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Phase I BP Interferon (IFN) Beta-004

Primary Purpose

Multiple Sclerosis, Relapsing-Remitting

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Interferon beta-1a HSA-free biosimilar
Interferon beta-1a HSA+ biosimilar
Interferon beta-1a original
Sponsored by
Centre Hospitalier Universitaire Vaudois
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis, Relapsing-Remitting

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male and female subjects aged between 18 and 45 years
  • Weight range between 55 and 95 kg for males, 45 and 80 kg for females, providing body mass index (BMI) was between 18 and 29 kg/m2
  • Absence of significant findings in the medical history and physical examination
  • Absence of significant laboratory abnormalities as judged by the investigator.
  • 12-lead ECG without significant abnormalities
  • Negative urine drug screen

Exclusion Criteria:

  • History of major renal, hepatic, immunological, haematological, gastrointestinal, genitourinary, neurological, or rheumatological disorders
  • Active diseases of any type, even if mild, including inflammatory disorders and infections.
  • Pregnant or lactating women or women contemplating becoming pregnant during study. Female subjects of child-bearing potential who did not practice efficient contraception during the study. A pregnancy test in blood was performed at screening and before each period with β-human chorionic gonadotropin for females of child-bearing potential. If pregnancy test was positive, the subject had to be immediately excluded from study and followed until delivery
  • History of severe allergy or of asthma at any time.
  • History of cardiovascular dysfunction
  • Hypertension
  • Sick sinus syndrome or known long QT syndrome
  • Presence of QTc  > 440 msec or pronounced sinus bradycardia (<40 bpm/min), even if elicited by sport
  • Dark skin preventing local tolerance assessment or abnormal cutaneous reaction e.g. urticaria or papular dermographism
  • Intense sport activities.
  • Any clinically significant laboratory value on screening that were not within normal range on single repeat
  • Positive hepatitis B & C antigen screen
  • Positive HIV antibody screen or screen not performed
  • Any recent acute illness or sequelae thereof which could expose the subject to a higher risk or might confound the results of the study
  • Treatment in the previous three months with any drug known to have well-defined potential for toxicity to a major organ
  • History of hypersensitivity to any drug if considered as serious
  • History of alcohol or drug abuse
  • Positive qualitative urine drug test at screening
  • Use of any medication in 2 weeks prior to study and throughout study, including aspirin or other over-the-counter preparation.
  • Blood (500 mL) donation or hemorrhage during the previous three months
  • Participation in a clinical trial in the previous 3 months
  • Smoking
  • Consumption of a large quantity of coffee, tea or equivalent
  • Present consumption of a large quantity of alcohol or wine or equivalent
  • Psychological status which could have had an impact on subject's ability to give informed consent or behavioral tests
  • Any feature of subject's medical history or present condition which, in the investigator's opinion, could confound the results of the study, complicate its interpretation, or represent a potential risk for the subject

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Experimental

    Active Comparator

    Arm Label

    Part A: Interferon beta-1a in HSA-free solution

    Part A: Interferon beta-1a combined with HSA+ solution

    Part A: Interferon beta-1a in marketed HSA+ solution

    Part B: Interferon beta-1a in HSA-free solution

    Part B: Interferon beta-1a in marketed HSA+ solution

    Arm Description

    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU biosimilar interferon beta-1a without albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.

    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU biosimilar interferon beta-1a with albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.

    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU original interferon beta-1a with albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.

    Twelve additional volunteers will participate in part B, receiving 4 x 18 MIU biosimilar interferon beta-1a with albumin as s.c. doses at 48 hours intervals as 3 pre-filled syringes (3 sites 1 cm apart in abdominal wall on each dosing day, alternating right side for odd dose [i.e. dose 1 and 3] and left side for even dose [i.e. dose 2 and 4]).

    Part B: Twelve additional volunteers will participate in part B, receiving 4 x 18 MIU original interferon beta-1a with albumin as s.c. doses at 48 hours intervals as 3 pre-filled syringes (3 sites 1 cm apart in abdominal wall on each dosing day, alternating right side for odd dose [i.e. dose 1 and 3] and left side for even dose [i.e. dose 2 and 4]).

    Outcomes

    Primary Outcome Measures

    Composite of interferon beta-1a PK parameters
    Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC[0-inf]) and maximum observed concentration (Cmax) following single dose administration, as well as time to Cmax (tmax; for s.c. injection) will be assessed. Mean residence time (MRT), half-life of elimination (t1/2), clearance (CL), and volume of distribution at steady-state (Vss) will be calculated.

    Secondary Outcome Measures

    Serum concentration of neopterin (PD marker)
    Assessment by ELISA after i.v. and after s.c
    Number of participants with adverse events (AE)/serious adverse event (SAE) as a measure of safety and tolerability
    AE/SAE will be collected from the start of study treatment and until the follow-up visit
    Composite of local reactions as a measure of local tolerance
    Any local symptoms rated as moderate (grade 3 for i.v. and 2 for s.c.) or severe (grade 4 and 5 for i.v.; grade 3 for s.c.) will be reported as an adverse event. The subjective painful sensation following injection of the drug will be assessed using a visual analogue scale (VAS)
    Composite of clinical laboratory tests as a measure of safety and tolerability
    Clinical laboratory tests will include hematology, clinical chemistry and urinalysis
    Composite of vital signs as a measure of safety and tolerability
    Vital signs will include body temperature, blood pressure and heart rate
    Sickness behavior assessment
    Four parameters will be recorded (general feeling, headache, muscle ache, mood)
    Electrocardiogram (ECG) as a measure of safety and tolerability
    Twelve-lead ECG will be recorded

    Full Information

    First Posted
    August 5, 2015
    Last Updated
    August 7, 2015
    Sponsor
    Centre Hospitalier Universitaire Vaudois
    Collaborators
    BioPartners GmbH
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02517788
    Brief Title
    Phase I BP Interferon (IFN) Beta-004
    Official Title
    Comparative Pharmacokinetic Profile of Interferon Beta-1a (Bioferon®) Administered as Single i.v. Doses in HSA-free Formulation and HSA+ Solution and as Multiple s.c. Doses in Healthy Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2006 (undefined)
    Primary Completion Date
    July 2006 (Actual)
    Study Completion Date
    July 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Centre Hospitalier Universitaire Vaudois
    Collaborators
    BioPartners GmbH

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Phase I study aiming at: establishing the pharmacokinetic profile of interferon beta-1a after i.v. administration of the formulation BioPartners IFN beta-1a without albumin (HSA-free solution in pre-filled syringes) at 18 MIU; investigating the possible impact of albumin on pharmacokinetic profile by comparing 3 different i.v. formulations: BioPartners IFN beta-1a without albumin (HSA-free solution in pre-filled syringes), BioPartners IFN beta-1a with added albumin (HSA+), and Rebif® from Merck-Serono, a registered IFN beta-1a solution containing HSA; establishing the steady state pharmacokinetic profile of BioPartners IFN beta-1a in HSA-free solution after 4 subsequent s.c. doses of 18 MIU given at 48 hour intervals against Rebif® using the same regimen.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Multiple Sclerosis, Relapsing-Remitting

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    24 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Part A: Interferon beta-1a in HSA-free solution
    Arm Type
    Experimental
    Arm Description
    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU biosimilar interferon beta-1a without albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.
    Arm Title
    Part A: Interferon beta-1a combined with HSA+ solution
    Arm Type
    Experimental
    Arm Description
    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU biosimilar interferon beta-1a with albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.
    Arm Title
    Part A: Interferon beta-1a in marketed HSA+ solution
    Arm Type
    Active Comparator
    Arm Description
    Twelve subjects will participate in 3 periods of part A, receiving 18 MIU original interferon beta-1a with albumin as i.v. bolus into a distal port under constant saline infusion as 3 treatments.
    Arm Title
    Part B: Interferon beta-1a in HSA-free solution
    Arm Type
    Experimental
    Arm Description
    Twelve additional volunteers will participate in part B, receiving 4 x 18 MIU biosimilar interferon beta-1a with albumin as s.c. doses at 48 hours intervals as 3 pre-filled syringes (3 sites 1 cm apart in abdominal wall on each dosing day, alternating right side for odd dose [i.e. dose 1 and 3] and left side for even dose [i.e. dose 2 and 4]).
    Arm Title
    Part B: Interferon beta-1a in marketed HSA+ solution
    Arm Type
    Active Comparator
    Arm Description
    Part B: Twelve additional volunteers will participate in part B, receiving 4 x 18 MIU original interferon beta-1a with albumin as s.c. doses at 48 hours intervals as 3 pre-filled syringes (3 sites 1 cm apart in abdominal wall on each dosing day, alternating right side for odd dose [i.e. dose 1 and 3] and left side for even dose [i.e. dose 2 and 4]).
    Intervention Type
    Drug
    Intervention Name(s)
    Interferon beta-1a HSA-free biosimilar
    Other Intervention Name(s)
    Bioferon®
    Intervention Description
    6 MIU/0.53 mL in pre-filled glass syringe solubilized in aqueous isotonic buffered solution without albumin
    Intervention Type
    Drug
    Intervention Name(s)
    Interferon beta-1a HSA+ biosimilar
    Other Intervention Name(s)
    Bioferon®
    Intervention Description
    6 MIU/0.53 mL in pre-filled glass syringe solubilized in aqueous isotonic buffered solution combined with albumin solution
    Intervention Type
    Drug
    Intervention Name(s)
    Interferon beta-1a original
    Other Intervention Name(s)
    Rebif®
    Intervention Description
    6 MIU/0.50 mL in pre-filled glass syringe solubilized in HSA and mannitol solution (marketed formulation)
    Primary Outcome Measure Information:
    Title
    Composite of interferon beta-1a PK parameters
    Description
    Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC[0-inf]) and maximum observed concentration (Cmax) following single dose administration, as well as time to Cmax (tmax; for s.c. injection) will be assessed. Mean residence time (MRT), half-life of elimination (t1/2), clearance (CL), and volume of distribution at steady-state (Vss) will be calculated.
    Time Frame
    Part A: 0, 2, 5, 10, 15, 20 [min post-dose] and 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 24 [hours post-dose] / Part B: 0, 1, 2, 3, 4, 6, 12 [hours post-doses] and 0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168 [hours post-last dose] (Day 7)
    Secondary Outcome Measure Information:
    Title
    Serum concentration of neopterin (PD marker)
    Description
    Assessment by ELISA after i.v. and after s.c
    Time Frame
    Part A: 0, 6, 12, 24, 48, 72, 168 [hours post-doses] / Part B: 0, 6, 12 [hours post-doses] and 0, 6, 12, 24, 48, 72, 96, 120, 144, 168 [hours post-last dose] (Day 7)
    Title
    Number of participants with adverse events (AE)/serious adverse event (SAE) as a measure of safety and tolerability
    Description
    AE/SAE will be collected from the start of study treatment and until the follow-up visit
    Time Frame
    Up to Day 7
    Title
    Composite of local reactions as a measure of local tolerance
    Description
    Any local symptoms rated as moderate (grade 3 for i.v. and 2 for s.c.) or severe (grade 4 and 5 for i.v.; grade 3 for s.c.) will be reported as an adverse event. The subjective painful sensation following injection of the drug will be assessed using a visual analogue scale (VAS)
    Time Frame
    Part A: 0, 0.5, 1, 2, 4, 6, 8, 10, 12, 24 [hours post-dose] and longer if needed and until resolution in case of local reaction / Part B: 0, 1, 2, 4, 6, 12 [hours post-dose] on Day 1 and 7, else daily up to Day 9 longer until resolution
    Title
    Composite of clinical laboratory tests as a measure of safety and tolerability
    Description
    Clinical laboratory tests will include hematology, clinical chemistry and urinalysis
    Time Frame
    Screening and 0, 24 [hours post-doses]
    Title
    Composite of vital signs as a measure of safety and tolerability
    Description
    Vital signs will include body temperature, blood pressure and heart rate
    Time Frame
    Part A: Screening and 0, 1, 2, 3, 4, 6, 8, 10, 12, 24 [hours post-dose] / Part B: Screening and 0, 1, 2, 3, 4, 6, 12 [hours post-doses], as well as 0, 1, 2, 3, 4, 6, 8, 12, 24 [hours post-last dose] (Day 7)
    Title
    Sickness behavior assessment
    Description
    Four parameters will be recorded (general feeling, headache, muscle ache, mood)
    Time Frame
    Part A: 0, 2, 4, 6, 8, 10, 12 [hours post-dose] / Part B: 0, 1, 2, 4, 6, 12 [hours post-dose], as well as 24, 48, 72 [hours post-last dose] (Day 7)
    Title
    Electrocardiogram (ECG) as a measure of safety and tolerability
    Description
    Twelve-lead ECG will be recorded
    Time Frame
    Screening and 0, 3 [hours post-dose]

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male and female subjects aged between 18 and 45 years Weight range between 55 and 95 kg for males, 45 and 80 kg for females, providing body mass index (BMI) was between 18 and 29 kg/m2 Absence of significant findings in the medical history and physical examination Absence of significant laboratory abnormalities as judged by the investigator. 12-lead ECG without significant abnormalities Negative urine drug screen Exclusion Criteria: History of major renal, hepatic, immunological, haematological, gastrointestinal, genitourinary, neurological, or rheumatological disorders Active diseases of any type, even if mild, including inflammatory disorders and infections. Pregnant or lactating women or women contemplating becoming pregnant during study. Female subjects of child-bearing potential who did not practice efficient contraception during the study. A pregnancy test in blood was performed at screening and before each period with β-human chorionic gonadotropin for females of child-bearing potential. If pregnancy test was positive, the subject had to be immediately excluded from study and followed until delivery History of severe allergy or of asthma at any time. History of cardiovascular dysfunction Hypertension Sick sinus syndrome or known long QT syndrome Presence of QTc  > 440 msec or pronounced sinus bradycardia (<40 bpm/min), even if elicited by sport Dark skin preventing local tolerance assessment or abnormal cutaneous reaction e.g. urticaria or papular dermographism Intense sport activities. Any clinically significant laboratory value on screening that were not within normal range on single repeat Positive hepatitis B & C antigen screen Positive HIV antibody screen or screen not performed Any recent acute illness or sequelae thereof which could expose the subject to a higher risk or might confound the results of the study Treatment in the previous three months with any drug known to have well-defined potential for toxicity to a major organ History of hypersensitivity to any drug if considered as serious History of alcohol or drug abuse Positive qualitative urine drug test at screening Use of any medication in 2 weeks prior to study and throughout study, including aspirin or other over-the-counter preparation. Blood (500 mL) donation or hemorrhage during the previous three months Participation in a clinical trial in the previous 3 months Smoking Consumption of a large quantity of coffee, tea or equivalent Present consumption of a large quantity of alcohol or wine or equivalent Psychological status which could have had an impact on subject's ability to give informed consent or behavioral tests Any feature of subject's medical history or present condition which, in the investigator's opinion, could confound the results of the study, complicate its interpretation, or represent a potential risk for the subject
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jérôme Biollaz, MD
    Organizational Affiliation
    Centre Hospitalier Universitaire Vaudois
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    27423899
    Citation
    Perrottet N, Brunner-Ferber F, Grouzmann E, Spertini F, Biollaz J, Buclin T, Widmer N. Biases affecting injected doses of an experimental drug during clinical trials. Trials. 2016 Jul 16;17(1):321. doi: 10.1186/s13063-016-1463-5.
    Results Reference
    derived

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    Phase I BP Interferon (IFN) Beta-004

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