive one of several dose/concentrations of recombinant human hyaluronidase PH20 (rHuPH20) with zoledronic acid (ZA).

Participants will receive a dose/concentration of ZA administered without rHuPH20.

Participants will receive one of several dose/concentrations of rHuPH20 with ZA.

Participants will receive an intravenous (IV) dose of 5 milligrams (mg) ZA.

Participants will receive a subcutaneous (SC) dose of ZA with rHuPH20.

Outcomes

Primary Outcome Measures

Assessment of local tolerability of injected drug product

Secondary Outcome Measures

Full Information

First Posted
December 11, 2008
Last Updated
August 13, 2018
Sponsor
Halozyme Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT00807963
Brief Title
Pharmacokinetic, Safety and Tolerability Study of SC Administered Bisphosphonate With rHuPH20 vs Bisphosphonate Alone
Official Title
Phase I, Open-Label, Pharmacokinetic, Safety and Tolerability Study of Subcutaneously Administered Bisphosphonate With Recombinant Human Hyaluronidase (rHuPH20) vs Bisphosphonate
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
September 21, 2009 (Actual)
Study Completion Date
September 21, 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Halozyme Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the maximum tolerated concentration (MTC) of bisphosphonate with a fixed dose of rHuPH20 administered SC, the MTC of bisphosphonate without rHuPH20 administered SC, the optimal dose of rHuPH20 to deliver bisphosphonate SC at MTC, and to compare the PK of SC administered bisphosphonate at MTC with optimal dose rHuPH20 to bisphosphonate alone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Risk Factors for or a Diagnosis of Osteoporosis
Keywords
Pharmacokinetics, rHuPH20

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Stage 1: rHuPH20 plus ZA
Arm Type
Experimental
Arm Description
Participants will receive one of several dose/concentrations of recombinant human hyaluronidase PH20 (rHuPH20) with zoledronic acid (ZA).
Arm Title
Stage 2: ZA
Arm Type
Experimental
Arm Description
Participants will receive a dose/concentration of ZA administered without rHuPH20.
Arm Title
Stage 3: rHuPH20 plus ZA
Arm Type
Experimental
Arm Description
Participants will receive one of several dose/concentrations of rHuPH20 with ZA.
Arm Title
Stage 4: ZA
Arm Type
Experimental
Arm Description
Participants will receive an intravenous (IV) dose of 5 milligrams (mg) ZA.
Arm Title
Stage 4: ZA with rHuPH20
Arm Type
Experimental
Arm Description
Participants will receive a subcutaneous (SC) dose of ZA with rHuPH20.
Intervention Type
Drug
Intervention Name(s)
rHuPH20
Intervention Description
recombinant human hyaluronidase PH20 injection
Intervention Type
Drug
Intervention Name(s)
zoledronic acid
Intervention Description
subcutaneous injection
Primary Outcome Measure Information:
Title
Assessment of local tolerability of injected drug product
Time Frame
Over a 7 day period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female volunteers 18 to 60 years of age, inclusive. Intact normal skin in the area intended for administration. Adequate venous access in both upper extremities. Dental examination by an appropriately trained professional within 14 days of administration demonstrating no signs, symptoms, or risk factors of osteonecrosis of the jaw (ONJ). Vital signs (BP, HR, temperature, respiratory rate) within normal range or, if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this reason. Electrocardiogram within normal range or if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this reason. Within 14 days prior to administration, metabolic panel (e.g., sodium, potassium, chloride, bicarbonate, BUN, creatinine, glucose, calcium, AST, ALT, alkaline phosphatase, total bilirubin, albumin, and total protein) and complete blood count within the laboratory normal reference range or, if out of range, assessed by the Investigator as not clinically significant and it is mutually agreed by both Investigator and Sponsor Medical Monitor that the subject need not be excluded from the study for this laboratory value. A negative serum or urine pregnancy test (if female of child-bearing potential) within 14 days of study drug administration. Female subjects of child-bearing potential must agree to be currently practicing effective birth control or abstinence and agree to continue to do so for at least 30 days after duration of their time on study. Decision-making capacity and willingness and ability to comply with the requirements for full completion of the trial. Signed, written IRB/EC-approved informed consent. Exclusion Criteria: Lower extremity edema. Lower extremity pathology that could interfere with any protocol-specified outcome assessment (e.g., cellulitis, lymphatic disorder or prior surgery, pre-existing pain syndrome, auxiliary lymph node dissection, etc.). Creatinine clearance < 60 mL/min (Cockcroft-Gault formula). Any risk factor for bisphosphonate-related renal toxicity including by not limited to known predisposition to or history of renal insufficiency or renal failure, hypertension, diabetes mellitus, volume depletion, sepsis, paraproteinemia, and subjects receiving known nephrotoxic drugs. Dehydration Grade 2 or higher based on NCI CTCAE V3.0. Known parathyroid gland dysfunction or any other disease that could lower blood calcium levels. Known history and/or electrocardiographic evidence of atrial fibrillation. Known allergy to any hyaluronidase. Bisphosphonate treatment within preceding six months. Known allergy or intolerance to any bisphosphonate. Pregnancy or breast-feeding woman. Known clinically significant cardiovascular, gastrointestinal, hepatic, neurological, psychiatric, endocrine, cancer, HIV infection, diabetes mellitus, intercurrent illness such as influenza, or other major systemic disease that would unduly risk the subject's safety or interfere with the interpretation of results. Participation in a study of any investigational drug or device within 30 days of enrollment in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Emanuel P DeNoia, MD
Organizational Affiliation
Healthcare Discoveries, LLC/ICON
Official's Role
Principal Investigator
Facility Information:
Facility Name
Healthcare Discoveries, LLC/ICON Development Solutions
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78209
Country
United States

12. IPD Sharing Statement

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Pharmacokinetic, Safety and Tolerability Study of SC Administered Bisphosphonate With rHuPH20 vs Bisphosphonate Alone

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