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A Phase 1, Randomized, Placebo-controlled, Dose-escalation Safety Study of MEDI4212 in Subjects With IgE >= 30 IU/mL

Primary Purpose

Allergic Asthma, Atopic Dermatitis, Allergic Rhinitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo
Omalizumab
MEDI4212 5 mg Subcutaneous
MEDI4212 15 mg Subcutaneous
MEDI4212 60 mg Subcutaneous
MEDI4212 150 mg Subcutaneous
MEDI4212 300 mg Subcutaneous
MEDI4212 300 mg Intravenous
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Asthma focused on measuring Allergic, Atopic Dermatitis, MEDI4212

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age 18 through 60 years
  • Written informed consent and any locally required authorization
  • Body weight 45-150 kilogram (kg) for Cohorts 1-3, 4b, and 5-9. Body weight 45-90 kg for Cohort 4a
  • Females must have been surgically sterilized or postmenopausal
  • Non-sterilized males who are sexually active with a female partner of childbearing potential must use a highly effective method of contraception from Day 1 through Day 85; Both partners to use contraception
  • Sterilized males must be at least 1-year post vasectomy or use a highly effective contraceptive method
  • Healthy Japanese population as determined by a responsible physician
  • Current diagnosis of allergic rhinitis, allergic asthma, or atopic dermatitis (cohorts 1-6) with a diagnostic immunoglobulin E (IgE) of 30 international units per milliliter (IU/mL) at Screening. Diagnostic IgE levels are further restricted for subjects enrolling into each cohort, with the following levels required at Screening: Cohorts 1 and 2: 30-700 IU/mL; Cohort 3: 30-700 IU/mL (4 subjects), greater than (>) 700-1,200 IU/mL (4 subjects), and >1,200 IU/mL (4 subjects); Cohort 4a: 30-500 IU/mL; Cohort 4b: >700 IU/mL; Cohorts 5 and 6: 30-700 IU/mL (4 subjects per cohort) and >700 IU/mL (6 subjects per cohort) or Japanese Cohorts 7-9: greater than or equal to (>=) 30 IU/mL
  • Nonsmoker for >=6 months
  • Obsolete criteria as no longer require Positive in vitro IgE fluorescence enzyme immunoassay (FEIA) response
  • A forced expiration volume in one second (FEV1) >= 80 percent (%) predicted in subjects with asthma. Non-asthmatic subjects with FEV1 >=80% predicted, or with FEV1 less than (<) 80% predicted but who, in the opinion of the investigator, do not have lung disease
  • Ability and willingness to complete the follow-up period through Day 85 as required by the protocol.

Exclusion Criteria:

  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results
  • Concurrent enrollment in another clinical study
  • Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals
  • Exposure to an anti-IgE monoclonal antibodies (MAb) within 12 months prior to Screening
  • Positive drug screen at Screening or Day -1. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids, and benzodiazepines
  • History of regular alcohol abuse within 12 months prior to Screening
  • History of sensitivity to any component of the investigational product formulation or a history of drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates their participation
  • Subjects with abnormal liver function test values (aspartate transaminase [AST] and alanine transaminase [ALT]) at Screening as defined as follows: a) Liver function test values >= 1.5 times upper limit of normal (ULN)
  • Unwillingness or inability to follow the procedures outlined in the protocol
  • Positive test or history of hepatitis B or positive hepatitis C
  • Positive test or history of human immunodeficiency virus (HIV) or subject is known to be HIV seropositive
  • History of cancer, with the exception of basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success
  • Women who are pregnant, breastfeeding, or lactating
  • Plans to donate blood during the study period
  • Hyper-IgE syndrome or bronchopulmonary aspergillosis
  • Prior history of Immune Complex Disease or type 3 hypersensitivity reactions to MAb administration
  • Known history of prior infusion reaction to MAb administration
  • History of untreated parasitic/helminthic infection within 6 months prior to Screening
  • Uses any of the following medications: a) Oral corticosteroids b) Medium to high dose Immunocorticosteroids (ICS)/ long-acting beta agonists (LABA) c) Immunosuppressives d) Beta blockers
  • If receiving allergy immunotherapy, must be on stable dose for 3 months. Must not receive allergy immunotherapy within 7 days of investigational product administration.

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Placebo Comparator

Active Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Placebo

Omalizumab

MEDI4212 5 mg Subcutaneous

MEDI4212 15 mg Subcutaneous

MEDI4212 60 mg Subcutaneous

MEDI4212 150 mg Subcutaneous

MEDI4212 300 mg Subcutaneous

MEDI4212 300 mg Intravenous

Arm Description

A single dose of placebo matched to MEDI4212 subcutaneous injection or intravenous infusion on Day 1.

A single flexible dose of omalizumab between 150 to 375 milligram (mg) injection based upon participant's Immunoglobulin E (IgE) levels and body weight subcutaneously on Day 1.

A single dose of MEDI4212 5 mg injection subcutaneously on Day 1.

A single dose of MEDI4212 15 mg injection subcutaneously on Day 1.

A single dose of MEDI4212 60 mg injection subcutaneously on Day 1.

A single dose of MEDI4212 150 mg injection subcutaneously on Day 1.

A single dose of MEDI4212 300 mg injection subcutaneously on Day 1.

A single dose of MEDI4212 300 mg intravenous infusion over 120 minutes on Day 1.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of study drug and up to Day 85 that were absent before treatment or that worsened relative to pre-treatment state.

Secondary Outcome Measures

Observed Serum Concentration
Serum concentration of omalizumab and MEDI4212 were measured for participants who received omalizumab and MEDI4212, respectively.
Number of Participants Exhibiting Anti-Drug Antibodies for MEDI4212 at Any Visit
Anti-drug antibodies for MEDI4212 were analyzed for participants who received placebo or MEDI4212 as per planned analysis.
Free Immunoglobulin E (IgE) Serum Concentration

Full Information

First Posted
January 31, 2012
Last Updated
December 18, 2014
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01544348
Brief Title
A Phase 1, Randomized, Placebo-controlled, Dose-escalation Safety Study of MEDI4212 in Subjects With IgE >= 30 IU/mL
Official Title
A Phase 1 Randomized, Placebo-controlled, Dose-escalation Study to Evaluate the Safety of MEDI4212 in Subjects With IgE >= 30 IU/mL
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Completed
Study Start Date
January 2012 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MedImmune LLC

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Phase 1 study to evaluate the safety of MEDI4212.
Detailed Description
A Phase 1, randomized, placebo-controlled, dose-escalation study to evaluate the safety and tolerability of ascending single subcutaneous and intravenous doses of MEDI4212 in subjects with immunoglobulin E (IgE) greater than or equal to (>=) 30 international units per milliliters (IU/mL).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Asthma, Atopic Dermatitis, Allergic Rhinitis, Healthy Volunteers
Keywords
Allergic, Atopic Dermatitis, MEDI4212

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
295 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
A single dose of placebo matched to MEDI4212 subcutaneous injection or intravenous infusion on Day 1.
Arm Title
Omalizumab
Arm Type
Active Comparator
Arm Description
A single flexible dose of omalizumab between 150 to 375 milligram (mg) injection based upon participant's Immunoglobulin E (IgE) levels and body weight subcutaneously on Day 1.
Arm Title
MEDI4212 5 mg Subcutaneous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 5 mg injection subcutaneously on Day 1.
Arm Title
MEDI4212 15 mg Subcutaneous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 15 mg injection subcutaneously on Day 1.
Arm Title
MEDI4212 60 mg Subcutaneous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 60 mg injection subcutaneously on Day 1.
Arm Title
MEDI4212 150 mg Subcutaneous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 150 mg injection subcutaneously on Day 1.
Arm Title
MEDI4212 300 mg Subcutaneous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 300 mg injection subcutaneously on Day 1.
Arm Title
MEDI4212 300 mg Intravenous
Arm Type
Experimental
Arm Description
A single dose of MEDI4212 300 mg intravenous infusion over 120 minutes on Day 1.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
A single dose of placebo matched to MEDI4212 subcutaneous injection or intravenous infusion on Day 1.
Intervention Type
Biological
Intervention Name(s)
Omalizumab
Other Intervention Name(s)
Xolair
Intervention Description
A single flexible dose of omalizumab between 150 to 375 milligram (mg) injection based upon participant's Immunoglobulin E (IgE) levels and body weight subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 5 mg Subcutaneous
Intervention Description
A single dose of MEDI4212 5 mg injection subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 15 mg Subcutaneous
Intervention Description
A single dose of MEDI4212 15 mg injection subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 60 mg Subcutaneous
Intervention Description
A single dose of MEDI4212 60 mg injection subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 150 mg Subcutaneous
Intervention Description
A single dose of MEDI4212 150 mg injection subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 300 mg Subcutaneous
Intervention Description
A single dose of MEDI4212 300 mg injection subcutaneously on Day 1.
Intervention Type
Biological
Intervention Name(s)
MEDI4212 300 mg Intravenous
Intervention Description
A single dose of MEDI4212 300 mg intravenous infusion over 120 minutes on Day 1.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Description
An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of study drug and up to Day 85 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Day 1 to 85
Secondary Outcome Measure Information:
Title
Observed Serum Concentration
Description
Serum concentration of omalizumab and MEDI4212 were measured for participants who received omalizumab and MEDI4212, respectively.
Time Frame
Pre-dose and post-dose on Day 1; Day 2, 3, 5, 8, 15, 22, 29, 43, 57 and 85
Title
Number of Participants Exhibiting Anti-Drug Antibodies for MEDI4212 at Any Visit
Description
Anti-drug antibodies for MEDI4212 were analyzed for participants who received placebo or MEDI4212 as per planned analysis.
Time Frame
Days 1 (pre-dose), 15, 43, and 85
Title
Free Immunoglobulin E (IgE) Serum Concentration
Time Frame
Day -28 (Screening), -1, 1 (pre-dose), 2, 3, 5, 8, 15, 22, 29, 43, 57, and 85 for all groups; 2 hours post-dose on Day 1 for MEDI4212 300 mg Intravenous group only

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18 through 60 years Written informed consent and any locally required authorization Body weight 45-150 kilogram (kg) for Cohorts 1-3, 4b, and 5-9. Body weight 45-90 kg for Cohort 4a Females must have been surgically sterilized or postmenopausal Non-sterilized males who are sexually active with a female partner of childbearing potential must use a highly effective method of contraception from Day 1 through Day 85; Both partners to use contraception Sterilized males must be at least 1-year post vasectomy or use a highly effective contraceptive method Healthy Japanese population as determined by a responsible physician Current diagnosis of allergic rhinitis, allergic asthma, or atopic dermatitis (cohorts 1-6) with a diagnostic immunoglobulin E (IgE) of 30 international units per milliliter (IU/mL) at Screening. Diagnostic IgE levels are further restricted for subjects enrolling into each cohort, with the following levels required at Screening: Cohorts 1 and 2: 30-700 IU/mL; Cohort 3: 30-700 IU/mL (4 subjects), greater than (>) 700-1,200 IU/mL (4 subjects), and >1,200 IU/mL (4 subjects); Cohort 4a: 30-500 IU/mL; Cohort 4b: >700 IU/mL; Cohorts 5 and 6: 30-700 IU/mL (4 subjects per cohort) and >700 IU/mL (6 subjects per cohort) or Japanese Cohorts 7-9: greater than or equal to (>=) 30 IU/mL Nonsmoker for >=6 months Obsolete criteria as no longer require Positive in vitro IgE fluorescence enzyme immunoassay (FEIA) response A forced expiration volume in one second (FEV1) >= 80 percent (%) predicted in subjects with asthma. Non-asthmatic subjects with FEV1 >=80% predicted, or with FEV1 less than (<) 80% predicted but who, in the opinion of the investigator, do not have lung disease Ability and willingness to complete the follow-up period through Day 85 as required by the protocol. Exclusion Criteria: Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results Concurrent enrollment in another clinical study Employees of the clinical study site or any other individuals involved with the conduct of the study, or immediate family members of such individuals Exposure to an anti-IgE monoclonal antibodies (MAb) within 12 months prior to Screening Positive drug screen at Screening or Day -1. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids, and benzodiazepines History of regular alcohol abuse within 12 months prior to Screening History of sensitivity to any component of the investigational product formulation or a history of drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates their participation Subjects with abnormal liver function test values (aspartate transaminase [AST] and alanine transaminase [ALT]) at Screening as defined as follows: a) Liver function test values >= 1.5 times upper limit of normal (ULN) Unwillingness or inability to follow the procedures outlined in the protocol Positive test or history of hepatitis B or positive hepatitis C Positive test or history of human immunodeficiency virus (HIV) or subject is known to be HIV seropositive History of cancer, with the exception of basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success Women who are pregnant, breastfeeding, or lactating Plans to donate blood during the study period Hyper-IgE syndrome or bronchopulmonary aspergillosis Prior history of Immune Complex Disease or type 3 hypersensitivity reactions to MAb administration Known history of prior infusion reaction to MAb administration History of untreated parasitic/helminthic infection within 6 months prior to Screening Uses any of the following medications: a) Oral corticosteroids b) Medium to high dose Immunocorticosteroids (ICS)/ long-acting beta agonists (LABA) c) Immunosuppressives d) Beta blockers If receiving allergy immunotherapy, must be on stable dose for 3 months. Must not receive allergy immunotherapy within 7 days of investigational product administration.
Facility Information:
Facility Name
Research Site
City
Cypress
State/Province
California
Country
United States
Facility Name
Research Site
City
Glendale
State/Province
California
Country
United States
Facility Name
Research Site
City
Denver
State/Province
Colorado
Country
United States
Facility Name
Research Site
City
Miami
State/Province
Florida
Country
United States
Facility Name
Research Site
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Research Site
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
Research Site
City
Madison
State/Province
Wisconsin
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
26843086
Citation
Sheldon E, Schwickart M, Li J, Kim K, Crouch S, Parveen S, Kell C, Birrell C. Pharmacokinetics, Pharmacodynamics, and Safety of MEDI4212, an Anti-IgE Monoclonal Antibody, in Subjects with Atopy: A Phase I Study. Adv Ther. 2016 Feb;33(2):225-51. doi: 10.1007/s12325-016-0287-8. Epub 2016 Feb 3.
Results Reference
derived

Learn more about this trial

A Phase 1, Randomized, Placebo-controlled, Dose-escalation Safety Study of MEDI4212 in Subjects With IgE >= 30 IU/mL

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