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A Single Dose Escalation Study of PCSK9 Inhibitor (JS002) in Health Subjects

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
JS002
Placebo
Sponsored by
Shanghai Junshi Bioscience Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Hypercholesterolemia

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy men or women aged 18 to 45 years old at screening visit;
  2. Have the ability to read and understand, volunteer to participate in the study, and signed written informed consent.
  3. The body mass index (BMI) at screening visit was in the range of 18 to 30 kg/m2 (inclusive) and the body weight ≥ 50 kg.
  4. The sitting blood pressure ≥90/60 mmHg and <140/90 mmHg at screening visit.
  5. Serum LDL-C level ≥ 70 mg/dL (1.8 mmol/L) and < 190 mg/dL (4.9 mmol/L) at screening visit.
  6. Serum Triglyceride (TG) level < 250 mg/dL (2.8 mmol/L) at screening visit.
  7. No fertility [female: documented hysterectomy, bilateral oophorectomy, tubal ligation or other female permanent sterilization, or menopause (menopause for more than one year)], or those with fertility are willing to take, during the entire study period, strict and effective contraceptive measures, in addition, female subjects with fertility should have a negative blood/urine pregnancy test at screening visit.

Exclusion Criteria:

  1. Subjects who meet any of the following criteria will be excluded from the study:
  2. Evolocumab and/or Alirocumab, or other targeted drugs to PCSK9, has been used at any time.
  3. Any therapeutic or research biological agents has been used during the first 6 months of baseline/random (Day 0).
  4. Participated in any clinical study within 3 months prior to baseline/random (Day 0).
  5. Any drug or health supplement that affects blood lipids or lipid metabolism during the first 30 days of baseline/random (Day 0), including but not limited to: Probucol, statins (e.g. Atorvastatin, Rosuvastatin, etc.), cholesterol absorption inhibitors (such as Ezetimibe), bile acid sequestrants (such as Cholestyramine), red yeast and hawthorn preparations, fibrates, high-purity fish oil preparations (or omega-fatty acids ≥ 1000 mg / day) and niacin preparation (nicotinic acid ≥ 50 mg), etc.
  6. Start a new intense exercise or diet control within 30 days of random (Day 0) or major changes to previous diet and lifestyle (including exercise, smoking and drinking). The following conditions occur before the baseline/random (Day 0) 1 day (ie Day-1) need to be excluded:

    • Creatine kinase (CK) ≥ 3 times the upper limit of normal (ULN) (Note: related to exercise), or
    • Urinary cotinine is positive, or
    • Positive alcohol saliva test.
  7. Previous or concomitant diseases (such as nephrotic syndrome, liver disease, diabetes, hypothyroidism, etc.) or any clinically significant abnormalities found in physical examinations, laboratory tests, and electrocardiograms, which would make the subject unsuitable for this study.
  8. The medical history or clinical evidence indicates that the subject had severe acute or chronic disease (including not limited to: heart, kidney, nerves, endocrine, blood, immunity, infection, metabolic disorders, etc.), and the disease has not been controlled, which may confuse the outcome of the study or put the subject at risk judged by the investigator, The following situations need to be excluded:

    • had major surgery in the last 6 months, or
    • has been hospitalized (e.g. infection) in the last 3 months, or
    • donated blood or blood loss ≥500 mL in the past 3 months, or
    • has used any prescription or over-the-counter drugs in the past 1 month.
  9. Transplantation History of organs (such as heart, lung, liver, kidney, etc.) Malignant tumors history, except for cervical carcinoma in situ or surgically resected skin cancer (basal cells and squamous epithelial cells) for more than 5 years.
  10. Drug abuse or alcohol dependence in the past 1 year.
  11. HIV infection, or HIV antibody positive at screening visit.
  12. Syphilis infection, or serotonin antibody (TPPA) positive at screening visit.
  13. Hepatitis B surface antigen (HBsAg) was positive at screening visit.
  14. Hepatitis C virus (HCV) antibody was positive at screening visit.
  15. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≥ 2 times the upper limit of normal (ULN); alkaline phosphatase and bilirubin ≥ 1.5 times the upper limit of normal (ULN).
  16. Allergy history to mammalian-derived biological agents, including monoclonal antibodies.
  17. Women during pregnancy and lactation.
  18. Any other investigator believes that the subject is not suitable for the study, such as the subject has potential compliance issues, cannot complete all tests and assessments according to the protocol requirements.

Sites / Locations

  • Fuwai Hospital Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

JS002

Placebo,

Arm Description

JS002, Subcutaneous or intravenous injection

Placebo,Subcutaneous or intravenous injection

Outcomes

Primary Outcome Measures

Number of participants with adverse events(SAE, drug-related (S)AE etc)based on physical examinations, vital signs, 12 lead ECGs , laboratory tests and injection site reactions.

Secondary Outcome Measures

Number of participants with anti-drug antibodies.
Serum concentrations of JS002 at different timepoint after the drug administration.
Change from baseline in LDL-C and other lipid parameters (TC, HDL-C, non-HDL-C, VLDL-C, ApoB, ApoA1, Lp(a) and TG).

Full Information

First Posted
December 1, 2019
Last Updated
December 11, 2019
Sponsor
Shanghai Junshi Bioscience Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04197817
Brief Title
A Single Dose Escalation Study of PCSK9 Inhibitor (JS002) in Health Subjects
Official Title
A Randomized, Double-blind, Placebo-controlled, Single-dose Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of JS002 (Recombinant Humanized Anti-PCSK9 Monoclonal Antibody) Injection in Healthy Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
December 11, 2017 (Actual)
Primary Completion Date
August 14, 2018 (Actual)
Study Completion Date
August 14, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Junshi Bioscience Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
JS002 is a recombinant humanized Anti- PCSK9 monoclonal antibody; This is a phase Ia, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of a single subcutaneous injection of JS002 in healthy subjects. In this study, the dose ascending design includes five dose level cohorts (15 mg, 50 mg, 150 mg, 300 mg, and 450 mg) administered by subcutaneous injection, and three intravenous administration cohorts (15 mg, 150 mg, and 450 mg). Each cohort will enroll 8 to 12 subjects (distribution of study drug and placebo in a 3:1 ratio). The duration of the study is 84-day per subjects.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
84 (Actual)

8. Arms, Groups, and Interventions

Arm Title
JS002
Arm Type
Active Comparator
Arm Description
JS002, Subcutaneous or intravenous injection
Arm Title
Placebo,
Arm Type
Placebo Comparator
Arm Description
Placebo,Subcutaneous or intravenous injection
Intervention Type
Drug
Intervention Name(s)
JS002
Other Intervention Name(s)
Recombinant humanized Anti- PCSK9 monoclonal antibody
Intervention Description
JS002, Subcutaneous or intravenous injection of a single dose of JS002, dose cohort according to ascending dose design
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo of Recombinant humanized Anti- PCSK9 monoclonal antibody
Intervention Description
Placebo,Subcutaneous or intravenous injection of a single dose of placebo, dose cohort according to ascending dose design
Primary Outcome Measure Information:
Title
Number of participants with adverse events(SAE, drug-related (S)AE etc)based on physical examinations, vital signs, 12 lead ECGs , laboratory tests and injection site reactions.
Time Frame
Up to 84 days after dose administration
Secondary Outcome Measure Information:
Title
Number of participants with anti-drug antibodies.
Time Frame
Up to 84 days after dose administration
Title
Serum concentrations of JS002 at different timepoint after the drug administration.
Time Frame
Up to 84 days after dose administration
Title
Change from baseline in LDL-C and other lipid parameters (TC, HDL-C, non-HDL-C, VLDL-C, ApoB, ApoA1, Lp(a) and TG).
Time Frame
Up to 84 days after dose administration
Other Pre-specified Outcome Measures:
Title
Changes over time of serum concentrations of JS002.
Time Frame
Up to 84 days after dose administration
Title
Changes over time of LDL-C.
Time Frame
Up to 84 days after dose administration
Title
Change over time of unbound/total serum PCSK9.
Time Frame
Up to 84 days after dose administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy men or women aged 18 to 45 years old at screening visit; Have the ability to read and understand, volunteer to participate in the study, and signed written informed consent. The body mass index (BMI) at screening visit was in the range of 18 to 30 kg/m2 (inclusive) and the body weight ≥ 50 kg. The sitting blood pressure ≥90/60 mmHg and <140/90 mmHg at screening visit. Serum LDL-C level ≥ 70 mg/dL (1.8 mmol/L) and < 190 mg/dL (4.9 mmol/L) at screening visit. Serum Triglyceride (TG) level < 250 mg/dL (2.8 mmol/L) at screening visit. No fertility [female: documented hysterectomy, bilateral oophorectomy, tubal ligation or other female permanent sterilization, or menopause (menopause for more than one year)], or those with fertility are willing to take, during the entire study period, strict and effective contraceptive measures, in addition, female subjects with fertility should have a negative blood/urine pregnancy test at screening visit. Exclusion Criteria: Subjects who meet any of the following criteria will be excluded from the study: Evolocumab and/or Alirocumab, or other targeted drugs to PCSK9, has been used at any time. Any therapeutic or research biological agents has been used during the first 6 months of baseline/random (Day 0). Participated in any clinical study within 3 months prior to baseline/random (Day 0). Any drug or health supplement that affects blood lipids or lipid metabolism during the first 30 days of baseline/random (Day 0), including but not limited to: Probucol, statins (e.g. Atorvastatin, Rosuvastatin, etc.), cholesterol absorption inhibitors (such as Ezetimibe), bile acid sequestrants (such as Cholestyramine), red yeast and hawthorn preparations, fibrates, high-purity fish oil preparations (or omega-fatty acids ≥ 1000 mg / day) and niacin preparation (nicotinic acid ≥ 50 mg), etc. Start a new intense exercise or diet control within 30 days of random (Day 0) or major changes to previous diet and lifestyle (including exercise, smoking and drinking). The following conditions occur before the baseline/random (Day 0) 1 day (ie Day-1) need to be excluded: Creatine kinase (CK) ≥ 3 times the upper limit of normal (ULN) (Note: related to exercise), or Urinary cotinine is positive, or Positive alcohol saliva test. Previous or concomitant diseases (such as nephrotic syndrome, liver disease, diabetes, hypothyroidism, etc.) or any clinically significant abnormalities found in physical examinations, laboratory tests, and electrocardiograms, which would make the subject unsuitable for this study. The medical history or clinical evidence indicates that the subject had severe acute or chronic disease (including not limited to: heart, kidney, nerves, endocrine, blood, immunity, infection, metabolic disorders, etc.), and the disease has not been controlled, which may confuse the outcome of the study or put the subject at risk judged by the investigator, The following situations need to be excluded: had major surgery in the last 6 months, or has been hospitalized (e.g. infection) in the last 3 months, or donated blood or blood loss ≥500 mL in the past 3 months, or has used any prescription or over-the-counter drugs in the past 1 month. Transplantation History of organs (such as heart, lung, liver, kidney, etc.) Malignant tumors history, except for cervical carcinoma in situ or surgically resected skin cancer (basal cells and squamous epithelial cells) for more than 5 years. Drug abuse or alcohol dependence in the past 1 year. HIV infection, or HIV antibody positive at screening visit. Syphilis infection, or serotonin antibody (TPPA) positive at screening visit. Hepatitis B surface antigen (HBsAg) was positive at screening visit. Hepatitis C virus (HCV) antibody was positive at screening visit. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≥ 2 times the upper limit of normal (ULN); alkaline phosphatase and bilirubin ≥ 1.5 times the upper limit of normal (ULN). Allergy history to mammalian-derived biological agents, including monoclonal antibodies. Women during pregnancy and lactation. Any other investigator believes that the subject is not suitable for the study, such as the subject has potential compliance issues, cannot complete all tests and assessments according to the protocol requirements.
Facility Information:
Facility Name
Fuwai Hospital Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100020
Country
China

12. IPD Sharing Statement

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A Single Dose Escalation Study of PCSK9 Inhibitor (JS002) in Health Subjects

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