Sequential Dose-escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of TB006 in Healthy Subjects (TB006SAD)
Primary Purpose
Alzheimer Disease
Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TB006
Sterile saline (Placebo)
Sponsored by
About this trial
This is an interventional treatment trial for Alzheimer Disease focused on measuring Alzheimer Disease
Eligibility Criteria
Inclusion Criteria:
- Healthy volunteers, male or female 18-55 at the time of informed consent
- In good health as determined by the principal investigator
- Body weight of ≥ 50 kg and BMI within the range 18-30 kg/m2 (inclusive).
- Chinese subjects are eligible to be included in the study if all of the following criteria apply in addition to the above: Must have been born in China, with 2 Chinese biological parents and 4 Chinese grandparents as confirmed by interview; Must have lived no more than 10 years outside of China; Must not have changed their lifestyle or habits significantly, including diet, since leaving China.
Exclusion Criteria:
- Any current history of clinically significant disease in the opinion of the investigator or receiving maintenance medications on a daily basis.
- Any active or unstable clinically significant medical or psychiatric condition as judged by the investigator.
- Smokes cigarettes or uses other nicotine-containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers), and has done so in the 3 months prior to screening.
- Regular alcohol consumption within 6 months prior to the study defined as: an average weekly intake of > 20 units for males or > 16 units for females. One unit is equivalent to 8 glasses of alcohol: a half pint (∼240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
Sites / Locations
- Collaborative Neuroscience Research, LLC (CNS)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
TB006 70 mg - 5000 mg IV
Placebo
Arm Description
TB006 infused intravenously over 1 hour
0.9% normal saline infused intravenously over 1 hour
Outcomes
Primary Outcome Measures
Number of subjects and rate of treatment-emergent adverse events, graded by CTCAE Version 5.0, by dose group and all active treatment vs. placebo
To measure the incidence of AEs and SAEs, clinical laboratory parameters, and vital signs until Day 75 after dosing.
To determine the single-dose PK profile of TB006 in healthy adult subjects
PK parameters derived by noncompartmental analysis using the TB006 plasma concentration-time data
To determine the MTD of single doses of TB006 in healthy adult subjects
Dose-response relationship of AEs and SAEs, and other safety outcomes
Secondary Outcome Measures
Pharmacokinetic (PK) profile/parameters: Area under the plasma concentration versus time curve (AUC) through Day 29
PK:AUC D0-D29
Pharmacokinetic (PK) profile/parameters: Area under the plasma concentration versus time curve (AUC)
PK: AUC D0-∞
Pharmacokinetic (PK) profile/parameters: Maximum observed plasma concentration
PK: Cmax
Pharmacokinetic (PK) profile/parameters: Time at which maximum plasma concentration occurs
PK: tmax
Pharmacokinetic (PK) profile/parameters: terminal elimination phase half life
PK: t(1/2)
Pharmacokinetic (PK) profile/parameters: total clearance
PK: CL
Pharmacokinetic (PK) profile/parameters: volume of distribution
PK: Vd
Pharmacokinetic (PK) profile/parameters: Extent of CSF distribution as estimated by TB006 CSF concentrations
PK: CSF
Safety and tolerability
Number of subjects and rate of treatment-emergent adverse events, graded by CTCAE Version 5.0, by dose group and all active treatment vs. placebo in non-Chinese healthy and Chinese healthy subjects
Anti-TB006 antibodies
Number and rate of subjects who develop anti-TB006 antibodies
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04920786
Brief Title
Sequential Dose-escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of TB006 in Healthy Subjects
Acronym
TB006SAD
Official Title
A Phase 1 Double-blind, Randomized, Single Dose, Sequential Dose-escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of TB006 in Healthy Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
June 2021
Overall Recruitment Status
Unknown status
Study Start Date
June 1, 2021 (Actual)
Primary Completion Date
November 30, 2022 (Anticipated)
Study Completion Date
January 1, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
TrueBinding, Inc.
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 single dose, dose-escalation study to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of TB006, a monoclonal antibody that will be studied as a disease modifying treatment for Alzheimer's disease.
Detailed Description
The TB006 nonclinical pharmacology program establishes its potential as a therapeutic agent for AD. Overall, the data suggest the potential for beneficial therapeutic effects of TB006 in addressing underlying pathology and ameliorating the course of AD. The preclinical safety profile of TB006 further supports the clinical investigation of TB006. This is a Phase 1 SAD study in healthy adult subjects. The study will evaluate the safety, tolerability, and PK of single doses of TB006, administered as an IV infusion over 1 hour.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
Keywords
Alzheimer Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Six dose groups are planned: 5 dose levels of TB006 in healthy subjects and 1 ethno-bridging group in healthy subjects of Chinese descent.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
48 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
TB006 70 mg - 5000 mg IV
Arm Type
Experimental
Arm Description
TB006 infused intravenously over 1 hour
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
0.9% normal saline infused intravenously over 1 hour
Intervention Type
Drug
Intervention Name(s)
TB006
Intervention Description
TB006
Intervention Type
Other
Intervention Name(s)
Sterile saline (Placebo)
Intervention Description
Sterile saline
Primary Outcome Measure Information:
Title
Number of subjects and rate of treatment-emergent adverse events, graded by CTCAE Version 5.0, by dose group and all active treatment vs. placebo
Description
To measure the incidence of AEs and SAEs, clinical laboratory parameters, and vital signs until Day 75 after dosing.
Time Frame
Day1-Day 75
Title
To determine the single-dose PK profile of TB006 in healthy adult subjects
Description
PK parameters derived by noncompartmental analysis using the TB006 plasma concentration-time data
Time Frame
Through day 75
Title
To determine the MTD of single doses of TB006 in healthy adult subjects
Description
Dose-response relationship of AEs and SAEs, and other safety outcomes
Time Frame
Through day 75
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) profile/parameters: Area under the plasma concentration versus time curve (AUC) through Day 29
Description
PK:AUC D0-D29
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: Area under the plasma concentration versus time curve (AUC)
Description
PK: AUC D0-∞
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: Maximum observed plasma concentration
Description
PK: Cmax
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: Time at which maximum plasma concentration occurs
Description
PK: tmax
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: terminal elimination phase half life
Description
PK: t(1/2)
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: total clearance
Description
PK: CL
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: volume of distribution
Description
PK: Vd
Time Frame
Through Day 75
Title
Pharmacokinetic (PK) profile/parameters: Extent of CSF distribution as estimated by TB006 CSF concentrations
Description
PK: CSF
Time Frame
Through Day 75
Title
Safety and tolerability
Description
Number of subjects and rate of treatment-emergent adverse events, graded by CTCAE Version 5.0, by dose group and all active treatment vs. placebo in non-Chinese healthy and Chinese healthy subjects
Time Frame
Through Day 75
Title
Anti-TB006 antibodies
Description
Number and rate of subjects who develop anti-TB006 antibodies
Time Frame
Through Day 75
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:
Healthy volunteers, male or female 18-55 at the time of informed consent
In good health as determined by the principal investigator
Body weight of ≥ 50 kg and BMI within the range 18-30 kg/m2 (inclusive).
Chinese subjects are eligible to be included in the study if all of the following criteria apply in addition to the above: Must have been born in China, with 2 Chinese biological parents and 4 Chinese grandparents as confirmed by interview; Must have lived no more than 10 years outside of China; Must not have changed their lifestyle or habits significantly, including diet, since leaving China.
Exclusion Criteria:
Any current history of clinically significant disease in the opinion of the investigator or receiving maintenance medications on a daily basis.
Any active or unstable clinically significant medical or psychiatric condition as judged by the investigator.
Smokes cigarettes or uses other nicotine-containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers), and has done so in the 3 months prior to screening.
Regular alcohol consumption within 6 months prior to the study defined as: an average weekly intake of > 20 units for males or > 16 units for females. One unit is equivalent to 8 glasses of alcohol: a half pint (∼240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Anna Cabral
Phone
714-891-0971
Email
annecabral@cnstrial.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
George Haig, PharmD
Organizational Affiliation
TrueBinding, Inc.
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
David Walling, MD
Organizational Affiliation
Collaborative Neuroscience Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Collaborative Neuroscience Research, LLC (CNS)
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Anne Cabral
First Name & Middle Initial & Last Name & Degree
David Walling, PhD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Sequential Dose-escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of TB006 in Healthy Subjects
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