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Safety and Tolerability of PNT001 in Patients With Acute Traumatic Brain Injury (TBI)

Primary Purpose

Traumatic Brain Injury

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PNT001
%5 dextrose for infusion
Sponsored by
Pinteon Therapeutics, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Traumatic Brain Injury

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Hospitalization due to documented evidence of TBI with Glasgow Coma Scale (GCS) Score 9-12 or GCS score of 13-15 with radiographic evidence of trauma.
  2. Duration from documented time of TBI event to time of start of initial dose of study drug will not exceed 24 hours.
  3. Signed informed consent by patient, or where applicable, patient's legally authorized representative.
  4. Male and females, 18- 65 years of age at time of screening (State's legal age of majority is minimum age if higher than 18).
  5. Female patients must meet protocol defined criteria for 1) non-childbearing potential, 2) post menopausal or 3) must have a negative pregnancy test and agree to contraception as outlined in the protocol.
  6. Male must agree to use acceptable contraception and refrain from sperm donation during the entire study and for 200 days after dosing has been completed.
  7. Has not participated in a clinical drug trial within 3 months of study start.
  8. Body Mass Index (BMI) of 18.5-35.0 kg/m2 and for the 4000mg dose group only, weight greater than or equal to 44.8 kg.
  9. Vision, hearing, speech, motor function, and comprehension sufficient for compliance with all testing procedures and assessments.

Exclusion Criteria:

  1. TBI that does not require hospitalization.
  2. TBI outside 24-hour window.
  3. GCS < 9 within 2 hours of dosing.
  4. History of TBI in past 12 months that resulted in patient seeking medical attention.
  5. Evidence of penetrating head trauma or depressed skull fracture.
  6. Clinical or radiographic evidence of mass effect, midline shift, or intracranial hypertension, requiring craniotomy/craniectomy.
  7. Evidence of symptomatic cervical, thoracic, lumbar spine injury e.g. paresis, radiculopathy, that can be localized to the injury.
  8. Systemic traumatic injury that would preclude participation in study or is expected to result in long-term disability.
  9. Any other acute or chronic medical illness that in the judgement of the study physician results in functional impairment or impairs neuropsychiatric function.
  10. Any acute intoxication that in the judgement of the study physician results in significant functional impairment or impairs neuropsychiatric function.
  11. Any history of cancer within 5 years of enrollment with the exception of resected skin basal cell carcinoma.
  12. Any major surgery requiring general anesthesia within 4 weeks of study drug administration.
  13. Donation of blood or serum ≥500 mL to a blood bank or in a clinical study (except screening visit) within 3 months of study drug administration.
  14. Known recent (within 6 months of study drug administration) drug or alcohol abuse as defined in DSM V, Diagnostic Criteria for Drug and Alcohol Abuse.
  15. Evidence of any clinically significant neurological or psychiatric disorder that could interfere with study assessments as determined by investigator and sponsor.
  16. Patient has history or currently has schizophrenia, schizoaffective disorder or bipolar disorder, untreated major depression (DSM-V or ICD-10 criteria).
  17. Significant illness within the prior 30 days.
  18. Abnormalities in creatinine, hepatic transaminases, or QT that would preclude entry into the study.

Sites / Locations

  • Penn Presbyterian Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

PNT001 1000mg

PNT001 4000mg

Placebo

Arm Description

PNT001 diluted in 5% dextrose for infusion

PNT001 diluted in 5% dextrose for infusion

5% dextrose for infusion

Outcomes

Primary Outcome Measures

Incidence of Treatment Emergent Adverse Events
assess adverse events
Incidence of Treatment Emergent Clinical Laboratory Test Abnormalities
measure clinical laboratory values
Incidence of Treatment Emergent Abnormalities in Physical Examination Findings
perform physical examination
Incidence of Treatment Emergent Abnormalities in Neurological Examination Findings
perform neurological examination
Incidence of Treatment Emergent Abnormalities in Vital Signs
assess blood pressure, pulse, temperature, respiratory rate
Incidence of Treatment Emergent Abnormalities in 12-lead Electrocardiogram Assessment
measure ECG parameters

Secondary Outcome Measures

Pharmacokinetic Properties of PNT001 in Serum
measure concentration of PNT001 in serum

Full Information

First Posted
December 6, 2020
Last Updated
June 23, 2022
Sponsor
Pinteon Therapeutics, Inc
Collaborators
United States Department of Defense
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1. Study Identification

Unique Protocol Identification Number
NCT04677829
Brief Title
Safety and Tolerability of PNT001 in Patients With Acute Traumatic Brain Injury (TBI)
Official Title
Phase 1, Randomized, Double-blind, Placebo-controlled, Multiple-ascending-dose Trial to Evaluate the Safety, Tolerability, Immunogenicity, and Pharmacokinetics of Intravenous PNT001 in Hospitalized Patients With Traumatic Brain Injury (TBI)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated due to administrative, non-safety related reasons.
Study Start Date
March 29, 2021 (Actual)
Primary Completion Date
April 12, 2021 (Actual)
Study Completion Date
April 12, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pinteon Therapeutics, Inc
Collaborators
United States Department of Defense

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 is a Phase 1, multi-center, randomized, double-blind, placebo-controlled, multiple-ascending- dose trial to evaluate the safety, tolerability, immunogenicity, and pharmacokinetics of intravenous PNT001 in hospitalized patients with traumatic brain injury.
Detailed Description
The Phase 1 study is a double-blind, multiple ascending dose trial evaluating a total of 64 patients across two dose cohort groups. Each cohort will include 32 patients (24 active; 8 placebo) who will be randomized to receive three doses of either PNT001 or placebo. Doses studied will be 1000mg and 4000mg. Patients admitted to the trauma center who meet entrance criteria will receive their first dose of study drug within 24 hours of documented TBI. They will remain in the facility for at least 24 hours after initial dose. Baseline biomarker collection and cognitive assessments will be completed. Study medication will be administered as an IV infusion over 30 minutes (for 1000mg cohort) or 60 minutes (for 4000mg cohort) followed by collection of safety, tolerability, pharmacokinetic, biomarker, imaging, and cognitive data over 12 weeks. Subsequent dosing visits will be at Days 28 and 56. All visits after initial discharge will be on an outpatient basis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Traumatic Brain Injury

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Escalating dose level cohorts; each cohort with an active and a placebo arm
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Study drug will be administered and assessed in double-blinded fashion.
Allocation
Randomized
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PNT001 1000mg
Arm Type
Experimental
Arm Description
PNT001 diluted in 5% dextrose for infusion
Arm Title
PNT001 4000mg
Arm Type
Experimental
Arm Description
PNT001 diluted in 5% dextrose for infusion
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
5% dextrose for infusion
Intervention Type
Biological
Intervention Name(s)
PNT001
Intervention Description
30 minute infusion for PNT001 1000mg; 60 minute infusion for PNT001 4000mg
Intervention Type
Biological
Intervention Name(s)
%5 dextrose for infusion
Intervention Description
30 min placebo infusion for 1000mg; 60 minute placebo infusion for 4000mg
Primary Outcome Measure Information:
Title
Incidence of Treatment Emergent Adverse Events
Description
assess adverse events
Time Frame
84 day study duration
Title
Incidence of Treatment Emergent Clinical Laboratory Test Abnormalities
Description
measure clinical laboratory values
Time Frame
84 day study duration
Title
Incidence of Treatment Emergent Abnormalities in Physical Examination Findings
Description
perform physical examination
Time Frame
84 day study duration
Title
Incidence of Treatment Emergent Abnormalities in Neurological Examination Findings
Description
perform neurological examination
Time Frame
84 day study duration
Title
Incidence of Treatment Emergent Abnormalities in Vital Signs
Description
assess blood pressure, pulse, temperature, respiratory rate
Time Frame
84 day study duration
Title
Incidence of Treatment Emergent Abnormalities in 12-lead Electrocardiogram Assessment
Description
measure ECG parameters
Time Frame
84 day duration of study
Secondary Outcome Measure Information:
Title
Pharmacokinetic Properties of PNT001 in Serum
Description
measure concentration of PNT001 in serum
Time Frame
84 day duration of study
Other Pre-specified Outcome Measures:
Title
Anti-Drug Antibodies (ADA)
Description
number of participants with presence of anti-drug antibodies (ADA) in serum
Time Frame
84 day duration of study
Title
Biomarker Measurements in Plasma
Description
measure concentrations of total (mid-domain) tau, NfL, GFAP, UCH-L1, pT181 tau, pT231 tau total tau in plasma
Time Frame
84 day duration of study
Title
Effects of PNT001 on imaging parameters
Description
measure diffusion tensor imaging parameters
Time Frame
Day 3 through the remainder of the 84 day study
Title
Effects of PNT001 on cognitive measures
Description
scores on the Trails A and B assessments
Time Frame
84 day duration of study
Title
Effects of PNT001 on health related Quality of Life
Description
measure change in ratings across 8 categories on the NeuroQOL assessment
Time Frame
84 day duration of the study
Title
Effects of PNT001 on a Global Outcome Scale
Description
measure disability outcome based on ratings in 8 areas of the Global Outcome Scale Extended (GOSE)
Time Frame
84 day duration of the study
Title
hsCRP Measurement in Serum
Description
measure concentrations of hsCRP in serum
Time Frame
84 day duration of the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Hospitalization due to documented evidence of TBI with Glasgow Coma Scale (GCS) Score 9-12 or GCS score of 13-15 with radiographic evidence of trauma. Duration from documented time of TBI event to time of start of initial dose of study drug will not exceed 24 hours. Signed informed consent by patient, or where applicable, patient's legally authorized representative. Male and females, 18- 65 years of age at time of screening (State's legal age of majority is minimum age if higher than 18). Female patients must meet protocol defined criteria for 1) non-childbearing potential, 2) post menopausal or 3) must have a negative pregnancy test and agree to contraception as outlined in the protocol. Male must agree to use acceptable contraception and refrain from sperm donation during the entire study and for 200 days after dosing has been completed. Has not participated in a clinical drug trial within 3 months of study start. Body Mass Index (BMI) of 18.5-35.0 kg/m2 and for the 4000mg dose group only, weight greater than or equal to 44.8 kg. Vision, hearing, speech, motor function, and comprehension sufficient for compliance with all testing procedures and assessments. Exclusion Criteria: TBI that does not require hospitalization. TBI outside 24-hour window. GCS < 9 within 2 hours of dosing. History of TBI in past 12 months that resulted in patient seeking medical attention. Evidence of penetrating head trauma or depressed skull fracture. Clinical or radiographic evidence of mass effect, midline shift, or intracranial hypertension, requiring craniotomy/craniectomy. Evidence of symptomatic cervical, thoracic, lumbar spine injury e.g. paresis, radiculopathy, that can be localized to the injury. Systemic traumatic injury that would preclude participation in study or is expected to result in long-term disability. Any other acute or chronic medical illness that in the judgement of the study physician results in functional impairment or impairs neuropsychiatric function. Any acute intoxication that in the judgement of the study physician results in significant functional impairment or impairs neuropsychiatric function. Any history of cancer within 5 years of enrollment with the exception of resected skin basal cell carcinoma. Any major surgery requiring general anesthesia within 4 weeks of study drug administration. Donation of blood or serum ≥500 mL to a blood bank or in a clinical study (except screening visit) within 3 months of study drug administration. Known recent (within 6 months of study drug administration) drug or alcohol abuse as defined in DSM V, Diagnostic Criteria for Drug and Alcohol Abuse. Evidence of any clinically significant neurological or psychiatric disorder that could interfere with study assessments as determined by investigator and sponsor. Patient has history or currently has schizophrenia, schizoaffective disorder or bipolar disorder, untreated major depression (DSM-V or ICD-10 criteria). Significant illness within the prior 30 days. Abnormalities in creatinine, hepatic transaminases, or QT that would preclude entry into the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Larry Altstiel, MD, PhD
Organizational Affiliation
Pinteon Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Penn Presbyterian Medical Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Tolerability of PNT001 in Patients With Acute Traumatic Brain Injury (TBI)

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