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Study to Evaluate the Safety and Pharmacokinetics of ALMB-0166 in Patients With Acute Spinal Cord Injury

Primary Purpose

Acute Spinal Cord Injury

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ALMB-0166
Sponsored by
AlaMab Therapeutics (Shanghai) Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Spinal Cord Injury

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female, 18-75 years old.
  • ASIA (American Spinal Injury Association) impairment scale grade B or C.
  • Spinal cord injury at the cervical and thoracic level (C4-T12).
  • Scheduled to undergo a spinal surgery within 72 hours after the initial injury.
  • Acute spinal cord injury that requires surgery as judged by the investigator.
  • Ability to understand the entire process of this study, voluntarily participate and sign written informed consent form.
  • Female patients with childbearing potential must have a negative serum pregnancy test and must be non-lactating. Male patients with female partners of childbearing age and female patients in childbearing age must use a medically approved contraceptive method during the study period and for 3 months after the administration. Male patients must avoid donating sperm during the study period.

Exclusion Criteria:

  • Surgical treatment is not necessary or impossible according to the judgment of the investigator or for other reasons.
  • Penetrating spinal cord injury or complete spinal cord rupture.
  • Accompanying traumatic brain injury (TBI) with visible structural lesions or diagnostic images, such as intracranial hemorrhage.
  • Patients with acute and chronic diseases that have caused neurological deficits (e.g., multiple sclerosis, Guillain-Barré syndrome, etc.)
  • Body temperature is lower than 35℃.
  • Patients with hemoglobin level <90 g/L.
  • Difficulty in completing the study due to coma, mental illness or other reasons.
  • History of drug abuse or dependence.
  • Allergies to macromolecular drugs or a previous history of severe drug allergies.
  • Positive serology for HIV and syphilis or active Hepatitis B or Hepatitis C.
  • History of serious diseases of other organ systems such as heart, lungs, liver, or kidneys, who are judged by the investigator to be unsuitable to participate in clinical trials; for example, cardiovascular disease such as New York Heart Association (NYHA) Grade II or higher congestive heart failure, unstable angina pectoris, myocardial infarction, etc., and pulmonary fibrosis or interstitial lung disease, etc. within 6 months before the administration.
  • Patients with active malignant tumour, or a history of treatment for invasive tumours within 3 years. Patients with stage I tumours who have received definite local treatments and are considered unlikely to recur can be accepted. Patients with a history of treatment for carcinoma in situ (such as non-invasive) and a history of non-melanoma skin cancer can be accepted.
  • Participated in other clinical trials and received drug treatment within 30 days before enrolment.
  • Patients with contraindications to lumbar puncture.
  • Any other issue which, in the opinion of the investigator, made the patient unsuitable for study participation.

Sites / Locations

  • Peking University Third Hospital Medical Science Research Ethic CommitteeRecruiting
  • Peking University Third HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ALMB-0166

Placebo

Arm Description

Two-thirds of patients will be randomized to receive a single dose of ALMB-0166 within 72 hours after spinal cord injury.

One-third of patients will be randomized to receive a single dose of placebo within 72 hours after spinal cord injury.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events of ALMB0166 [Safety and Tolerability]
Assessment of the safety and tolerability of single dose of ALMB-0166

Secondary Outcome Measures

Maximum Plasma Concentration [Cmax] of ALMB0166
Assessment of pharmacokinetic (PK) profile
Assessment of anti-drug antibodies (ADA)
Assessment of anti-drug antibodies (ADA)
Assessment of American Spinal Cord Injury Association (ASIA) sensory, motor and injury grading.
Sensory score range: 0-224 points; Sports score range: 0-100 points; Classification range: A-E. Higher scores mean a better outcome.
Assessment of Short-form Visual Analogue Scale (VAS)
Scoring range: 0-10 points. Higher scores mean a worse outcome

Full Information

First Posted
August 26, 2022
Last Updated
August 29, 2022
Sponsor
AlaMab Therapeutics (Shanghai) Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05524103
Brief Title
Study to Evaluate the Safety and Pharmacokinetics of ALMB-0166 in Patients With Acute Spinal Cord Injury
Official Title
A Phase Ⅰ, Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ALMB-0166 in Patients With Acute Spinal Cord Injury
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 15, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
April 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AlaMab Therapeutics (Shanghai) Inc.

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 assess the safety, tolerability and pharmacokinetics of ALMB-0166 in patients with acute spinal cord injury.
Detailed Description
This is a phase 1, randomized, double-blinded, placebo-controlled, single ascending dose study to evaluate the safety, tolerability and pharmacokinetics of ALMB-0166 in patients with acute spinal cord injury.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Spinal Cord Injury

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ALMB-0166
Arm Type
Experimental
Arm Description
Two-thirds of patients will be randomized to receive a single dose of ALMB-0166 within 72 hours after spinal cord injury.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
One-third of patients will be randomized to receive a single dose of placebo within 72 hours after spinal cord injury.
Intervention Type
Drug
Intervention Name(s)
ALMB-0166
Other Intervention Name(s)
ALMB 0166
Intervention Description
A single dose of ALMB-0166 injection.
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events of ALMB0166 [Safety and Tolerability]
Description
Assessment of the safety and tolerability of single dose of ALMB-0166
Time Frame
Up to 2 months post-dose
Secondary Outcome Measure Information:
Title
Maximum Plasma Concentration [Cmax] of ALMB0166
Description
Assessment of pharmacokinetic (PK) profile
Time Frame
Pre-dose and multiple timepoints up to 2 months post-dose
Title
Assessment of anti-drug antibodies (ADA)
Description
Assessment of anti-drug antibodies (ADA)
Time Frame
Pre-dose and multiple timepoints up to 2 months post-dose
Title
Assessment of American Spinal Cord Injury Association (ASIA) sensory, motor and injury grading.
Description
Sensory score range: 0-224 points; Sports score range: 0-100 points; Classification range: A-E. Higher scores mean a better outcome.
Time Frame
Up to 2 months post-dose
Title
Assessment of Short-form Visual Analogue Scale (VAS)
Description
Scoring range: 0-10 points. Higher scores mean a worse outcome
Time Frame
Up to 2 months post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, 18-75 years old. ASIA (American Spinal Injury Association) impairment scale grade B or C. Spinal cord injury at the cervical and thoracic level (C4-T12). Scheduled to undergo a spinal surgery within 72 hours after the initial injury. Acute spinal cord injury that requires surgery as judged by the investigator. Ability to understand the entire process of this study, voluntarily participate and sign written informed consent form. Female patients with childbearing potential must have a negative serum pregnancy test and must be non-lactating. Male patients with female partners of childbearing age and female patients in childbearing age must use a medically approved contraceptive method during the study period and for 3 months after the administration. Male patients must avoid donating sperm during the study period. Exclusion Criteria: Surgical treatment is not necessary or impossible according to the judgment of the investigator or for other reasons. Penetrating spinal cord injury or complete spinal cord rupture. Accompanying traumatic brain injury (TBI) with visible structural lesions or diagnostic images, such as intracranial hemorrhage. Patients with acute and chronic diseases that have caused neurological deficits (e.g., multiple sclerosis, Guillain-Barré syndrome, etc.) Body temperature is lower than 35℃. Patients with hemoglobin level <90 g/L. Difficulty in completing the study due to coma, mental illness or other reasons. History of drug abuse or dependence. Allergies to macromolecular drugs or a previous history of severe drug allergies. Positive serology for HIV and syphilis or active Hepatitis B or Hepatitis C. History of serious diseases of other organ systems such as heart, lungs, liver, or kidneys, who are judged by the investigator to be unsuitable to participate in clinical trials; for example, cardiovascular disease such as New York Heart Association (NYHA) Grade II or higher congestive heart failure, unstable angina pectoris, myocardial infarction, etc., and pulmonary fibrosis or interstitial lung disease, etc. within 6 months before the administration. Patients with active malignant tumour, or a history of treatment for invasive tumours within 3 years. Patients with stage I tumours who have received definite local treatments and are considered unlikely to recur can be accepted. Patients with a history of treatment for carcinoma in situ (such as non-invasive) and a history of non-melanoma skin cancer can be accepted. Participated in other clinical trials and received drug treatment within 30 days before enrolment. Patients with contraindications to lumbar puncture. Any other issue which, in the opinion of the investigator, made the patient unsuitable for study participation.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Du Peng, PD
Phone
13871292525
Email
dupeng@mail.ecspc.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tian Jiali, Doctor
Organizational Affiliation
Peking Union Medical College
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking University Third Hospital Medical Science Research Ethic Committee
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hong Teacher, Doctor
Phone
010-82265571
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Evaluate the Safety and Pharmacokinetics of ALMB-0166 in Patients With Acute Spinal Cord Injury

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