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A First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Immunogenicity of PMG1015

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
PMG1015 Dose 1
PMG1015 Dose 2
PMG1015 Dose 3
PMG1015 Dose 4
PMG1015 Dose 5
PMG1015 Dose 6
Placebo
PMG1015 Dose 7
Sponsored by
Pulmongene Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male or non-pregnant, non-lactating female volunteers, between 18 and 60 years of age, inclusive at the time of informed consent.
  2. Body mass index (BMI) between 17.5 and 32.0 kg/m2 (inclusive) and body weight between 50 and 100 kg for males and between 45 and 100 kg for females.
  3. No clinically significant clinical laboratory values (Hematology, coagulation, biochemistry and urinalysis) at the discretion of the PI.
  4. Females of child bearing potential must use an acceptable, highly effective double contraception and have a negative pregnancy test at Screening and Day-1.
  5. Documented evidence of surgical sterilization at least 6 months prior to screening for women or vasectomy at least 90 days prior to screening.
  6. Women not of child bearing potential must be menopausal for >/= 12 months.
  7. Males must not donate sperms for at least 90 days after PMG1015 administration.

Exclusion Criteria:

  1. History or evidence of clinically significant condition, including but not limited to any cardiovascular, gastrointestinal, endocrinologic, hematologic, psychiatric, renal disease, musculoskeletal, infectious, or neurological condition or any chronic medical condition and/or other major disease, as determined by the PI.
  2. A PR < 40 or > 100 beats per minute, mean systolic blood pressure (SBP) > 140 mmHg, or mean diastolic blood pressure (DBP) > 95 mmHg .
  3. A mean corrected QT interval using Fridericia's formula (QTcF) interval at Screening > 450 ms in males and > 470 ms in females. If the mean QTcF exceeds these limits, one additional triplicate ECG will be performed.
  4. Any clinically significant abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, in the judgment of the PI, may interfere with the interpretation of QTc-interval changes, including abnormal ST-T wave morphology or left ventricular hypertrophy.
  5. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), or creatinine > 1.5 × the upper limit of the normal range (ULN) or total bilirubin or lymphocyte counts > ULN.
  6. Participants with a positive toxicology screening panel or alcohol breath test on Screening/Day-1.
  7. Participants with a history of substance abuse or dependency or history of recreational IV drug use over the last 2 years.
  8. Plasma donation/Blood donation or significant blood loss within 60 days prior to the first IP administration.
  9. Use of any IP (including other investigational mAb products) or investigational medical device within 30 days prior to Screening or 5 half-lives of the product (whichever is the longest) or participation in more than 4 investigational drug studies within 1 year prior to screening.
  10. Major surgery (general anesthetic) within 3 months or minor surgery (local anesthetic) within 1 month prior to IP administration, or planned surgery during the study period, which is determined by the PI to be clinically relevant.
  11. Fever or symptomatic bacterial or viral infection.
  12. Participants who have received live vaccines or attenuated vaccines within 1 month before dosing.
  13. Participants with any active malignancy or history of malignancy within 5 years prior to enrolment.
  14. Use of any other prescription medications.
  15. History of anaphylaxis, allergic reactions to the excipients of IP, asthma.
  16. Positive blood screen for HIV1/2 antibody, Hepatitis B surface antigen, hepatitis C virus, or syphilis at screening.
  17. Participants with an inability to tolerate venous access.
  18. Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period.
  19. An employee of Pulmongene or Novotech (Australia) Pty Ltd.
  20. Participant is unwilling to abstain from alcohol beginning 48 hours prior to admission to the CRU and while resident at the CRU.
  21. Any other condition or finding that in the opinion of the PI or designee would put the participant or study conduct at risk.

Sites / Locations

  • Q-Pharm Pty Ltd, Clive Berghofer Cancer Research Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Single Ascending Doses Cohort 1a

Single Ascending Doses Cohort 1b

Single Ascending Doses Cohort 1c

Single Ascending Doses Cohort 1d

Single Ascending Doses Cohort 1e

Single Ascending Doses Cohort 1f

Single Ascending Doses Cohort 1g

Arm Description

Subjects will receive either Dose level 1 of PMG1015 or Placebo

Subjects will receive either Dose level 2 of PMG1015 or Placebo

Subjects will receive either Dose level 3 of PMG1015 or Placebo

Subjects will receive either Dose level 4 of PMG1015 or Placebo

Subjects will receive either Dose level 5 of PMG1015 or Placebo

Subjects will receive either Dose level 6 of PMG1015 or Placebo

Subjects will receive either Dose level 7 of PMG1015 or Placebo

Outcomes

Primary Outcome Measures

The incidence of Treatment-emergent adverse events (TEAEs)
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs are AEs that occur following the start of treatment.
The severity of Treatment-emergent adverse events (TEAEs)
TEAEs are AEs that occur following the start of treatment.
The incidence of Serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect.
The severity of Serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect.
Number of participants with abnormally clinical vital signs
Vital signs include pulse rate (PR), blood pressure (BP), respiratory rate (RR) and tympanic temperature (T)
Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) parameters
All ECG tracings will be reviewed by the PI or designee and assessed for clinical significance.
Number of participants with abnormal clinically significant clinical laboratory results
Clinical laboratory test include hematology, coagulation, biochemistry, and urinalysis.
MTD of PMG1015 in healthy participants
Maximum tolerated dose of PMG1015 in healthy participants
Number of patients with abnormal clinically significant results from physical examination
Complete physical examination include, general appearance, head, eyes, ears, nose, throat, dentition, thyroid, chest (heart, lungs), abdomen, skin, neurological, extremities, back, neck, musculoskeletal, and lymph nodes.

Secondary Outcome Measures

Area under the serum-concentration time curve (AUC) from time zero (from the start of infusion time) to the last time point with measurable analyte concentration (AUC0-t)
Area under the plasma concentration versus time curve (AUC) from time 0 to time of last quantifiable concentration
AUC from time zero to infinity (AUC0-∞)
Area under the plasma concentration versus time curve (AUC) from time 0 (from the start of infusion) extrapolated to infinity
To determine %AUCexp
The percentage of the AUC that has been extrapolated beyond the last observed data point
To determine Cmax
Maximum observed serum PMG1015 concentration
To determine Tmax, derived from serum concentration of each dose of PMG1015
Time to maximum observed concentration
To determine t1/2
Terminal elimination half life summarized by dosing regimen
Apparent total body clearance (CL)
CL is the measure of the rate at which a drug is metabolized or eliminated by normal biological processes
Apparent volume of distribution during the terminal phase (Vz)
Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
Apparent terminal elimination rate constant (λz or kel)
λz is calculated using log-linear regression of the terminal portions of the plasma concentrations versus time curves.
Levels of ADA
Anti-drug antibody levels in blood

Full Information

First Posted
August 20, 2021
Last Updated
January 30, 2023
Sponsor
Pulmongene Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05022771
Brief Title
A First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Immunogenicity of PMG1015
Official Title
A Phase 1A, First in Human, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Immunogenicity of PMG1015 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
October 14, 2021 (Actual)
Primary Completion Date
August 18, 2022 (Actual)
Study Completion Date
August 18, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pulmongene Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 1A, first in human, randomized, double-blinded, placebo-controlled, dose escalation study of PMG1015 in healthy adult volunteers. PMG1015 is a monoclonal antibody, being developed as a novel therapeutic treatment for patients with Idiopathic Pulmonary fibrosis (IPF). This study aims to evaluate the safety, tolerability, pharmacokinetics and immunogenicity of PMG1015 after Single ascending doses (SAD).
Detailed Description
Participants will be enrolled and randomized into 1 of 7 cohorts in a double-blind manner.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Doses Cohort 1a
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 1 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1b
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 2 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1c
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 3 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1d
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 4 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1e
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 5 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1f
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 6 of PMG1015 or Placebo
Arm Title
Single Ascending Doses Cohort 1g
Arm Type
Experimental
Arm Description
Subjects will receive either Dose level 7 of PMG1015 or Placebo
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 1
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 1 of PMG1015
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 2
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 2 of PMG1015
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 3
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 3 of PMG1015
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 4
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 4 of PMG1015
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 5
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 5 of PMG1015
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 6
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 6 of PMG1015
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to match
Intervention Type
Drug
Intervention Name(s)
PMG1015 Dose 7
Other Intervention Name(s)
PMG1015
Intervention Description
Dose level 7 of PMG1015
Primary Outcome Measure Information:
Title
The incidence of Treatment-emergent adverse events (TEAEs)
Description
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs are AEs that occur following the start of treatment.
Time Frame
Day 1-Day 85
Title
The severity of Treatment-emergent adverse events (TEAEs)
Description
TEAEs are AEs that occur following the start of treatment.
Time Frame
Day 1-Day 85
Title
The incidence of Serious adverse events (SAEs)
Description
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect.
Time Frame
Day 1-Day 85
Title
The severity of Serious adverse events (SAEs)
Description
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect.
Time Frame
Day 1- Day 85
Title
Number of participants with abnormally clinical vital signs
Description
Vital signs include pulse rate (PR), blood pressure (BP), respiratory rate (RR) and tympanic temperature (T)
Time Frame
Day 1- Day 85
Title
Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) parameters
Description
All ECG tracings will be reviewed by the PI or designee and assessed for clinical significance.
Time Frame
Day 1-Day 85.
Title
Number of participants with abnormal clinically significant clinical laboratory results
Description
Clinical laboratory test include hematology, coagulation, biochemistry, and urinalysis.
Time Frame
Day 1- Day 85
Title
MTD of PMG1015 in healthy participants
Description
Maximum tolerated dose of PMG1015 in healthy participants
Time Frame
Day 1- Day 85
Title
Number of patients with abnormal clinically significant results from physical examination
Description
Complete physical examination include, general appearance, head, eyes, ears, nose, throat, dentition, thyroid, chest (heart, lungs), abdomen, skin, neurological, extremities, back, neck, musculoskeletal, and lymph nodes.
Time Frame
Day 1-Day 85
Secondary Outcome Measure Information:
Title
Area under the serum-concentration time curve (AUC) from time zero (from the start of infusion time) to the last time point with measurable analyte concentration (AUC0-t)
Description
Area under the plasma concentration versus time curve (AUC) from time 0 to time of last quantifiable concentration
Time Frame
Day 1-Day 85.
Title
AUC from time zero to infinity (AUC0-∞)
Description
Area under the plasma concentration versus time curve (AUC) from time 0 (from the start of infusion) extrapolated to infinity
Time Frame
Day 1-Day 85.
Title
To determine %AUCexp
Description
The percentage of the AUC that has been extrapolated beyond the last observed data point
Time Frame
Day 1-Day 85.
Title
To determine Cmax
Description
Maximum observed serum PMG1015 concentration
Time Frame
Day 1-Day 85.
Title
To determine Tmax, derived from serum concentration of each dose of PMG1015
Description
Time to maximum observed concentration
Time Frame
Day 1-Day 85.
Title
To determine t1/2
Description
Terminal elimination half life summarized by dosing regimen
Time Frame
Day 1-Day 85.
Title
Apparent total body clearance (CL)
Description
CL is the measure of the rate at which a drug is metabolized or eliminated by normal biological processes
Time Frame
Day 1-Day 85.
Title
Apparent volume of distribution during the terminal phase (Vz)
Description
Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.
Time Frame
Day 1-Day 85.
Title
Apparent terminal elimination rate constant (λz or kel)
Description
λz is calculated using log-linear regression of the terminal portions of the plasma concentrations versus time curves.
Time Frame
Day 1-Day 85.
Title
Levels of ADA
Description
Anti-drug antibody levels in blood
Time Frame
Day 1-Day 85

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male or non-pregnant, non-lactating female volunteers, between 18 and 60 years of age, inclusive at the time of informed consent. Body mass index (BMI) between 17.5 and 32.0 kg/m2 (inclusive) and body weight between 50 and 100 kg for males and between 45 and 100 kg for females. No clinically significant clinical laboratory values (Hematology, coagulation, biochemistry and urinalysis) at the discretion of the PI. Females of child bearing potential must use an acceptable, highly effective double contraception and have a negative pregnancy test at Screening and Day-1. Documented evidence of surgical sterilization at least 6 months prior to screening for women or vasectomy at least 90 days prior to screening. Women not of child bearing potential must be menopausal for >/= 12 months. Males must not donate sperms for at least 90 days after PMG1015 administration. Exclusion Criteria: History or evidence of clinically significant condition, including but not limited to any cardiovascular, gastrointestinal, endocrinologic, hematologic, psychiatric, renal disease, musculoskeletal, infectious, or neurological condition or any chronic medical condition and/or other major disease, as determined by the PI. A PR < 40 or > 100 beats per minute, mean systolic blood pressure (SBP) > 140 mmHg, or mean diastolic blood pressure (DBP) > 95 mmHg . A mean corrected QT interval using Fridericia's formula (QTcF) interval at Screening > 450 ms in males and > 470 ms in females. If the mean QTcF exceeds these limits, one additional triplicate ECG will be performed. Any clinically significant abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, in the judgment of the PI, may interfere with the interpretation of QTc-interval changes, including abnormal ST-T wave morphology or left ventricular hypertrophy. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), or creatinine > 1.5 × the upper limit of the normal range (ULN) or total bilirubin or lymphocyte counts > ULN. Participants with a positive toxicology screening panel or alcohol breath test on Screening/Day-1. Participants with a history of substance abuse or dependency or history of recreational IV drug use over the last 2 years. Plasma donation/Blood donation or significant blood loss within 60 days prior to the first IP administration. Use of any IP (including other investigational mAb products) or investigational medical device within 30 days prior to Screening or 5 half-lives of the product (whichever is the longest) or participation in more than 4 investigational drug studies within 1 year prior to screening. Major surgery (general anesthetic) within 3 months or minor surgery (local anesthetic) within 1 month prior to IP administration, or planned surgery during the study period, which is determined by the PI to be clinically relevant. Fever or symptomatic bacterial or viral infection. Participants who have received live vaccines or attenuated vaccines within 1 month before dosing. Participants with any active malignancy or history of malignancy within 5 years prior to enrolment. Use of any other prescription medications. History of anaphylaxis, allergic reactions to the excipients of IP, asthma. Positive blood screen for HIV1/2 antibody, Hepatitis B surface antigen, hepatitis C virus, or syphilis at screening. Participants with an inability to tolerate venous access. Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period. An employee of Pulmongene or Novotech (Australia) Pty Ltd. Participant is unwilling to abstain from alcohol beginning 48 hours prior to admission to the CRU and while resident at the CRU. Any other condition or finding that in the opinion of the PI or designee would put the participant or study conduct at risk.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Friend
Organizational Affiliation
Nucleus Network
Official's Role
Principal Investigator
Facility Information:
Facility Name
Q-Pharm Pty Ltd, Clive Berghofer Cancer Research Centre
City
Herston
State/Province
Queensland
ZIP/Postal Code
4006
Country
Australia

12. IPD Sharing Statement

Learn more about this trial

A First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Immunogenicity of PMG1015

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