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TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density

Primary Purpose

Osteoporosis

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TST002 Injection
placebo
Sponsored by
HJB (Hangzhou) Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis

Eligibility Criteria

45 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subjects must meet all of the following inclusion and exclusion criteria to be enrolled in this study:

  1. Voluntarily signe the informed consent, could walk freely, understood the study and is willing to follow it, and could complete all test procedures as planned;
  2. Body mass index (BMI) : 18.0-30.0 kg/m2 (inclusive), weight ≥45 kg, BMI= weight (kg)/height 2 (m2);
  3. 45-70 years old (inclusive) postmenopausal women who have been in post-menopause for 2 years or more. Menopause is defined as: 1) no spontaneous vaginal bleeding or bleeding for more than 12 months; 2) More than 1 year after bilateral oophorectomy (time for unilateral oophorectomy is calculated according to natural menopause); 3) Hysterectomy: more than 50 years old, serum FSH level & GT; 40 iu/L. 50-75 years old (inclusive) men. Male subjects should agree to use effective, investigator-approved contraceptive methods from the time they sign the informed consent until 3 months after administration.
  4. BMD T score at lumbar vertebra L1-L4, total hip or femoral neck < -1.0;
  5. Subjects had at least two consecutive vertebrae in L1-L4 and at least one hip bone available for dual-energy DXA bone mineral density assessment;
  6. Prior to enrollment, the investigator assessed the subjects to have no medical conditions that would significantly affect the study or may increase additional health risks by asking for medical history, physical examination, and supplementary examination. If the subjects have abnormal examination reports, they can only be enrolled if the investigator evaluates that they do not pose a safety risk to the subjects or do not interfere with the safety evaluation of the clinical study, and explains the reasons.

Exclusion Criteria:

  1. Blood donation or bleeding of 400mL or more within 3 months before screening; History of blood transfusion within 3 months prior to screening;
  2. People who have a history of drug allergy or allergic constitution;
  3. Received systemic glucocorticoid treatment 3 months before screening, and took prednisone equivalent of more than 5mg per day for a total of more than 10 days; Inhalation or topical administration within 2 weeks prior to screening is not included;
  4. Have a history of alcohol or drug abuse or tobacco abuse in the past year (smoking more than 5 cigarettes per day).

    Note: Criteria for alcohol intake: weekly alcohol intake &lt; 14 units/week, 1 unit =360 mL beer; Or 150 mL wine; Or 45 mL white wine;

  5. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is greater than 1.25 times the upper limit of normal value or total bilirubin is greater than 1.1 times the upper limit of normal value; Renal function laboratory examination is judged to be clinically significant by researchers.
  6. History of breast cancer (female subjects only); Hereditary family history of breast cancer or known BRCA1/2 gene mutation; Mammography within 6 months prior to screening does not exclude breast cancer.
  7. Have a history of thrombocytopenia, or have a platelet count below the lower limit of the normal range during screening;
  8. It is clinically significant to have previous diseases or hemorrhagic diseases leading to coagulation abnormalities or coagulation abnormalities during screening period;
  9. Those who had a serious injury or major surgical operation within 1 month prior to the screening period, or who planned to have surgery during the study period;
  10. History of solid organ and bone marrow transplants;
  11. Participated in any clinical trials within 3 months prior to screening.
  12. Other conditions that, in the investigator's judgment, are unsuitable for study participation, such as factors that, in the investigator's judgment, pose a risk to the safety of the subject or interfere with the study evaluation, procedure, or completion.

Sites / Locations

  • The First Affiliated Hospital of Henan University of Science and Technology
  • Nanjing Drum Tower HospitalRecruiting
  • Nanjing Drum Tower HospitalRecruiting
  • West China Hospital,Sichuan University
  • West China Hospital,Sichuan University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

A single ascending dose of TST002 Intervenous Injection

A single ascending dose of placebo Intervenous Injection

Arm Description

Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.

Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.

Outcomes

Primary Outcome Measures

Adverse Event
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Secondary Outcome Measures

Tmax
Time to Maximum Observed Concentration of TST002.
Cmax
Maximum Observed Concentration of TST002
T1/2
Half-life Associated With the Terminal Phase of Elimination for TST002
P1NP
Percent Change From Baseline in Procollagen TYpe 1 N-terminal Propeptide
BDM
Percent change from baseline in Bone Mineral Density at L1-L4,total hip and femoral neck
Immunogenicity
Positive rate and timing of anti-TST002 antibody and neutralizing antibody
Serum total osteostatin
Percent change from baseline in serum total sclerostin
CL
System clearance rate of TST002

Full Information

First Posted
May 16, 2022
Last Updated
May 20, 2022
Sponsor
HJB (Hangzhou) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05391776
Brief Title
TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density
Official Title
A Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 28, 2022 (Actual)
Primary Completion Date
April 28, 2023 (Anticipated)
Study Completion Date
June 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HJB (Hangzhou) Co., 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 placebo-controlled, single-ascending dose, multicenter Phase I clinical study to evaluate the safety, tolerability, PK and PD characteristics of a single intravenous infusion of TST002 in subjects with reduced bone mineral density.
Detailed Description
Four single dose cohorts are designed in this study, ascending with phase I dose-escalation principles as following: 200mg, 400mg (100%), 800mg (100%), and 1200mg (50%). 8 subjects will be enrolled in each cohort, 6 for TST002 injection and 2 for placebo. Only ≤3 male subjects could be enrolled in each cohort. Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A single ascending dose of TST002 Intervenous Injection
Arm Type
Experimental
Arm Description
Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.
Arm Title
A single ascending dose of placebo Intervenous Injection
Arm Type
Placebo Comparator
Arm Description
Four single dose cohorts are designed in this study, 8 subjects will be enrolled in each cohort, Subjects in each dose group were randomized to receive TST002 or placebo in a ratio of 3:1.
Intervention Type
Drug
Intervention Name(s)
TST002 Injection
Other Intervention Name(s)
TST002-IgG4
Intervention Description
This single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
This single dose study, ascending with phase I dose-escalation principles from 200mg up to 1200mg.
Primary Outcome Measure Information:
Title
Adverse Event
Description
An AE is any untoward medical occurrence in a subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time Frame
Adverse events were collected from the time informed consent was signed until 12 weeks after the end of treatment
Secondary Outcome Measure Information:
Title
Tmax
Description
Time to Maximum Observed Concentration of TST002.
Time Frame
2 hours before treatment and 12 weeks after treatment
Title
Cmax
Description
Maximum Observed Concentration of TST002
Time Frame
2 hours before treatment and 12 weeks after treatment.
Title
T1/2
Description
Half-life Associated With the Terminal Phase of Elimination for TST002
Time Frame
2 hours before treatment and 12 weeks after treatment.
Title
P1NP
Description
Percent Change From Baseline in Procollagen TYpe 1 N-terminal Propeptide
Time Frame
2 hours before treatment and days 8,29,43,57 and 85
Title
BDM
Description
Percent change from baseline in Bone Mineral Density at L1-L4,total hip and femoral neck
Time Frame
baseline and day 85
Title
Immunogenicity
Description
Positive rate and timing of anti-TST002 antibody and neutralizing antibody
Time Frame
2 hours before treatment and days 15,29 and 85
Title
Serum total osteostatin
Description
Percent change from baseline in serum total sclerostin
Time Frame
2 hours before treatment and 12 weeks after treatment
Title
CL
Description
System clearance rate of TST002
Time Frame
2 hours before treatment and 12 weeks after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must meet all of the following inclusion and exclusion criteria to be enrolled in this study: Voluntarily signe the informed consent, could walk freely, understood the study and is willing to follow it, and could complete all test procedures as planned; Body mass index (BMI) : 18.0-30.0 kg/m2 (inclusive), weight ≥45 kg, BMI= weight (kg)/height 2 (m2); 45-70 years old (inclusive) postmenopausal women who have been in post-menopause for 2 years or more. Menopause is defined as: 1) no spontaneous vaginal bleeding or bleeding for more than 12 months; 2) More than 1 year after bilateral oophorectomy (time for unilateral oophorectomy is calculated according to natural menopause); 3) Hysterectomy: more than 50 years old, serum FSH level & GT; 40 iu/L. 50-75 years old (inclusive) men. Male subjects should agree to use effective, investigator-approved contraceptive methods from the time they sign the informed consent until 3 months after administration. BMD T score at lumbar vertebra L1-L4, total hip or femoral neck < -1.0; Subjects had at least two consecutive vertebrae in L1-L4 and at least one hip bone available for dual-energy DXA bone mineral density assessment; Prior to enrollment, the investigator assessed the subjects to have no medical conditions that would significantly affect the study or may increase additional health risks by asking for medical history, physical examination, and supplementary examination. If the subjects have abnormal examination reports, they can only be enrolled if the investigator evaluates that they do not pose a safety risk to the subjects or do not interfere with the safety evaluation of the clinical study, and explains the reasons. Exclusion Criteria: Blood donation or bleeding of 400mL or more within 3 months before screening; History of blood transfusion within 3 months prior to screening; People who have a history of drug allergy or allergic constitution; Received systemic glucocorticoid treatment 3 months before screening, and took prednisone equivalent of more than 5mg per day for a total of more than 10 days; Inhalation or topical administration within 2 weeks prior to screening is not included; Have a history of alcohol or drug abuse or tobacco abuse in the past year (smoking more than 5 cigarettes per day). Note: Criteria for alcohol intake: weekly alcohol intake &lt; 14 units/week, 1 unit =360 mL beer; Or 150 mL wine; Or 45 mL white wine; Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) is greater than 1.25 times the upper limit of normal value or total bilirubin is greater than 1.1 times the upper limit of normal value; Renal function laboratory examination is judged to be clinically significant by researchers. History of breast cancer (female subjects only); Hereditary family history of breast cancer or known BRCA1/2 gene mutation; Mammography within 6 months prior to screening does not exclude breast cancer. Have a history of thrombocytopenia, or have a platelet count below the lower limit of the normal range during screening; It is clinically significant to have previous diseases or hemorrhagic diseases leading to coagulation abnormalities or coagulation abnormalities during screening period; Those who had a serious injury or major surgical operation within 1 month prior to the screening period, or who planned to have surgery during the study period; History of solid organ and bone marrow transplants; Participated in any clinical trials within 3 months prior to screening. Other conditions that, in the investigator's judgment, are unsuitable for study participation, such as factors that, in the investigator's judgment, pose a risk to the safety of the subject or interfere with the study evaluation, procedure, or completion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Micheal Shi
Phone
860512-67079200
Email
micheal.shi@transcenta.com
Facility Information:
Facility Name
The First Affiliated Hospital of Henan University of Science and Technology
City
Luoyang
State/Province
Henan
ZIP/Postal Code
471000
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liping Li
Phone
13700814316
Email
llp1203@163.com
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210008
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hua Lin
Phone
02583106666
Email
Lh2116@126.com
Facility Name
Nanjing Drum Tower Hospital
City
Nanjing
State/Province
Jiangsu
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Juan Li
Phone
025-83106666
Email
Juanli2003@163.com
Facility Name
West China Hospital,Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610044
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Decai Chen
Phone
18980601309
Email
18980601309@163.com
Facility Name
West China Hospital,Sichuan University
City
Chengdu
State/Province
Sichuan
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ping Feng
Phone
028-85423583
Email
617130961@qq.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

TST002 Intervenous Injection in Postmenopausal Women and Men With Reduced Bone Mineral Density

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