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Assessment of Anti-RANKL Antibody in Post-menopausal Women

Primary Purpose

Osteoporosis

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TK006
Sponsored by
Jiangsu T-Mab Biopharma Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis focused on measuring RANKL, osteoporosis, bone resorption, post-menopausal women, TK006

Eligibility Criteria

undefined - 65 Years (Child, Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subjects who provide informed consent voluntarily;
  2. Women who are postmenopausal defined as being amenorrheic for at least 24-month, and follicule-stimulating hormone (FSH)>40 U/L, estradiol (E2)<110pmol/L (or <30pg/mL) as well;
  3. ≤65 years old, with no restricted activity.

Exclusion Criteria:

  1. Known hypersensitivity to similar medicines or other products derived from mammalian cells, or medical history of severe allergic to foods or medicines;
  2. Treatment with diphosphonate or fluoride, oestrogen, selective estrogen receptor modulators, calcitonin, parathyroid hormone, high dose Vitamin D (≥1000 IU/day), anabolic steroids, systemic glucocorticoids within 12-month before dosing, or administered with calcitriol within 6 months before dosing;
  3. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >2.0 times the upper limit of normal (ULN), or alkaline phosphatase (ALP)>1.5×ULN, or Total bilirubin (TBIL) >1.5×ULN, creatinine clearance rate<60 mL/min;
  4. Disorders that could affect the study outcomes, such as osteomalacia, dysostosis, Paget's disease, Cushing syndrome, hyperprolactinemia, rheumatoid arthritis, hyperparathyroidism, hypoparathyroidism, or other diseases that could affect bone metabolism;
  5. Hyperthyroidism or hypothyroidism, unless hypothyroidism patients are receiving regular treatment with thyroid hormone and:

    • Thyroid stimulating hormone (TSH) is normal, or
    • TSH>4.78μIU/Ml, ≤10.0μIU/mL and thyroxine (T4) is normal.
  6. Malabsorption syndrome or other disorders that could affect intestinal absorption function, such as Crohn's disease, chronic pancreatitis, etc;
  7. Hepatocirrhosis or severe liver disease (defined as ascites, hepatic encepalopathy, coagulation disorder, hypoalbuminemia, Esophagus and fundus gastricus varication, persistent jaundice), known diseases of biliary tract (excluding Gilbert syndrome and Asymptomatic gallstone);
  8. Past or currently suffering from mandibular osteomyelitis or osteonecrosis, or any fracture within 6 months prior to first dosing; or suffering from acute tooth or mandibular disease that require tooth extracting, dental implanting or other invasive surgery; or had the above operation within 1-month before first dosing; or unhealing wound of oral surgery;
  9. HBsAg positive, or anti-HCV antibody positive, or anti-HIV antibody positive, or anti-Syphilis antibody positive;
  10. Prior malignancies (excluding the targeted breast cancer, basal cell carcinoma, or cervical cancer in situ) within 5 years (excluding completely resected Basal cell or squamous-cell carcinoma in situ, cervical carcinoma and Breast ductal carcinoma;
  11. A variety of diseases that affect the ability of the subject to sign informed consent or follow the steps of the study; or suffer from various physical or mental illnesses that the investigators consider to affect the subject's successful completion of the study or may interfere with the interpretation of the findings;
  12. Albumin-adjusted calcium≥2.0mmol/L, ≤2.9mmol/ L(Calcium supplements are not allowed within 8 hours before examination);
  13. Subjects with fracture high risk and requiring treatment;
  14. Has been selected for the study of other test devices or test drugs, or the duration of the clinical studies that have taken less than 30 days or 5 half-lives or biological effects, whichever is longer.
  15. Other situations which are not suitable for participation judged by the principal investigator (PI).

Sites / Locations

  • Peking Union Medical College Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

30 mg single dose cohort

60 mg single dose cohort

120 mg single dose cohort

Arm Description

Subjects would receive a 30 mg single dose of TK006.

Subjects would receive a 60 mg single dose of TK006.

Subjects would receive a 120 mg single dose of TK006.

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs)
Include physical findings, changes in laboratory values, vital signs, and 12-lead electrocardiogram (ECG) data.

Secondary Outcome Measures

Area under the plasma concentration-time curve from time zero to time 'last' where last is the last time point after administration [AUClast]
Calculated by the linear trapezoidal method.
Area under the plasma concentration-time curve from time zero to infinity [AUC0-inf]
Calculated by the linear trapezoidal and extrapolation method.
Maximum observed maximum plasma concentration [Cmax]
The maximum (or peak) serum concentration that TK006 achieves after the drug has been administrated and before the administration of a second dose.
Time to reach the maximum observed plasma concentration [Tmax]
The time at which the Cmax is observed.
Terminal elimination half-life[T1/2]
The time required to divide the plasma concentration by two after reaching pseudo-equilibrium, and not the time required to eliminate half the administered dose.
Bioavailability corrected apparent volume of the central compartment cleared of drug per unit [Cl/F]
The apparent volume of the central compartment cleared of drug per unit time was estimated using the formula: Cl/F = Dose / AUC0-∞
Bioavailability corrected apparent volume of distribution [Vd/F]
Apparent volume of distribution based on the terminal elimination phase.
Serum type I collagen cross-link C telopeptide (sNTX)
Would be assessed at day1, 3, week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
serum bone alkaline phosphatase [bALP]
Would be assessed at week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
Intact Parathyroid Hormone (iPTH)
Would be assessed at day1, 3, week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
Bone density of lumbar vertebra and collum femoris
Assessed by Dual energy X-ray (DXA) bone density measurement at week 8,16, 24 and 36.
anti-drug antibody [ADA]
Assessed at day 0(pre-dosing), week 4, 12, 24 and 36.

Full Information

First Posted
August 3, 2017
Last Updated
March 13, 2018
Sponsor
Jiangsu T-Mab Biopharma Co.,Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03242512
Brief Title
Assessment of Anti-RANKL Antibody in Post-menopausal Women
Official Title
Phase I Trial of Evaluating the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of the Fully Human Monoclonal Antibody to RANKL (TK006) in Post-menopausal Women.
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Unknown status
Study Start Date
August 7, 2017 (Actual)
Primary Completion Date
December 30, 2018 (Anticipated)
Study Completion Date
December 30, 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu T-Mab Biopharma 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
No

5. Study Description

Brief Summary
This is a single-center, open-label, dose-escalating study to evaluate the safety, pharmacokinetics, immunogenicity, and preliminary efficacy of single dose subcutaneous injection of a fully human monoclonal antibody of receptor activator for nuclear factor-κ B ligand (RNAKL) (code name: TK006) in postmenopausal women.
Detailed Description
This is a phase I, open-label, single-dose, dose escalation study in postmenopausal women conducted at single center. The objectives are to assess the safety and tolerability, effects on bone turnover measured by biochemical markers and bone density, and the pharmacokinetics and immunogenicity of a fully human monoclonal antibody of receptor activator for nuclear factor-κ B ligand (RNAKL), (code name: TK006). Subjects would sequentially enroll in one of three cohorts. Subjects in the first cohort would receive a single 30-mg subcutaneous injection of TK006. If no safety signals are observed in the first cohort after 28 days, subjects would enroll in the second cohort and receive a single 60-mg subcutaneous injection of TK006. After an 28-day period for observation of safety of the second dose, subjects would enroll in the third cohort and receive a single 120-mg subcutaneous injection of TK006.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis
Keywords
RANKL, osteoporosis, bone resorption, post-menopausal women, TK006

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
30 mg single dose cohort
Arm Type
Experimental
Arm Description
Subjects would receive a 30 mg single dose of TK006.
Arm Title
60 mg single dose cohort
Arm Type
Experimental
Arm Description
Subjects would receive a 60 mg single dose of TK006.
Arm Title
120 mg single dose cohort
Arm Type
Experimental
Arm Description
Subjects would receive a 120 mg single dose of TK006.
Intervention Type
Biological
Intervention Name(s)
TK006
Other Intervention Name(s)
fully human monoclonal anti-RANKL antibody
Intervention Description
Subcutaneous injection
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs)
Description
Include physical findings, changes in laboratory values, vital signs, and 12-lead electrocardiogram (ECG) data.
Time Frame
Up to 252 days.
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve from time zero to time 'last' where last is the last time point after administration [AUClast]
Description
Calculated by the linear trapezoidal method.
Time Frame
Up to 252 days.
Title
Area under the plasma concentration-time curve from time zero to infinity [AUC0-inf]
Description
Calculated by the linear trapezoidal and extrapolation method.
Time Frame
Up to 252 days.
Title
Maximum observed maximum plasma concentration [Cmax]
Description
The maximum (or peak) serum concentration that TK006 achieves after the drug has been administrated and before the administration of a second dose.
Time Frame
Up to 252 days.
Title
Time to reach the maximum observed plasma concentration [Tmax]
Description
The time at which the Cmax is observed.
Time Frame
Up to 252 days.
Title
Terminal elimination half-life[T1/2]
Description
The time required to divide the plasma concentration by two after reaching pseudo-equilibrium, and not the time required to eliminate half the administered dose.
Time Frame
Up to 252 days.
Title
Bioavailability corrected apparent volume of the central compartment cleared of drug per unit [Cl/F]
Description
The apparent volume of the central compartment cleared of drug per unit time was estimated using the formula: Cl/F = Dose / AUC0-∞
Time Frame
Up to 252 days.
Title
Bioavailability corrected apparent volume of distribution [Vd/F]
Description
Apparent volume of distribution based on the terminal elimination phase.
Time Frame
Up to 252 days.
Title
Serum type I collagen cross-link C telopeptide (sNTX)
Description
Would be assessed at day1, 3, week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
Time Frame
Up to 252 days.
Title
serum bone alkaline phosphatase [bALP]
Description
Would be assessed at week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
Time Frame
Up to 252 days.
Title
Intact Parathyroid Hormone (iPTH)
Description
Would be assessed at day1, 3, week 1, 2, 4, 8, 12, 16, 20, 24, 28, 32 and 36.
Time Frame
Up to 252 days.
Title
Bone density of lumbar vertebra and collum femoris
Description
Assessed by Dual energy X-ray (DXA) bone density measurement at week 8,16, 24 and 36.
Time Frame
Up to 252 days.
Title
anti-drug antibody [ADA]
Description
Assessed at day 0(pre-dosing), week 4, 12, 24 and 36.
Time Frame
Up to 252 days.

10. Eligibility

Sex
Female
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who provide informed consent voluntarily; Women who are postmenopausal defined as being amenorrheic for at least 24-month, and follicule-stimulating hormone (FSH)>40 U/L, estradiol (E2)<110pmol/L (or <30pg/mL) as well; ≤65 years old, with no restricted activity. Exclusion Criteria: Known hypersensitivity to similar medicines or other products derived from mammalian cells, or medical history of severe allergic to foods or medicines; Treatment with diphosphonate or fluoride, oestrogen, selective estrogen receptor modulators, calcitonin, parathyroid hormone, high dose Vitamin D (≥1000 IU/day), anabolic steroids, systemic glucocorticoids within 12-month before dosing, or administered with calcitriol within 6 months before dosing; Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >2.0 times the upper limit of normal (ULN), or alkaline phosphatase (ALP)>1.5×ULN, or Total bilirubin (TBIL) >1.5×ULN, creatinine clearance rate<60 mL/min; Disorders that could affect the study outcomes, such as osteomalacia, dysostosis, Paget's disease, Cushing syndrome, hyperprolactinemia, rheumatoid arthritis, hyperparathyroidism, hypoparathyroidism, or other diseases that could affect bone metabolism; Hyperthyroidism or hypothyroidism, unless hypothyroidism patients are receiving regular treatment with thyroid hormone and: Thyroid stimulating hormone (TSH) is normal, or TSH>4.78μIU/Ml, ≤10.0μIU/mL and thyroxine (T4) is normal. Malabsorption syndrome or other disorders that could affect intestinal absorption function, such as Crohn's disease, chronic pancreatitis, etc; Hepatocirrhosis or severe liver disease (defined as ascites, hepatic encepalopathy, coagulation disorder, hypoalbuminemia, Esophagus and fundus gastricus varication, persistent jaundice), known diseases of biliary tract (excluding Gilbert syndrome and Asymptomatic gallstone); Past or currently suffering from mandibular osteomyelitis or osteonecrosis, or any fracture within 6 months prior to first dosing; or suffering from acute tooth or mandibular disease that require tooth extracting, dental implanting or other invasive surgery; or had the above operation within 1-month before first dosing; or unhealing wound of oral surgery; HBsAg positive, or anti-HCV antibody positive, or anti-HIV antibody positive, or anti-Syphilis antibody positive; Prior malignancies (excluding the targeted breast cancer, basal cell carcinoma, or cervical cancer in situ) within 5 years (excluding completely resected Basal cell or squamous-cell carcinoma in situ, cervical carcinoma and Breast ductal carcinoma; A variety of diseases that affect the ability of the subject to sign informed consent or follow the steps of the study; or suffer from various physical or mental illnesses that the investigators consider to affect the subject's successful completion of the study or may interfere with the interpretation of the findings; Albumin-adjusted calcium≥2.0mmol/L, ≤2.9mmol/ L(Calcium supplements are not allowed within 8 hours before examination); Subjects with fracture high risk and requiring treatment; Has been selected for the study of other test devices or test drugs, or the duration of the clinical studies that have taken less than 30 days or 5 half-lives or biological effects, whichever is longer. Other situations which are not suitable for participation judged by the principal investigator (PI).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jiang H Y
Organizational Affiliation
Jiangsu T-Mab Biopharma Co.,Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
Country
China

12. IPD Sharing Statement

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Assessment of Anti-RANKL Antibody in Post-menopausal Women

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