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Dose Exploration Intramuscular/Intravenous Prophylaxis Pharmacokinetic Exposure Response Study

Primary Purpose

COVID-19

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AZD3152
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for COVID-19 focused on measuring Coronavirus disease 2019 (COVID-19), Prophylaxis setting

Eligibility Criteria

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

Inclusion Criteria: Healthy male or female participants. Participants have suitable veins for cannulation or repeated venipuncture. Negative SARS-CoV-2 RT-PCR or SARS-CoV-2 rapid antigen test result at Visit 1. Body weight ≥ 45 kg and ≤ 110 kg and body mass index ≥ 18 and <32 kg/m2 at Screening. Able to complete the Follow-up Period up to Day 365 as required by the protocol. Exclusion Criteria: History of any clinically important disease or disorder. Receipt of any immunoglobulin (either COVID-19 or non-COVID related) or blood products within 6 months prior to Day 1. Receipt of an EVUSHELD monoclonal antibody (mAb) against SARS-CoV-2 within last 15 months before Day 1. Receipt of a COVID-19 vaccine within 14 days prior to Visit 1. SARS-CoV-2 infection within one month prior to Visit 1 (confirmed either by laboratory testing or a rapid test [including at-home testing]). Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration. Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention. This includes any acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the Screening Period or may be rescreened once. Any abnormal laboratory values as described in protocol. Any known HIV or hepatitis B or C infection at Screening. History of alcohol or substance abuse that in the opinion of the Investigator might interfere with the trial conduct or completion. Known hypersensitivity to AZD3152. Previous hypersensitivity or severe adverse reaction following administration of a mAb.

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

AZD3152 Dose X (IM)

AZD3152 Dose X (IV)

AZD3152 Dose Y (IM)

AZD3152 Dose Y (IV)

AZD3152 Dose Z (IV)

Pooled placebo

Arm Description

Participants will receive dose X of AZD3152 on Day 1 as a single IM injection.

Participants will receive dose X of AZD3152 on Day 1 as an IV infusion.

Participants will receive dose Y of AZD3152 on Day 1 as 2 sequential IM injections.

Participants will receive dose Y of AZD3152 on Day 1 as an IV infusion.

Participants will receive dose Z of AZD3152 on Day 1 as an IV infusion.

Participant will receive placebo on Day 1 either via IM injection or IV infusion.

Outcomes

Primary Outcome Measures

Number of participants with adverse event
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Number of participants with serious adverse event
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Number of participants with adverse event of special interest
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Serum concentration of AZD3152
Pharmacokinetics (PK) characterization of AZD3152 in serum after a single IM or IV dose.
Maximum observed concentration (Cmax) of AZD3152
PK (Cmax) characterization of AZD3152 in serum after a single IM or IV dose.
Time to reach maximum observed concentration (tmax) of AZD3152
PK (tmax) characterization of AZD3152 in serum after a single IM or IV dose.
Terminal elimination half-life (t1/2) of AZD3152
PK (t1/2) characterization of AZD3152 in serum after a single IM or IV dose.
Area under the serum concentration-curve from 0 to the last quantifiable concentration (AUClast) of AZD3152
PK (AUClast) characterization of AZD3152 in serum after a single IM or IV dose.
Area under concentration-time curve from 0 to infinity (AUCinf) of AZD3152
PK (AUCinf) characterization of AZD3152 in serum after a single IM or IV dose.
Apparent total body clearance (CL/F) of AZD3152 (IM administration only)
PK (CL/F) characterization of AZD3152 in serum after a single IM.
Apparent volume of distribution based on terminal phase (Vz/F) of AZD3152 (IM administration only)
PK (Vz/F) characterization of AZD3152 in serum after a single IM.
Total body clearance (CL) of AZD3152 (IV administration only)
PK (CL) characterization of AZD3152 in serum after a single IV.
Volume of distribution based on terminal phase (Vz) of AZD3152 (IV administration only)
PK (Vz) characterization of AZD3152 in serum after a single IV.
Volume of distribution at steady state (Vss) of AZD3152 (IV administration only)
PK (Vss) characterization of AZD3152 in serum after a single IV.

Secondary Outcome Measures

Number of participants with anti-drug antibody (ADA) to AZD3152
Evaluation of ADA responses to AZD3152.

Full Information

First Posted
May 15, 2023
Last Updated
October 18, 2023
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT05872958
Brief Title
Dose Exploration Intramuscular/Intravenous Prophylaxis Pharmacokinetic Exposure Response Study
Official Title
A Phase I, Randomized, Safety and Pharmacokinetics Study of AZD3152 in Healthy Adults (Little DIPPER)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 19, 2023 (Actual)
Primary Completion Date
August 9, 2024 (Anticipated)
Study Completion Date
August 9, 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This is a dose exploration study to evaluate the safety and pharmacokinetics (PK) of AZD3152 in healthy adult male and female participants, across different dose levels and routes of administration (ie, Intramuscular [IM] injection and Intravenous [IV] infusion).
Detailed Description
The study will be conducted in the United States of America. Eligible healthy participants will be randomized to receive either AZD3152 or placebo administered IM or IV, across 5 fixed-dose cohorts. Participants will receive a single dose of AZD3152/placebo. Cohort 1: Dose X of AZD3152 or placebo, as an IM injection Cohort 2: Dose X of AZD3152 or placebo, administered IV Cohort 3: Dose Y of AZD3152 or placebo, as an IM injection Cohort 4: Dose Y of AZD3152 or placebo, administered IV Cohort 5: Dose Z of AZD3152 or placebo, administered IV The study will comprise of: A Screening Period of maximum 28 days. A Treatment Period of one Day. A Follow-up Period of 12 months after study intervention (Day 365).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Coronavirus disease 2019 (COVID-19), Prophylaxis setting

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
98 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AZD3152 Dose X (IM)
Arm Type
Experimental
Arm Description
Participants will receive dose X of AZD3152 on Day 1 as a single IM injection.
Arm Title
AZD3152 Dose X (IV)
Arm Type
Experimental
Arm Description
Participants will receive dose X of AZD3152 on Day 1 as an IV infusion.
Arm Title
AZD3152 Dose Y (IM)
Arm Type
Experimental
Arm Description
Participants will receive dose Y of AZD3152 on Day 1 as 2 sequential IM injections.
Arm Title
AZD3152 Dose Y (IV)
Arm Type
Experimental
Arm Description
Participants will receive dose Y of AZD3152 on Day 1 as an IV infusion.
Arm Title
AZD3152 Dose Z (IV)
Arm Type
Experimental
Arm Description
Participants will receive dose Z of AZD3152 on Day 1 as an IV infusion.
Arm Title
Pooled placebo
Arm Type
Placebo Comparator
Arm Description
Participant will receive placebo on Day 1 either via IM injection or IV infusion.
Intervention Type
Drug
Intervention Name(s)
AZD3152
Intervention Description
AZD3152 will be administered via IM injection or IV infusion, as per the assigned arms.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo is a matching volume of 0.9% sodium chloride, will be administered via IM injection or IV infusion, as per the assigned arms.
Primary Outcome Measure Information:
Title
Number of participants with adverse event
Description
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Time Frame
Until Day 91
Title
Number of participants with serious adverse event
Description
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Time Frame
Until Day 365 or early discontinuation visit (EDV [approximately 19 months])
Title
Number of participants with adverse event of special interest
Description
Evaluation of the safety of IM or IV administration of AZD3152 will be done.
Time Frame
Until Day 365 or EDV (approximately 19 months)
Title
Serum concentration of AZD3152
Description
Pharmacokinetics (PK) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Maximum observed concentration (Cmax) of AZD3152
Description
PK (Cmax) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Time to reach maximum observed concentration (tmax) of AZD3152
Description
PK (tmax) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Terminal elimination half-life (t1/2) of AZD3152
Description
PK (t1/2) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Area under the serum concentration-curve from 0 to the last quantifiable concentration (AUClast) of AZD3152
Description
PK (AUClast) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Area under concentration-time curve from 0 to infinity (AUCinf) of AZD3152
Description
PK (AUCinf) characterization of AZD3152 in serum after a single IM or IV dose.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Apparent total body clearance (CL/F) of AZD3152 (IM administration only)
Description
PK (CL/F) characterization of AZD3152 in serum after a single IM.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Apparent volume of distribution based on terminal phase (Vz/F) of AZD3152 (IM administration only)
Description
PK (Vz/F) characterization of AZD3152 in serum after a single IM.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Total body clearance (CL) of AZD3152 (IV administration only)
Description
PK (CL) characterization of AZD3152 in serum after a single IV.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Volume of distribution based on terminal phase (Vz) of AZD3152 (IV administration only)
Description
PK (Vz) characterization of AZD3152 in serum after a single IV.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Title
Volume of distribution at steady state (Vss) of AZD3152 (IV administration only)
Description
PK (Vss) characterization of AZD3152 in serum after a single IV.
Time Frame
Pre-dose, and Day 1 until Day 365 or EDV (approximately 19 months)
Secondary Outcome Measure Information:
Title
Number of participants with anti-drug antibody (ADA) to AZD3152
Description
Evaluation of ADA responses to AZD3152.
Time Frame
Pre-dose, Days 15, 31, 91, 181, and Day 365

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: Healthy male or female participants. Participants have suitable veins for cannulation or repeated venipuncture. Negative SARS-CoV-2 RT-PCR or SARS-CoV-2 rapid antigen test result at Visit 1. Body weight ≥ 45 kg and ≤ 110 kg and body mass index ≥ 18 and <32 kg/m2 at Screening. Able to complete the Follow-up Period up to Day 365 as required by the protocol. Exclusion Criteria: History of any clinically important disease or disorder. Receipt of any immunoglobulin (either COVID-19 or non-COVID related) or blood products within 6 months prior to Day 1. Receipt of an EVUSHELD monoclonal antibody (mAb) against SARS-CoV-2 within last 15 months before Day 1. Receipt of a COVID-19 vaccine within 14 days prior to Visit 1. SARS-CoV-2 infection within one month prior to Visit 1 (confirmed either by laboratory testing or a rapid test [including at-home testing]). Women who are pregnant, lactating, or of childbearing potential and not using a highly effective method of contraception or abstinence from at least 4 weeks prior to study intervention administration and until at least 6 months after study intervention administration. Known or suspected congenital or acquired immunodeficiency, or receipt of immunosuppressive therapy, Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention. This includes any acute (time-limited) or febrile (temperature ≥ 38.0°C [100.4ºF]) illness/infection on day prior to or day of planned dosing; participants excluded for transient acute illness may be dosed if illness resolves within the Screening Period or may be rescreened once. Any abnormal laboratory values as described in protocol. Any known HIV or hepatitis B or C infection at Screening. History of alcohol or substance abuse that in the opinion of the Investigator might interfere with the trial conduct or completion. Known hypersensitivity to AZD3152. Previous hypersensitivity or severe adverse reaction following administration of a mAb.
Facility Information:
Facility Name
Research Site
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Research Site
City
Cullman
State/Province
Alabama
ZIP/Postal Code
35055
Country
United States
Facility Name
Research Site
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85260
Country
United States
Facility Name
Research Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32819
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

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Dose Exploration Intramuscular/Intravenous Prophylaxis Pharmacokinetic Exposure Response Study

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