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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of ABY-035

Primary Purpose

Psoriasis, Healthy Subjects

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Placebo
ABY-035 i.v.
ABY-035 s.c.
Sponsored by
Affibody
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis

Eligibility Criteria

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

Inclusion Criteria:

Part A, Part B

  • Males or females between 18 and 65 years of age
  • Body mass index (BMI) between 18.0 kg/m2 and 32.0 kg/m2, inclusive. maximum body weight of 120 kg
  • In good health, as determined by medical history, physical examination, vital signs assessment, 12 lead electrocardiogram (ECG) and clinical laboratory evaluations.
  • Subjects will have given their written informed consent to participate in the study

In addition for Part C and D

  • Males or females between 18 and 65 years of age
  • Body mass index (BMI) between 18.0 kg/m2 and 39.9 kg/m2, inclusive. Minimum body weight of 45 kg
  • Part C: Patients must have had a diagnosis of moderate to severe plaque type psoriasis at least 6 months prior to administration of the study drug without a documented flare within 30 days prior to Screening. Patients with concurrent psoriatic arthritis may be enrolled.
  • Part D: Patients must have had a diagnosis of plaque type psoriasis (mild, moderate or severe) at least 6 months prior to administration of the study drug without a documented flare within 30 days prior to Screening. Patients with concurrent psoriatic arthritis may be enrolled.
  • Part C: Have plaque type psoriasis covering at least 10% of total body surface area (BSA) at Screening and at Baseline (Day 1) and have a PASI score of 12 or greater at Screening and at Baseline (Day 1).
  • Part D: Have at least one psoriatic lesion

Exclusion criteria:

Part A, Part B, Part C and Part D

  • Subjects who have any clinically significant medical history, as determined by the investigator
  • Subjects who smoke more than 15 cigarettes, or equivalent, per day
  • Alcohol and/or drug abuse
  • Positive for HIV, Hepatitis B, Hepatitis C, or tuberculosis
  • Subjects who have received a live vaccination within the 3 months prior to Screening
  • Subjects who are pregnant or lactating
  • Subjects who do not agree to use appropriate contraception
  • Subjects who have a history of anaphylaxis, drug allergy or clinically significant allergic condition (excluding non active hayfever)
  • Participation in another clinical trial
  • Subjects who, in the opinion of the investigator, should not participate in this study

In addition for Part C and D

  • Patients who currently have non plaque forms of psoriasis (eg, erythrodermic, guttate, or pustular)
  • Patients who have current drug induced psoriasis
  • Have any history of any use of or have participated in clinical trials for any therapeutic agent directly targeted to any IL 17 cytokine or receptor
  • Have received phototherapy within 4 weeks prior to Day 1
  • Patients who have received systemic medications or treatments that could affect psoriasis or PASI evaluation (including, but not limited to, oral or injectable corticosteroids, retinoids, 1,25 dihydroxy vitamin D3 and analogues, fumaric acid esters, psoralens, anti TNF (tumour necrosis factor) biologics, anti IL 12/23 biologics, or herbal treatments), within 5 half lives prior to Day 1 (4 weeks for oral anti psoriatics, 12 weeks for psoralens and PUVA (oral psoralen with ultraviolet A), and 24 weeks for biologics)
  • Patients who have used topical medications and treatments that could affect psoriasis or PASI evaluation (eg, corticosteroids, coal tar, anthralin, calcipotriene, topical vitamin D derivatives, retinoids, tazarotene, methoxsalen, and trimethyl psoralens) within 2 weeks of administration of IMP (Investigational Medicinal Product)
  • Patients who have used any systemic immunosuppressants (eg, methotrexate, azathioprine, cyclosporine, 6 thioguanine, mercaptopurine, mycophenolate mofetil, hydroxyurea, or tacrolimus) within 8 weeks of administration of IMP (or 5 half lives, whichever is longer).

Sites / Locations

  • Covance Clinical Research Unit Ltd.
  • Covance and Royal Liverpool University Hospital Clinical Research Unit
  • Imperial Centre for Translational and Experimental Medicine Imperial College Healthcare NHS Trust Hammersmith Hospital
  • Medicines Evaluation Unit Ltd

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

ABY-035 i.v.

ABY-035 s.c.

ABY-035 i.v. in psoriasis patients

ABY-035 s.c. in psoriasis patients

Arm Description

Part A: SAD (single ascending dose) including five different dose cohorts. ABY-035 given as intravenous injections. 6 ABY-035 and 2 placebo in each cohort.

Part B: Bioavailability study where 6 subjects will receive ABY-035 as a single subcutaneous injection.

Part C: Up to 12 psoriasis patients will receive ABY-035 as a single intravenous injection.

Part D: Up to 18 patients will receive 3 or 7 biweekly doses of ABY-035 as s.c. injections

Outcomes

Primary Outcome Measures

Number of Participants With Abnormal Laboratory Values or other Adverse Events
Safety is monitored by Vital signs, 12-lead ECGs, urinalysis, hematology, clinical chemistry, coagulation, proinflammatory cytokines and CRP

Secondary Outcome Measures

AUC (Area Under the Concentration-time curve) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
t1/2 (half-life) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Maximum serum concentration (Cmax) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time of maximum observed plasma concentration of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time of last quantifiable plasma concentration of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Mean Residence Time (MRT) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Total plasma clearance of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Absolute bioavailability (F) of ABY-035 following a single subcutaneous administration in healthy subjects.
After single subcutaneous injection
Time immediately prior to first quantifiable concentration of ABY-035 following a single subcutaneous administration in healthy subjects.
After single subcutaneous injection
Volume of distribution during the terminal elimination phase of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Volume of distribution at steady state of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Clinical efficacy of ABY-035, using PASI (Psoriasis Area and Disease Index) response, following single dose intravenous administration in patients with moderate-to-severe psoriasis.
Immunogenicity of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis
Measurement of the occurrence of anti-drug antibodies

Full Information

First Posted
January 22, 2016
Last Updated
March 1, 2018
Sponsor
Affibody
Collaborators
Covance
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1. Study Identification

Unique Protocol Identification Number
NCT02690142
Brief Title
A Study to Investigate the Safety, Tolerability and Pharmacokinetics of ABY-035
Official Title
A Phase I, Partially-randomised, Partially Double-blinded, Safety, Tolerability and Pharmacokinetic Study of ABY-035 in Healthy Subjects and Psoriasis Patients
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
February 2016 (undefined)
Primary Completion Date
January 10, 2018 (Actual)
Study Completion Date
January 10, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Affibody
Collaborators
Covance

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this first-in-human study is to investigate the safety and tolerability of ABY-035 when administered intravenously and subcutaneously, to healthy volunteers and to psoriasis patients.
Detailed Description
This first in human study with ABY-035 (a novel IL-17A inhibitor (interleukin 17A)) consists of four Parts. Part A consists of a single ascending intravenous dose study with 40 healthy volunteers divided into five dose cohorts. Each group consists of 8 subjects where 6 subjects will receive ABY-035 and 2 will receive placebo. The subjects will be followed for pharmacokinetic and safety assessments up to Day 95 after dosing. Part B of the study consists of 6 healthy volunteers who will be given a single subcutaneous dose of ABY-035. The subjects will follow the same study visit schedule as Part A. Part C of the study will include up to 12 moderate-to-severe psoriasis patients who each patient will be given a single intravenous dose of ABY-035. The patients will follow the same study visit schedule as Part A and B. Part D of the study will include up to 18 psoriasis patients (mild, moderate or severe). Each patient will participate in 3 or 7 biweekly dosing occasions of subcutaneously administered ABY-035. Patients will be followed regularly for safety, efficacy and pharmacokinetics for 8 weeks post-final dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis, Healthy Subjects

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ABY-035 i.v.
Arm Type
Experimental
Arm Description
Part A: SAD (single ascending dose) including five different dose cohorts. ABY-035 given as intravenous injections. 6 ABY-035 and 2 placebo in each cohort.
Arm Title
ABY-035 s.c.
Arm Type
Experimental
Arm Description
Part B: Bioavailability study where 6 subjects will receive ABY-035 as a single subcutaneous injection.
Arm Title
ABY-035 i.v. in psoriasis patients
Arm Type
Experimental
Arm Description
Part C: Up to 12 psoriasis patients will receive ABY-035 as a single intravenous injection.
Arm Title
ABY-035 s.c. in psoriasis patients
Arm Type
Experimental
Arm Description
Part D: Up to 18 patients will receive 3 or 7 biweekly doses of ABY-035 as s.c. injections
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Single dose i.v.
Intervention Type
Drug
Intervention Name(s)
ABY-035 i.v.
Intervention Description
Single dose i.v.
Intervention Type
Drug
Intervention Name(s)
ABY-035 s.c.
Intervention Description
Single dose s.c.
Primary Outcome Measure Information:
Title
Number of Participants With Abnormal Laboratory Values or other Adverse Events
Description
Safety is monitored by Vital signs, 12-lead ECGs, urinalysis, hematology, clinical chemistry, coagulation, proinflammatory cytokines and CRP
Time Frame
Follow-up visit (Day 141)
Secondary Outcome Measure Information:
Title
AUC (Area Under the Concentration-time curve) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
t1/2 (half-life) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Maximum serum concentration (Cmax) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Time of maximum observed plasma concentration of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Time of last quantifiable plasma concentration of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Mean Residence Time (MRT) of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Total plasma clearance of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Absolute bioavailability (F) of ABY-035 following a single subcutaneous administration in healthy subjects.
Description
After single subcutaneous injection
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 43, Day 71, Day 95
Title
Time immediately prior to first quantifiable concentration of ABY-035 following a single subcutaneous administration in healthy subjects.
Description
After single subcutaneous injection
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 43, Day 71, Day 95
Title
Volume of distribution during the terminal elimination phase of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Volume of distribution at steady state of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis through analysis of serum samples
Time Frame
Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29, Day 30, Day 31, Day 32, Day 43, Day 57, Day 71, Day 85, Day 95, Day 113, Day 141
Title
Clinical efficacy of ABY-035, using PASI (Psoriasis Area and Disease Index) response, following single dose intravenous administration in patients with moderate-to-severe psoriasis.
Time Frame
Screening, Day -1, Day 2, Day 8, Day 15, Day 17, Day 22, Day 29, Day 31, Day 43, Day 71, Day 57, Day 85, Day 95, Day 113, Day 123, Day 141, Day 151
Title
Immunogenicity of ABY-035 in healthy subjects and in patients with moderate-to-severe psoriasis
Description
Measurement of the occurrence of anti-drug antibodies
Time Frame
Day -1, Day 1, Day 15, Day 29, Day 57, Day 85, Day 95, Day 113, Day 141

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Part A, Part B Males or females between 18 and 65 years of age Body mass index (BMI) between 18.0 kg/m2 and 32.0 kg/m2, inclusive. maximum body weight of 120 kg In good health, as determined by medical history, physical examination, vital signs assessment, 12 lead electrocardiogram (ECG) and clinical laboratory evaluations. Subjects will have given their written informed consent to participate in the study In addition for Part C and D Males or females between 18 and 65 years of age Body mass index (BMI) between 18.0 kg/m2 and 39.9 kg/m2, inclusive. Minimum body weight of 45 kg Part C: Patients must have had a diagnosis of moderate to severe plaque type psoriasis at least 6 months prior to administration of the study drug without a documented flare within 30 days prior to Screening. Patients with concurrent psoriatic arthritis may be enrolled. Part D: Patients must have had a diagnosis of plaque type psoriasis (mild, moderate or severe) at least 6 months prior to administration of the study drug without a documented flare within 30 days prior to Screening. Patients with concurrent psoriatic arthritis may be enrolled. Part C: Have plaque type psoriasis covering at least 10% of total body surface area (BSA) at Screening and at Baseline (Day 1) and have a PASI score of 12 or greater at Screening and at Baseline (Day 1). Part D: Have at least one psoriatic lesion Exclusion criteria: Part A, Part B, Part C and Part D Subjects who have any clinically significant medical history, as determined by the investigator Subjects who smoke more than 15 cigarettes, or equivalent, per day Alcohol and/or drug abuse Positive for HIV, Hepatitis B, Hepatitis C, or tuberculosis Subjects who have received a live vaccination within the 3 months prior to Screening Subjects who are pregnant or lactating Subjects who do not agree to use appropriate contraception Subjects who have a history of anaphylaxis, drug allergy or clinically significant allergic condition (excluding non active hayfever) Participation in another clinical trial Subjects who, in the opinion of the investigator, should not participate in this study In addition for Part C and D Patients who currently have non plaque forms of psoriasis (eg, erythrodermic, guttate, or pustular) Patients who have current drug induced psoriasis Have any history of any use of or have participated in clinical trials for any therapeutic agent directly targeted to any IL 17 cytokine or receptor Have received phototherapy within 4 weeks prior to Day 1 Patients who have received systemic medications or treatments that could affect psoriasis or PASI evaluation (including, but not limited to, oral or injectable corticosteroids, retinoids, 1,25 dihydroxy vitamin D3 and analogues, fumaric acid esters, psoralens, anti TNF (tumour necrosis factor) biologics, anti IL 12/23 biologics, or herbal treatments), within 5 half lives prior to Day 1 (4 weeks for oral anti psoriatics, 12 weeks for psoralens and PUVA (oral psoralen with ultraviolet A), and 24 weeks for biologics) Patients who have used topical medications and treatments that could affect psoriasis or PASI evaluation (eg, corticosteroids, coal tar, anthralin, calcipotriene, topical vitamin D derivatives, retinoids, tazarotene, methoxsalen, and trimethyl psoralens) within 2 weeks of administration of IMP (Investigational Medicinal Product) Patients who have used any systemic immunosuppressants (eg, methotrexate, azathioprine, cyclosporine, 6 thioguanine, mercaptopurine, mycophenolate mofetil, hydroxyurea, or tacrolimus) within 8 weeks of administration of IMP (or 5 half lives, whichever is longer).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sunu Valasseri, MBBS, MSc
Organizational Affiliation
Covance Ltd
Official's Role
Principal Investigator
Facility Information:
Facility Name
Covance Clinical Research Unit Ltd.
City
Leeds
ZIP/Postal Code
LS2 9LH
Country
United Kingdom
Facility Name
Covance and Royal Liverpool University Hospital Clinical Research Unit
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Facility Name
Imperial Centre for Translational and Experimental Medicine Imperial College Healthcare NHS Trust Hammersmith Hospital
City
London
ZIP/Postal Code
W12 0HS
Country
United Kingdom
Facility Name
Medicines Evaluation Unit Ltd
City
Manchester
ZIP/Postal Code
M23 9QZ
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Investigate the Safety, Tolerability and Pharmacokinetics of ABY-035

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