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A Single Dose, Phase 1 Study of YH35324 in Patients With Various Allergic Diseases

Primary Purpose

Allergic Disease, Chronic Spontaneous Urticaria, Chronic Inducible Urticaria

Status
Recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
YH35324
Omalizumab
Placebo
Sponsored by
Yuhan Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Disease focused on measuring GI-301, YH35324, Allergic disease, CSU, CINDU, Cold urticaria

Eligibility Criteria

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

Inclusion Criteria: Male or female adults aged ≥ 19 to ≤ 75 years [Parts 1 and 2 only] Diagnosis of CSU at least 6 months prior to screening Diagnosis of CSU inadequately controlled on 2nd-generation H1 antihistamines at the time of randomization [Part 2 only] Experience of inadequately uncontrolled CSU despite use of omalizumab [Part 3 only] Diagnosis of chronic inducible urticaria (cold urticaria) at least 3 months prior to screening Diagnosis of chronic inducible urticaria (cold urticaria) inadequately controlled on 2nd-generation H1 antihistamines at the time of randomization Exclusion Criteria: History of malignancy within 5 years from screening Aspartate transaminase (AST) or alanine transaminase (ALT) level > 2 X the upper limit of normal [Parts 1 and 2 only] Chronic urticaria with clear etiology other than CSU [Part 3 only] Chronic urticaria other than studied chronic inducible urticaria (cold urticaria) The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Seoul National University Bundang HospitalRecruiting
  • Ajou University HospitalRecruiting
  • Severance Hospital, Yonsei University Health SystemRecruiting
  • Asan Medical CenterRecruiting
  • The Catholic University of Korea, Seoul St. Mary's HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

YH35324

Omalizumab

Placebo

Arm Description

[Part 1] A total of 18 subjects will be randomized in a 1:1:1 ratio to the YH35324 3 mg/kg, YH35324 6 mg/kg, or omalizumab group. [Part 2] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group. [Part 3] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group.

[Part 1] A total of 18 subjects will be randomized in a 1:1:1 ratio to the YH35324 3 mg/kg, YH35324 6 mg/kg, or omalizumab group.

[Part 2] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group. [Part 3] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group.

Outcomes

Primary Outcome Measures

Occurrence and severity of adverse events (AEs)
To evaluate the safety and tolerability following single administration of YH35324

Secondary Outcome Measures

Change in serum free IgE level
To evaluate the PD profile on serum IgE following single administration of YH35324

Full Information

First Posted
July 13, 2023
Last Updated
September 25, 2023
Sponsor
Yuhan Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT05960708
Brief Title
A Single Dose, Phase 1 Study of YH35324 in Patients With Various Allergic Diseases
Official Title
A Randomized, Double-Blind, Placebo/Active Controlled, Single Dose, Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Subcutaneous Injections of YH35324 in Patients With Various Allergic Diseases
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 23, 2023 (Actual)
Primary Completion Date
March 13, 2024 (Anticipated)
Study Completion Date
March 13, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yuhan Corporation

4. Oversight

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

5. Study Description

Brief Summary
This study aims to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) following a single subcutaneous injection of YH35324 in subjects with various allergic diseases.
Detailed Description
This drug(YH35324) is currently under development as a novel therapeutic agent for various IgE-mediated allergic diseases. Since YH35324 exhibits high binding affinity to human IgE, it prevents serum IgE from binding to receptors on mast cells and basophils, thereby inhibiting histamine release via degranulation following allergen exposures. In addition, YH35324 suppresses autoantibody-dependent effector cell activation by blocking anti-FcεRIα autoantibodies. This study aims to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) following a single subcutaneous injection of YH35324 in subjects with various allergic diseases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Allergic Disease, Chronic Spontaneous Urticaria, Chronic Inducible Urticaria, Cold Urticaria
Keywords
GI-301, YH35324, Allergic disease, CSU, CINDU, Cold urticaria

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Each IP will be labeled with a unique IP number, and the number will be associated with the randomized treatment group. Interactive Web Response System (IWRS) will be used to assign a randomization number and IP number. As YH35324, placebo, and omalizumab differ in appearance, the assigned treatment group of subjects should be disclosed to study pharmacists and unblinded staff who prepare (taking an appropriate and correct amount (mL) of the IP based on the subject's body weight into a syringe), dispense, and administer the IPs, in order to maintain the blind. Therefore, the treatment group information of subjects will be checked through IWRS with limited access before administration of the IP, and only study pharmacists and unblinded staff are allowed to access the system. The study pharmacists and unblinded staff should not disclose the assigned treatment group of enrolled subjects to the principal investigator or study staff.
Allocation
Randomized
Enrollment
36 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
YH35324
Arm Type
Experimental
Arm Description
[Part 1] A total of 18 subjects will be randomized in a 1:1:1 ratio to the YH35324 3 mg/kg, YH35324 6 mg/kg, or omalizumab group. [Part 2] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group. [Part 3] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group.
Arm Title
Omalizumab
Arm Type
Active Comparator
Arm Description
[Part 1] A total of 18 subjects will be randomized in a 1:1:1 ratio to the YH35324 3 mg/kg, YH35324 6 mg/kg, or omalizumab group.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
[Part 2] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group. [Part 3] A total of 9 subjects will be randomized in a 2:1 ratio to the YH35324 6 mg/kg or placebo group.
Intervention Type
Drug
Intervention Name(s)
YH35324
Intervention Description
Subcutaneous injection of YH35324
Intervention Type
Drug
Intervention Name(s)
Omalizumab
Other Intervention Name(s)
Xolair® prefilled syringe 150 for injection
Intervention Description
Subcutaneous injection of Omalizumab
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subcutaneous injection of None of active ingredient
Primary Outcome Measure Information:
Title
Occurrence and severity of adverse events (AEs)
Description
To evaluate the safety and tolerability following single administration of YH35324
Time Frame
Occurrence and severity of adverse events will be observed for 57 days after administration
Secondary Outcome Measure Information:
Title
Change in serum free IgE level
Description
To evaluate the PD profile on serum IgE following single administration of YH35324
Time Frame
Change in serum free IgE will be observed for 57 days after administration
Other Pre-specified Outcome Measures:
Title
Maximum Serum Concentration(Cmax)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Area Under the Serum Concentration-Time Curve from Zero to the Time of the Last Quantitative Concentration (AUClast)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Area Under the Serum Concentration-Time Curve from Zero to Infinity (AUCinf)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Time to Maximum Serum Concentration (Tmax)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Terminal Elimination Rate Constant, Apparent Terminal Elimination Half-life (t1/2)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Apparent Serum Clearance (CL/F)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Apparent Volume of Distribution (Vz/F)
Description
To evaluate the PK profile following single administration of YH35324
Time Frame
Serum concentrations of YH35324 will be observed for 57 days after administration
Title
Change in serum total IgE level
Description
To evaluate the exploratory PD profile following single administration of YH35324
Time Frame
Change in serum total IgE will be observed for 57 days after administration
Title
Change in FcƐRI expression on basophil surface
Description
To evaluate the exploratory PD profile following single administration of YH35324
Time Frame
Change in FcƐRI expression on basophil surface will be observed for 57 days after administration
Title
Change in serum soluble FcƐRI concentration
Description
To evaluate the exploratory PD profile following single administration of YH35324
Time Frame
Change in serum soluble FcƐRI concentration will be observed for 57 days after administration
Title
Change in serum Mas-related G protein-coupled receptor-X2 (MRGPRX2) concentration
Description
To evaluate the exploratory PD profile following single administration of YH35324
Time Frame
Change in serum Mas-related G protein-coupled receptor-X2 (MRGPRX2) concentration will be observed for 57 days after administration
Title
[Parts 1 and 2 only] Change in Basophil Histamine Release Assay (BHRA)
Description
To evaluate the exploratory PD profile following single administration of YH35324
Time Frame
Change in Basophil Histamine Release Assay (BHRA) will be observed for 57 days after administration
Title
Change in the Urticaria Control Test (UCT) score
Description
To explore the clinical efficacy following single administration of YH35324 * Urticaria Control Test score minimum value: 0 / maximum value: 16 Higher scores mean a better outcome
Time Frame
Change in the Urticaria Control Test (UCT) score will be observed for 57 days after administration
Title
Rate of Use of rescue medications
Description
To explore the clinical efficacy following single administration of YH35324 for using rescue medications diary
Time Frame
Use of rescue medications will be observed for 57 days after administration
Title
[Parts 1 and 2 only] Change in weekly Hive Severity Score 7 (HSS7)
Description
To explore the clinical efficacy following single administration of YH35324 * Hive Severity Score 7 minimum value: 0 / maximum value: 21 Higher scores mean a worse outcome
Time Frame
Change in weekly Hive Severity Score 7 (HSS7) will be observed for 57 days after administration
Title
[Parts 1 and 2 only] Change in weekly Itch Severity Score 7 (ISS7)
Description
To explore the clinical efficacy following single administration of YH35324 * Itch Severity Score 7 minimum value: 0 / maximum value: 21 Higher scores mean a worse outcome
Time Frame
Change in weekly Itch Severity Score 7 (ISS7) will be observed for 57 days after administration
Title
[Parts 1 and 2 only] Change in weekly Urticaria Activity Score 7 (UAS7)
Description
To explore the clinical efficacy following single administration of YH35324 * Urticaria Activity Score 7 minimum value: 0 / maximum value: 42 Higher scores mean a worse outcome
Time Frame
Change in weekly Urticaria Activity Score 7 (UAS7) will be observed for 57 days after administration
Title
[Part 3 only] Change in Critical Temperature Thresholds (CTT) in response to the challenge test (TempTest® 4)
Description
To explore the clinical efficacy following single administration of YH35324
Time Frame
Change in Critical Temperature Thresholds (CTT) in response to the challenge test (TempTest® 4) will be observed for 57 days after administration
Title
[Part 3 only] Change in the Peak Pruritus Numerical Rating Scale (PP-NRS) score after the challenge test (TempTest® 4)
Description
To explore the clinical efficacy following single administration of YH35324 * Peak Pruritus Numerical Rating Scale minimum value: 0 / maximum value: 10 Higher scores mean a worse outcome
Time Frame
Change in the Peak Pruritus Numerical Rating Scale (PP-NRS) score after the challenge test (TempTest® 4) will be observed for 57 days after administration
Title
Incidence of serum anti-YH35324 antibodies
Description
To explore the immunogenicity following single administration of YH35324
Time Frame
Incidence of serum anti-YH35324 antibodies will be observed for 57 days after administration

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female adults aged ≥ 19 to ≤ 75 years [Parts 1 and 2 only] Diagnosis of CSU at least 6 months prior to screening Diagnosis of CSU inadequately controlled on 2nd-generation H1 antihistamines at the time of randomization [Part 2 only] Experience of inadequately uncontrolled CSU despite use of omalizumab [Part 3 only] Diagnosis of chronic inducible urticaria (cold urticaria) at least 3 months prior to screening Diagnosis of chronic inducible urticaria (cold urticaria) inadequately controlled on 2nd-generation H1 antihistamines at the time of randomization Exclusion Criteria: History of malignancy within 5 years from screening Aspartate transaminase (AST) or alanine transaminase (ALT) level > 2 X the upper limit of normal [Parts 1 and 2 only] Chronic urticaria with clear etiology other than CSU [Part 3 only] Chronic urticaria other than studied chronic inducible urticaria (cold urticaria) The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
JungWook Ahn
Phone
+82 2-828-0734
Email
ajw8299@yuhan.co.kr
First Name & Middle Initial & Last Name or Official Title & Degree
Eunji Song
Phone
+82 2-828-0736
Email
ejsong@yuhan.co.kr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hae-Sim Park
Organizational Affiliation
Ajou University School of Medicine
Official's Role
Study Chair
Facility Information:
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
State/Province
Gyeonggi-do
ZIP/Postal Code
13620
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Saehoon Kim
Facility Name
Ajou University Hospital
City
Suwon-si
State/Province
Gyeonggi-do
ZIP/Postal Code
16499
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Youngmin Ye
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jungwon Park
Facility Name
Asan Medical Center
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yousook Cho
Facility Name
The Catholic University of Korea, Seoul St. Mary's Hospital
City
Seoul
ZIP/Postal Code
06591
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sookyoung Lee

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual participant data (including data dictionaries) that underline the results reported in study-related publications will be made available during the period beginning 1 year and ending 5 years after all trial primary and secondary endpoints were assessed. Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to yjshim@yuhan.co.kr A summary of the study results will be posted in the publicly accessible database (i.e. clinicaltrials.gov) no later than 1 year after the study's primary completion date.
IPD Sharing Time Frame
Beginning 1 year and ending 5 years after all trial endpoints were assessed
IPD Sharing Access Criteria
Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to yjshim@yuhan.co.kr

Learn more about this trial

A Single Dose, Phase 1 Study of YH35324 in Patients With Various Allergic Diseases

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