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Evaluate the Safety Pharmacokinetics of a Human Monoclonal Antibody S315 Against Diphtheria Toxin in Healthy Subjects (S315)

Primary Purpose

Diphtheria

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
S315
0.9% Sodium Chloride (NaCl)
Sponsored by
MassBiologics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diphtheria

Eligibility Criteria

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

Inclusion Criteria:

  1. Capable of giving written informed consent and able to effectively communicate with the Investigator and study personnel. A signed informed consent document (ICD) must be on file prior to initiating the screening procedures.

    Willing and able to complete all study requirements, restrictions, visits and procedures.

  2. Age 18 to 55 years, inclusive.
  3. Weight 50 kg to 90 kg, inclusive.
  4. Systolic blood pressure less than 140 mmHg and diastolic less than 90 mmHg on two separate readings at least one minute apart.
  5. Women of child bearing potential, defined as all women physiologically capable of becoming pregnant must agree not to become pregnant and must use a method of birth control during the entire study.

    Women of non-child bearing potential may be included. Women are considered post-menopausal and not of childbearing potential if, they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile or have had surgical total hysterectomy or tubal ligation at least six weeks ago.

  6. Males of reproductive potential must use a barrier method of contraception during the course of the study.
  7. Screening laboratory values must meet the following criteria:

    • White blood cell (WBC) 3.5 - Upper Limit of Normal (ULN)
    • Platelets > 100,000/mm3
    • Hemoglobin ≥ Lower Limit of Normal (LLN)
    • Creatinine ≤ ULN
    • Aspartate Aminotransferase (AST) ≤ ULN
    • Alanine Aminotransferase (ALT) ≤ ULN
    • Alkaline Phosphatase ≤ ULN
    • Bilirubin ≤ ULN
    • HgbA1c

Exclusion Criteria:

  • 1. Previous receipt of humanized or human monoclonal antibody whether licensed or investigational.

    2. History of or any current medical condition that could compromise the safety of the participant in the study, as determined by the Investigator.

    3. History of suicidal behavior within 12 months prior to screening.

    4. Donated blood or plasma within 60 days prior to dosing.

    5. Clinically significant gastrointestinal, cardiovascular, neurologic, psychiatric, substance abuse, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease, as determined by the Investigator.

    6. Drug or alcohol abuse within previous 12 months or a positive test at screening and at Day -1 within 24 hours of study product administration.

    7. History of a previous severe allergic reaction with generalized urticaria, angioedema or anaphylaxis.

    8. Physical finding on examination considered clinically significant such as murmur (other than functional), hepatosplenomegaly, lymphadenopathy or focal neurological deficit.

    9. Urinalysis positive for > trace protein, > 5 Red Blood Cell (RBC)/hpf or > 5 WBC/hpf.

    10. Positive serology for HIV antibody, Hepatitis C Virus (HCV) antibody or Hepatitis B surface antigen at screening.

    11. Positive serum pregnancy test during screening or within 24 hours of study product administration, or an unwillingness to undergo pregnancy testing.

    12. Pregnant within 6 months or breast-feeding within 3 months prior to screening.

    13. Receipt of licensed vaccine containing diphtheria toxoid (Td, Tdap, pneumococcal conjugate vaccines, meningococcal conjugate vaccines) within the last year.

    14. Treatment with another investigational drug or other intervention within 30 days from screening.

    15. Any other condition that in the opinion of the investigator would jeopardize the safety or rights of the subject participating in the study.

    16. Safety laboratory abnormalities at Screening or Day -1, which are clinically significant as determined by the Investigator.

    17. Tobacco, e-cigarettes, and/or nicotine use within 30 days prior to screening confirmed by urine cotinine test.

Sites / Locations

  • Parexel Early Phase Clinical Unit

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

S315 human monoclonal antibody

0.9% sodium chloride (NaCl)

Arm Description

5 cohorts of 8 subjects each randomized 6:2 (S315:Placebo (0.9% Sodium Chloride)) with escalation of a fixed dose of S315

5 cohorts of 8 subjects each randomized 6:2 (S315:Placebo(0.9% Sodium Chloride)) with escalation of a fixed dose of S315

Outcomes

Primary Outcome Measures

The number of Participants with adverse events as assessed by the Division of Microbiology and Infectious Diseases (DMID) Adult Toxicity Table (Draft revised November 2007) adapted by the Division of Microbiology and Infectious Diseases, NIAID, NIH.
Adverse events assessed for safety

Secondary Outcome Measures

Serial measurements of S315 concentration in the serum.
Pharmacokinetics

Full Information

First Posted
August 15, 2019
Last Updated
February 4, 2020
Sponsor
MassBiologics
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1. Study Identification

Unique Protocol Identification Number
NCT04075175
Brief Title
Evaluate the Safety Pharmacokinetics of a Human Monoclonal Antibody S315 Against Diphtheria Toxin in Healthy Subjects
Acronym
S315
Official Title
A Phase 1 Study in Healthy Subjects to Evaluate the Safety and Pharmacokinetics of a Human Monoclonal Antibody (mAb) S315 Against Diphtheria Toxin
Study Type
Interventional

2. Study Status

Record Verification Date
February 2020
Overall Recruitment Status
Completed
Study Start Date
April 23, 2019 (Actual)
Primary Completion Date
October 7, 2019 (Actual)
Study Completion Date
October 7, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MassBiologics

4. Oversight

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

5. Study Description

Brief Summary
This study will examine the use of a single infusion of S315 at different doses in healthy volunteers to help understand its safety and tolerability. S315 is a monoclonal antibody that is being developed for treatment of diphtheria. The study will assess for any side effects when S315 and will also look at the levels of S315 in the blood over time.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
S315 human monoclonal antibody
Arm Type
Experimental
Arm Description
5 cohorts of 8 subjects each randomized 6:2 (S315:Placebo (0.9% Sodium Chloride)) with escalation of a fixed dose of S315
Arm Title
0.9% sodium chloride (NaCl)
Arm Type
Placebo Comparator
Arm Description
5 cohorts of 8 subjects each randomized 6:2 (S315:Placebo(0.9% Sodium Chloride)) with escalation of a fixed dose of S315
Intervention Type
Drug
Intervention Name(s)
S315
Intervention Description
Human monoclonal antibody against Diphtheria Toxin
Intervention Type
Drug
Intervention Name(s)
0.9% Sodium Chloride (NaCl)
Intervention Description
Placebo 0.9% Sodium Chloride (NaCl)
Primary Outcome Measure Information:
Title
The number of Participants with adverse events as assessed by the Division of Microbiology and Infectious Diseases (DMID) Adult Toxicity Table (Draft revised November 2007) adapted by the Division of Microbiology and Infectious Diseases, NIAID, NIH.
Description
Adverse events assessed for safety
Time Frame
Day -1 through Day 60
Secondary Outcome Measure Information:
Title
Serial measurements of S315 concentration in the serum.
Description
Pharmacokinetics
Time Frame
Day 1 pre-dose and Day 1, Day 2, Day 4, Day 8, Day 15, Day 22, day 29, Day 43 and Day 60 post-dose

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: Capable of giving written informed consent and able to effectively communicate with the Investigator and study personnel. A signed informed consent document (ICD) must be on file prior to initiating the screening procedures. Willing and able to complete all study requirements, restrictions, visits and procedures. Age 18 to 55 years, inclusive. Weight 50 kg to 90 kg, inclusive. Systolic blood pressure less than 140 mmHg and diastolic less than 90 mmHg on two separate readings at least one minute apart. Women of child bearing potential, defined as all women physiologically capable of becoming pregnant must agree not to become pregnant and must use a method of birth control during the entire study. Women of non-child bearing potential may be included. Women are considered post-menopausal and not of childbearing potential if, they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile or have had surgical total hysterectomy or tubal ligation at least six weeks ago. Males of reproductive potential must use a barrier method of contraception during the course of the study. Screening laboratory values must meet the following criteria: White blood cell (WBC) 3.5 - Upper Limit of Normal (ULN) Platelets > 100,000/mm3 Hemoglobin ≥ Lower Limit of Normal (LLN) Creatinine ≤ ULN Aspartate Aminotransferase (AST) ≤ ULN Alanine Aminotransferase (ALT) ≤ ULN Alkaline Phosphatase ≤ ULN Bilirubin ≤ ULN HgbA1c Exclusion Criteria: 1. Previous receipt of humanized or human monoclonal antibody whether licensed or investigational. 2. History of or any current medical condition that could compromise the safety of the participant in the study, as determined by the Investigator. 3. History of suicidal behavior within 12 months prior to screening. 4. Donated blood or plasma within 60 days prior to dosing. 5. Clinically significant gastrointestinal, cardiovascular, neurologic, psychiatric, substance abuse, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease, as determined by the Investigator. 6. Drug or alcohol abuse within previous 12 months or a positive test at screening and at Day -1 within 24 hours of study product administration. 7. History of a previous severe allergic reaction with generalized urticaria, angioedema or anaphylaxis. 8. Physical finding on examination considered clinically significant such as murmur (other than functional), hepatosplenomegaly, lymphadenopathy or focal neurological deficit. 9. Urinalysis positive for > trace protein, > 5 Red Blood Cell (RBC)/hpf or > 5 WBC/hpf. 10. Positive serology for HIV antibody, Hepatitis C Virus (HCV) antibody or Hepatitis B surface antigen at screening. 11. Positive serum pregnancy test during screening or within 24 hours of study product administration, or an unwillingness to undergo pregnancy testing. 12. Pregnant within 6 months or breast-feeding within 3 months prior to screening. 13. Receipt of licensed vaccine containing diphtheria toxoid (Td, Tdap, pneumococcal conjugate vaccines, meningococcal conjugate vaccines) within the last year. 14. Treatment with another investigational drug or other intervention within 30 days from screening. 15. Any other condition that in the opinion of the investigator would jeopardize the safety or rights of the subject participating in the study. 16. Safety laboratory abnormalities at Screening or Day -1, which are clinically significant as determined by the Investigator. 17. Tobacco, e-cigarettes, and/or nicotine use within 30 days prior to screening confirmed by urine cotinine test.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Z Sullivan-Bólyai, MD, MPH
Organizational Affiliation
MassBiologics of the University of Massachusetts
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Ronald Goldwater, MD
Organizational Affiliation
Parexel
Official's Role
Principal Investigator
Facility Information:
Facility Name
Parexel Early Phase Clinical Unit
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21225
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
27070129
Citation
Smith HL, Cheslock P, Leney M, Barton B, Molrine DC. Potency of a human monoclonal antibody to diphtheria toxin relative to equine diphtheria anti-toxin in a guinea pig intoxication model. Virulence. 2016 Aug 17;7(6):660-8. doi: 10.1080/21505594.2016.1171436. Epub 2016 Apr 12.
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Evaluate the Safety Pharmacokinetics of a Human Monoclonal Antibody S315 Against Diphtheria Toxin in Healthy Subjects

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