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Study of Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of REGN3500 in Adults With Moderate Asthma

Primary Purpose

Asthma, Moderate Asthma

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
REGN3500
Placebo
Sponsored by
Regeneron Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Asthma

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Body mass index (BMI) of 18 to 32 kg/m2
  • A diagnosis of moderate asthma (according to GINA 2015) for a period of at least 2 years prior to screening.
  • Patient must use a stable medium daily dose level of inhaled corticosteroids (ICS) as defined by GINA guidelines, ie, total daily dose of ICS >400 μg and ≤800 μg/day of budesonide or equivalent for at least 1 month prior to screening and during the study
  • A pre-bronchodilator forced expiratory volume in the first sec (FEV1) ≥60% and ≤90% of the predicted normal values at screening and pre-dose at screening
  • A documented positive response to the reversibility test at the screening, defined as improvement in FEV1 ≥12% and ≥200 mL over baseline after 400 μg salbutamol Pmdi
  • Willing and able to comply with clinic visits and study-related procedures
  • Provide signed informed consent.

Key Exclusion Criteria:

  • Clinically significant abnormal CBC, clinical chemistry, and urine analysis at screening.
  • Treatment with an investigational drug within 8 weeks or within 5 half-lives (if known), whichever is longer, prior to screening.
  • History of life-threatening asthma
  • Occurrence of asthma exacerbations or respiratory tract infections within 4 weeks prior to screening.
  • Diagnosis of any other airway/pulmonary disease such as Chronic Obstructive Pulmonary Disease (COPD) as defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines (GOLD 2016); or other lung diseases (eg, emphysema, idiopathic pulmonary fibrosis, Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis cystic fibrosis, bronchiectasis or alpha-1 antitrypsin deficiency or restrictive lung disease).
  • Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 1 month prior to screening.
  • Use of oral antibiotics/anti-infectives within 2 weeks prior to screening.
  • Known sensitivity to doxycycline or tetracyclines, or to any of the components of the investigational product formulation.
  • Recent (within the previous 2 months) bacterial, protozoal, viral, or parasite infection.
  • History of tuberculosis or systemic fungal diseases
  • Patients treated with a monoclonal antibody based therapy (such as an anti-IgE, anti-IL-5), a biologic therapy or immunotherapy (subcutaneous immunotherapy [SCIT], sublingual immunotherapy [SLIT], or oral immunotherapy [OIT]) in the previous 12 weeks prior to screening and during the study

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Sites / Locations

  • Regeneron Research Site
  • Regeneron Research Site
  • Regeneron Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

REGN3500 low dose or placebo

REGN3500 medium dose or placebo

Outcomes

Primary Outcome Measures

Incidence of treatment emergent adverse events (TEAEs) after repeat subcutaneous administration
Severity of TEAEs after repeat subcutaneous administration

Secondary Outcome Measures

The concentration-time profile of REGN3500 after repeat subcutaneous administration
Immunogenicity of REGN3500 assessed by measurement of anti-drug antibodies
Percent change in total from baseline forced expiratory volume (FEV) at day 29
Percent change of the average of the prior 7 days of FEV1 at day 29 compared to average daily FEV1 during the last 14 days of screening
Absolute change from baseline fractional exhaled nitric oxide (FeNO) at day 29
Percent change from baseline FeNO at day 29
Change from baseline in biomarkers at day 29
Percent change from baseline in biomarkers at day 29

Full Information

First Posted
December 19, 2016
Last Updated
December 10, 2018
Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT02999711
Brief Title
Study of Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of REGN3500 in Adults With Moderate Asthma
Official Title
A Randomised, Double-blind, Placebo-controlled, Multiple Ascending Dose Study of the Safety, Tolerability, Pharmacokinetic and Pharmacodynamics Effects of Subcutaneously Administered REGN3500 in Adult Patients With Moderate Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
February 3, 2017 (Actual)
Primary Completion Date
August 30, 2018 (Actual)
Study Completion Date
September 10, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Purpose of this study is to assess the safety and tolerability of multiple ascending subcutaneous doses of REGN3500 to moderate asthmatics.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
REGN3500 low dose or placebo
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
REGN3500 medium dose or placebo
Intervention Type
Drug
Intervention Name(s)
REGN3500
Intervention Description
REGN3500 dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo
Primary Outcome Measure Information:
Title
Incidence of treatment emergent adverse events (TEAEs) after repeat subcutaneous administration
Time Frame
Up to 36 weeks
Title
Severity of TEAEs after repeat subcutaneous administration
Time Frame
Up to 36 weeks
Secondary Outcome Measure Information:
Title
The concentration-time profile of REGN3500 after repeat subcutaneous administration
Time Frame
Up to 36 weeks
Title
Immunogenicity of REGN3500 assessed by measurement of anti-drug antibodies
Time Frame
Up to 36 weeks
Title
Percent change in total from baseline forced expiratory volume (FEV) at day 29
Time Frame
Baseline to week 4
Title
Percent change of the average of the prior 7 days of FEV1 at day 29 compared to average daily FEV1 during the last 14 days of screening
Time Frame
From -14 days screening to week 4
Title
Absolute change from baseline fractional exhaled nitric oxide (FeNO) at day 29
Time Frame
Baseline to week 4
Title
Percent change from baseline FeNO at day 29
Time Frame
Baseline to week 4
Title
Change from baseline in biomarkers at day 29
Time Frame
Baseline to week 4
Title
Percent change from baseline in biomarkers at day 29
Time Frame
Baseline to week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Body mass index (BMI) of 18 to 32 kg/m2 A diagnosis of moderate asthma (according to GINA 2015) for a period of at least 2 years prior to screening. Patient must use a stable medium daily dose level of inhaled corticosteroids (ICS) as defined by GINA guidelines, ie, total daily dose of ICS >400 μg and ≤800 μg/day of budesonide or equivalent for at least 1 month prior to screening and during the study A pre-bronchodilator forced expiratory volume in the first sec (FEV1) ≥60% and ≤90% of the predicted normal values at screening and pre-dose at screening A documented positive response to the reversibility test at the screening, defined as improvement in FEV1 ≥12% and ≥200 mL over baseline after 400 μg salbutamol Pmdi Willing and able to comply with clinic visits and study-related procedures Provide signed informed consent. Key Exclusion Criteria: Clinically significant abnormal CBC, clinical chemistry, and urine analysis at screening. Treatment with an investigational drug within 8 weeks or within 5 half-lives (if known), whichever is longer, prior to screening. History of life-threatening asthma Occurrence of asthma exacerbations or respiratory tract infections within 4 weeks prior to screening. Diagnosis of any other airway/pulmonary disease such as Chronic Obstructive Pulmonary Disease (COPD) as defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines (GOLD 2016); or other lung diseases (eg, emphysema, idiopathic pulmonary fibrosis, Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis cystic fibrosis, bronchiectasis or alpha-1 antitrypsin deficiency or restrictive lung disease). Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, or antifungals within 1 month prior to screening. Use of oral antibiotics/anti-infectives within 2 weeks prior to screening. Known sensitivity to doxycycline or tetracyclines, or to any of the components of the investigational product formulation. Recent (within the previous 2 months) bacterial, protozoal, viral, or parasite infection. History of tuberculosis or systemic fungal diseases Patients treated with a monoclonal antibody based therapy (such as an anti-IgE, anti-IL-5), a biologic therapy or immunotherapy (subcutaneous immunotherapy [SCIT], sublingual immunotherapy [SLIT], or oral immunotherapy [OIT]) in the previous 12 weeks prior to screening and during the study Note: Other protocol defined Inclusion/Exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trial Management
Organizational Affiliation
Regeneron Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Regeneron Research Site
City
Belfast
State/Province
Northern Ireland
Country
United Kingdom
Facility Name
Regeneron Research Site
City
London
Country
United Kingdom
Facility Name
Regeneron Research Site
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
34523807
Citation
Kosloski MP, Kalliolias GD, Xu CR, Harel S, Lai CH, Zheng W, Davis JD, Kamal MA. Pharmacokinetics and pharmacodynamics of itepekimab in healthy adults and patients with asthma: Phase I first-in-human and first-in-patient trials. Clin Transl Sci. 2022 Feb;15(2):384-395. doi: 10.1111/cts.13157. Epub 2021 Sep 29.
Results Reference
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Study of Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of REGN3500 in Adults With Moderate Asthma

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