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A Study of Tralokinumab When Delivered Subcutaneously at Different Flow Rates to Healthy Volunteers

Primary Purpose

Asthma, Healthy Subjects or Volunteers

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Tralokinumab 300 mg
Sponsored by
MedImmune LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Asthma focused on measuring Asthma, Healthy Subjects or Volunteers, Tralokinumab, CAT-354

Eligibility Criteria

19 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria:

  • Healthy males and females ages 19-65 years
  • Body mass index of 19.0-30.0 kilogram per meter square (kg/m^2)
  • No clinically significant abnormality
  • Vital signs, electrocardiogram (ECG), and laboratory parameters within normal range
  • Negative alcohol and drug screens
  • Females of childbearing potential who are sexually active with a nonsterilized male partner must use highly effective contraception
  • Nonsterilized males who are sexually active with a female partner of childbearing potential must use highly effective contraception.

Key Exclusion Criteria:

  • Concurrent enrollment in another clinical study where the subject is receiving an investigational product
  • Receipt of any marketed or investigational biologic agent within 4 months or 5 half-lives prior to screening, whichever is longer
  • Receipt of any investigational nonbiologic agent within 3 months or 5 half-lives prior to screening, whichever is longer
  • Current use of regular pain-modifying, anti-depressant, anxiolytic, or hypnotic medication
  • History of thrombocytopenia or bleeding disorder or use of anticoagulants
  • History of any immunodeficiency disorder or use of immunosuppressive medication.
  • History of a clinically significant infection
  • History of cancer
  • Positive Hepatitis B or C
  • Positive HIV

Sites / Locations

  • Celerion
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'W' mL/min.

Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'X' mL/min.

Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'Y' mL/min.

Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'Z' mL/min.

Outcomes

Primary Outcome Measures

Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity])
AUC (0 - infinity) = Area under the serum concentration versus time curve (AUC) from time zero to infinite time, obtained from AUC (0 - t) plus AUC (t - infinity). Units are day*micrograms per millilitres = day*mcg/mL.
Maximum Observed Serum Concentration (Cmax)
The Cmax is the maximum observed serum concentration of tralokinumab.
Time to Maximum Concentration (Tmax)
Tmax is defined as actual sampling time to reach maximum observed tralokinumab concentration.
Area Under the Concentration-Time Curve From Zero to Last Measurable Concentration (AUC [0-t])
AUC [0-t] is defined as area under the serum concentration-time curve from zero to last observed tralokinumab concentration.
Terminal Elimination Half-life (t1/2)
Terminal elimination half-life is the time measured for the serum concentration to decrease by one half. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Apparent Systemic Clearance (CL/F) After Subcutaneous Dose
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after subcutaneous dose (apparent systemic clearance) is influenced by the fraction of the dose absorbed (bioavailability).
Apparent Terminal-Phase Volume of Distribution (Vz/F)
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.

Secondary Outcome Measures

Local Injection-Site Pain and Injection-Site Pruritus
Local injection-site pain and pruritus intensity was rated on 0 to 100 millimeter (mm) visual analogue scale (VAS) at various time points, where 0 = no pain/ no pruritus; 100 = most severe pain/ most severe pruritus. Injection site pruritus intensity was assessed by the blinded assessor. Higher the score indicated higher intensity of pain and pruritus. Local injection site pain and pruritus was assessed at below time-points: 1 and 6 minute (min) during investigational product administration (IPA); immediately post IPA, 10, 20, 30, and 60 min, 2, 4, 8, 24 and 72 hour (h) post IPA.
Number of Participants Reporting Local Injection-Site Reactions
The signs and/or symptoms of local injection-site reactions including erythema, hematoma or bleeding, local warmth, swelling, and/or rash occurring within 72 hours post-injection were assessed and recorded by a blinded assessor.
Number of Participants Reporting 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 and important medical event. Treatment-emergent were events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants Reporting Treatment-emergent Adverse Events Related to Physical Examination
The treatment-emergent adverse events related to physical examination were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants Reporting Treatment-emergent Adverse Events Related to Vital Signs
Vital signs included systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate and temperature. The treatment-emergent adverse events related to vital signs were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants Reporting Treatment-emergent Adverse Events in Laboratory Parameters
Laboratory parameters included hematology, serum chemistry and urinalysis. The treatment-emergent adverse events in laboratory parameters were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants Exhibiting Anti-Drug Antibodies for Tralokinumab at Any Visit
Immunogenicity assessment included determination of anti-drug antibodies to tralokinumab (CAT-354) antibodies in serum samples.

Full Information

First Posted
March 11, 2014
Last Updated
December 5, 2018
Sponsor
MedImmune LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02085473
Brief Title
A Study of Tralokinumab When Delivered Subcutaneously at Different Flow Rates to Healthy Volunteers
Official Title
A Phase 1 Study to Evaluate the Pharmacokinetics and Tolerability of a Single Subcutaneous Dose of Tralokinumab When Delivered as a 2 mL Injection at Different Flow Rates to Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
March 19, 2014 (Actual)
Primary Completion Date
July 10, 2014 (Actual)
Study Completion Date
July 10, 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the pharmacokinetics (PK) and tolerability of tralokinumab when delivered subcutaneously at different flow rates to healthy volunteers.
Detailed Description
This is a Phase 1, open-label, assessor-blind, parallel-group study to evaluate the PK and tolerability of a single subcutaneous dose of 300 milligram (mg) tralokinumab when delivered as a 2 milliliters (mL) injection at different flow rates to healthy adult volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma, Healthy Subjects or Volunteers
Keywords
Asthma, Healthy Subjects or Volunteers, Tralokinumab, CAT-354

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Active Comparator
Arm Description
Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'W' mL/min.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'X' mL/min.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'Y' mL/min.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Participants received 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at a flow rate of 'Z' mL/min.
Intervention Type
Biological
Intervention Name(s)
Tralokinumab 300 mg
Other Intervention Name(s)
CAT-354
Intervention Description
Participants will receive 300 milligram (mg) tralokinumab when delivered as a 2 milliliter (mL) subcutaneous injection at different flow rates.
Primary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity])
Description
AUC (0 - infinity) = Area under the serum concentration versus time curve (AUC) from time zero to infinite time, obtained from AUC (0 - t) plus AUC (t - infinity). Units are day*micrograms per millilitres = day*mcg/mL.
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Maximum Observed Serum Concentration (Cmax)
Description
The Cmax is the maximum observed serum concentration of tralokinumab.
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Time to Maximum Concentration (Tmax)
Description
Tmax is defined as actual sampling time to reach maximum observed tralokinumab concentration.
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Area Under the Concentration-Time Curve From Zero to Last Measurable Concentration (AUC [0-t])
Description
AUC [0-t] is defined as area under the serum concentration-time curve from zero to last observed tralokinumab concentration.
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Terminal Elimination Half-life (t1/2)
Description
Terminal elimination half-life is the time measured for the serum concentration to decrease by one half. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Apparent Systemic Clearance (CL/F) After Subcutaneous Dose
Description
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after subcutaneous dose (apparent systemic clearance) is influenced by the fraction of the dose absorbed (bioavailability).
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Title
Apparent Terminal-Phase Volume of Distribution (Vz/F)
Description
Volume of distribution was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.
Time Frame
Day 1 (pre-dose sample collected within 30 minutes prior to study drug administration), Days 2, 4, 6, 8, 10, 15, 22, 36, and 57 post-dose
Secondary Outcome Measure Information:
Title
Local Injection-Site Pain and Injection-Site Pruritus
Description
Local injection-site pain and pruritus intensity was rated on 0 to 100 millimeter (mm) visual analogue scale (VAS) at various time points, where 0 = no pain/ no pruritus; 100 = most severe pain/ most severe pruritus. Injection site pruritus intensity was assessed by the blinded assessor. Higher the score indicated higher intensity of pain and pruritus. Local injection site pain and pruritus was assessed at below time-points: 1 and 6 minute (min) during investigational product administration (IPA); immediately post IPA, 10, 20, 30, and 60 min, 2, 4, 8, 24 and 72 hour (h) post IPA.
Time Frame
During the injection until 72 hours post-injection for injection site-pain and immediately after administration of injection until 72 hours for injection-site pruritus
Title
Number of Participants Reporting Local Injection-Site Reactions
Description
The signs and/or symptoms of local injection-site reactions including erythema, hematoma or bleeding, local warmth, swelling, and/or rash occurring within 72 hours post-injection were assessed and recorded by a blinded assessor.
Time Frame
0, 10, 20, 30 and 60 minutes, 2, 4, 8, 24 and 72 hours post-injection
Title
Number of Participants Reporting 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 and important medical event. Treatment-emergent were events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
From start of study drug administration up to Day 57
Title
Number of Participants Reporting Treatment-emergent Adverse Events Related to Physical Examination
Description
The treatment-emergent adverse events related to physical examination were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Day 1 to Day 57
Title
Number of Participants Reporting Treatment-emergent Adverse Events Related to Vital Signs
Description
Vital signs included systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate and temperature. The treatment-emergent adverse events related to vital signs were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Day 1 to Day 57
Title
Number of Participants Reporting Treatment-emergent Adverse Events in Laboratory Parameters
Description
Laboratory parameters included hematology, serum chemistry and urinalysis. The treatment-emergent adverse events in laboratory parameters were reported as per investigator discretion. Treatment-emergent were the events between administration of study drug and up to Day 57 that were absent before treatment or that worsened relative to pre-treatment state.
Time Frame
Day 1 to Day 57
Title
Number of Participants Exhibiting Anti-Drug Antibodies for Tralokinumab at Any Visit
Description
Immunogenicity assessment included determination of anti-drug antibodies to tralokinumab (CAT-354) antibodies in serum samples.
Time Frame
Pre-dose on Day 1 and Day 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Healthy males and females ages 19-65 years Body mass index of 19.0-30.0 kilogram per meter square (kg/m^2) No clinically significant abnormality Vital signs, electrocardiogram (ECG), and laboratory parameters within normal range Negative alcohol and drug screens Females of childbearing potential who are sexually active with a nonsterilized male partner must use highly effective contraception Nonsterilized males who are sexually active with a female partner of childbearing potential must use highly effective contraception. Key Exclusion Criteria: Concurrent enrollment in another clinical study where the subject is receiving an investigational product Receipt of any marketed or investigational biologic agent within 4 months or 5 half-lives prior to screening, whichever is longer Receipt of any investigational nonbiologic agent within 3 months or 5 half-lives prior to screening, whichever is longer Current use of regular pain-modifying, anti-depressant, anxiolytic, or hypnotic medication History of thrombocytopenia or bleeding disorder or use of anticoagulants History of any immunodeficiency disorder or use of immunosuppressive medication. History of a clinically significant infection History of cancer Positive Hepatitis B or C Positive HIV
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barbara Cook, MD
Organizational Affiliation
Celerion
Official's Role
Principal Investigator
Facility Information:
Facility Name
Celerion
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States
Facility Name
Research Site
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28590244
Citation
Jain M, Doughty D, Clawson C, Li X, White N, Agoram B, van der Merwe R. Tralokinumab pharmacokinetics and tolerability when administered by different subcutaneous injection methods and rates . Int J Clin Pharmacol Ther. 2017 Jul;55(7):606-620. doi: 10.5414/CP203023.
Results Reference
background
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=2689&filename=128095_Jain%20IJCPT_fully%20redacted%20protocol_23June17_Redacted.pdf
Description
Redacted Protocol

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A Study of Tralokinumab When Delivered Subcutaneously at Different Flow Rates to Healthy Volunteers

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