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A Multi-cohort Study of the Tolerance, Safety, and Pharmacokinetics of GNR-055 in Healthy Volunteers

Primary Purpose

Mucopolysaccharidosis Type II, Metabolic Diseases

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
GNR-055
Sponsored by
AO GENERIUM
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mucopolysaccharidosis Type II focused on measuring Mucopolysaccharidosis type II, Mucopolysaccharidoses, Metabolic Diseases, Lysosomal Storage Diseases, Carbohydrate Metabolism, Inborn, Metabolism, Inborn, Genetic Diseases, Inborn, Neurobehavioral Manifestations, Neurologic Manifestations, Genetic Diseases, X-Linked

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Men aged 18 to 50 years (inclusive) at the time of signing the Informed Consent Form;
  • Body mass index (BMI) 18.5 to 30 kg/m2, body weight of 50 to 90 kg;
  • A verified diagnosis as "healthy" (the diagnosis "healthy" is established on the basis of a detailed medical history, in the absence of deviations from normal values during a clinical examination, including measurement of blood pressure, respiratory rate, heart rate, body temperature, laboratory and instrumental (ECG) examination data);
  • A written informed consent to participate in the study in accordance with applicable laws in place and compliance with all the procedures and requirements/restrictions provided for by the study protocol;
  • Consent to use adequate methods of contraception (double barrier method-male or female (for partners of male research volunteers), condom with spermicide, intrauterine device (IUD), diaphragm with spermicide, contraceptive sponge, cervical cap with spermicide).

Exclusion Criteria:

  • Known hypersensitivity to idursulfase and/or to the medicinal product excipients;
  • Burdened allergy history;
  • Drug intolerance;
  • History of seizures;
  • Deposit injections or implants use of any other medicinal product three months before the Screening Visit;
  • An unusual way of living (night working, extreme physical activity);
  • Diarrhea dehydration, vomiting, or other causes within 24 hours before the Screening Visit;
  • Deviations from the normal values of the clinical, laboratory, and ECG examinations;
  • If there are acute or chronic diseases of the cardiovascular, bronchopulmonary, nervous, immune, and endocrine systems, diseases of the gastrointestinal tract, liver and biliary tract, kidney and urinary tract, blood and lymphatic system, a history of mental illness;
  • Positive results for hepatitis B or C markers, human immunodeficiency virus (HIV), and syphilis;
  • Acute infectious diseases less than four weeks before the Screening Visit;
  • Regular administration of medicinal products less than two weeks before the Screening Visit;
  • Systolic blood pressure (SBP) below 100 mm Hg or above 140 mm Hg; diastolic blood pressure (DBP) below 70 mm Hg or above 90 mm Hg; HR below 60 bpm or above 80 bpm;
  • Blood donation (450 mL or more of blood or plasma) less than three months before the Screening Visit;
  • Participation in human clinical studies of medicinal products less than three months before the Screening Visit;
  • Consumption of more than 10 units of alcohol per week (1 unit of alcohol is equivalent to 0.5 L of beer, 200 mL of dry wine, or 50 mL of strong spirits) OR history of alcoholism;
  • Alcohol exhale positive test;
  • Drug addiction, toxic substance abuse, a positive urine analysis for potent and narcotic substances, including cocaine, cannabis, amphetamine, barbiturates, benzodiazepines, and opioids;
  • Smoking more than 10 cigarettes per day;
  • Other reasons that, in the opinion of the investigator, prevent a volunteer from participating in the study or cause an unreasonable risk.

Sites / Locations

  • FSAEI HE "I.M. Sechenov First Moscow State Medical University" of the Ministry of Health of Russian Federation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Other

Other

Other

Other

Other

Arm Label

Cohort 1 GNR-055 (0.3 mg/kg)

Cohort 2 GNR-055 (0.5 mg/kg)

Cohort 3 GNR-055 (1 mg/kg)

Cohort 4 GNR-055 ( 2 mg/kg)

Cohort 5 GNR-055 (3 mg/kg)

Arm Description

GNR-055 (0.3 mg/kg) Single intravenous administration GNR-055

GNR-055 (0.5 mg/kg) Single intravenous administration GNR-055

GNR-055 (1 mg/kg) Single intravenous administration GNR-055

GNR-055 ( 2 mg/kg) Single intravenous administration GNR-055

GNR-055 (3 mg/kg) Single intravenous administration GNR-055

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events
Adverse events, Laboratory tests, Vital signs, Physical examination, 12-lead electrocardiogram, Allergic associated reaction, Infusion associated reaction, Antidrug antibody.

Secondary Outcome Measures

Serum pharmacokinetic parameters of GNR-055
Serum concentration GNR-055, Pharmacokinetic parameters
Cmax - Maximum Serum Concentration
Pharmacokinetic parameters
AUC - Area Under the Curve
Pharmacokinetic parameters
Т1/2 - Half-life
Pharmacokinetic parameters
Kel - Elimination rate constant
Pharmacokinetic parameters
MRT - Mean residence time
Pharmacokinetic parameters
Cl - Clearance
Pharmacokinetic parameters
Vz - volume of distribution
Pharmacokinetic parameters

Full Information

First Posted
August 28, 2020
Last Updated
October 13, 2020
Sponsor
AO GENERIUM
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1. Study Identification

Unique Protocol Identification Number
NCT04539340
Brief Title
A Multi-cohort Study of the Tolerance, Safety, and Pharmacokinetics of GNR-055 in Healthy Volunteers
Official Title
An Open-label Multi-cohort Dose-escalation Study to Evaluate the Tolerance, Safety, and Pharmacokinetics of GNR-055 (GENERIUM JSC, Russia) in Healthy Volunteers With a Single Intravenous Administration
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
February 28, 2020 (Actual)
Primary Completion Date
September 8, 2020 (Actual)
Study Completion Date
September 8, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AO GENERIUM

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
It is a phase I open-label single-dose, dose-escalation cohort study to evaluate of the tolerance, safety, and pharmacokinetics of GNR-055 in healthy volunteers
Detailed Description
GNR-055 is intended for ERT in patient with Mucopolysaccharidosis type II (MPS II), or Hunter syndrome. MPS II is a lysosomal storage disease with an X-linked recessive inheritance type, which is characterized by a decrease in the activity of the lysosomal enzyme iduronate-2-sulfatase (I2S), caused by a mutation in the IDS gene. Enzyme deficiency leads to the accumulation of glycosaminoglycans (GAG) in lysosomes, mainly fractions of heparan and dermatan sulfates. Because of the insufficient activity of iduronate sulfatase participating in the first stage of catabolism of GAG, they accumulate in lysosomes of almost all types of cells of various tissues and organs. The disease is manifested by growth retardation, damage of many organs and systems, severe deformations of bones and joints, gross facial features, pathology of the respiratory and cardiovascular systems, damage to parenchymal organs (hepatosplenomegaly), and hearing impairment. A severe form of the disease occurs with the involvement of the nervous system in the pathological process, including mental retardation, behavior anomalies, and impaired motor function. GNR 055 is a modified enzyme iduronate-2-sulfatase capable of penetrating the blood-brain barrier and thus it is expected to prevent neurodegenerative consequences and the development of cognitive deficit in the future that will allow achieving a significant improvement in the life quality and expectancy of patients with MPS II

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mucopolysaccharidosis Type II, Metabolic Diseases
Keywords
Mucopolysaccharidosis type II, Mucopolysaccharidoses, Metabolic Diseases, Lysosomal Storage Diseases, Carbohydrate Metabolism, Inborn, Metabolism, Inborn, Genetic Diseases, Inborn, Neurobehavioral Manifestations, Neurologic Manifestations, Genetic Diseases, X-Linked

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 GNR-055 (0.3 mg/kg)
Arm Type
Other
Arm Description
GNR-055 (0.3 mg/kg) Single intravenous administration GNR-055
Arm Title
Cohort 2 GNR-055 (0.5 mg/kg)
Arm Type
Other
Arm Description
GNR-055 (0.5 mg/kg) Single intravenous administration GNR-055
Arm Title
Cohort 3 GNR-055 (1 mg/kg)
Arm Type
Other
Arm Description
GNR-055 (1 mg/kg) Single intravenous administration GNR-055
Arm Title
Cohort 4 GNR-055 ( 2 mg/kg)
Arm Type
Other
Arm Description
GNR-055 ( 2 mg/kg) Single intravenous administration GNR-055
Arm Title
Cohort 5 GNR-055 (3 mg/kg)
Arm Type
Other
Arm Description
GNR-055 (3 mg/kg) Single intravenous administration GNR-055
Intervention Type
Biological
Intervention Name(s)
GNR-055
Intervention Description
Single intravenous administration
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events
Description
Adverse events, Laboratory tests, Vital signs, Physical examination, 12-lead electrocardiogram, Allergic associated reaction, Infusion associated reaction, Antidrug antibody.
Time Frame
Day 7 ± 1
Secondary Outcome Measure Information:
Title
Serum pharmacokinetic parameters of GNR-055
Description
Serum concentration GNR-055, Pharmacokinetic parameters
Time Frame
Day 2
Title
Cmax - Maximum Serum Concentration
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
AUC - Area Under the Curve
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
Т1/2 - Half-life
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
Kel - Elimination rate constant
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
MRT - Mean residence time
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
Cl - Clearance
Description
Pharmacokinetic parameters
Time Frame
Day 2
Title
Vz - volume of distribution
Description
Pharmacokinetic parameters
Time Frame
Day 2

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men aged 18 to 50 years (inclusive) at the time of signing the Informed Consent Form; Body mass index (BMI) 18.5 to 30 kg/m2, body weight of 50 to 90 kg; A verified diagnosis as "healthy" (the diagnosis "healthy" is established on the basis of a detailed medical history, in the absence of deviations from normal values during a clinical examination, including measurement of blood pressure, respiratory rate, heart rate, body temperature, laboratory and instrumental (ECG) examination data); A written informed consent to participate in the study in accordance with applicable laws in place and compliance with all the procedures and requirements/restrictions provided for by the study protocol; Consent to use adequate methods of contraception (double barrier method-male or female (for partners of male research volunteers), condom with spermicide, intrauterine device (IUD), diaphragm with spermicide, contraceptive sponge, cervical cap with spermicide). Exclusion Criteria: Known hypersensitivity to idursulfase and/or to the medicinal product excipients; Burdened allergy history; Drug intolerance; History of seizures; Deposit injections or implants use of any other medicinal product three months before the Screening Visit; An unusual way of living (night working, extreme physical activity); Diarrhea dehydration, vomiting, or other causes within 24 hours before the Screening Visit; Deviations from the normal values of the clinical, laboratory, and ECG examinations; If there are acute or chronic diseases of the cardiovascular, bronchopulmonary, nervous, immune, and endocrine systems, diseases of the gastrointestinal tract, liver and biliary tract, kidney and urinary tract, blood and lymphatic system, a history of mental illness; Positive results for hepatitis B or C markers, human immunodeficiency virus (HIV), and syphilis; Acute infectious diseases less than four weeks before the Screening Visit; Regular administration of medicinal products less than two weeks before the Screening Visit; Systolic blood pressure (SBP) below 100 mm Hg or above 140 mm Hg; diastolic blood pressure (DBP) below 70 mm Hg or above 90 mm Hg; HR below 60 bpm or above 80 bpm; Blood donation (450 mL or more of blood or plasma) less than three months before the Screening Visit; Participation in human clinical studies of medicinal products less than three months before the Screening Visit; Consumption of more than 10 units of alcohol per week (1 unit of alcohol is equivalent to 0.5 L of beer, 200 mL of dry wine, or 50 mL of strong spirits) OR history of alcoholism; Alcohol exhale positive test; Drug addiction, toxic substance abuse, a positive urine analysis for potent and narcotic substances, including cocaine, cannabis, amphetamine, barbiturates, benzodiazepines, and opioids; Smoking more than 10 cigarettes per day; Other reasons that, in the opinion of the investigator, prevent a volunteer from participating in the study or cause an unreasonable risk.
Facility Information:
Facility Name
FSAEI HE "I.M. Sechenov First Moscow State Medical University" of the Ministry of Health of Russian Federation
City
Moscow
ZIP/Postal Code
119991
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

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A Multi-cohort Study of the Tolerance, Safety, and Pharmacokinetics of GNR-055 in Healthy Volunteers

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