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Study to Assess the Safety, Tolerability, Pharmacokinetics and Immunogenicity of AK006 in Healthy Subjects and Subjects With Chronic Spontaneous Urticaria

Primary Purpose

Healthy Participants, Chronic Spontaneous Urticaria

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AK006
Placebo
Sponsored by
Allakos Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Participants

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria: To be included in the study, the participant must: Weigh between 60 and 120 kg (inclusive) and have a body mass index (BMI) between 20 and 32 kg/m2, inclusive Be in good general health with no significant medical history and has no clinically significant abnormalities on physical examination (Part A and B only) Have a diagnosis of chronic spontaneous urticaria (CSU) for at least 6 months (Part C only) Be on a stable dose of a single 2nd or later generation H1-antihistamines for the treatment of CSU, between 1× and 4× the licensed dose and frequency, by Day -14 of the Screening Period and must be willing to remain on the same stable dose throughout the study (Part C only) Have moderate to severe CSU that is refractory to stable doses of a single 2nd or later generation H1-antihistamines between 1× and 4× the licensed dose and frequency at the time of randomization as defined by the following (Part C Only): Presence of hives and itch for at least 6 consecutive weeks prior to the Screening Visit. Weekly urticaria activity score (UAS7) of at least 16 and weekly hive severity score (HSS7) of at least 8 for the 2 consecutive weeks prior to randomization (Day 1) while on the stable dose of an H1-antihistamines as described above (Note: participant must have completed at least 4 daily Urticaria Patient Daily Diary (UPDD) questionnaires during each of these qualifying weeks to remain eligible for study participation). Key Exclusion Criteria: A participant who meets any of the following exclusion criteria will not be eligible for inclusion in the study: Male participants sexually active with a woman of childbearing potential, or female participants of childbearing potential who are not willing to use a highly effective method of contraception from the time of first dose of investigational product (IP) until 120 days after the last dose Female participants who are pregnant, lactating, or planning to become pregnant during the study. Abnormal laboratory values, or findings in physical examination, ECG (QTc >450 ms for males and >470 ms for females), or vital signs considered to be clinically significant by the investigator. Treatment with any prescribed (excluding hormonal contraceptives) or nonprescribed systemic or topical medication (including herbal product, and vitamins) within 21 days prior to the first dose of IP (excluding acetaminophen) (Part A and B only).

Sites / Locations

  • Site 601-001 Healthy Volunteer Clinical Research UnitRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part A - Single Ascending Dose (SAD) Cohorts

Part B - Multiple Ascending Dose (MAD) Cohorts

Cohort C

Arm Description

Part A: Healthy adult participants will receive a single intravenous infusion of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 5 cohorts evaluated.

Part B: Healthy adult participants will receive multiple intravenous infusions of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 3 cohorts evaluated.

Part C: Adults with Chronic Spontaneous Urticaria will receive multiple intravenous infusions of AK006 or matching placebo. Up to 2 dose levels may be evaluated.

Outcomes

Primary Outcome Measures

Incidence and severity of adverse events (AEs)
AEs, serious AEs, and treatment emergent AEs (AE that starts after start of investigational product)
Incidence of AEs of special interest
Infusion-related reactions, anaphylaxis, and opportunistic infections
AEs leading to discontinuation
AEs
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs

Secondary Outcome Measures

AK006 serum concentration at end of infusion
AK006 Serum concentration (ng/mL) at end of infusion
AK006 area under the concentration-time curve (AUC) from time 0 to the time of last quantifiable concentration (AUC[0-last])
AK006 AUC(0-last) (ng x h/mL)
AK006 AUC from time 0 extrapolated to infinity (AUC[0-inf])
AK006 AUC(0-inf) (ng x h/mL)
Total systemic clearance of AK006 after intravenous dose (CL)
AK006 CL (L/h/kg)
Systemic steady-state volume of distribution (Vss) of AK006
AK006 Vss (mg/L)
AK006 Terminal elimination phase half-life (t1/2)
AK006 t1/2 (hours)
Predose AK006 serum concentration (Ctrough, before the next dose) [Part B]
AK006 Ctrough (ng/mL)
AK006 AUC over the dosing time interval (time 0 to 28 days) (AUC[tau]) (Part B)
AK006 AUC(tau) (ng x h/mL)
AK006 Anti-drug Antibodies (ADAs)
Presence and the titer of AK006-ADAs

Full Information

First Posted
September 9, 2023
Last Updated
October 2, 2023
Sponsor
Allakos Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT06072157
Brief Title
Study to Assess the Safety, Tolerability, Pharmacokinetics and Immunogenicity of AK006 in Healthy Subjects and Subjects With Chronic Spontaneous Urticaria
Official Title
A Phase 1, Double-Blind, Randomized, Placebo-Controlled, Sequential, Single- and Multiple-Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Immunogenicity of AK006 in Healthy Subjects and in Subjects With H1 Antihistamine Refractory Chronic Spontaneous Urticaria
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 28, 2023 (Actual)
Primary Completion Date
October 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allakos Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, double-blind, randomized, placebo-controlled study that will evaluate the safety, pharmacokinetics (PK), immunogenicity (immune response), and explore the clinical activity of single and multiple ascending doses of AK006 when administered intravenously (IV) to healthy participants and participants with chronic spontaneous urticaria (CSU).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Participants, Chronic Spontaneous Urticaria

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Single (Part A) and multiple (Part B) ascending dose study in healthy participants with a multiple dose expansion (Part C) in participants with chronic spontaneous urticaria.
Masking
ParticipantInvestigator
Masking Description
Double-blind (placebo) essentially identical in appearance to the investigational drug (AK006)
Allocation
Randomized
Enrollment
124 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part A - Single Ascending Dose (SAD) Cohorts
Arm Type
Experimental
Arm Description
Part A: Healthy adult participants will receive a single intravenous infusion of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 5 cohorts evaluated.
Arm Title
Part B - Multiple Ascending Dose (MAD) Cohorts
Arm Type
Experimental
Arm Description
Part B: Healthy adult participants will receive multiple intravenous infusions of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 3 cohorts evaluated.
Arm Title
Cohort C
Arm Type
Experimental
Arm Description
Part C: Adults with Chronic Spontaneous Urticaria will receive multiple intravenous infusions of AK006 or matching placebo. Up to 2 dose levels may be evaluated.
Intervention Type
Drug
Intervention Name(s)
AK006
Intervention Description
Intravenous Infusion
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intravenous Infusion
Primary Outcome Measure Information:
Title
Incidence and severity of adverse events (AEs)
Description
AEs, serious AEs, and treatment emergent AEs (AE that starts after start of investigational product)
Time Frame
Screening to Day 113 (Part A) and Screening to Day 141 (Part B and C)
Title
Incidence of AEs of special interest
Description
Infusion-related reactions, anaphylaxis, and opportunistic infections
Time Frame
Day 1 to Day 113 (Part A) and Day 1 to Day 141 (Part B and C)
Title
AEs leading to discontinuation
Description
AEs
Time Frame
Day 1 to Day 113 (Part A) and Screening to Day 141 (Part B and C)
Title
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs
Description
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs
Time Frame
Day 1 to Day 113 (Part A) and Day 1 to Day 141 (Part B and C)
Secondary Outcome Measure Information:
Title
AK006 serum concentration at end of infusion
Description
AK006 Serum concentration (ng/mL) at end of infusion
Time Frame
Day 1 (Part A) and Day 29 (Part B)
Title
AK006 area under the concentration-time curve (AUC) from time 0 to the time of last quantifiable concentration (AUC[0-last])
Description
AK006 AUC(0-last) (ng x h/mL)
Time Frame
Day 1 to Day 113 (Part A) and Day 29 to Day 141 (Part B)
Title
AK006 AUC from time 0 extrapolated to infinity (AUC[0-inf])
Description
AK006 AUC(0-inf) (ng x h/mL)
Time Frame
Day 1 to Day 113 (Part A)
Title
Total systemic clearance of AK006 after intravenous dose (CL)
Description
AK006 CL (L/h/kg)
Time Frame
Day 1 to Day 113 (Part A) and Day 1 to Day 141 (Part B)
Title
Systemic steady-state volume of distribution (Vss) of AK006
Description
AK006 Vss (mg/L)
Time Frame
Day 1 to Day 113 (Part A) and Day 1 to Day 141 (Part B)
Title
AK006 Terminal elimination phase half-life (t1/2)
Description
AK006 t1/2 (hours)
Time Frame
Day 1 to Day 113 (Part A) and Day 1 to Day 141 (Part B)
Title
Predose AK006 serum concentration (Ctrough, before the next dose) [Part B]
Description
AK006 Ctrough (ng/mL)
Time Frame
Day 29 (pre-dose)
Title
AK006 AUC over the dosing time interval (time 0 to 28 days) (AUC[tau]) (Part B)
Description
AK006 AUC(tau) (ng x h/mL)
Time Frame
Day 1 to Day 28 with each dosing interval
Title
AK006 Anti-drug Antibodies (ADAs)
Description
Presence and the titer of AK006-ADAs
Time Frame
Day 1 to Day Day 113 (Part A) and Day 1 to Day 141 (Part B and C)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: To be included in the study, the participant must: Weigh between 60 and 120 kg (inclusive) and have a body mass index (BMI) between 20 and 32 kg/m2, inclusive Be in good general health with no significant medical history and has no clinically significant abnormalities on physical examination (Part A and B only) Have a diagnosis of chronic spontaneous urticaria (CSU) for at least 6 months (Part C only) Be on a stable dose of a single 2nd or later generation H1-antihistamines for the treatment of CSU, between 1× and 4× the licensed dose and frequency, by Day -14 of the Screening Period and must be willing to remain on the same stable dose throughout the study (Part C only) Have moderate to severe CSU that is refractory to stable doses of a single 2nd or later generation H1-antihistamines between 1× and 4× the licensed dose and frequency at the time of randomization as defined by the following (Part C Only): Presence of hives and itch for at least 6 consecutive weeks prior to the Screening Visit. Weekly urticaria activity score (UAS7) of at least 16 and weekly hive severity score (HSS7) of at least 8 for the 2 consecutive weeks prior to randomization (Day 1) while on the stable dose of an H1-antihistamines as described above (Note: participant must have completed at least 4 daily Urticaria Patient Daily Diary (UPDD) questionnaires during each of these qualifying weeks to remain eligible for study participation). Key Exclusion Criteria: A participant who meets any of the following exclusion criteria will not be eligible for inclusion in the study: Male participants sexually active with a woman of childbearing potential, or female participants of childbearing potential who are not willing to use a highly effective method of contraception from the time of first dose of investigational product (IP) until 120 days after the last dose Female participants who are pregnant, lactating, or planning to become pregnant during the study. Abnormal laboratory values, or findings in physical examination, ECG (QTc >450 ms for males and >470 ms for females), or vital signs considered to be clinically significant by the investigator. Treatment with any prescribed (excluding hormonal contraceptives) or nonprescribed systemic or topical medication (including herbal product, and vitamins) within 21 days prior to the first dose of IP (excluding acetaminophen) (Part A and B only).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AK006 Study Team
Phone
650-542-0421
Email
AK006ClinicalStudies@allakos.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chin Lee, MD
Organizational Affiliation
Allakos Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Site 601-001 Healthy Volunteer Clinical Research Unit
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
AK006 Clinical Study Team
Phone
650-542-0421
Email
AK006ClinicalStudies@allakos.com

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
37413923
Citation
O'Sullivan JA, Youngblood BA, Schleimer RP, Bochner BS. Siglecs as potential targets of therapy in human mast cell- and/or eosinophil-associated diseases. Semin Immunol. 2023 Sep;69:101799. doi: 10.1016/j.smim.2023.101799. Epub 2023 Jul 4.
Results Reference
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Study to Assess the Safety, Tolerability, Pharmacokinetics and Immunogenicity of AK006 in Healthy Subjects and Subjects With Chronic Spontaneous Urticaria

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