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Safety, Tolerability, PK, PD of ADX-324 in Healthy Volunteers and Hereditary Angioedema Patients

Primary Purpose

Hereditary Angioedema

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
ADX-324
Placebo
Sponsored by
ADARx Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hereditary Angioedema

Eligibility Criteria

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

Part A - HV Inclusion Criteria: Male and female adults 18 to 55 years old Body mass index (BMI) between 18 and 30 kg/m2 Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies Willing and able to provide informed consent and comply with all study visits Exclusion Criteria: Any significant medical history Active malignancy and/or history of malignancy in the past 5 years History of liver disease, Gilbert's syndrome, or abnormal liver function test Estimated creatinine clearance <60 mL/min or serum creatinine > 1.5-fold upper limit of normal. Any active infection or acute illness Major surgery or significant traumatic injury occurring within 3 months Have any other conditions that, in the opinion of the Investigator or Sponsor, would make the participant unsuitable for inclusion, or could interfere with the participant participating in or completing the study. Positive serology tests (HepB, Hep C, HIV) Use of any prescription, vaccines, supplements/vitamins, or over-the counter medication Treatment with another investigational product within 30 days prior to the first study drug administration Known any clinically significant allergic reactions which, in the opinion of the Investigator, would interfere with the volunteer's ability to participate in the study Known hypersensitivity to any of the study drug ingredients. Pregnancy, intent to become pregnant during the course of the study, or lactating women Part B - HAE Inclusion Criteria: Male and female ≥18 years old, inclusive, at the time of signing the PICF Confirmed diagnosis of HAE Types I or II Evidence of an average of (at least) one HAE attack per month Participants must have access to, and the ability to use, acute medication(s) to treat angioedema attacks. Body mass index (BMI) between 18 and 30 kg/m2 Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies Willing and able to provide informed consent and comply with all study visits Exclusion Criteria: Concurrent diagnosis of any other type of chronic angioedema History of clinically significant arterial or venous thrombosis, or current history of a clinically significant prothrombotic risk. Any significant medical history Active malignancy and/or history of malignancy in the past 5 years Any active infection or acute illness, inclusive of cold/flu or COVID-19, within 30 days prior to the first study drug administration. Major surgery or significant traumatic injury occurring within 3 months prior to signature of the PICF Have any other conditions that, in the opinion of the Investigator or Sponsor, would make the participant unsuitable for inclusion, or could interfere with the participant participating in or completing the study. Positive serology tests for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV). Use of C1-INH products, androgens, antifibrinolytics or other small molecule medications for routine prophylaxis within four half-lives prior to screening Must have documented evidence of medical history of HAE attacks Use of any prescription, vaccines, supplements/vitamins, or over-the counter medication (with the exception of oral contraceptives) within 7 days prior to the first study drug administration. Treatment with another investigational product or biologic agent within 30 days prior to the study drug administration History or presence of alcohol abuse or drug use within 30 days prior to the first study drug administration and throughout the study. Blood donation of 50 to 499 mL within 30 days prior to the first study drug administration or of >499 mL within 60 days prior to the first study drug administration. Pregnancy, intent to become pregnant during the course of the study, or lactating women.

Sites / Locations

  • CMAX Clinical ResearchRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

PART A - Active ADX-324 administered to HV

PART A- Placebo administered to HV

PART B - ADX-324 administered to HAE participants

Arm Description

For each cohort in Part A (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-324): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.

For each cohort in Part A (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-324): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.

This will be initiated at the dose level determined by the Safety Review Committee from SAD in HVs. The treatment of HAE participants is an open-label study.

Outcomes

Primary Outcome Measures

Safety in Healthy Volunteers
To evaluate the safety and tolerability of ADX-324 in HVs by incidence, relationship, and severity of adverse events and serious adverse events
Safety in Healthy Volunteers
To evaluate the safety and tolerability of ADX-324 in HVs by change in baseline electrocardiogram (ECG) parameters (PR, QRS, QT, and QTcF intervals)
Safety in Hereditary Angioedema
To evaluate the safety and tolerability of ADX-324 in HAE by incidence, relationship, and severity of adverse events and serious adverse events

Secondary Outcome Measures

Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Maximum observed concentration (Cmax)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Time to Cmax (Tmax)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Area under the concentration-time curve from 0 to time of last quantifiable concentration (AUC0-last)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Area under the concentration-time curve from 0 to infinity (AUC0-∞)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Apparent terminal half-life (t½)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Terminal elimination rate constant (λz)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Total apparent body clearance (CL/F)
Pharmacokinetics in Healthy Volunteers
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Apparent volume of distribution (Vz/F)
Pharmacodynamics in Healthy Volunteers
To characterize the PD of ADX-324 in HVs by the Change from base in plasma concentrations over time of pre Kallikrein (PKK)
Pharmacodynamics in Healthy Volunteers
To characterize the PD of ADX-324 in HVs by the Change from base in plasma concentrations over time of Kallikrein (KK)
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Maximum observed concentration (Cmax) of ADX-324
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Time to Cmax (Tmax) of ADX-324
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Area under the concentration-time curve from 0 to time of last quantifiable concentration (AUC0-last) of ADX-324
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Area under the concentration-time curve from 0 to infinity (AUC0-∞) of ADX-324
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Apparent terminal half-life (t½)
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Terminal elimination rate constant (λz)
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Total apparent body clearance (CL/F)
Pharmacokinetics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Apparent volume of distribution (Vz/F)
Pharmacodynamics in Hereditary Angioedema
To characterize the PD of ADX-324 in HV by Change from base in plasma concentrations over time pre-kallikrein (PKK)
Pharmacodynamics in Hereditary Angioedema
To characterize the PD of ADX-324 in HAE by Change from base in plasma concentrations over time kallikren (KK)

Full Information

First Posted
December 16, 2022
Last Updated
July 6, 2023
Sponsor
ADARx Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05691361
Brief Title
Safety, Tolerability, PK, PD of ADX-324 in Healthy Volunteers and Hereditary Angioedema Patients
Official Title
A Phase 1, Randomized, Placebo-Controlled, Double Blind Single Ascending Dose Study in Healthy Volunteers and an Expansion Cohort in Patients With Hereditary Angioedema to Evaluate the Safety, Tolerability, PK and PD of ADX-324
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 14, 2022 (Actual)
Primary Completion Date
January 2, 2024 (Anticipated)
Study Completion Date
November 26, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ADARx Pharmaceuticals, 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 first-in-human Phase 1 study will evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of ADX-324 in healthy volunteers (HV) and in patients with Hereditary Angioedema (HAE).
Detailed Description
The clinical study described in this protocol is a Phase 1, single-center study evaluating safety, tolerability, PK, and PD of ADX-324. The study consists of 2 parts: Randomized, double-blind, placebo-controlled, parallel group, single ascending dose (SAD) in HV with up to 6 dose cohorts. For SAD cohorts and planned dosing; and, Expansion cohort in participants with Hereditary Angioedema (HAE) at selected dose from Part A and will be open label.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Phase 1, Single-Center, Randomized, Placebo-Controlled, Double Blind Single Ascending Dose Study in HV with expansion into HAE
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blinded
Allocation
Randomized
Enrollment
53 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PART A - Active ADX-324 administered to HV
Arm Type
Experimental
Arm Description
For each cohort in Part A (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-324): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.
Arm Title
PART A- Placebo administered to HV
Arm Type
Placebo Comparator
Arm Description
For each cohort in Part A (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-324): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.
Arm Title
PART B - ADX-324 administered to HAE participants
Arm Type
Experimental
Arm Description
This will be initiated at the dose level determined by the Safety Review Committee from SAD in HVs. The treatment of HAE participants is an open-label study.
Intervention Type
Drug
Intervention Name(s)
ADX-324
Other Intervention Name(s)
siRNA
Intervention Description
siRNA duplex oligonucleotide
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Saline
Intervention Description
saline
Primary Outcome Measure Information:
Title
Safety in Healthy Volunteers
Description
To evaluate the safety and tolerability of ADX-324 in HVs by incidence, relationship, and severity of adverse events and serious adverse events
Time Frame
365 days
Title
Safety in Healthy Volunteers
Description
To evaluate the safety and tolerability of ADX-324 in HVs by change in baseline electrocardiogram (ECG) parameters (PR, QRS, QT, and QTcF intervals)
Time Frame
365 days
Title
Safety in Hereditary Angioedema
Description
To evaluate the safety and tolerability of ADX-324 in HAE by incidence, relationship, and severity of adverse events and serious adverse events
Time Frame
365 days
Secondary Outcome Measure Information:
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Maximum observed concentration (Cmax)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Time to Cmax (Tmax)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Area under the concentration-time curve from 0 to time of last quantifiable concentration (AUC0-last)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Area under the concentration-time curve from 0 to infinity (AUC0-∞)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Apparent terminal half-life (t½)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Terminal elimination rate constant (λz)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Total apparent body clearance (CL/F)
Time Frame
8 days
Title
Pharmacokinetics in Healthy Volunteers
Description
To characterize the Pharmacokinetics of ADX-324 in HVs by measuring the Apparent volume of distribution (Vz/F)
Time Frame
8 days
Title
Pharmacodynamics in Healthy Volunteers
Description
To characterize the PD of ADX-324 in HVs by the Change from base in plasma concentrations over time of pre Kallikrein (PKK)
Time Frame
365 days
Title
Pharmacodynamics in Healthy Volunteers
Description
To characterize the PD of ADX-324 in HVs by the Change from base in plasma concentrations over time of Kallikrein (KK)
Time Frame
365 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Maximum observed concentration (Cmax) of ADX-324
Time Frame
365 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Time to Cmax (Tmax) of ADX-324
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Area under the concentration-time curve from 0 to time of last quantifiable concentration (AUC0-last) of ADX-324
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Area under the concentration-time curve from 0 to infinity (AUC0-∞) of ADX-324
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Apparent terminal half-life (t½)
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Terminal elimination rate constant (λz)
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Total apparent body clearance (CL/F)
Time Frame
8 days
Title
Pharmacokinetics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Apparent volume of distribution (Vz/F)
Time Frame
8 days
Title
Pharmacodynamics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HV by Change from base in plasma concentrations over time pre-kallikrein (PKK)
Time Frame
365 days
Title
Pharmacodynamics in Hereditary Angioedema
Description
To characterize the PD of ADX-324 in HAE by Change from base in plasma concentrations over time kallikren (KK)
Time Frame
365 days

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
Part A - HV Inclusion Criteria: Male and female adults 18 to 55 years old Body mass index (BMI) between 18 and 30 kg/m2 Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies Willing and able to provide informed consent and comply with all study visits Exclusion Criteria: Any significant medical history Active malignancy and/or history of malignancy in the past 5 years History of liver disease, Gilbert's syndrome, or abnormal liver function test Estimated creatinine clearance <60 mL/min or serum creatinine > 1.5-fold upper limit of normal. Any active infection or acute illness Major surgery or significant traumatic injury occurring within 3 months Have any other conditions that, in the opinion of the Investigator or Sponsor, would make the participant unsuitable for inclusion, or could interfere with the participant participating in or completing the study. Positive serology tests (HepB, Hep C, HIV) Use of any prescription, vaccines, supplements/vitamins, or over-the counter medication Treatment with another investigational product within 30 days prior to the first study drug administration Known any clinically significant allergic reactions which, in the opinion of the Investigator, would interfere with the volunteer's ability to participate in the study Known hypersensitivity to any of the study drug ingredients. Pregnancy, intent to become pregnant during the course of the study, or lactating women Part B - HAE Inclusion Criteria: Male and female ≥18 years old, inclusive, at the time of signing the PICF Confirmed diagnosis of HAE Types I or II Evidence of an average of (at least) one HAE attack per month Participants must have access to, and the ability to use, acute medication(s) to treat angioedema attacks. Body mass index (BMI) between 18 and 30 kg/m2 Contraception use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies Willing and able to provide informed consent and comply with all study visits Exclusion Criteria: Concurrent diagnosis of any other type of chronic angioedema History of clinically significant arterial or venous thrombosis, or current history of a clinically significant prothrombotic risk. Any significant medical history Active malignancy and/or history of malignancy in the past 5 years Any active infection or acute illness, inclusive of cold/flu or COVID-19, within 30 days prior to the first study drug administration. Major surgery or significant traumatic injury occurring within 3 months prior to signature of the PICF Have any other conditions that, in the opinion of the Investigator or Sponsor, would make the participant unsuitable for inclusion, or could interfere with the participant participating in or completing the study. Positive serology tests for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV). Use of C1-INH products, androgens, antifibrinolytics or other small molecule medications for routine prophylaxis within four half-lives prior to screening Must have documented evidence of medical history of HAE attacks Use of any prescription, vaccines, supplements/vitamins, or over-the counter medication (with the exception of oral contraceptives) within 7 days prior to the first study drug administration. Treatment with another investigational product or biologic agent within 30 days prior to the study drug administration History or presence of alcohol abuse or drug use within 30 days prior to the first study drug administration and throughout the study. Blood donation of 50 to 499 mL within 30 days prior to the first study drug administration or of >499 mL within 60 days prior to the first study drug administration. Pregnancy, intent to become pregnant during the course of the study, or lactating women.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
CMAX Reception
Phone
+610870887900
Email
Jane.kelly@cmax.com.au
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nicholas Farinola, MD
Organizational Affiliation
CMAX Clinical Research Pty Ltd
Official's Role
Principal Investigator
Facility Information:
Facility Name
CMAX Clinical Research
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
CMAX Reception
Phone
+61 0870887900
Email
jane.kelly@cmax.com.au

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Safety, Tolerability, PK, PD of ADX-324 in Healthy Volunteers and Hereditary Angioedema Patients

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