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An Open-Label, Dose Escalation Study to Evaluate the Safety and the Pharmacokinetics of Oral PRX-112

Primary Purpose

Gaucher Disease

Status
Completed
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
PRX-112
Sponsored by
Protalix
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gaucher Disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female age 18 or older
  • Historical diagnosis of Gaucher disease by low leukocyte GCD activity level
  • Haemoglobin ≥ 10 g/dL
  • Body mass index (BMI) of 18 kg/m2-30 kg/m2 inclusive
  • Subject is able to provide written informed consent
  • Female subjects of child bearing potential must not be pregnant or lactating with a negative urine pregnancy test result at the screening visit.
  • Female subjects of child-bearing potential and male subjects with female partners of childbearing potential must use two methods of contraception at all times during the study, one of which must be a barrier method. Acceptable methods of contraception are oral contraceptives, barrier methods (male condom, female condom, diaphragm, cervical cap, spermicide or intrauterine device), surgical sterility (documented doctor's report of vasectomy, hysterectomy and/or bilateral oophorectomy) and/or postmenopausal status (defined as at least 1 year without menses as demonstrated by medical history or subject report).
  • Negative laboratory tests for HIV, HBsAg and HCV at the screening visit
  • Naïve to any previous ERT or have received the last ERT treatment 12 months before signing IC

Exclusion Criteria:

  • Presence of a gastrointestinal (GI) disease affecting motility or absorption
  • Subjects with any history of allergic response to biological drugs or other allergies deemed clinically significant by the Investigator
  • Reported history of alcohol or drug abuse
  • Subject has donated blood in the 3 months prior to screening or subject has received plasma derivatives in the 6 months prior to screening
  • Use of any investigational drug or participation in another clinical trial in the 3 months prior to screening (subject report)
  • Subjects who have previously received ERT with positive anti-human plant recombinant GCD (prGCD) antibodies
  • Clinical evidence of any active significant disease that could potentially compromise the ability of the Investigator to evaluate or interpret the effects of the study treatment on safety assessment, thus increasing the risk to the subject to unacceptable levels
  • Presence of any medical, emotional, behavioural or psychological condition that, in the judgement of the Investigator, would interfere the compliance requirements of the study
  • Subject has used any medication (excluding acetaminophen or dyprione) within 7 days of screening, including laxatives, teas and food additives known to be used for the treatment of constipation or diarrhea

Sites / Locations

  • Shaare Zedek Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

50 Units

100 Units

200 Units

400 Units

Arm Description

PRX-112 50 Units daily for 5 days

PRX-112 100 Units daily for 5 days

PRX-112 200 Units daily for 5 days

PRX-112 400 Units daily for 5 days

Outcomes

Primary Outcome Measures

Area under the curve
Blood samples for GCD level every 2 hours for 24 hours
Adverse Events
Reporting of adverse events collected daily

Secondary Outcome Measures

Full Information

First Posted
April 4, 2014
Last Updated
September 27, 2016
Sponsor
Protalix
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1. Study Identification

Unique Protocol Identification Number
NCT02107846
Brief Title
An Open-Label, Dose Escalation Study to Evaluate the Safety and the Pharmacokinetics of Oral PRX-112
Official Title
A Phase 2a, Open-Label, Sequential Dose Escalation Study to Evaluate the Safety and the Pharmacokinetics of Oral PRX-112 (Plant Recombinant Human Glucocerebrosidase) in Enzyme Replacement Therapy-Naïve Subjects With Gaucher Disease
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Protalix

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open-label, dose escalation study to evaluate the safety of oral PRX-112 and pharmacokinetics of GCD in subjects with Gaucher disease naive to enzyme replacement therapy. The dose levels of PRX-112 are 50 units, 100 units, 200 units and 400 units GCD. Subjects will receive once daily oral administrations of PRX-112 for 5 consecutive days at each dose level with a 2-day washout period between doses.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gaucher Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
50 Units
Arm Type
Experimental
Arm Description
PRX-112 50 Units daily for 5 days
Arm Title
100 Units
Arm Type
Experimental
Arm Description
PRX-112 100 Units daily for 5 days
Arm Title
200 Units
Arm Type
Experimental
Arm Description
PRX-112 200 Units daily for 5 days
Arm Title
400 Units
Arm Type
Experimental
Arm Description
PRX-112 400 Units daily for 5 days
Intervention Type
Drug
Intervention Name(s)
PRX-112
Other Intervention Name(s)
Carrot Cells Expressing Recombinant Human Glucocerebrosidase
Primary Outcome Measure Information:
Title
Area under the curve
Description
Blood samples for GCD level every 2 hours for 24 hours
Time Frame
24 hours
Title
Adverse Events
Description
Reporting of adverse events collected daily
Time Frame
7 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female age 18 or older Historical diagnosis of Gaucher disease by low leukocyte GCD activity level Haemoglobin ≥ 10 g/dL Body mass index (BMI) of 18 kg/m2-30 kg/m2 inclusive Subject is able to provide written informed consent Female subjects of child bearing potential must not be pregnant or lactating with a negative urine pregnancy test result at the screening visit. Female subjects of child-bearing potential and male subjects with female partners of childbearing potential must use two methods of contraception at all times during the study, one of which must be a barrier method. Acceptable methods of contraception are oral contraceptives, barrier methods (male condom, female condom, diaphragm, cervical cap, spermicide or intrauterine device), surgical sterility (documented doctor's report of vasectomy, hysterectomy and/or bilateral oophorectomy) and/or postmenopausal status (defined as at least 1 year without menses as demonstrated by medical history or subject report). Negative laboratory tests for HIV, HBsAg and HCV at the screening visit Naïve to any previous ERT or have received the last ERT treatment 12 months before signing IC Exclusion Criteria: Presence of a gastrointestinal (GI) disease affecting motility or absorption Subjects with any history of allergic response to biological drugs or other allergies deemed clinically significant by the Investigator Reported history of alcohol or drug abuse Subject has donated blood in the 3 months prior to screening or subject has received plasma derivatives in the 6 months prior to screening Use of any investigational drug or participation in another clinical trial in the 3 months prior to screening (subject report) Subjects who have previously received ERT with positive anti-human plant recombinant GCD (prGCD) antibodies Clinical evidence of any active significant disease that could potentially compromise the ability of the Investigator to evaluate or interpret the effects of the study treatment on safety assessment, thus increasing the risk to the subject to unacceptable levels Presence of any medical, emotional, behavioural or psychological condition that, in the judgement of the Investigator, would interfere the compliance requirements of the study Subject has used any medication (excluding acetaminophen or dyprione) within 7 days of screening, including laxatives, teas and food additives known to be used for the treatment of constipation or diarrhea
Facility Information:
Facility Name
Shaare Zedek Medical Center
City
Jerusalem
Country
Israel

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

An Open-Label, Dose Escalation Study to Evaluate the Safety and the Pharmacokinetics of Oral PRX-112

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