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Safety, Tolerability, and Pharmacokinetics of RSV Monoclonal Antibody RSM01 in Healthy Adults

Primary Purpose

RSV Infection

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RSM01
Placebo
Sponsored by
Bill & Melinda Gates Medical Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for RSV Infection

Eligibility Criteria

18 Years - 49 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Participant must be 18 to 49 years of age inclusive, at the time of signing the informed consent
  2. Participants who are healthy as determined by medical evaluation including medical history, physical examination and laboratory tests
  3. Body mass index (BMI) 18 to 29.9 kg/m2 (inclusive)
  4. Both males and females are eligible to participate. Female participants must not be pregnant, breastfeeding or attempting to become pregnant for 28 days prior to screening and throughout the duration of the study. Females must be willing to comply with protocol specific contraception for the duration of their participation in the study and for 90 days following the completion of the study. Male participants with partners of childbearing potential must be willing to comply with protocol specific contraception for the duration of their participation in the study and for 90 days following the completion of the study. Males must also agree to refrain from sperm donation for at least 90 days after they complete the study.
  5. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol
  6. Participants who agree to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and have no current plans to relocate from the study area for the duration of the study.

Exclusion Criteria:

  1. Acute illness and/or body temperature ≥37.5°C or ≥99.5°F on Study Day 1. NOTE: This is a temporary exclusion for which the participant may be re-evaluated.
  2. Evidence and/or history of clinically significant medical condition(s) as judged by the investigator, including malignancies, diabetes mellitus, and unstable or uncontrolled hypertension
  3. History of any autoimmune disease or immune deficiency or other impairment to the immune system, including but not limited to HIV, autoimmune conditions or immunosuppressive therapy. Note: history of Hashimoto's thyroiditis is not an exclusion criterion.
  4. History of anaphylaxis.
  5. Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the participant will comply with the protocol.
  6. Receiving or plan to receive any medications or other therapies that may impact the immune system such as allergy injections, interferon, immunomodulators, cytotoxic drugs or other drugs known to be frequently associated with major organ toxicity within 90 days prior to Day 1.
  7. Having received any vaccination (including COVID-19 vaccine) within the 15 days before Day 1,or planning to receive a dose of any vaccine during the 15-day period following Day 1.
  8. Receiving or plan to receive immunosuppressive agents including systemic steroids within 90 days prior to Day 1 (individuals using inhaled or topical corticosteroids, prednisone (or equivalent) dose of ≤ 20 mg/day for ≤ 14 days, and intra-articular corticosteroids are permitted).
  9. Receipt or donation of blood or blood products within 90 days prior to Day 1 or planned receipt or donation during the study period.
  10. Receiving or plan to receive antibody or biologic therapy within 180 days prior to Day 1 or any time during the study period, whether licensed or investigational (e.g., immunoglobulin products, monoclonal antibodies, or antibody fragments).
  11. Participation in an interventional clinical trial and/or receipt of any investigational drug within 30 days or 5 half-lives of the investigational drug before the first day of study drug dosing in this study, whichever is longer.
  12. Concurrent enrollment in another interventional study.
  13. Previously having participated and received study intervention in the current study
  14. Female participants: positive serum pregnancy test.
  15. Safety laboratory values outside of normal range, for age and sex that are suggestive of a disease state (Grade 1 abnormalities will not lead to exclusion if the investigator considers them not clinically significant.)
  16. Urinalysis abnormality greater than Grade 1 (with the exception of hematuria in a menstruating female), or urinalysis abnormality judged clinically significant by the investigator.
  17. Clinically significant ECG abnormalities.
  18. Reactive HIV antibody testing.
  19. Current hepatitis B and/or hepatitis C infection.
  20. Positive urine drug screen at screening or Day -1 (with the exception of prescribed drugs).
  21. History of allergy or hypersensitivity to the study drug, excipients or related substances.
  22. Female participants with any one of the following conditions: currently pregnant or lactating/nursing; having positive serum pregnancy test during the Screening Phase, planning a pregnancy within 1 year after first dose of study drug.
  23. Individuals who are acting as study personnel or immediate family members (brother, sister, child, parent) or the spouse/partner of study personnel.

Sites / Locations

  • PPD Phase I Clinic - Orlando

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

RSM01

Placebo

Arm Description

Participants will be randomized to receive different dose levels of RSM01. Participants will be randomized in a ratio of 6:1 where for every 6 participants receiving active drug (RSM01) 1 participant will receive Placebo.

Participants will receive placebos matched to RSM01.

Outcomes

Primary Outcome Measures

Number of unsolicited adverse events (AEs) through Day 151
To characterize the safety and tolerability of a single dose of RSM01
Number of serious adverse events (SAEs) and AE of special interest (AESIs) through Day 151
To characterize the safety and tolerability of a single dose of RSM01
Number of Solicited systemic AEs for 7 days after dose administration
To characterize the safety and tolerability of a single dose of RSM01
Solicited local AEs for injection site reactions for 7 days after dose administration (only applies to IM doses)
To characterize the safety and tolerability of a single dose of RSM01

Secondary Outcome Measures

Number of safety laboratory parameters Grade 1 and above through Day 151.
To characterize safety laboratory parameters following RSM01 administration
Area under the capillary blood-concentration time curve from zero to infinity (AUC0-∞)
To characterize the pharmacokinetics (PK) following RSM01 administration
Day 91 capillary blood-concentration and area under the capillary blood-concentration time curve (CD91 and AUC0-D91)
To characterize the pharmacokinetics (PK) following RSM01 administration
Day 151 capillary blood-concentration and area under the capillary blood-concentration time curve (CD151 and AUC0-D151)
To characterize the pharmacokinetics (PK) following RSM01 administration
Cmax following IM administration and C0 following IV administration, Cmin
To characterize the pharmacokinetics (PK) following RSM01 administration
Tmax and t1/2
To characterize the pharmacokinetics (PK) following RSM01 administration
Systemic Clearance
To characterize the pharmacokinetics (PK) following RSM01 administration
Volume of distribution of RSM01 through Day 151
To characterize the pharmacokinetics (PK) following RSM01 administration
To characterize the formation of anti-drug antibodies (ADAs) following RSM01 administration
Incidence of ADAs to RSM01 through Day 151

Full Information

First Posted
October 6, 2021
Last Updated
December 14, 2022
Sponsor
Bill & Melinda Gates Medical Research Institute
Collaborators
PPD Phase I Clinic - Orlando
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1. Study Identification

Unique Protocol Identification Number
NCT05118386
Brief Title
Safety, Tolerability, and Pharmacokinetics of RSV Monoclonal Antibody RSM01 in Healthy Adults
Official Title
A Phase 1 Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single Ascending Doses of RSM01, a Monoclonal Antibody Targeting Respiratory Syncytial Virus, in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 11, 2021 (Actual)
Primary Completion Date
August 23, 2022 (Actual)
Study Completion Date
December 7, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bill & Melinda Gates Medical Research Institute
Collaborators
PPD Phase I Clinic - Orlando

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
Gates MRI-RSM01-101 is a Phase 1, randomized, double-blind, placebo-controlled, dose-escalation study to evaluate the safety and tolerability, pharmacokinetics, occurrence of ADA, and assessment of neutralizing antibody against RSV after administration of single intravenous or intramuscular doses of RSM01 to healthy adults.
Detailed Description
Respiratory syncytial virus (RSV) is the most common cause of lower respiratory tract infection (LRTI) among infants and young children, resulting in annual epidemics worldwide. RSM01, a monoclonal antibody targeting RSV, may potentially provide an effective method to protect infants from RSV disease based on its potency and an extended half-life that is expected to support once-per-RSV-season administration. This study is a first-in-human evaluation of RSM01 in healthy male and female adults with the goal of characterizing the safety and tolerability of a range of single doses of RSM01 to enable determination of appropriate dose(s) to be administered to infants in a future study. Enrollment is planned at a single study center in the United States. Approximately 56 participants will be enrolled; 48 participants to receive RSM01 and 8 participants to received placebo. Participants will be followed for approximately 5 months (151 days) after dosing.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Randomized, double-blind, placebo-controlled study of RSM01. The study will be conducted in 2 parts: A Dose Escalation Phase (28 participants) with 4 dosing cohorts, followed by an Expansion Phase (28 participants) with a single cohort.
Masking
ParticipantInvestigator
Masking Description
Participants and all study personnel will be blinded to the randomization. Authorized study site personnel will administer doses.
Allocation
Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RSM01
Arm Type
Experimental
Arm Description
Participants will be randomized to receive different dose levels of RSM01. Participants will be randomized in a ratio of 6:1 where for every 6 participants receiving active drug (RSM01) 1 participant will receive Placebo.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebos matched to RSM01.
Intervention Type
Drug
Intervention Name(s)
RSM01
Intervention Description
Cohort 1: RSM01 300 mg IV Cohort 2: RSM01 300 mg IM Cohort 3: RSM01 1000 mg IV Cohort 4: RSM01 3000 mg IV Cohort 5: RSM01 ≥ 300 mg - ≤ 600 mg IM
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Cohort 1: Placebo IV Cohort 2: Placebo IM Cohort 3: Placebo IV Cohort 4: Placebo IV Cohort 5: Placebo IM
Primary Outcome Measure Information:
Title
Number of unsolicited adverse events (AEs) through Day 151
Description
To characterize the safety and tolerability of a single dose of RSM01
Time Frame
151 days
Title
Number of serious adverse events (SAEs) and AE of special interest (AESIs) through Day 151
Description
To characterize the safety and tolerability of a single dose of RSM01
Time Frame
151 days
Title
Number of Solicited systemic AEs for 7 days after dose administration
Description
To characterize the safety and tolerability of a single dose of RSM01
Time Frame
7 days
Title
Solicited local AEs for injection site reactions for 7 days after dose administration (only applies to IM doses)
Description
To characterize the safety and tolerability of a single dose of RSM01
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Number of safety laboratory parameters Grade 1 and above through Day 151.
Description
To characterize safety laboratory parameters following RSM01 administration
Time Frame
151 days
Title
Area under the capillary blood-concentration time curve from zero to infinity (AUC0-∞)
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
Day 91 capillary blood-concentration and area under the capillary blood-concentration time curve (CD91 and AUC0-D91)
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
91 days
Title
Day 151 capillary blood-concentration and area under the capillary blood-concentration time curve (CD151 and AUC0-D151)
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
Cmax following IM administration and C0 following IV administration, Cmin
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
Tmax and t1/2
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
Systemic Clearance
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
Volume of distribution of RSM01 through Day 151
Description
To characterize the pharmacokinetics (PK) following RSM01 administration
Time Frame
151 days
Title
To characterize the formation of anti-drug antibodies (ADAs) following RSM01 administration
Description
Incidence of ADAs to RSM01 through Day 151
Time Frame
151 days
Other Pre-specified Outcome Measures:
Title
To characterize RSV neutralizing antibody activity following RSM01 administration
Description
Determination of RSV neutralizing antibody levels through Day 151
Time Frame
151 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participant must be 18 to 49 years of age inclusive, at the time of signing the informed consent Participants who are healthy as determined by medical evaluation including medical history, physical examination and laboratory tests Body mass index (BMI) 18 to 29.9 kg/m2 (inclusive) Both males and females are eligible to participate. Female participants must not be pregnant, breastfeeding or attempting to become pregnant for 28 days prior to screening and throughout the duration of the study. Females must be willing to comply with protocol specific contraception for the duration of their participation in the study and for 90 days following the completion of the study. Male participants with partners of childbearing potential must be willing to comply with protocol specific contraception for the duration of their participation in the study and for 90 days following the completion of the study. Males must also agree to refrain from sperm donation for at least 90 days after they complete the study. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol Participants who agree to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and have no current plans to relocate from the study area for the duration of the study. Exclusion Criteria: Acute illness and/or body temperature ≥37.5°C or ≥99.5°F on Study Day 1. NOTE: This is a temporary exclusion for which the participant may be re-evaluated. Evidence and/or history of clinically significant medical condition(s) as judged by the investigator, including malignancies, diabetes mellitus, and unstable or uncontrolled hypertension History of any autoimmune disease or immune deficiency or other impairment to the immune system, including but not limited to HIV, autoimmune conditions or immunosuppressive therapy. Note: history of Hashimoto's thyroiditis is not an exclusion criterion. History of anaphylaxis. Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the participant will comply with the protocol. Receiving or plan to receive any medications or other therapies that may impact the immune system such as allergy injections, interferon, immunomodulators, cytotoxic drugs or other drugs known to be frequently associated with major organ toxicity within 90 days prior to Day 1. Having received any vaccination (including COVID-19 vaccine) within the 15 days before Day 1,or planning to receive a dose of any vaccine during the 15-day period following Day 1. Receiving or plan to receive immunosuppressive agents including systemic steroids within 90 days prior to Day 1 (individuals using inhaled or topical corticosteroids, prednisone (or equivalent) dose of ≤ 20 mg/day for ≤ 14 days, and intra-articular corticosteroids are permitted). Receipt or donation of blood or blood products within 90 days prior to Day 1 or planned receipt or donation during the study period. Receiving or plan to receive antibody or biologic therapy within 180 days prior to Day 1 or any time during the study period, whether licensed or investigational (e.g., immunoglobulin products, monoclonal antibodies, or antibody fragments). Participation in an interventional clinical trial and/or receipt of any investigational drug within 30 days or 5 half-lives of the investigational drug before the first day of study drug dosing in this study, whichever is longer. Concurrent enrollment in another interventional study. Previously having participated and received study intervention in the current study Female participants: positive serum pregnancy test. Safety laboratory values outside of normal range, for age and sex that are suggestive of a disease state (Grade 1 abnormalities will not lead to exclusion if the investigator considers them not clinically significant.) Urinalysis abnormality greater than Grade 1 (with the exception of hematuria in a menstruating female), or urinalysis abnormality judged clinically significant by the investigator. Clinically significant ECG abnormalities. Reactive HIV antibody testing. Current hepatitis B and/or hepatitis C infection. Positive urine drug screen at screening or Day -1 (with the exception of prescribed drugs). History of allergy or hypersensitivity to the study drug, excipients or related substances. Female participants with any one of the following conditions: currently pregnant or lactating/nursing; having positive serum pregnancy test during the Screening Phase, planning a pregnancy within 1 year after first dose of study drug. Individuals who are acting as study personnel or immediate family members (brother, sister, child, parent) or the spouse/partner of study personnel.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gates MRI
Organizational Affiliation
Bill & Melinda Gates Medical Research Institute
Official's Role
Study Director
Facility Information:
Facility Name
PPD Phase I Clinic - Orlando
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806-1041
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes

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Safety, Tolerability, and Pharmacokinetics of RSV Monoclonal Antibody RSM01 in Healthy Adults

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