search
Back to results

To Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Escalating Single and Multiple Doses of KP104

Primary Purpose

Paroxysmal Nocturnal Hemoglobinuria

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
KP104
Placebo
Sponsored by
Kira Pharmacenticals (US), LLC.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Paroxysmal Nocturnal Hemoglobinuria focused on measuring KP104, Paroxysmal Nocturnal Hemoglobinuria, Single ascending Dose, Multiple Ascending Dose, First in Human, Complement Inhibitor, Healthy participants

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Weight of > 40 kilograms (kg) and < 120 kg at Screening.
  • In good general health, determined by no clinically significant findings in the opinion of the Investigator from medical history, physical examination, 12-lead ECG, clinical laboratory findings, and vital signs at Screening and Check-in.
  • Hemoglobin, hematocrit, white blood cell count, absolute neutrophil count, and platelet count results within the normal range at the Screening Visit; participants with Gilbert's disease with associated abnormalities of liver function tests are eligible for enrollment. Tests may be repeated at the discretion of the Investigator to confirm abnormalities.
  • Creatinine clearance based on the Cockcroft-Gault equation of >= 80 milliliters per minute (ml/min).
  • Females of childbearing potential and males must practice effective contraception from Screening until 28 days after the end of study (EOS) visit.
  • Females of childbearing potential must have a negative pregnancy test at Screening and within 24 hours prior to dosing of study drug; for post-menopausal subjects, a blood sample will also be tested for follicle stimulating hormone to confirm post-menopausal status.

Exclusion Criteria:

  • Any clinically significant underlying illness in the opinion of the Investigator.
  • Any history or sign of significant chronic active or recurrent infection, or screening laboratory evidence consistent with a significant chronic active or recurrent infection requiring treatment with antibacterials, antivirals, or antifungals.
  • Treatment of any infection with IV (within 30 days of Screening) or oral (within 14 days of Screening) antibacterials, antivirals, or antifungals.
  • History of clinically significant hematologic or bone marrow disease or blood dyscrasias.
  • History of meningococcal infection.
  • History of tuberculosis.
  • History of asplenia (functional or anatomical).
  • Prior exposure to KP104.
  • Known allergy to penicillin antibiotics or history of allergy or contraindication to required prophylactic antibiotic therapy to be used during the study.
  • Known or suspected complement deficiency during screening.
  • Positive serology for Hepatitis B virus (HBV), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) at Screening.
  • History of drug or alcohol abuse within 1 year of Screening in the opinion of the investigator, or a positive test for drugs of abuse or alcohol at Screening or Check-in.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Sites / Locations

  • CMAX Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

Part 1: Single Ascending Dose Cohort 1

Part 1: Single Ascending Dose Cohort 2

Part 1: Single Ascending Dose Cohort 3

Part 1: Single Ascending Dose Cohort 4

Part 1: Single Ascending Dose Cohort 5

Part 1: Single Ascending Dose Cohort 6

Part 1: Single Ascending Dose Cohort 7

Part 2: Multiple Ascending Dose Cohort 1

Part 2: Multiple Ascending Dose Cohort 2

Part 2: Multiple Ascending Dose Cohort 3

Part 1: Placebo

Part 2: Placebo

Arm Description

Outcomes

Primary Outcome Measures

Number of participants reporting Treatment Emergent Adverse Events (TEAEs)
An Adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding), symptom, or disease or any worsening of a pre-existing condition temporally associated with the use of a study drug, whether or not related to study drug. A TEAE is defined as any AE that started or worsened in severity on or after the first dose of study treatment.
Number of participants reporting Treatment Emergent Serious Adverse Events (TESAEs)
A TESAE is defined as any AE that started or worsened in severity on or after the first dose of study treatment.
Number of participants with Dose-limiting toxicities (DLT)
A DLT is defined as any adverse event considered by the investigator to be KP104-related with a severity greater than or equal to (>=) National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grade 3 which also represents a shift from baseline clinical status of > 1 NCI CTCAE grade. A hypersensitivity/administration reaction occurring with a severity of Grade 2 despite the use of pre-medications will also be designated as a DLT.
Number of participants reporting AEs of Special interests (AESIs)
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease or any worsening of a pre-existing condition temporally associated with the use of a study drug, whether or not related to study drug. Number of participants with AESIs including infections and local or systemic administration reactions will be assessed.

Secondary Outcome Measures

Maximum concentration (Cmax) of KP104
Area under the concentration-time profile (AUC) of KP104
Change from baseline in total and free serum C5 levels
Change from baseline in rabbit red blood cell (RBC) assay

Full Information

First Posted
August 4, 2022
Last Updated
February 28, 2023
Sponsor
Kira Pharmacenticals (US), LLC.
search

1. Study Identification

Unique Protocol Identification Number
NCT05490017
Brief Title
To Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Escalating Single and Multiple Doses of KP104
Official Title
SYNERGY-1: A Phase 1 First-in-human, Randomized, Double Blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Escalating Single and Multiple Doses of KP104 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
December 30, 2020 (Actual)
Primary Completion Date
May 4, 2022 (Actual)
Study Completion Date
September 2, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kira Pharmacenticals (US), LLC.

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate safety, tolerability, immunogenicity, pharmacokinetics, pharmacodynamics, and efficacy of KP104 in healthy volunteers. The study will be conducted in 2 parts: Part 1, the single ascending dose (SAD) is the first in human (FIH) study of KP104 and Part 2, multiple ascending dose (MAD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Paroxysmal Nocturnal Hemoglobinuria
Keywords
KP104, Paroxysmal Nocturnal Hemoglobinuria, Single ascending Dose, Multiple Ascending Dose, First in Human, Complement Inhibitor, Healthy participants

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Single Ascending Dose Cohort 1
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 2
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 3
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 4
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 5
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 6
Arm Type
Experimental
Arm Title
Part 1: Single Ascending Dose Cohort 7
Arm Type
Experimental
Arm Title
Part 2: Multiple Ascending Dose Cohort 1
Arm Type
Experimental
Arm Title
Part 2: Multiple Ascending Dose Cohort 2
Arm Type
Experimental
Arm Title
Part 2: Multiple Ascending Dose Cohort 3
Arm Type
Experimental
Arm Title
Part 1: Placebo
Arm Type
Placebo Comparator
Arm Title
Part 2: Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
KP104
Intervention Description
Participants will receive KP104 intravenous (IV) dose approximately for 1 hour or subcutaneous (SC) dose.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive matching placebo which is KP104 vehicle containing sodium phosphate, sodium chloride, and L-Lysine Hydrochloride (L-Lys-HCL).
Primary Outcome Measure Information:
Title
Number of participants reporting Treatment Emergent Adverse Events (TEAEs)
Description
An Adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding), symptom, or disease or any worsening of a pre-existing condition temporally associated with the use of a study drug, whether or not related to study drug. A TEAE is defined as any AE that started or worsened in severity on or after the first dose of study treatment.
Time Frame
Up to Day 85
Title
Number of participants reporting Treatment Emergent Serious Adverse Events (TESAEs)
Description
A TESAE is defined as any AE that started or worsened in severity on or after the first dose of study treatment.
Time Frame
Up to Day 85
Title
Number of participants with Dose-limiting toxicities (DLT)
Description
A DLT is defined as any adverse event considered by the investigator to be KP104-related with a severity greater than or equal to (>=) National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grade 3 which also represents a shift from baseline clinical status of > 1 NCI CTCAE grade. A hypersensitivity/administration reaction occurring with a severity of Grade 2 despite the use of pre-medications will also be designated as a DLT.
Time Frame
Up to Day 85
Title
Number of participants reporting AEs of Special interests (AESIs)
Description
An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease or any worsening of a pre-existing condition temporally associated with the use of a study drug, whether or not related to study drug. Number of participants with AESIs including infections and local or systemic administration reactions will be assessed.
Time Frame
Up to Day 85
Secondary Outcome Measure Information:
Title
Maximum concentration (Cmax) of KP104
Time Frame
Up to Day 29
Title
Area under the concentration-time profile (AUC) of KP104
Time Frame
Up to Day 29
Title
Change from baseline in total and free serum C5 levels
Time Frame
Baseline and up to Day 29
Title
Change from baseline in rabbit red blood cell (RBC) assay
Time Frame
Baseline and up to Day 29
Other Pre-specified Outcome Measures:
Title
Changes in serum free C5 levels to Minimum concentration (Cmin) correlation
Time Frame
Baseline and up to Day 29
Title
Changes in serum free C5 levels to AUC correlation
Time Frame
Baseline and up to Day 29
Title
Changes in C3b activity to Cmax correlation
Time Frame
Baseline and up to Day 29
Title
Changes in C3b activity to Cmin correlation
Time Frame
Baseline and up to Day 29
Title
Changes in C3b activity to AUC correlation
Time Frame
Baseline and up to Day 29
Title
Changes in rabbit RBC lysis to Cmax correlation
Time Frame
Baseline and up to Day 29
Title
Changes in rabbit RBC lysis to Cmin correlation
Time Frame
Baseline and up to Day 29
Title
Changes in rabbit RBC lysis to AUC correlation
Time Frame
Baseline and up to Day 29
Title
Immunogenicity of KP104
Time Frame
Up to Day 29
Title
Maximum tolerated dose (MTD) of KP104
Time Frame
Up to Day 29
Title
Optimal biologic dose (OBD) of KP104
Time Frame
Up to Day 29
Title
Number of participants with clinically significant changes in laboratory values, electrocardiograms (ECGs), physical examinations, and vital signs
Time Frame
Up to Day 29
Title
Changes in serum free complement component C5 levels to Cmax correlation
Time Frame
Baseline and up to Day 29
Title
Dose optimization of KP104
Time Frame
Up to Day 29
Title
Systemic clearance (Cl) of KP104
Time Frame
Up to Day 29
Title
Elimination half-life (t½) of KP104
Time Frame
Up to Day 29
Title
Change from baseline in complement component of C3b activity assay
Time Frame
Baseline and up to Day 29
Title
Absolute bioavailability of KP104 administered SC (F)
Time Frame
Up to Day 29
Title
Change from baseline in Factor H (FH) serum levels
Time Frame
Baseline and up to Day 29

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: Weight of > 40 kilograms (kg) and < 120 kg at Screening. In good general health, determined by no clinically significant findings in the opinion of the Investigator from medical history, physical examination, 12-lead ECG, clinical laboratory findings, and vital signs at Screening and Check-in. Hemoglobin, hematocrit, white blood cell count, absolute neutrophil count, and platelet count results within the normal range at the Screening Visit; participants with Gilbert's disease with associated abnormalities of liver function tests are eligible for enrollment. Tests may be repeated at the discretion of the Investigator to confirm abnormalities. Creatinine clearance based on the Cockcroft-Gault equation of >= 80 milliliters per minute (ml/min). Females of childbearing potential and males must practice effective contraception from Screening until 28 days after the end of study (EOS) visit. Females of childbearing potential must have a negative pregnancy test at Screening and within 24 hours prior to dosing of study drug; for post-menopausal subjects, a blood sample will also be tested for follicle stimulating hormone to confirm post-menopausal status. Exclusion Criteria: Any clinically significant underlying illness in the opinion of the Investigator. Any history or sign of significant chronic active or recurrent infection, or screening laboratory evidence consistent with a significant chronic active or recurrent infection requiring treatment with antibacterials, antivirals, or antifungals. Treatment of any infection with IV (within 30 days of Screening) or oral (within 14 days of Screening) antibacterials, antivirals, or antifungals. History of clinically significant hematologic or bone marrow disease or blood dyscrasias. History of meningococcal infection. History of tuberculosis. History of asplenia (functional or anatomical). Prior exposure to KP104. Known allergy to penicillin antibiotics or history of allergy or contraindication to required prophylactic antibiotic therapy to be used during the study. Known or suspected complement deficiency during screening. Positive serology for Hepatitis B virus (HBV), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) at Screening. History of drug or alcohol abuse within 1 year of Screening in the opinion of the investigator, or a positive test for drugs of abuse or alcohol at Screening or Check-in. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Facility Information:
Facility Name
CMAX Clinical Research
City
Adelaide
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

To Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Escalating Single and Multiple Doses of KP104

We'll reach out to this number within 24 hrs