Single Dose Recombinant Human Follicle Stimulating Hormone Fc Husion Protein (KN015) in Healthy Volunteers
Primary Purpose
Infertility, Female
Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
KN015
Placebo
Triptorelin
Sponsored by
About this trial
This is an interventional basic science trial for Infertility, Female focused on measuring KN015, Long-acting FSH
Eligibility Criteria
Inclusion Criteria:
- Able and willing to provide written informed consent.
- Agreed to take effective contraceptive measures during and 6 months after the end of the study period.
- Age between 18 to 40 years (inclusive).
- Body weight ≥45 kg, body mass index (BMI) of ≥18 and ≤28 kg/m2,
- Regular menstruation cycle (25 to 34 days, inclusive).
- Healthy female volunteer, normal findings in medical history and physical examinations.
- Normal findings in sex hormone examinations unless the investigator considers an abnormality to be clinically irrelevant for this study.
- Negative for human immunodeficiency virus (HIV) I and II tests, hepatitis B surface antigen (HBsAg), hepatitis C antibody and schaudinn's bacillus antibody at screening.
- Normal uterus, presence of both ovaries, unless investigator considers an abnormality to be clinically irrelevant for this study.
Exclusion Criteria:
- Historic abuse of alcoholic beverages and drugs. Smoke ≥5 cigarettes or the equivalent per day. Drug screen will include the minimum the following: amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, methadone, opiates.
- History of hypersensitivity to FSH, or any documented or suspected allergy to KN015 or the excipients of the KN015 formulation, or hypersensitivity to luteinizing hormone releasing hormone agonist or something like that.
- Any medical history of circulation, endocrine, nervous, digestive and respiratory systems, hematology, immunology, psychiatry and metabolic disorders and other serious disease history which can interfere with the test results of the study.
- Polycystic ovary syndrome (PCOS).
- Baseline of serum FSH ≥15 IU/L.
- History of ovarian hyperstimulation syndrome (OHSS).
- Experience in controlled ovarian stimulation (COS), or showed high response to FSH stimulation or the number of follicles over 11mm in diameter is more than 30.
- The history of ovarian, breast, uterus, hypothalamus, and pituitary disease was determined by the investigators as clinical meaningful. Previous history of thrombosis or tending to suffer from thrombotic disease.
- History of malignant disease.
- Failing to comply with the special requirements of diet during study.
- Participation in a clinical study within 3 months prior to the study.
- Any medical condition that, in the opinion of the investigator, would interfere with safety of the subject or with the objectives of the study.
- Abnormal physical examinational results which is determined as clinical significance by the researchers of the study.
- Abnormal vital signs and clinical significance.
- Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >1.5 x ULN.
- Thyroid dysfunction which clinical significance by researchers of the study.
- Other abnormal laboratory tests with clinically relevance.
- Abnormal electrocardiogram [ECG] findings.
- III/IV class endometriosis, submucous myoma of uterus, endocrine abnormalities within 6 months prior to the study.
- Abnormal imaging examination and clinical significance judged by researchers of the study.
- Pregnancy or lactation period.
- Alcohol and urine drug screening positive. -
Sites / Locations
- The First Hospital of Jilin UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Arm A
Arm B
Arm Description
KN015, Triptorelin
placebo, Triptorelin
Outcomes
Primary Outcome Measures
Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment(SAEs) and AEs of special interest.
Maximum observed serum concentration (Cmax) of KN015 in healthy Chinese female subjects
Time of Maximum observed serum concentration (Tmax) of KN015 in healthy Chinese female subjects.
Adjusted geometric means of area under the serum concentration-time curve from time zero to the time of last quantifiable concentration (AUC(0-T)) for KN015.
Adjusted geometric means of area under the serum concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) for KN015.
Serum Half-life (T-HALF) of KN015 in healthy Chinese female subjects.
Serum clearance (CL) of KN015 in healthy Chinese female subjects.
Volume of distribution at steady state (VSS) of KN015 in healthy Chinese female subjects.
Secondary Outcome Measures
The number of follicles after dosing.
The size of follicles after dosing.
Determination of serum concentrations of FSH, E2, LH and P after dosing.
Percentage of participants with anti-KN015 antibody.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03192527
Brief Title
Single Dose Recombinant Human Follicle Stimulating Hormone Fc Husion Protein (KN015) in Healthy Volunteers
Official Title
A Phase I, Randomized, Placebo Controlled, Single Ascending Dose (SAD) Study of Recombinant Human Follicle Stimulating Hormone Fc Fusion Protein (KN015) in Healthy Female Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
June 2017
Overall Recruitment Status
Unknown status
Study Start Date
June 2017 (Anticipated)
Primary Completion Date
March 2019 (Anticipated)
Study Completion Date
June 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alphamab Jilin Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
KN015,the active substance recombinant human Follicle Stimulating Hormone(FSH) Fc fusion protein, which belongs to the pharmaceutical class gonadotropins.KN015 is proposed for Assisted Reproductive Technology (ART) programs only. Its indication is Controlled Ovarian Stimulation (COS)in combination with a gonadotropin releasing hormone (GnRH) antagonist for the development of multiple follicles in women participating in an ART program. Due to its prolonged duration of FSH activity compared to conventional recombinant FSH (rFSH), a single subcutaneous injection of the recommended dose of KN015 may replace any daily rFSH preparation in a COS treatment cycle. This study is to evaluation of the safety, tolerability, pharmacokinetics and pharmacodynamics of KN015 in healthy Chinese female subjects.
Detailed Description
This is a phase I, randomized, placebo-controlled, single ascending dose, double blind parallel design, first-in-human study. The study design allows a gradual escalation of the dose-level with intensive safety monitoring to ensure the safety of the subjects. Dose escalation will continue until identification of MTD or up to a maximum dose of 100 μg. Tolerability, safety, pharmacokinetics (PK), pharmacodynamics (PD) and immunogenicity characteristics of KN015 will be assessed in healthy female subjects. Eligible subjects will undergo down-regulation of endogenous FSH with a GnRH antagonist Triptorelin prior to receiving KN015.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility, Female
Keywords
KN015, Long-acting FSH
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Arm A
Arm Type
Experimental
Arm Description
KN015, Triptorelin
Arm Title
Arm B
Arm Type
Placebo Comparator
Arm Description
placebo, Triptorelin
Intervention Type
Drug
Intervention Name(s)
KN015
Intervention Description
experimental drug
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Comparator.
Intervention Type
Drug
Intervention Name(s)
Triptorelin
Intervention Description
The drug is used for down-regulation of endogenous FSH.
Primary Outcome Measure Information:
Title
Number of Participants With Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatment(SAEs) and AEs of special interest.
Time Frame
From screening to up to 36 days
Title
Maximum observed serum concentration (Cmax) of KN015 in healthy Chinese female subjects
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Time of Maximum observed serum concentration (Tmax) of KN015 in healthy Chinese female subjects.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Adjusted geometric means of area under the serum concentration-time curve from time zero to the time of last quantifiable concentration (AUC(0-T)) for KN015.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Adjusted geometric means of area under the serum concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) for KN015.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Serum Half-life (T-HALF) of KN015 in healthy Chinese female subjects.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Serum clearance (CL) of KN015 in healthy Chinese female subjects.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Title
Volume of distribution at steady state (VSS) of KN015 in healthy Chinese female subjects.
Time Frame
within 0.5 hour pre-dose, 2,5,8,12,24,30,36,40,48,54,60,72,96h,120,144,168,240,288,336,504,672 hours post-dose.
Secondary Outcome Measure Information:
Title
The number of follicles after dosing.
Time Frame
screening,-1,2,4,6,8,11,15,22,29,36 days post-dose
Title
The size of follicles after dosing.
Time Frame
screening,-1,2,4,6,8,11,15,22,29,36 days post-dose
Title
Determination of serum concentrations of FSH, E2, LH and P after dosing.
Time Frame
From screening to up to 36 days
Title
Percentage of participants with anti-KN015 antibody.
Time Frame
-1,8,15,36 days post-dose
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Able and willing to provide written informed consent.
Agreed to take effective contraceptive measures during and 6 months after the end of the study period.
Age between 18 to 40 years (inclusive).
Body weight ≥45 kg, body mass index (BMI) of ≥18 and ≤28 kg/m2,
Regular menstruation cycle (25 to 34 days, inclusive).
Healthy female volunteer, normal findings in medical history and physical examinations.
Normal findings in sex hormone examinations unless the investigator considers an abnormality to be clinically irrelevant for this study.
Negative for human immunodeficiency virus (HIV) I and II tests, hepatitis B surface antigen (HBsAg), hepatitis C antibody and schaudinn's bacillus antibody at screening.
Normal uterus, presence of both ovaries, unless investigator considers an abnormality to be clinically irrelevant for this study.
Exclusion Criteria:
Historic abuse of alcoholic beverages and drugs. Smoke ≥5 cigarettes or the equivalent per day. Drug screen will include the minimum the following: amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, methadone, opiates.
History of hypersensitivity to FSH, or any documented or suspected allergy to KN015 or the excipients of the KN015 formulation, or hypersensitivity to luteinizing hormone releasing hormone agonist or something like that.
Any medical history of circulation, endocrine, nervous, digestive and respiratory systems, hematology, immunology, psychiatry and metabolic disorders and other serious disease history which can interfere with the test results of the study.
Polycystic ovary syndrome (PCOS).
Baseline of serum FSH ≥15 IU/L.
History of ovarian hyperstimulation syndrome (OHSS).
Experience in controlled ovarian stimulation (COS), or showed high response to FSH stimulation or the number of follicles over 11mm in diameter is more than 30.
The history of ovarian, breast, uterus, hypothalamus, and pituitary disease was determined by the investigators as clinical meaningful. Previous history of thrombosis or tending to suffer from thrombotic disease.
History of malignant disease.
Failing to comply with the special requirements of diet during study.
Participation in a clinical study within 3 months prior to the study.
Any medical condition that, in the opinion of the investigator, would interfere with safety of the subject or with the objectives of the study.
Abnormal physical examinational results which is determined as clinical significance by the researchers of the study.
Abnormal vital signs and clinical significance.
Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >1.5 x ULN.
Thyroid dysfunction which clinical significance by researchers of the study.
Other abnormal laboratory tests with clinically relevance.
Abnormal electrocardiogram [ECG] findings.
III/IV class endometriosis, submucous myoma of uterus, endocrine abnormalities within 6 months prior to the study.
Abnormal imaging examination and clinical significance judged by researchers of the study.
Pregnancy or lactation period.
Alcohol and urine drug screening positive. -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yanhua Ding, M.D.
Phone
86-0431-88782168
Email
dingyanhua2003@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
lei gao, M.D.
Email
398027192@qq.com
Facility Information:
Facility Name
The First Hospital of Jilin University
City
Chuangchun
State/Province
Jilin
ZIP/Postal Code
0431
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yanhua Ding, M.D.
Phone
86-0431-88782168
Email
dingyanhua2003@126.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Single Dose Recombinant Human Follicle Stimulating Hormone Fc Husion Protein (KN015) in Healthy Volunteers
We'll reach out to this number within 24 hrs