search
Back to results

A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of BIIB115

Primary Purpose

Healthy Volunteer, Muscular Atrophy, Spinal

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BIIB115
BIIB115-Matching Placebo
Sponsored by
Biogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Volunteer

Eligibility Criteria

6 Months - 55 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria:

  • Have a body mass index of 18 to 30 kilograms per meter square (kg/m^2), inclusive
  • Must be in good health as determined by the investigator, based on medical history and screening evaluations

Key Exclusion Criteria:

  • Any reason, anatomical or otherwise (including abnormal hematology/coagulation), that presents increase of risk of complication from multiple lumbar puncture (LP) procedures required for dosing and CSF collection, per the investigator discretion
  • History of any clinically significant cardiac, endocrine, gastrointestinal, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, or renal disease, or other major disease, as determined by the Investigator
  • Chronic, recurrent, or serious infection, as determined by the investigator, within 90 days prior to screening or between screening and Day -1
  • Current enrollment or a plan to enroll in any interventional clinical study of a drug, biologic, or device, in which an investigational treatment or approved therapy for investigational use is administered within 3 months (or 5 half-lives of the agent, whichever is longer) prior to randomization

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

Sites / Locations

  • Fondazione Serena Onlus - Centro Clinico NemoRecruiting
  • Centre For Human Drug ReasearchRecruiting
  • Instytut Centrum Zdrowia Matki Polki Dept of NeurologyRecruiting
  • Instytut "Pomnik - Centrum Zdrowia Dziecka
  • PRATIA S.A. MTZ Clinical Research Powered by PratiaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

Part A: Cohort 1: BIIB115 Dose 1

Part A: Cohort 2: BIIB115 Dose 2

Part A: Cohort 3: BIIB115 Dose 3

Part A: Cohort 4: BIIB115 Dose 4

Part A: Cohorts 1-4: BIIB115-Matching Placebo

Part B: Cohort 5: BIIB115 Dose 3

Part B: Cohort 6: BIIB115 Dose 4

Arm Description

Participants will receive a single dose of BIIB115, Dose 1, via IT bolus injection, on Day 1.

Participants will receive a single dose of BIIB115, Dose 2, via IT bolus injection, on Day 1.

Participants will receive a single dose of BIIB115, Dose 3, via IT bolus injection, on Day 1.

Participants will receive a single dose of BIIB115, Dose 4, via IT bolus injection, on Day 1.

Participants will receive a single dose of BIIB115-matching placebo, via IT bolus injection, on Day 1.

Pediatric SMA participants previously treated with onasemnogene abeparvovec will receive two doses of BIIB115, Dose 3, via IT bolus injection at two separate time points.

Pediatric SMA participants previously treated with onasemnogene abeparvovec will receive two doses of BIIB115, Dose 4, via IT bolus injectionat two separate time points.

Outcomes

Primary Outcome Measures

Parts A and B: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, in the view of the investigator, places the participant at immediate risk of death (a life-threatening event), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect or is a medically important event.

Secondary Outcome Measures

Parts A and B: Concentration of BIIB115 in Cerebral Spinal Fluid (CSF)
Part A: Terminal Elimination Half-Life (t½) of BIIB115 in CSF
Parts A and B: Concentration of BIIB115 in Serum
Parts A and B: Terminal Elimination Half-Life (t½) of BIIB115 in Serum
Parts A and B: Area Under the Concentration-Time Curve from Time 0 to Last Measurable Concentration (AUC0-last) of BIIB115 in Serum
Parts A and B: Area Under the Concentration-Time Curve from Time 0 to Infinity (AUCinf) of BIIB115 in Serum
Parts A and B: Maximum Observed Concentration (Cmax) of BIIB115 in Serum
Parts A and B: Time to Reach Maximum Observed Concentration (Tmax) of BIIB115 in Serum

Full Information

First Posted
October 7, 2022
Last Updated
October 13, 2023
Sponsor
Biogen
search

1. Study Identification

Unique Protocol Identification Number
NCT05575011
Brief Title
A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of BIIB115
Official Title
A Randomized, Blinded, Placebo-Controlled, Phase 1 Single Ascending Dose Study in Healthy Adult Male Volunteers and an Open-Label Multiple Ascending Dose Study in Pediatric SMA Participants Previously Treated With Onasemnogene Abeparvovec (Zolgensma™) to Evaluate the Safety, Tolerability, and Pharmacokinetics of BIIB115
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 10, 2022 (Actual)
Primary Completion Date
May 26, 2027 (Anticipated)
Study Completion Date
May 26, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biogen

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
The primary objective of the study is to evaluate the safety and tolerability of single ascending dose of BIIB115 administered via intrathecal (IT) bolus injection to healthy male participants in Part A and multiple ascending doses of BIIB115 administered via IT bolus injection to pediatric Spinal Muscular Atrophy (SMA) participants previously treated with onasemnogene abeparvovec in Part B. The secondary objective of the study is to evaluate the pharmacokinetics (PK) of single-dose of BIIB115 administered via IT bolus injection to healthy male participants in Part A and multiple ascending doses of BIIB115 administered via IT bolus injection to pediatric SMA participants who previously received onasemnogene abeparvovec in Part B.
Detailed Description
This is a first-in-human (FIH) study to evaluate the safety, tolerability, and PK of BIIB115, and consists two parts. Part A includes cohorts 1 through 4, where healthy volunteer (HV) participants will be assigned to receive a single dose of either BIIB115 or placebo. This part will have a 4-week Screening Period, a Treatment Period, and a 13-month Follow-up Period. The study duration for each participant will be approximately 14 months. Part B includes cohorts 5 and 6, where pediatric participants with SMA will be assigned to receive 2 doses of BIIB115. This part will have a 4-week Screening Period, a Treatment Period, and a 24-month Follow-up Period. The study duration for each participant will be approximately 25 months. The study will be conducted in approximately 20 sites globally.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteer, Muscular Atrophy, Spinal

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Sequential for Parts A and B, parallel for Cohorts 1-4 within Part A, parallel for Cohorts 5-6 within Part B
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Blinded for Part A and open-label for Part B of the study.
Allocation
Randomized
Enrollment
62 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A: Cohort 1: BIIB115 Dose 1
Arm Type
Experimental
Arm Description
Participants will receive a single dose of BIIB115, Dose 1, via IT bolus injection, on Day 1.
Arm Title
Part A: Cohort 2: BIIB115 Dose 2
Arm Type
Experimental
Arm Description
Participants will receive a single dose of BIIB115, Dose 2, via IT bolus injection, on Day 1.
Arm Title
Part A: Cohort 3: BIIB115 Dose 3
Arm Type
Experimental
Arm Description
Participants will receive a single dose of BIIB115, Dose 3, via IT bolus injection, on Day 1.
Arm Title
Part A: Cohort 4: BIIB115 Dose 4
Arm Type
Experimental
Arm Description
Participants will receive a single dose of BIIB115, Dose 4, via IT bolus injection, on Day 1.
Arm Title
Part A: Cohorts 1-4: BIIB115-Matching Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive a single dose of BIIB115-matching placebo, via IT bolus injection, on Day 1.
Arm Title
Part B: Cohort 5: BIIB115 Dose 3
Arm Type
Experimental
Arm Description
Pediatric SMA participants previously treated with onasemnogene abeparvovec will receive two doses of BIIB115, Dose 3, via IT bolus injection at two separate time points.
Arm Title
Part B: Cohort 6: BIIB115 Dose 4
Arm Type
Experimental
Arm Description
Pediatric SMA participants previously treated with onasemnogene abeparvovec will receive two doses of BIIB115, Dose 4, via IT bolus injectionat two separate time points.
Intervention Type
Drug
Intervention Name(s)
BIIB115
Intervention Description
Administered as specified in the treatment arm
Intervention Type
Drug
Intervention Name(s)
BIIB115-Matching Placebo
Intervention Description
Administered as specified in the treatment arm
Primary Outcome Measure Information:
Title
Parts A and B: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, in the view of the investigator, places the participant at immediate risk of death (a life-threatening event), requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, results in a congenital anomaly/birth defect or is a medically important event.
Time Frame
Part A: Up to Day 393, Part B: Up to Day 720
Secondary Outcome Measure Information:
Title
Parts A and B: Concentration of BIIB115 in Cerebral Spinal Fluid (CSF)
Time Frame
Part A: Day 1 to Day 180, Part B: Days 1 and 360
Title
Part A: Terminal Elimination Half-Life (t½) of BIIB115 in CSF
Time Frame
Day 1 to Day 180
Title
Parts A and B: Concentration of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to 720
Title
Parts A and B: Terminal Elimination Half-Life (t½) of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to Day 720
Title
Parts A and B: Area Under the Concentration-Time Curve from Time 0 to Last Measurable Concentration (AUC0-last) of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to Day 720
Title
Parts A and B: Area Under the Concentration-Time Curve from Time 0 to Infinity (AUCinf) of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to Day 720
Title
Parts A and B: Maximum Observed Concentration (Cmax) of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to Day 720
Title
Parts A and B: Time to Reach Maximum Observed Concentration (Tmax) of BIIB115 in Serum
Time Frame
Part A: Day 1 to Day 180, Part B: Day 1 to Day 720

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Part A: Male healthy participants aged 18 to 55 years, inclusive Have a body mass index of 18 to 30 kilograms per meter square (kg/m^2), inclusive Must be in good health as determined by the investigator, based on medical history and screening evaluations Part B: Age 0.5 to 12 years old, inclusive, at the time of informed consent Weight ≥7 kg at the time of informed consent Genetic diagnosis of SMA (5q SMA homozygous survival motor neuron 1 (SMN1) gene deletion or mutation or compound heterozygous mutation) Survival motor neuron 2 (SMN2) copy number ≥1 Must have received intravenous (IV) onasemnogene abeparvovec per the approved label or per guidelines including the steroid regimen and monitoring specified therein Treatment with onasemnogene abeparvovec ≥180 days prior to first BIIB115 dose Potential for improvement due to suboptimal clinical status secondary to SMA, as determined by the Investigator Key Exclusion Criteria: Part A: Any reason, anatomical or otherwise (including abnormal hematology/coagulation), that presents increase of risk of complication from multiple lumbar puncture (LP) procedures required for dosing and CSF collection, per the investigator discretion History of any clinically significant cardiac, endocrine, gastrointestinal, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, or renal disease, or other major disease, as determined by the Investigator Chronic, recurrent, or serious infection, as determined by the investigator, within 90 days prior to screening or between screening and Day -1 Current enrollment or a plan to enroll in any interventional clinical study of a drug, biologic, or device, in which an investigational treatment or approved therapy for investigational use is administered within 3 months (or 5 half-lives of the agent, whichever is longer) prior to randomization Part B: Severe or serious AEs related to onasemnogene abeparvovec therapy that are ongoing during Screening Interval of <180 days between onasemnogene abeparvovec therapy and first BIIB115 dose Ongoing steroid treatment following onasemnogene abeparvovec at time of screening History of drug induced liver injury or liver failure per Hy's law definition History of thrombotic micrangiopathy Treatment with any SMN2-splicing modifier (nusinersen or risdiplam) after receiving onasemnogene abeparvovec. Treatment with nusinersen <12 months from the first dose of BIIB115. Any reason, anatomical or otherwise (including abnormal hematology/coagulation), that presents increase of risk of complication from the LP procedures, CSF circulation, or safety assessments, including a history of hydrocephalus or implanted shunt for CSF drainage. Permanent ventilation, defined as tracheostomy or ≥16 hours ventilation /day continuously for >21 days in the absence of an acute reversible event NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
US Biogen Clinical Trial Center
Phone
866-633-4636
Email
clinicaltrials@biogen.com
First Name & Middle Initial & Last Name or Official Title & Degree
Global Biogen Clinical Trial Center
Email
clinicaltrials@biogen.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Biogen
Official's Role
Study Director
Facility Information:
Facility Name
Fondazione Serena Onlus - Centro Clinico Nemo
City
Milano
ZIP/Postal Code
20162
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
Phone
+39 349 5607450
First Name & Middle Initial & Last Name & Degree
Valeria Sansone
Facility Name
Centre For Human Drug Reasearch
City
Leiden
ZIP/Postal Code
2333
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
Phone
31715246400
Email
pkremer@chdr.nl
First Name & Middle Initial & Last Name & Degree
Philip Kremer
Facility Name
Instytut Centrum Zdrowia Matki Polki Dept of Neurology
City
Lodz
ZIP/Postal Code
93-338
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
Phone
48606989185
First Name & Middle Initial & Last Name & Degree
Lukasz Przyslo
Facility Name
Instytut "Pomnik - Centrum Zdrowia Dziecka
City
Warsaw
ZIP/Postal Code
04-730
Country
Poland
Individual Site Status
Active, not recruiting
Facility Name
PRATIA S.A. MTZ Clinical Research Powered by Pratia
City
Warszawa
ZIP/Postal Code
02-172
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
Phone
48225992890
First Name & Middle Initial & Last Name & Degree
Małgorzata Zajda

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
IPD Sharing URL
https://vivli.org/

Learn more about this trial

A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of BIIB115

We'll reach out to this number within 24 hrs