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Study in Healthy Volunteers Evaluating Safety and Pharmacokinetics of Zika Virus Immune Globulin (ZIKV-IG)

Primary Purpose

Zika Virus Infection, Zika Virus Disease

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Zika Virus Immune Globulin (ZIKV-IG)
Placebo
Sponsored by
Emergent BioSolutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Zika Virus Infection focused on measuring Zika virus, Human immune globulin, Hyperimmune, Polyclonal antibodies

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Informed consent voluntarily signed by subject.
  2. Age: 18-55 years of age.
  3. Blood type O+ or O-.
  4. Body mass index (BMI) of 18-30.

    • Note: minimum body weight of 50 kg.
  5. For female subjects (with male partners) that are not surgically sterilized (e.g., did not undergo hysterectomy, bilateral oophorectomy or tubal ligation), use of an effective method of contraception throughout the trial including:

    • Using hormonal contraception (oral, injectable or implant) continuously for 3 months prior to screening and willing to continue to use hormonal contraception throughout the entire trial.
    • Intrauterine device (IUD) inserted at least 1 month prior to screening.
    • Double barrier type of birth control measure (e.g., condoms, diaphragms, cervical sponge with spermicide).
    • True abstinence.
    • For female subjects who are post-menopausal, documented follicle- stimulating hormone (FSH) ≥40 milli-international units per milliliter (mIU/mL) must be obtained. If the FSH is <40 mIU/mL, the subject must agree to use an acceptable form of contraception (see above).
    • Females of childbearing potential without male sexual partners must be willing to maintain their sexual status as it is throughout the study.
  6. For male subjects that have not had a vasectomy, use of a condom with spermicide or true abstinence for the duration of the study. Note: female partners (that are of childbearing potential) of male study subjects (that have not had a vasectomy) should use one of the effective contraception methods (eg, hormonal contraception, IUD or barrier type). Also, male subjects must not donate sperm for the duration of the study.

    • Males without female sexual partners must be willing to maintain their sexual status as it is throughout the study.
  7. Healthy as determined by principal investigator or a qualified designate based on medical history, physical exam, vital signs, urinalysis, blood chemistry and hematology test results at screening.

Exclusion Criteria:

  1. Use of any investigational product within the past 30 days.
  2. Use of any investigational product during the study.
  3. Individuals with blood type A, B or AB.
  4. Recipient of any blood product within the past 12 months.
  5. Plasma donation within 7 days or significant blood loss or blood donation within 56 days of baseline.
  6. Blood donation at any time during the study.
  7. Females with a hemoglobin level ≤120 g/L.
  8. Males with a hemoglobin level <130 g/L.
  9. History of hypersensitivity to blood or plasma products.
  10. History of allergy to latex or rubber.
  11. History of immunoglobulin A (IgA) deficiency.
  12. History of hypercoagulable conditions (e.g., deep vein thrombosis or pulmonary embolism).
  13. History of myocardial infarction.
  14. History of stroke.
  15. History of renal impairment/failure.
  16. Currently pregnant or lactating or planning to become pregnant during the study.
  17. History of flavivirus infection [ZIKV, dengue virus (DENV), West Nile virus (WNV), Japanese encephalitis virus (JEV), yellow fever virus (YFV)] or vaccination with licensed or investigational flavivirus vaccine.
  18. Plans to travel to an area with active flavivirus (e.g., ZIKV and/or DENV) transmission during the study (and up to 10 months after the study drug administration) or has returned from an endemic area with these diseases within 30 days of screening.
  19. Positive nucleic acid test (NAT) or serology for ZIKV or positive serology for WNV or DENV.
  20. Positive serology test (at screening) for human immunodeficiency virus 1 and 2 (HIV), hepatitis C virus (HCV); positive test for hepatitis B virus (HBV) as determined by HBsAg.
  21. History of chronic or acute severe neurologic condition (e.g., diagnosis of Guillain-Barre syndrome, epilepsy, Bell's palsy, meningitis or disease with any focal neurologic deficits).
  22. Heavy smokers (≥15cigarettes a day) or electronic cigarette use.
  23. History of, or suspected substance abuse problem (including alcohol).
  24. Failure of drug (urine) test at screening or baseline.
  25. Failure of alcohol (breath) test at screening or baseline.
  26. Receipt of a live vaccine within 28 days prior to screening or anticipated receipt of a live vaccine during the study period.
  27. Individuals with planned surgical procedures that will occur during the study.
  28. An opinion of the investigator that it would be unwise to allow participation of the subject in the study.

Sites / Locations

  • Syneos Health, Early Phase

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Zika Virus Immune Globulin (ZIKV-IG)

Placebo (Saline Solution)

Arm Description

Single dose of 50 mL Zika Virus Immune Globulin (ZIKV-IG) will be administered intravenously over 33 minutes.

Single dose of 50 mL placebo will be administered intravenously over 33 minutes.

Outcomes

Primary Outcome Measures

Number of Subjects With Adverse Events.
Number of subjects with of adverse events by severity.

Secondary Outcome Measures

Assessment of Zika Virus Immune Globulin (ZIKV-IG) Maximum Concentration (Cmax)
Maximum observed serum concentration of Zika Virus Immune Globulin (ZIKV-IG)
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Time to Maximum Concentration (Tmax)
Time at which maximum serum concentration of Zika Virus Immune Globulin (ZIKV-IG) occurs.
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Up to Last Quantifiable Concentration (AUC0-t)
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration.
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Extrapolated to Infinity (AUC0-inf)
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration, plus the area extrapolated to infinity.
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Clearance (CL)
Total body clearance of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Half-Life (t1/2)
Apparent first order terminal elimination half-life of Zika Virus Immune Globulin (ZIKV-IG).
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Volume of Distribution (Vz)
Volume of distribution of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.

Full Information

First Posted
August 7, 2018
Last Updated
December 7, 2020
Sponsor
Emergent BioSolutions
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1. Study Identification

Unique Protocol Identification Number
NCT03624946
Brief Title
Study in Healthy Volunteers Evaluating Safety and Pharmacokinetics of Zika Virus Immune Globulin (ZIKV-IG)
Official Title
Safety and Pharmacokinetic Evaluation of Zika Virus Immune Globulin in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
June 27, 2018 (Actual)
Primary Completion Date
March 6, 2019 (Actual)
Study Completion Date
March 6, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Emergent BioSolutions

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Currently, there are no licensed therapeutics against Zika virus infection. Due to this unmet medical need, Zika Virus Immune Globulin (ZIKV-IG) is being developed as a therapeutic intervention against Zika virus infection. In this first-in-human study, evaluation of ZIKV-IG safety and pharmacokinetics (absorption, metabolism and excretion) will be conducted in healthy adult volunteers.
Detailed Description
This study will be evaluating safety and pharmacokinetics (PK) of one dose level of ZIKV-IG (50 mL) in healthy adult volunteers. The study is a single-center, double-blind, randomized and placebo-controlled design. The primary objective is to assess safety of intravenously (IV) administered ZIKV-IG, while the secondary objective is to determine the PK profile of ZIKV-IG in healthy adult volunteers. There will be a total of 30 subjects enrolled into the study; dosing of the first six subjects will be staggered over three separate days, wherein two subjects per day will be randomized 1:1 to either receive 50 mL of placebo IV or 50 mL of ZIKV-IG IV (the total amount of gamma immune globulin [IgG] protein from a single 50mL dose is 4.65g). After the first six subjects are dosed, the remaining 24 subjects will be randomized 2:1 to receive either ZIKV-IG or placebo. A safety monitoring committee will review safety data (collected up to 3 days post-dosing) of the first 12 dosed subjects prior to dosing of the remaining 18 subjects. Overall, there will be 19 subjects randomized to receive ZIKV-IG and 11 subjects randomized to receive placebo on Day 1. On Day 1 (post-dose at 1 hour, 3 hours, 8 hours) and Day 2, safety and PK assessments will be conducted while the subjects are in the Phase 1 clinic. After the discharge on Day 2, the subjects will come back to the clinic for safety and PK assessments on Days 3, 4, 6, 8, 10, 12, 15, 22, 29, 43, 57 and 85. Total study duration for each subject will be up to 4 months (from screening to Day 85).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Zika Virus Infection, Zika Virus Disease
Keywords
Zika virus, Human immune globulin, Hyperimmune, Polyclonal antibodies

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Zika Virus Immune Globulin (ZIKV-IG)
Arm Type
Experimental
Arm Description
Single dose of 50 mL Zika Virus Immune Globulin (ZIKV-IG) will be administered intravenously over 33 minutes.
Arm Title
Placebo (Saline Solution)
Arm Type
Placebo Comparator
Arm Description
Single dose of 50 mL placebo will be administered intravenously over 33 minutes.
Intervention Type
Biological
Intervention Name(s)
Zika Virus Immune Globulin (ZIKV-IG)
Other Intervention Name(s)
Anti-Zika Immune Globulin (Human), NP-024
Intervention Description
Zika Virus Immune Globulin (ZIKV-IG) is a human immune globulin preparation containing neutralizing antibodies to Zika virus.
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Saline solution
Intervention Description
Placebo is a normal saline solution (0.9% sodium chloride).
Primary Outcome Measure Information:
Title
Number of Subjects With Adverse Events.
Description
Number of subjects with of adverse events by severity.
Time Frame
Up to Day 85
Secondary Outcome Measure Information:
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Maximum Concentration (Cmax)
Description
Maximum observed serum concentration of Zika Virus Immune Globulin (ZIKV-IG)
Time Frame
0-2 hours predose to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Time to Maximum Concentration (Tmax)
Description
Time at which maximum serum concentration of Zika Virus Immune Globulin (ZIKV-IG) occurs.
Time Frame
0-2 hours predose up to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Up to Last Quantifiable Concentration (AUC0-t)
Description
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration.
Time Frame
0-2 hours predose to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Extrapolated to Infinity (AUC0-inf)
Description
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration, plus the area extrapolated to infinity.
Time Frame
0-2 hours predose up to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Clearance (CL)
Description
Total body clearance of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.
Time Frame
0-2 hours predose up to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Half-Life (t1/2)
Description
Apparent first order terminal elimination half-life of Zika Virus Immune Globulin (ZIKV-IG).
Time Frame
0-2 hours predose up to Day 85 postdose
Title
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Volume of Distribution (Vz)
Description
Volume of distribution of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.
Time Frame
0-2 hours predose up to Day 85 postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Informed consent voluntarily signed by subject. Age: 18-55 years of age. Blood type O+ or O-. Body mass index (BMI) of 18-30. Note: minimum body weight of 50 kg. For female subjects (with male partners) that are not surgically sterilized (e.g., did not undergo hysterectomy, bilateral oophorectomy or tubal ligation), use of an effective method of contraception throughout the trial including: Using hormonal contraception (oral, injectable or implant) continuously for 3 months prior to screening and willing to continue to use hormonal contraception throughout the entire trial. Intrauterine device (IUD) inserted at least 1 month prior to screening. Double barrier type of birth control measure (e.g., condoms, diaphragms, cervical sponge with spermicide). True abstinence. For female subjects who are post-menopausal, documented follicle- stimulating hormone (FSH) ≥40 milli-international units per milliliter (mIU/mL) must be obtained. If the FSH is <40 mIU/mL, the subject must agree to use an acceptable form of contraception (see above). Females of childbearing potential without male sexual partners must be willing to maintain their sexual status as it is throughout the study. For male subjects that have not had a vasectomy, use of a condom with spermicide or true abstinence for the duration of the study. Note: female partners (that are of childbearing potential) of male study subjects (that have not had a vasectomy) should use one of the effective contraception methods (eg, hormonal contraception, IUD or barrier type). Also, male subjects must not donate sperm for the duration of the study. Males without female sexual partners must be willing to maintain their sexual status as it is throughout the study. Healthy as determined by principal investigator or a qualified designate based on medical history, physical exam, vital signs, urinalysis, blood chemistry and hematology test results at screening. Exclusion Criteria: Use of any investigational product within the past 30 days. Use of any investigational product during the study. Individuals with blood type A, B or AB. Recipient of any blood product within the past 12 months. Plasma donation within 7 days or significant blood loss or blood donation within 56 days of baseline. Blood donation at any time during the study. Females with a hemoglobin level ≤120 g/L. Males with a hemoglobin level <130 g/L. History of hypersensitivity to blood or plasma products. History of allergy to latex or rubber. History of immunoglobulin A (IgA) deficiency. History of hypercoagulable conditions (e.g., deep vein thrombosis or pulmonary embolism). History of myocardial infarction. History of stroke. History of renal impairment/failure. Currently pregnant or lactating or planning to become pregnant during the study. History of flavivirus infection [ZIKV, dengue virus (DENV), West Nile virus (WNV), Japanese encephalitis virus (JEV), yellow fever virus (YFV)] or vaccination with licensed or investigational flavivirus vaccine. Plans to travel to an area with active flavivirus (e.g., ZIKV and/or DENV) transmission during the study (and up to 10 months after the study drug administration) or has returned from an endemic area with these diseases within 30 days of screening. Positive nucleic acid test (NAT) or serology for ZIKV or positive serology for WNV or DENV. Positive serology test (at screening) for human immunodeficiency virus 1 and 2 (HIV), hepatitis C virus (HCV); positive test for hepatitis B virus (HBV) as determined by HBsAg. History of chronic or acute severe neurologic condition (e.g., diagnosis of Guillain-Barre syndrome, epilepsy, Bell's palsy, meningitis or disease with any focal neurologic deficits). Heavy smokers (≥15cigarettes a day) or electronic cigarette use. History of, or suspected substance abuse problem (including alcohol). Failure of drug (urine) test at screening or baseline. Failure of alcohol (breath) test at screening or baseline. Receipt of a live vaccine within 28 days prior to screening or anticipated receipt of a live vaccine during the study period. Individuals with planned surgical procedures that will occur during the study. An opinion of the investigator that it would be unwise to allow participation of the subject in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vadim Dreyzin, MD
Organizational Affiliation
Syneos Health
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael McDonnell, MD
Organizational Affiliation
Syneos Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Syneos Health, Early Phase
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5V 2T3
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34610572
Citation
White J, Tunga P, Anderson DM, Iledan K, Loreth T, Parrera GS, Astacio H, Drobic B, Richardson JS. Results of a Double-Blind, Randomized, Placebo-Controlled Phase 1 Study to Evaluate the Safety and Pharmacokinetics of Anti-Zika Virus Immunoglobulin. Am J Trop Med Hyg. 2021 Oct 4;105(6):1552-1562. doi: 10.4269/ajtmh.20-1578.
Results Reference
derived

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Study in Healthy Volunteers Evaluating Safety and Pharmacokinetics of Zika Virus Immune Globulin (ZIKV-IG)

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