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A Study of KY1005 in Healthy Volunteers

Primary Purpose

Immune System Diseases

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
KY1005
Placebo
Sponsored by
Kymab Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Immune System Diseases

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

Subjects must fulfil all of the following criteria for entry into the study.

  1. Volunteer to participate in the clinical trial and provide signed informed consent.
  2. Male, aged 18 to 45 years.
  3. Subjects with a female spouse/partner of childbearing potential must agree to use effective birth control starting at screening and continuing throughout the clinical study period and for a period of up to 6 months after study completion.
  4. Cohorts 4 to 8: previous immunisation with tetanus toxoid (TT) but not within 6 months prior to the screening visit as reported by the volunteer.
  5. Cohorts 4 to 8: anti-TT immunoglobulin G (IgG) response > 0.1 IU/mL and ≤ 50 IU/mL at screening.

Exclusion Criteria:

Subjects fulfilling any of the following exclusion criteria are not eligible for entry into the study.

  1. Experiencing a clinically significant, chronic or acute infection requiring treatment at screening or prior to first IMP administration.
  2. A body weight of ≤ 60.0 kg or ≥ 120.0 kg.
  3. A body mass index ≤ 18.0 or ≥ 30.0 kg/m2.
  4. History of disease of the central nervous system, cardiovascular system, kidney, liver, digestive system, respiratory system or metabolic/endocrine system or suffered from other disease that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations or otherwise considered clinically significant.
  5. History of immunological abnormality (e.g., immune suppression, severe allergy or anaphylaxis) that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations or otherwise considered clinically significant.
  6. History of malignancy, or known current malignancy.
  7. Leukocyte absolute value < 3.50 × 10^9/L or > 9.50 × 10^9/L, neutrophil absolute value < 1.8 × 10^9/L, platelet counts < 100 × 10^9/L, haemoglobin < 12.0 g/dL.
  8. Taken part in other clinical trials within 3 months of screening for this study or > four trials in the year preceding the first IMP administration.
  9. Donated or lost more than 500 mL of blood or plasma within 3 months of screening.
  10. Prescription drug taken within 2 weeks of screening or likely to be taken during the trial.
  11. Live immunisation within 3 months of screening or plans to receive such immunisation during the clinical trial or for a period of 6 months after the end of the trial.
  12. Taking or likely to take over-the-counter medication, including herbal medicines, that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations.
  13. Hepatitis B surface antigen, Hepatitis C antibody, or Human Immunodeficiency Virus positive.
  14. History of or current drug or substance abuse considered significant by the principal investigator (or medically qualified designee) including a positive urine drug screen.
  15. Current smoker and/or regular user of other nicotine-containing products (e.g., patches).
  16. Average consumption of more than 14 units of alcohol/week.
  17. Clinically significant abnormal screening values in clinical (electrocardiograms (ECGs), vital signs, physical examination) and laboratory tests in the opinion of the principal investigator (or medically qualified designee).
  18. Cannot communicate adequately or cannot commit to full participation in all trial procedures.
  19. For Cohorts 4 to 8:

    1. Confirmed previous exposure to immunocyanins, such as keyhole limpet haemocyanin (KLH);
    2. Known allergy to thiomersal or other components of Tetanus vaccine or Immucothel®;
    3. History of schistosomiasis.
  20. Any observation that, in the opinion of the principal investigator (or medically qualified designee) makes the subject unsuitable for participation in this study.

Sites / Locations

  • Centre for Human Drug Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohorts 1-3

Cohorts 4-8

Arm Description

Healthy volunteers will receive single rising doses of KY1005 or placebo

Healthy volunteers will receive multiple rising doses of KY1005 or placebo

Outcomes

Primary Outcome Measures

Occurrence of all treatment-related adverse events
Changes in vital signs (as a measure of safety and tolerability)
Changes in laboratory safety data (as a measure of safety and tolerability)
Changes in anti-viral antibody levels and viral DNA (as a measure of safety and tolerability)
Changes in acute cytokines (as a measure of safety and tolerability)
Changes in electrocardiograms (as a measure of safety and tolerability)

Secondary Outcome Measures

Maximum observed serum concentration (Cmax) following the first, second and third infusions for each KY1005 dose/dosing group
Time to maximum observed serum concentration (tmax) following the first, second and third infusions for each KY1005 dose/dosing group
Trough concentrations (Cmin) following the first and second infusions and 28 days after the third infusion
Areas under the plasma concentration-time curves (AUC)
Clearance (CL)
Apparent volume of distribution during terminal phase (Vz)
Apparent volume of distribution at steady state (Vss)
Half-life (t½)

Full Information

First Posted
May 11, 2017
Last Updated
August 28, 2019
Sponsor
Kymab Limited
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1. Study Identification

Unique Protocol Identification Number
NCT03161288
Brief Title
A Study of KY1005 in Healthy Volunteers
Official Title
A Single and Multiple Ascending Dose, Placebo-Controlled, Double-Blind, Phase 1 Study of KY1005 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
May 29, 2017 (Actual)
Primary Completion Date
March 30, 2018 (Actual)
Study Completion Date
March 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kymab Limited

4. Oversight

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

5. Study Description

Brief Summary
This is a single and multiple ascending dose, placebo-controlled, double-blind, Phase 1 study to evaluate the safety and tolerability of KY1005 in healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Immune System Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohorts 1-3
Arm Type
Experimental
Arm Description
Healthy volunteers will receive single rising doses of KY1005 or placebo
Arm Title
Cohorts 4-8
Arm Type
Experimental
Arm Description
Healthy volunteers will receive multiple rising doses of KY1005 or placebo
Intervention Type
Drug
Intervention Name(s)
KY1005
Intervention Description
A human anti-OX40 ligand monoclonal antibody
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matched placebo
Primary Outcome Measure Information:
Title
Occurrence of all treatment-related adverse events
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Changes in vital signs (as a measure of safety and tolerability)
Time Frame
Cohorts 1 to 3: from pre-first infusion up to day 113. Cohorts 4 to 8: from pre- first infusion up to day 92.
Title
Changes in laboratory safety data (as a measure of safety and tolerability)
Time Frame
Cohorts 1 to 3: from pre-first infusion up to day 113. Cohorts 4 to 8: from pre-first infusion up to day 92.
Title
Changes in anti-viral antibody levels and viral DNA (as a measure of safety and tolerability)
Time Frame
Cohorts 1 to 3: from pre-first infusion up to day 113. Cohorts 4 to 8: from pre-first infusion up to day 92.
Title
Changes in acute cytokines (as a measure of safety and tolerability)
Time Frame
Cohorts 1 to 3: from pre-first infusion up to day 113. Cohorts 4 to 8: from pre-first infusion up to day 92.
Title
Changes in electrocardiograms (as a measure of safety and tolerability)
Time Frame
Cohorts 1 to 3: from pre-first infusion up to day 113. Cohorts 4 to 8: from pre-first infusion up to day 92.
Secondary Outcome Measure Information:
Title
Maximum observed serum concentration (Cmax) following the first, second and third infusions for each KY1005 dose/dosing group
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Time to maximum observed serum concentration (tmax) following the first, second and third infusions for each KY1005 dose/dosing group
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Trough concentrations (Cmin) following the first and second infusions and 28 days after the third infusion
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Areas under the plasma concentration-time curves (AUC)
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Clearance (CL)
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Apparent volume of distribution during terminal phase (Vz)
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Apparent volume of distribution at steady state (Vss)
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Half-life (t½)
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Other Pre-specified Outcome Measures:
Title
Serum anti-KY1005 antibody titres
Description
Change in serum anti-KY1005 antibody titres from pre-infusion.
Time Frame
Cohorts 1 to 3: up to day 113. Cohorts 4 to 8: up to day 92.
Title
Immunophenotype and OX40/OX40L expression
Description
Changes in specific cell subsets and expression of OX40/OX40L on each subset (where evaluable).
Time Frame
Cohorts 1- 8: up to day 85.
Title
Neo-antigen and recall antigen immunological responses (cohorts 4-8 only)
Description
Change in anti-tetanus toxoid immunoglobulin G (IgG) and immunoglobulin M (IgM) titres in serum and anti-Immucothel® IgG and IgM titres in serum.
Time Frame
up to day 85
Title
Delayed Type Hypersensitivity response in the skin after intradermal injection of Immucothel® or saline measured by Antera 3D® camera image analysis (cohorts 4-8 only)
Description
Change in skin colour a and haemoglobin level (concentration of redness per unit area relative to region of interest)
Time Frame
Day 85 and 87
Title
Delayed Type Hypersensitivity response in the skin after intradermal injection of Immucothel® or saline measured by LSCI photography (cohorts 4-8 only)
Description
Change in basal flow and flare
Time Frame
Day 85 and 87

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Healthy male volunteers.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects must fulfil all of the following criteria for entry into the study. Volunteer to participate in the clinical trial and provide signed informed consent. Male, aged 18 to 45 years. Subjects with a female spouse/partner of childbearing potential must agree to use effective birth control starting at screening and continuing throughout the clinical study period and for a period of up to 6 months after study completion. Cohorts 4 to 8: previous immunisation with tetanus toxoid (TT) but not within 6 months prior to the screening visit as reported by the volunteer. Cohorts 4 to 8: anti-TT immunoglobulin G (IgG) response > 0.1 IU/mL and ≤ 50 IU/mL at screening. Exclusion Criteria: Subjects fulfilling any of the following exclusion criteria are not eligible for entry into the study. Experiencing a clinically significant, chronic or acute infection requiring treatment at screening or prior to first IMP administration. A body weight of ≤ 60.0 kg or ≥ 120.0 kg. A body mass index ≤ 18.0 or ≥ 30.0 kg/m2. History of disease of the central nervous system, cardiovascular system, kidney, liver, digestive system, respiratory system or metabolic/endocrine system or suffered from other disease that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations or otherwise considered clinically significant. History of immunological abnormality (e.g., immune suppression, severe allergy or anaphylaxis) that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations or otherwise considered clinically significant. History of malignancy, or known current malignancy. Leukocyte absolute value < 3.50 × 10^9/L or > 9.50 × 10^9/L, neutrophil absolute value < 1.8 × 10^9/L, platelet counts < 100 × 10^9/L, haemoglobin < 12.0 g/dL. Taken part in other clinical trials within 3 months of screening for this study or > four trials in the year preceding the first IMP administration. Donated or lost more than 500 mL of blood or plasma within 3 months of screening. Prescription drug taken within 2 weeks of screening or likely to be taken during the trial. Live immunisation within 3 months of screening or plans to receive such immunisation during the clinical trial or for a period of 6 months after the end of the trial. Taking or likely to take over-the-counter medication, including herbal medicines, that in the opinion of the principal investigator (or medically qualified designee) may make participation unsafe for the subject or interfere with trial evaluations. Hepatitis B surface antigen, Hepatitis C antibody, or Human Immunodeficiency Virus positive. History of or current drug or substance abuse considered significant by the principal investigator (or medically qualified designee) including a positive urine drug screen. Current smoker and/or regular user of other nicotine-containing products (e.g., patches). Average consumption of more than 14 units of alcohol/week. Clinically significant abnormal screening values in clinical (electrocardiograms (ECGs), vital signs, physical examination) and laboratory tests in the opinion of the principal investigator (or medically qualified designee). Cannot communicate adequately or cannot commit to full participation in all trial procedures. For Cohorts 4 to 8: Confirmed previous exposure to immunocyanins, such as keyhole limpet haemocyanin (KLH); Known allergy to thiomersal or other components of Tetanus vaccine or Immucothel®; History of schistosomiasis. Any observation that, in the opinion of the principal investigator (or medically qualified designee) makes the subject unsuitable for participation in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jacobus Burggraaf
Organizational Affiliation
Centre for Human Drug Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Human Drug Research
City
Leiden
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35092305
Citation
Saghari M, Gal P, Gilbert S, Yateman M, Porter-Brown B, Brennan N, Quaratino S, Wilson R, Grievink HW, Klaassen ES, Bergmann KR, Burggraaf J, van Doorn MBA, Powell J, Moerland M, Rissmann R. OX40L Inhibition Suppresses KLH-driven Immune Responses in Healthy Volunteers: A Randomized Controlled Trial Demonstrating Proof-of-Pharmacology for KY1005. Clin Pharmacol Ther. 2022 May;111(5):1121-1132. doi: 10.1002/cpt.2539. Epub 2022 Mar 1.
Results Reference
derived

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A Study of KY1005 in Healthy Volunteers

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