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A Study to Evaluate the Safety, PK and PD of VIS171 in Participants (Healthy and With Autoimmune Disease)

Primary Purpose

Autoimmune Diseases

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
VIS171
Placebo
Sponsored by
Visterra, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autoimmune Diseases focused on measuring Safety, Tolerability, Pharmacodynamics, Pharmacokinetics, Healthy participants

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Inclusion criteria for both Part A and Part B:

  • Male or female participant between 18 and 55 years of age, inclusive, at the screening visit (Part A and Part B [participants with selected autoimmune diseases]) or between 18 and 75 years of age, inclusive, at the screening visit (Part B [participants with specific autoimmune disease]).
  • Body mass index between 17 and 35 kg/m^2.
  • Female participants will be nonpregnant, nonlactating, and either postmenopausal for at least 2 years or surgically sterile for at least 3 months.
  • Male participants with female partners of childbearing potential must agree to use double barrier contraception or abstain from sex during the study and until 90 days following the last dose of study intervention.

Additional inclusion criterion for Part A:

- Healthy, as determined by prestudy medical evaluation (medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluations).

Additional inclusion criteria for Part B (participants with specific autoimmune disease[s]):

  • Diagnosis of a specified autoimmune disease based on standard criteria for the condition.
  • Other criteria may apply depending on the autoimmune condition.

Exclusion Criteria:

Exclusion criteria for both Part A and Part B:

Prior and Concomitant Therapy

  • Receipt of high dose corticosteroid therapy within 4 weeks prior to screening.
  • Receipt of belimumab within 6 months prior to screening.
  • History of treatment with rituximab or ocrelizumab (or other B cell-depleting agent) within 12 months prior to screening.
  • History of cytotoxic medications within the preceding 12 months.
  • Receipt of blood products within 6 months prior to screening.

Prior/Concurrent Clinical Study Experience:

  • Receipt of any investigational product within 4 weeks or 5 half-lives of the respective product prior to signing of the ICF, whichever is greater.
  • Currently participating in another clinical study of any investigational drug, device, or intervention.

Diagnostic Assessments

  • Participants with uncontrolled hypertension (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg in any position) or symptomatic hypotension.
  • Any chronic infectious disease.
  • Participant with a positive urine drug or alcohol breath screen test result at screening.

Other Exclusions:

  • Any participant who has a history of alcohol or drug/chemical abuse.
  • Participant who has donated > 500 mL of blood within 60 days prior to the start of screening or any plasma within 7 days prior to baseline (Day -1).
  • History of opportunistic infection requiring hospitalization or intravenous (IV) antimicrobial treatment within 1 year prior to randomization.
  • History of major surgery within 12 weeks of screening or will require major surgery during the study.
  • Clinically significant electrocardiographic abnormalities, at screening.
  • A QT interval corrected for heart rate using Fridericia's correction (QTcF) > 450 msec for male participants or > 470 msec for female participants at screening.
  • Participant has received an organ transplant.
  • History of any significant cardiovascular disease or thrombotic episode.
  • History of cancer, apart from: squamous or basal cell carcinoma of the skin that has been successfully treated; cervical cancer in situ that has been successfully treated.
  • Coronavirus Disease 2019 (COVID-19): current symptoms of infection; diagnosis of COVID-19 in the 21 days prior to Screening; ongoing diagnosis of "Long-COVID" symptoms.
  • Received a vaccination, other than COVID-19 vaccination, during the 30 days prior to administration of the first dose of study intervention. A COVID-19 vaccination cannot be received within 7 days prior to the first dose of study intervention and until 14 days after the last dose.

Additional exclusion criteria for Part A:

Medical Conditions

  • Participant has a history or current evidence of a serious and/or unstable cardiovascular, respiratory, gastrointestinal, hematologic, autoimmune, blood dyscrasias or other medical disorder, including psychiatric disorders, cirrhosis, or malignancy.
  • Participant has a history or presence of proteinuria, chronic kidney disease, disease requiring immunosuppressive therapy (including systemic steroids), or is considered to be immunosuppressed for any other reason.
  • History of a previous severe allergic reaction with generalized urticaria; angioedema or anaphylaxis.
  • Known immunodeficiency disorder.
  • History of chronic infection or any infection requiring hospitalization or treatment with antivirals, antibiotics, or antifungal therapy within 30 days prior to administration of the study intervention.
  • Alanine transaminase (ALT) or aspartate transaminase (AST) > 1.5 × the upper limit of normal (ULN).
  • Total bilirubin > 1.5 × ULN (isolated bilirubin > 1.5 × ULN is acceptable if total bilirubin is fractionated and direct bilirubin < 35%).
  • Known hepatic or biliary abnormalities.

Additional exclusion criterion for Part A and Part B (participants with participants with specific autoimmune disease may apply depending upon the autoimmune condition).

Sites / Locations

  • UMHAT
  • Ambulatory for Specialized Medical Help - skin and venereal diseases
  • Comac Medical LtdRecruiting
  • MBAL Sveta Sofia
  • Diagnostic and Consultative Center Convex EOOD
  • Universitätsmedizin der Johannes-Gutenberg-Universität Mainz
  • Clinical republican HospitalRecruiting
  • Radboud University Medical Center
  • New Zealand Clinical ResearchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A Cohort 1: Dose level 1

Part A Cohort 2: Dose level 2

Part A Cohort 3: Dose level 3

Part A Cohort 4: Dose level 4

Part A Cohort 5: Dose level 5

Part B Cohort 1: Dose level to be determined from SAD Cohort(s) data

Part B Cohort 2: Dose level to be determined from SAD Cohort(s) data

Part B Cohort 3: Dose level and regimen to be determined from prior MAD and SAD Cohort(s)

Arm Description

Participants will be randomized to SAD dose of VIS171 (or placebo).

Participants will be randomized to SAD dose of VIS171 (or placebo).

Participants will be randomized to SAD dose of VIS171 (or placebo).

Participants will be randomized to SAD dose of VIS171 (or placebo).

Participants will be randomized to SAD dose of VIS171 (or placebo).

Participants will be randomized to MAD dose of VIS171.

Participants will be randomized to MAD dose of VIS171.

Participants will be randomized to MAD dose of VIS171.

Outcomes

Primary Outcome Measures

Part A and Part B: Numbers of participants with treatment-emergent adverse events (TEAEs)

Secondary Outcome Measures

Part A and Part B: Mean change from baseline in absolute number (cells/μL) for Treg, helper T cells, cytotoxic T cells and natural killer cells
Part A and Part B: Mean change from baseline in percentage for Treg, helper T cells, cytotoxic T cells and natural killer cells
Part A and Part B: Maximum (peak) plasma VIS171 concentration (Cmax) over time
Part A and Part B: Time of maximum (peak) plasma VIS171 concentration (tmax)
Part A: Area under the concentration-time curve from time zero to the last observable concentration (AUClast) of VIS171
Part A: Area under the concentration-time curve from time zero to infinity (AUC∞) for VIS171 concentration
Part B: Area under the concentration-time curve over the dosing interval at steady-state (AUCtau)
Part A and Part B: Number of participants with Anti-drug antibodies (ADA) positive for VIS171

Full Information

First Posted
June 3, 2022
Last Updated
August 4, 2023
Sponsor
Visterra, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05418101
Brief Title
A Study to Evaluate the Safety, PK and PD of VIS171 in Participants (Healthy and With Autoimmune Disease)
Official Title
A Phase 1, First-in-human, 2-part Study (Part 1 is a Single Ascending Dose in Healthy Participants; Part 2 is a Multiple Ascending Dose Study in Participants With Autoimmune Disease) to Evaluate the Safety, PD and PK of VIS171
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 28, 2022 (Actual)
Primary Completion Date
April 19, 2024 (Anticipated)
Study Completion Date
September 18, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Visterra, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase 1 study to evaluate the safety, tolerability, pharmacodynamics, and pharmacokinetics of VIS171 in healthy participants and in participants with autoimmune disease(s).
Detailed Description
This is a multicenter, 2-part combined Single ascending dose (SAD) and Multiple ascending dose (MAD) First-in-Human (FIH) study to investigate the safety, tolerability, pharmacodynamics (PD), and pharmacokinetics (PK) of subcutaneous (SC) VIS171 in healthy participants (Part A - SAD) and in participants with autoimmune inflammatory disease(s) (Part B - MAD). Part A: Part A is a randomized, double-blind, placebo controlled SAD assessment of SC VIS171 in healthy participants. Up to 5 cohorts are planned, each comprising 8 participants (6 VIS171 and 2 placebo). Part B: Part B is an open-label, MAD basket assessment of SC VIS171 in participants with autoimmune inflammatory disease(s). Two to 3 cohorts are planned, each comprising 12 participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autoimmune Diseases
Keywords
Safety, Tolerability, Pharmacodynamics, Pharmacokinetics, Healthy participants

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
This phase 1 study has two parts. Part A is a randomized, double-blind, placebo controlled SAD assessment of SC VIS171 in healthy participants. Part B is an open-label, MAD basket assessment of SC VIS171 in participants with an autoimmune inflammatory disease
Masking
None (Open Label)
Masking Description
Part A will be double masked; Part B is open label.
Allocation
Randomized
Enrollment
76 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A Cohort 1: Dose level 1
Arm Type
Experimental
Arm Description
Participants will be randomized to SAD dose of VIS171 (or placebo).
Arm Title
Part A Cohort 2: Dose level 2
Arm Type
Experimental
Arm Description
Participants will be randomized to SAD dose of VIS171 (or placebo).
Arm Title
Part A Cohort 3: Dose level 3
Arm Type
Experimental
Arm Description
Participants will be randomized to SAD dose of VIS171 (or placebo).
Arm Title
Part A Cohort 4: Dose level 4
Arm Type
Experimental
Arm Description
Participants will be randomized to SAD dose of VIS171 (or placebo).
Arm Title
Part A Cohort 5: Dose level 5
Arm Type
Experimental
Arm Description
Participants will be randomized to SAD dose of VIS171 (or placebo).
Arm Title
Part B Cohort 1: Dose level to be determined from SAD Cohort(s) data
Arm Type
Experimental
Arm Description
Participants will be randomized to MAD dose of VIS171.
Arm Title
Part B Cohort 2: Dose level to be determined from SAD Cohort(s) data
Arm Type
Experimental
Arm Description
Participants will be randomized to MAD dose of VIS171.
Arm Title
Part B Cohort 3: Dose level and regimen to be determined from prior MAD and SAD Cohort(s)
Arm Type
Experimental
Arm Description
Participants will be randomized to MAD dose of VIS171.
Intervention Type
Drug
Intervention Name(s)
VIS171
Intervention Description
Participants will receive VIS171 via SC route of administration.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive Placebo via SC route of administration
Primary Outcome Measure Information:
Title
Part A and Part B: Numbers of participants with treatment-emergent adverse events (TEAEs)
Time Frame
Part A: From screening up to Day 29; Part B: From screening up to Day 71
Secondary Outcome Measure Information:
Title
Part A and Part B: Mean change from baseline in absolute number (cells/μL) for Treg, helper T cells, cytotoxic T cells and natural killer cells
Time Frame
Part A: From baseline up to Day 29; Part B: From baseline up to Day 71
Title
Part A and Part B: Mean change from baseline in percentage for Treg, helper T cells, cytotoxic T cells and natural killer cells
Time Frame
Part A: From baseline up to Day 29; Part B: From baseline up to Day 71
Title
Part A and Part B: Maximum (peak) plasma VIS171 concentration (Cmax) over time
Time Frame
Part A: From baseline up to Day 29; Part B: From baseline up to Day 71
Title
Part A and Part B: Time of maximum (peak) plasma VIS171 concentration (tmax)
Time Frame
Part A: From baseline up to Day 29; Part B: From baseline up to Day 71
Title
Part A: Area under the concentration-time curve from time zero to the last observable concentration (AUClast) of VIS171
Time Frame
Part A: From baseline up to Day 29
Title
Part A: Area under the concentration-time curve from time zero to infinity (AUC∞) for VIS171 concentration
Time Frame
Part A: From baseline up to Day 29
Title
Part B: Area under the concentration-time curve over the dosing interval at steady-state (AUCtau)
Time Frame
Part B: From baseline up to Day 71
Title
Part A and Part B: Number of participants with Anti-drug antibodies (ADA) positive for VIS171
Time Frame
Part A: Day 1, 15, and 29; Part B: Day 1, 15, 29, 43, and 71

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Inclusion criteria for both Part A and Part B: Male or female participant between 18 and 55 years of age, inclusive, at the screening visit (Part A and Part B [participants with selected autoimmune diseases]) or between 18 and 75 years of age, inclusive, at the screening visit (Part B [participants with specific autoimmune disease]). Body mass index between 17 and 35 kg/m^2. Female participants will be nonpregnant, nonlactating, and either postmenopausal for at least 2 years or surgically sterile for at least 3 months. Male participants with female partners of childbearing potential must agree to use double barrier contraception or abstain from sex during the study and until 90 days following the last dose of study intervention. Additional inclusion criterion for Part A: - Healthy, as determined by prestudy medical evaluation (medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluations). Additional inclusion criteria for Part B (participants with specific autoimmune disease[s]): Diagnosis of a specified autoimmune disease based on standard criteria for the condition. Other criteria may apply depending on the autoimmune condition. Exclusion Criteria: Exclusion criteria for both Part A and Part B: Prior and Concomitant Therapy Receipt of high dose corticosteroid therapy within 4 weeks prior to screening. Receipt of belimumab within 6 months prior to screening. History of treatment with rituximab or ocrelizumab (or other B cell-depleting agent) within 12 months prior to screening. History of cytotoxic medications within the preceding 12 months. Receipt of blood products within 6 months prior to screening. Prior/Concurrent Clinical Study Experience: Receipt of any investigational product within 4 weeks or 5 half-lives of the respective product prior to signing of the ICF, whichever is greater. Currently participating in another clinical study of any investigational drug, device, or intervention. Diagnostic Assessments Participants with uncontrolled hypertension (systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg in any position) or symptomatic hypotension. Any chronic infectious disease. Participant with a positive urine drug or alcohol breath screen test result at screening. Other Exclusions: Any participant who has a history of alcohol or drug/chemical abuse. Participant who has donated > 500 mL of blood within 60 days prior to the start of screening or any plasma within 7 days prior to baseline (Day -1). History of opportunistic infection requiring hospitalization or intravenous (IV) antimicrobial treatment within 1 year prior to randomization. History of major surgery within 12 weeks of screening or will require major surgery during the study. Clinically significant electrocardiographic abnormalities, at screening. A QT interval corrected for heart rate using Fridericia's correction (QTcF) > 450 msec for male participants or > 470 msec for female participants at screening. Participant has received an organ transplant. History of any significant cardiovascular disease or thrombotic episode. History of cancer, apart from: squamous or basal cell carcinoma of the skin that has been successfully treated; cervical cancer in situ that has been successfully treated. Coronavirus Disease 2019 (COVID-19): current symptoms of infection; diagnosis of COVID-19 in the 21 days prior to Screening; ongoing diagnosis of "Long-COVID" symptoms. Received a vaccination, other than COVID-19 vaccination, during the 30 days prior to administration of the first dose of study intervention. A COVID-19 vaccination cannot be received within 7 days prior to the first dose of study intervention and until 14 days after the last dose. Additional exclusion criteria for Part A: Medical Conditions Participant has a history or current evidence of a serious and/or unstable cardiovascular, respiratory, gastrointestinal, hematologic, autoimmune, blood dyscrasias or other medical disorder, including psychiatric disorders, cirrhosis, or malignancy. Participant has a history or presence of proteinuria, chronic kidney disease, disease requiring immunosuppressive therapy (including systemic steroids), or is considered to be immunosuppressed for any other reason. History of a previous severe allergic reaction with generalized urticaria; angioedema or anaphylaxis. Known immunodeficiency disorder. History of chronic infection or any infection requiring hospitalization or treatment with antivirals, antibiotics, or antifungal therapy within 30 days prior to administration of the study intervention. Alanine transaminase (ALT) or aspartate transaminase (AST) > 1.5 × the upper limit of normal (ULN). Total bilirubin > 1.5 × ULN (isolated bilirubin > 1.5 × ULN is acceptable if total bilirubin is fractionated and direct bilirubin < 35%). Known hepatic or biliary abnormalities. Additional exclusion criterion for Part A and Part B (participants with participants with specific autoimmune disease may apply depending upon the autoimmune condition).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Alexandra Cole
Phone
+ 64 27 421 4317
Email
Alex.Cole@nzcr.co.nz
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Asher Schachter, MD
Organizational Affiliation
Visterra, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
UMHAT
City
Plovdiv
ZIP/Postal Code
4002
Country
Bulgaria
Individual Site Status
Not yet recruiting
Facility Name
Ambulatory for Specialized Medical Help - skin and venereal diseases
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Individual Site Status
Not yet recruiting
Facility Name
Comac Medical Ltd
City
Sofia
ZIP/Postal Code
1612
Country
Bulgaria
Individual Site Status
Recruiting
Facility Name
MBAL Sveta Sofia
City
Sofia
ZIP/Postal Code
1618
Country
Bulgaria
Individual Site Status
Not yet recruiting
Facility Name
Diagnostic and Consultative Center Convex EOOD
City
Sofia
ZIP/Postal Code
1680
Country
Bulgaria
Individual Site Status
Not yet recruiting
Facility Name
Universitätsmedizin der Johannes-Gutenberg-Universität Mainz
City
Rheinland-Pfalz
ZIP/Postal Code
55131
Country
Germany
Individual Site Status
Not yet recruiting
Facility Name
Clinical republican Hospital
City
Chisinau
ZIP/Postal Code
MD 2025
Country
Moldova, Republic of
Individual Site Status
Recruiting
Facility Name
Radboud University Medical Center
City
Gelderland
ZIP/Postal Code
6525
Country
Netherlands
Individual Site Status
Not yet recruiting
Facility Name
New Zealand Clinical Research
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate the Safety, PK and PD of VIS171 in Participants (Healthy and With Autoimmune Disease)

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