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A Study to Assess the Safety, Tolerability and Pharmacokinetics of Inhaled HH-120 Aerosol in Healthy Volunteers

Primary Purpose

COVID-19 Respiratory Infection

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
HH-120 Dose 1
HH-120 Dose 2
HH-120 Dose 3
Placebo
Sponsored by
Huahui Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 Respiratory Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy male or female volunteers aged 18 to 65 years (both inclusive)
  2. Participants must have a body mass index between ≥ 18.0 and ≤ 32 .0 kg/m2 and a bodyweight of at least 45 kg at Screening.
  3. Participants must be a non-smoker and must not have used any tobacco products within 90 days prior to Screening.
  4. Participants must be in good general health, with no significant medical history, have no clinically significant abnormalities on physical examination at screening and/or before administration of the initial dose of IP.
  5. Participants must have clinical laboratory values within normal range.
  6. Females must be non-pregnant and non-lactating, and must use an acceptable, highly effective double contraception from Screening until study completion, including the follow-up period.
  7. Males must not donate sperm for at least 90 days after the last dose of IP.
  8. Participants must have the ability and willingness to attend the necessary visits to the CRU.

Exclusion Criteria:

  1. Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period.
  2. Prior or ongoing medical conditions, medical history, physical findings, or laboratory abnormality that, in the PI's (or delegate's) opinion, could adversely affect the safety of the participant or that might interfere with the conduct of the study.
  3. Presence of any underlying physical or psychological medical condition
  4. Pre-existing severe obstructive disease of the respiratory system such as chronic obstructive pulmonary disease or asthma , including resolved childhood asthma, which may impact inhalation as judged by the PI, delegate, or Sponsor.
  5. History or evidence o f any anatomical airway defect, which in the opinion of the PI, may impact inhalation.
  6. Abnormal spirometry findings at Screening that are considered by the PI to be clinically significant, including FEV1 < 80% or FVC < 80%.
  7. Blood donation of > 500 mL or significant blood loss within 60 days prior to the first IP administration or plasma donation within 7 days prior to IP administration.
  8. Systemic or respiratory infection within 2 weeks before the Screening visit or fever (tympanic temperature > 37.5°C) or symptomatic viral or bacterial infection at time of Screening.
  9. Current infection with SARS-CoV-2, infection within the 2 weeks prior to Screening, or a history of SARS-CoV-2 infection plus symptoms of post-COVID syndrome.
  10. History of anaphylaxis or other significant allergy in the opinion of the PI or known allergy or hypersensitivity to any of the components of the IP.
  11. History of malignancy, except for non-melanoma skin cancer, excised more than 2 years ago and cervical intraepithelial neoplasia that has been successfully cured more than 5 years prior to Screening.
  12. A personal history of unexplained blackouts or fainting or known risk factors for Torsade de Pointes (eg, hypokalemia, heart failure).
  13. Abnormal 12-lead ECG findings at Screening that are considered by the PI to be clinically significant, including arrhythmias or marked QT interval abnormalities (QTcF < 300 msec or ≥ 450 msec at Screening).
  14. Confirmed (eg, 2 consecutive triplicate measurements) average systolic blood pressure (SBP) > 140 or < 90 mmHg, and diastolic blood pressure (DBP) > 90 or < 45 mmHg at Screening.
  15. Confirmed (eg, 2 consecutive triplicate measurements) average resting HR > 100 or < 45 beats per minute at Screening.
  16. Vaccination with a live vaccine within the 4 weeks prior to Screening or that is planned within 4 weeks of dosing, and any non-live vaccination within the 2 weeks prior to Screening, or that is planned within 2 weeks of dosing or planned during study participation (including vaccines for COVID-19).
  17. Positive test for hepatitis C antibody (HCV), hepatitis B surface antigen (HBsAg), or human immunodeficiency virus (HIV) antibody at Screening.
  18. Participants with a positive toxicology screening panel (urine test including qualitative identification of barbiturates, tetrahydrocannabinol [THC], amphetamines, benzodiazepines, opiates, cocaine, and cotinine), or alcohol breath test at Screening or Day -1.
  19. Participants with a history of substance abuse or dependency or history of recreational intravenous (IV) drug use over the last 6 months (by self-declaration).
  20. Use of any IP or medical device within 30 days prior to screening.
  21. Use of any prescription drugs for 14 days prior to dosing or over the counter medication, herbal remedies, supplements or vitamins 7 days prior to dosing.

Sites / Locations

  • Nucleus Network

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Single Ascending Dose Cohort A1

Single Ascending Dose Cohort A2

Single Ascending Dose Cohort A3

Multiple Ascending Doses Cohort B1

Multiple Ascending Doses Cohort B2

Multiple Ascending Doses Cohort B3

Arm Description

Subjects will receive a single dose of either dose level 1 of HH-120 or placebo

Subjects will receive a single dose of either dose level 2 of HH-120 or placebo

Subjects will receive a single dose of either dose level 3 of HH-120 or placebo

Subjects will receive multiple doses of either Dose level 1of HH-120 or placebo

Subjects will receive multiple doses of either Dose level 2 of HH-120 or placebo

Subjects will receive multiple doses of either Dose level 3 of HH-120 or placebo

Outcomes

Primary Outcome Measures

Number of participants with treatment emergent adverse events (TEAEs)
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Severity of treatment emergent adverse events (TEAEs)as assessed by CTCAE v5.0
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Duration of treatment emergent adverse events (TEAEs)
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Number of participants with serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Severity of serious adverse events (SAEs) as assessed by CTCAE v5.0
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Duration of serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Number of participants with abnormal clinically significant physical examination findings
Complete and symptom directed physical examination will be performed
Number of participants with abnormal clinically significant electrocardiogram (ECG)
Single resting 12- lead ECGs will be collected
Number of participants with clinically significant change in vital signs from baseline
Vital signs include heart rate, blood pressure, respiratory rate and tympanic temperature
Changes in the spirometry score from Baseline
Measured by Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) after dosing
Number of participants with abnormal clinically significant clinical laboratory parameters
Clinical laboratory test include hematology, coagulation, biochemistry and urinalysis

Secondary Outcome Measures

Cmax in SAD and MAD
Maximum observed HH-120 concentration
Tmax in SAD and MAD
Time to the maximum observed HH-120 concentration
t1/2 in SAD and MAD part
Terminal elimination half life calculated as ln (2)/λz
AUC0-last
Area under the plasma concentration-time curve from time zero (from the start of inhalation time) to the last time point with measurable analyte concentration
AUC0-inf
AUC from time zero (from the start of inhalation time) extrapolated to infinity
%AUCextrap
The percentage of the AUC that has been extrapolated beyond the last observed data point
Kel or λz
Apparent terminal elimination rate constant, calculated by linear regression of the terminal linear portion of the log concentration vs time curve
CL/F
Apparent total body clearance
Vz/F in SAD
Apparent volume of distribution during the terminal phase
CL/Fss in MAD
Apparent total plasma clearance at steady state
Vz/Fss in MAD
Apparent terminal volume of distribution at steady state
Accumulation ratio (RA)
AUC0-24 hours on Day 7/AUC0-24 hours on Day 1
Immunogenicity of HH-120
To determine the presence and levels of anti-drug antibody (ADA).

Full Information

First Posted
October 19, 2021
Last Updated
September 25, 2023
Sponsor
Huahui Health
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1. Study Identification

Unique Protocol Identification Number
NCT05116865
Brief Title
A Study to Assess the Safety, Tolerability and Pharmacokinetics of Inhaled HH-120 Aerosol in Healthy Volunteers
Official Title
A Double-Blinded, Randomized, and Placebo-Controlled Phase 1 Study to Assess the Safety, Tolerability and Pharmacokinetics Profile of Single and Multiple Ascending Doses of Inhaled HH-120 Aerosol in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
November 1, 2021 (Actual)
Primary Completion Date
May 26, 2022 (Actual)
Study Completion Date
August 2, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Huahui Health

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 1, randomized, double-blinded, placebo controlled, dose escalation study of HH-120 in healthy adult volunteers. HH-120 is a novel inhalable biologic being developed for COVID-19 treatment. The study aims to evaluate the safety, tolerability and pharmacokinetic profile of HH-120 administered by aerosol inhalation after single and multiple ascending doses.
Detailed Description
Approximately 48 participants will be sequentially enrolled into either 1 of 3 SAD cohorts (n=8 per cohort), or 1 of 3 MAD cohorts (n= 8 per cohort). An adaptive dose escalation schedule will be employed for both SAD and MAD parts of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19 Respiratory Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Masking Description
Double blind (Participant, Investigator)
Allocation
Randomized
Enrollment
52 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Dose Cohort A1
Arm Type
Experimental
Arm Description
Subjects will receive a single dose of either dose level 1 of HH-120 or placebo
Arm Title
Single Ascending Dose Cohort A2
Arm Type
Experimental
Arm Description
Subjects will receive a single dose of either dose level 2 of HH-120 or placebo
Arm Title
Single Ascending Dose Cohort A3
Arm Type
Experimental
Arm Description
Subjects will receive a single dose of either dose level 3 of HH-120 or placebo
Arm Title
Multiple Ascending Doses Cohort B1
Arm Type
Experimental
Arm Description
Subjects will receive multiple doses of either Dose level 1of HH-120 or placebo
Arm Title
Multiple Ascending Doses Cohort B2
Arm Type
Experimental
Arm Description
Subjects will receive multiple doses of either Dose level 2 of HH-120 or placebo
Arm Title
Multiple Ascending Doses Cohort B3
Arm Type
Experimental
Arm Description
Subjects will receive multiple doses of either Dose level 3 of HH-120 or placebo
Intervention Type
Biological
Intervention Name(s)
HH-120 Dose 1
Other Intervention Name(s)
HH-120
Intervention Description
Dose level 1 of HH-120
Intervention Type
Biological
Intervention Name(s)
HH-120 Dose 2
Other Intervention Name(s)
HH-120
Intervention Description
Dose level 2 of HH-120
Intervention Type
Biological
Intervention Name(s)
HH-120 Dose 3
Other Intervention Name(s)
HH-120
Intervention Description
Dose level 3 of HH-120
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to match
Primary Outcome Measure Information:
Title
Number of participants with treatment emergent adverse events (TEAEs)
Description
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Severity of treatment emergent adverse events (TEAEs)as assessed by CTCAE v5.0
Description
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Duration of treatment emergent adverse events (TEAEs)
Description
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Number of participants with serious adverse events (SAEs)
Description
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Severity of serious adverse events (SAEs) as assessed by CTCAE v5.0
Description
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Duration of serious adverse events (SAEs)
Description
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Number of participants with abnormal clinically significant physical examination findings
Description
Complete and symptom directed physical examination will be performed
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Number of participants with abnormal clinically significant electrocardiogram (ECG)
Description
Single resting 12- lead ECGs will be collected
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Number of participants with clinically significant change in vital signs from baseline
Description
Vital signs include heart rate, blood pressure, respiratory rate and tympanic temperature
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Changes in the spirometry score from Baseline
Description
Measured by Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) after dosing
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Number of participants with abnormal clinically significant clinical laboratory parameters
Description
Clinical laboratory test include hematology, coagulation, biochemistry and urinalysis
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Secondary Outcome Measure Information:
Title
Cmax in SAD and MAD
Description
Maximum observed HH-120 concentration
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Tmax in SAD and MAD
Description
Time to the maximum observed HH-120 concentration
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
t1/2 in SAD and MAD part
Description
Terminal elimination half life calculated as ln (2)/λz
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
AUC0-last
Description
Area under the plasma concentration-time curve from time zero (from the start of inhalation time) to the last time point with measurable analyte concentration
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
AUC0-inf
Description
AUC from time zero (from the start of inhalation time) extrapolated to infinity
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
%AUCextrap
Description
The percentage of the AUC that has been extrapolated beyond the last observed data point
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Kel or λz
Description
Apparent terminal elimination rate constant, calculated by linear regression of the terminal linear portion of the log concentration vs time curve
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
CL/F
Description
Apparent total body clearance
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
Vz/F in SAD
Description
Apparent volume of distribution during the terminal phase
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)
Title
CL/Fss in MAD
Description
Apparent total plasma clearance at steady state
Time Frame
Day 1-Day 22
Title
Vz/Fss in MAD
Description
Apparent terminal volume of distribution at steady state
Time Frame
Day1- Day 22
Title
Accumulation ratio (RA)
Description
AUC0-24 hours on Day 7/AUC0-24 hours on Day 1
Time Frame
Day 1- Day 7
Title
Immunogenicity of HH-120
Description
To determine the presence and levels of anti-drug antibody (ADA).
Time Frame
Day 1- Day 15 (SAD) or Day 22 (MAD)

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
Inclusion Criteria: Healthy male or female volunteers aged 18 to 65 years (both inclusive) Participants must have a body mass index between ≥ 18.0 and ≤ 32 .0 kg/m2 and a bodyweight of at least 45 kg at Screening. Participants must be a non-smoker and must not have used any tobacco products within 90 days prior to Screening. Participants must be in good general health, with no significant medical history, have no clinically significant abnormalities on physical examination at screening and/or before administration of the initial dose of IP. Participants must have clinical laboratory values within normal range. Females must be non-pregnant and non-lactating, and must use an acceptable, highly effective double contraception from Screening until study completion, including the follow-up period. Males must not donate sperm for at least 90 days after the last dose of IP. Participants must have the ability and willingness to attend the necessary visits to the CRU. Exclusion Criteria: Pregnant or lactating at Screening or planning to become pregnant (self or partner) at any time during the study, including the follow-up period. Prior or ongoing medical conditions, medical history, physical findings, or laboratory abnormality that, in the PI's (or delegate's) opinion, could adversely affect the safety of the participant or that might interfere with the conduct of the study. Presence of any underlying physical or psychological medical condition Pre-existing severe obstructive disease of the respiratory system such as chronic obstructive pulmonary disease or asthma , including resolved childhood asthma, which may impact inhalation as judged by the PI, delegate, or Sponsor. History or evidence o f any anatomical airway defect, which in the opinion of the PI, may impact inhalation. Abnormal spirometry findings at Screening that are considered by the PI to be clinically significant, including FEV1 < 80% or FVC < 80%. Blood donation of > 500 mL or significant blood loss within 60 days prior to the first IP administration or plasma donation within 7 days prior to IP administration. Systemic or respiratory infection within 2 weeks before the Screening visit or fever (tympanic temperature > 37.5°C) or symptomatic viral or bacterial infection at time of Screening. Current infection with SARS-CoV-2, infection within the 2 weeks prior to Screening, or a history of SARS-CoV-2 infection plus symptoms of post-COVID syndrome. History of anaphylaxis or other significant allergy in the opinion of the PI or known allergy or hypersensitivity to any of the components of the IP. History of malignancy, except for non-melanoma skin cancer, excised more than 2 years ago and cervical intraepithelial neoplasia that has been successfully cured more than 5 years prior to Screening. A personal history of unexplained blackouts or fainting or known risk factors for Torsade de Pointes (eg, hypokalemia, heart failure). Abnormal 12-lead ECG findings at Screening that are considered by the PI to be clinically significant, including arrhythmias or marked QT interval abnormalities (QTcF < 300 msec or ≥ 450 msec at Screening). Confirmed (eg, 2 consecutive triplicate measurements) average systolic blood pressure (SBP) > 140 or < 90 mmHg, and diastolic blood pressure (DBP) > 90 or < 45 mmHg at Screening. Confirmed (eg, 2 consecutive triplicate measurements) average resting HR > 100 or < 45 beats per minute at Screening. Vaccination with a live vaccine within the 4 weeks prior to Screening or that is planned within 4 weeks of dosing, and any non-live vaccination within the 2 weeks prior to Screening, or that is planned within 2 weeks of dosing or planned during study participation (including vaccines for COVID-19). Positive test for hepatitis C antibody (HCV), hepatitis B surface antigen (HBsAg), or human immunodeficiency virus (HIV) antibody at Screening. Participants with a positive toxicology screening panel (urine test including qualitative identification of barbiturates, tetrahydrocannabinol [THC], amphetamines, benzodiazepines, opiates, cocaine, and cotinine), or alcohol breath test at Screening or Day -1. Participants with a history of substance abuse or dependency or history of recreational intravenous (IV) drug use over the last 6 months (by self-declaration). Use of any IP or medical device within 30 days prior to screening. Use of any prescription drugs for 14 days prior to dosing or over the counter medication, herbal remedies, supplements or vitamins 7 days prior to dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yongqing Lin
Organizational Affiliation
Huahui Health Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Nucleus Network
City
Brisbane
State/Province
Queensland
Country
Australia

12. IPD Sharing Statement

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A Study to Assess the Safety, Tolerability and Pharmacokinetics of Inhaled HH-120 Aerosol in Healthy Volunteers

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