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A Study to Evaluate Emapalumab in Japanese Healthy Volunteers.

Primary Purpose

Rare Diseases

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
NI-0501
Saline
Sponsored by
Swedish Orphan Biovitrum
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Rare Diseases

Eligibility Criteria

20 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy Japanese (male and female) subjects between 20 and 50 years (inclusive).
  2. Body weight greater than 45 kg (female) or 50 kg (male) and a body mass index (BMI) >18 kg/m2 and < 30 kg/m2 (BMI= weight (kg) / height (m)²)
  3. Vital signs in the following range:

    • Axillary body temperature: 35.2 - 37.5℃
    • Heart rate (after at least 3 minutes of rest, measured in the supine position): 40-100 bpm
    • BP < 140/80, mean of 3 readings after 15 minutes rest
  4. Haemoglobin level equal or above 11 g/dL in females and 13 g/dL in males.
  5. Subject having C-reactive protein (CRP) levels within the normal range (local laboratory range).
  6. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant having agreed to use highly effective methods of contraception during dosing and for 6 months after receiving IMP.

    Highly effective contraception methods include:

    • Total abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
    • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
    • Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient, otherwise highly effective methods to be applied.
    • Use of oral (estrogen and progesterone) hormonal method of contraception, or placement of an intrauterine device (IUD) or intrauterine system (IUS)
    • In case of use of oral contraception women should have been stable on the same brand (or generic equivalent) for a minimum of 3 months before taking study treatment.

    Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago.

  7. Signed informed consent.

Exclusion Criteria:

  1. Any clinically significant abnormality in the results of the safety laboratory tests. Subjects presenting a minor deviation from laboratory ranges could be enrolled if the investigator judge it to be non-clinically significant
  2. Any clinically significant abnormality on the screening electrocardiogram (ECG), as judged by the investigator
  3. History or clinical evidence of any disease and/or existence of any surgical or medical condition that might interfere with the absorption, distribution, metabolism or excretion of the study drugs
  4. Actual presence or occurrence of any bacterial, viral, parasitic or fungal infection within the 4 weeks preceding IMP infusion
  5. Positive results from serology examination for Hepatitis B surface antigen (HBsAg), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), syphilis (TP-antigen and RPR) or pregnancy
  6. Positive stool test for Shigella or salmonella infection.
  7. Positive results from Sars-CoV-2 screening within 96 hours prior to randomization
  8. History or clinical evidence suggestive of active or latent tuberculosis at screening. (i.e. test positive to the interferon gamma (IFNγ)-release assay)
  9. History or presence of any severe allergic reactions
  10. History of hypersensitivity or allergy to any component of emapalumab and/or valaciclovir hydrochloride
  11. History or presence of any malignancy
  12. History or presence of drug or alcohol abuse
  13. Subject with a smoking history within the last 6 months prior to the time of screening
  14. Immunization with a live vaccine within 6 weeks prior to receiving IMP and 12 weeks after IMP infusion
  15. Experience of collected blood corresponding to any of the following

    • Component blood donation within 2 weeks before the screening test and within 2 weeks before the first study drug administration
    • Collection of 200 mL or more of blood (blood donation, etc.) from 4 weeks before the screening test until admission
    • Male subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 12weeks before the screening test until admission.
    • Female subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 16weeks before the screening test until admission.
  16. Usage of any prescription drugs within 2 weeks or over-the-counter medication including herbal supplements (with the exception of multi-vitamins) within 1 week before IMP administration without prior approval from the investigator
  17. Positive pregnancy test at screening or Day -1
  18. Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol
  19. Enrollment in another concurrent clinical interventional study, or intake of another IMP, within four months or 5 half-lives (of the other IMP) prior to inclusion in this study

Sites / Locations

  • P-One Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Emapalumab

Placebo

Arm Description

Emapalumab i.v infusion

Saline i.v. infusion

Outcomes

Primary Outcome Measures

Pharmacokinetic Assessment by Cmax
Peak plasma concentration
Pharmacokinetic Assessment by Tmax
Time of maximum plasma concentration
Pharmacokinetic Assessment by CEOI
Concentration at the end of the infusion
Pharmacokinetic Assessment by AUClast
Area under the concentration-time curve
Pharmacokinetic Assessment by AUCinf
Area under the concentration-time curve extrapolated to infinity
Pharmacokinetic Assessment by t1/2
Terminal elimination half-life
Pharmacokinetic Assessment by clearence (CL)
Total plasma clearance
Pharmacokinetic Assessment by Vss
Steady state volume of distribution

Secondary Outcome Measures

Safety assessment by registered Adverse events
Number of subjects reporting adverse events
Change in levels of Aspartate aminotransferase (AST)
Measured in U/L
Change in levels of Alanine aminotransferase (ALT)
Measured in U/L
Change in levels of Direct Bilirubin
Measured in umol/L
Change in levels of Total Bilirubin
Measured in umol/L
Change in levels of Uric acid
Measured in mg/dL
Change in levels of Alkaline phosphatase
Measured in IU/L
Change in levels of Total protein
Measured in g/dL
Change in levels of Albumin
Measured in g/L
Change in levels of Prothrombin Time/International Normalized Ratio (PTINR)
Measured in seconds
Change in levels of Fibrinogen
Measured in g/L
Change in levels of Complement C3/C4
Measured in mg/dL
Change in levels of Cardiac troponin
Measured in ng/mL
Change in levels of Creatinine
Measured in umol/L
Change in levels of C-reactive protein (CRP)
Measured in mg/L
Change in levels of Sodium
Measured in mmol/L
Change in levels of Potassium
Measured in mmol/L
Change in levels of Calcium
Measured in mmol/L
Change in levels of Glucose
Measured in mmol/L
Change in levels of HDL
Measured in mg/dL
Change in levels of LDL
Measured in mg/dL
Change in levels of BUN/Urea haematology
Measured in mg/dL
Change in levels of Hemoglobine
Measured in g/L
Change in levels of Hematocrit
Measured in %
Change in levels of Platelet count
Measured in 10 9/L
Change in levels of White blood cells
Measured in 10 9/L
Change in levels of Red blood cells
Measured in 10 12/L
Change in levels of Differential blood count
Measured in %
Change in levels of Immunoglobulin levels
Measured in U/mL
Change in levels of Coagulation profile (APTT)
Measured in seconds
Presence of anti-drug antibodies and neutralizing antibodies
Number of subjects reporting ADA and NAb

Full Information

First Posted
January 18, 2021
Last Updated
August 9, 2021
Sponsor
Swedish Orphan Biovitrum
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1. Study Identification

Unique Protocol Identification Number
NCT04765553
Brief Title
A Study to Evaluate Emapalumab in Japanese Healthy Volunteers.
Official Title
A Randomized, Double-blinded, Placebo-controlled, Single Center, Phase I Study to Evaluate Pharmacokinetics, Pharmacodynamics and Safety of Emapalumab After a Single Intravenous Dose in Japanese Healthy Volunteers.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
January 14, 2021 (Actual)
Primary Completion Date
June 25, 2021 (Actual)
Study Completion Date
July 25, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Swedish Orphan Biovitrum

4. Oversight

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

5. Study Description

Brief Summary
This is a randomized, placebo controlled and double-blinded study to evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rare Diseases

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Care Provider
Masking Description
Double blind
Allocation
Randomized
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Emapalumab
Arm Type
Active Comparator
Arm Description
Emapalumab i.v infusion
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Saline i.v. infusion
Intervention Type
Drug
Intervention Name(s)
NI-0501
Other Intervention Name(s)
Gamifant
Intervention Description
Emapalumab single i.v infusion (1 mg/kg)
Intervention Type
Drug
Intervention Name(s)
Saline
Other Intervention Name(s)
Placebo
Intervention Description
Saline single i.v infusion
Primary Outcome Measure Information:
Title
Pharmacokinetic Assessment by Cmax
Description
Peak plasma concentration
Time Frame
Up to 14 weeks
Title
Pharmacokinetic Assessment by Tmax
Description
Time of maximum plasma concentration
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by CEOI
Description
Concentration at the end of the infusion
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by AUClast
Description
Area under the concentration-time curve
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by AUCinf
Description
Area under the concentration-time curve extrapolated to infinity
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by t1/2
Description
Terminal elimination half-life
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by clearence (CL)
Description
Total plasma clearance
Time Frame
Up to week 14 after infusion
Title
Pharmacokinetic Assessment by Vss
Description
Steady state volume of distribution
Time Frame
Up to week 14 after infusion
Secondary Outcome Measure Information:
Title
Safety assessment by registered Adverse events
Description
Number of subjects reporting adverse events
Time Frame
From day of treatment up to 14 weeks
Title
Change in levels of Aspartate aminotransferase (AST)
Description
Measured in U/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Alanine aminotransferase (ALT)
Description
Measured in U/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Direct Bilirubin
Description
Measured in umol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Total Bilirubin
Description
Measured in umol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Uric acid
Description
Measured in mg/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Alkaline phosphatase
Description
Measured in IU/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Total protein
Description
Measured in g/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Albumin
Description
Measured in g/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Prothrombin Time/International Normalized Ratio (PTINR)
Description
Measured in seconds
Time Frame
Up to week 14 after infusion
Title
Change in levels of Fibrinogen
Description
Measured in g/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Complement C3/C4
Description
Measured in mg/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Cardiac troponin
Description
Measured in ng/mL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Creatinine
Description
Measured in umol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of C-reactive protein (CRP)
Description
Measured in mg/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Sodium
Description
Measured in mmol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Potassium
Description
Measured in mmol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Calcium
Description
Measured in mmol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Glucose
Description
Measured in mmol/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of HDL
Description
Measured in mg/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of LDL
Description
Measured in mg/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of BUN/Urea haematology
Description
Measured in mg/dL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Hemoglobine
Description
Measured in g/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Hematocrit
Description
Measured in %
Time Frame
Up to week 14 after infusion
Title
Change in levels of Platelet count
Description
Measured in 10 9/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of White blood cells
Description
Measured in 10 9/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Red blood cells
Description
Measured in 10 12/L
Time Frame
Up to week 14 after infusion
Title
Change in levels of Differential blood count
Description
Measured in %
Time Frame
Up to week 14 after infusion
Title
Change in levels of Immunoglobulin levels
Description
Measured in U/mL
Time Frame
Up to week 14 after infusion
Title
Change in levels of Coagulation profile (APTT)
Description
Measured in seconds
Time Frame
Up to week 14 after infusion
Title
Presence of anti-drug antibodies and neutralizing antibodies
Description
Number of subjects reporting ADA and NAb
Time Frame
Up to week 14 after infusion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy Japanese (male and female) subjects between 20 and 50 years (inclusive). Body weight greater than 45 kg (female) or 50 kg (male) and a body mass index (BMI) >18 kg/m2 and < 30 kg/m2 (BMI= weight (kg) / height (m)²) Vital signs in the following range: Axillary body temperature: 35.2 - 37.5℃ Heart rate (after at least 3 minutes of rest, measured in the supine position): 40-100 bpm BP < 140/80, mean of 3 readings after 15 minutes rest Haemoglobin level equal or above 11 g/dL in females and 13 g/dL in males. Subject having C-reactive protein (CRP) levels within the normal range (local laboratory range). Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant having agreed to use highly effective methods of contraception during dosing and for 6 months after receiving IMP. Highly effective contraception methods include: Total abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception. Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment. Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient, otherwise highly effective methods to be applied. Use of oral (estrogen and progesterone) hormonal method of contraception, or placement of an intrauterine device (IUD) or intrauterine system (IUS) In case of use of oral contraception women should have been stable on the same brand (or generic equivalent) for a minimum of 3 months before taking study treatment. Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago. Signed informed consent. Exclusion Criteria: Any clinically significant abnormality in the results of the safety laboratory tests. Subjects presenting a minor deviation from laboratory ranges could be enrolled if the investigator judge it to be non-clinically significant Any clinically significant abnormality on the screening electrocardiogram (ECG), as judged by the investigator History or clinical evidence of any disease and/or existence of any surgical or medical condition that might interfere with the absorption, distribution, metabolism or excretion of the study drugs Actual presence or occurrence of any bacterial, viral, parasitic or fungal infection within the 4 weeks preceding IMP infusion Positive results from serology examination for Hepatitis B surface antigen (HBsAg), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), syphilis (TP-antigen and RPR) or pregnancy Positive stool test for Shigella or salmonella infection. Positive results from Sars-CoV-2 screening within 96 hours prior to randomization History or clinical evidence suggestive of active or latent tuberculosis at screening. (i.e. test positive to the interferon gamma (IFNγ)-release assay) History or presence of any severe allergic reactions History of hypersensitivity or allergy to any component of emapalumab and/or valaciclovir hydrochloride History or presence of any malignancy History or presence of drug or alcohol abuse Subject with a smoking history within the last 6 months prior to the time of screening Immunization with a live vaccine within 6 weeks prior to receiving IMP and 12 weeks after IMP infusion Experience of collected blood corresponding to any of the following Component blood donation within 2 weeks before the screening test and within 2 weeks before the first study drug administration Collection of 200 mL or more of blood (blood donation, etc.) from 4 weeks before the screening test until admission Male subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 12weeks before the screening test until admission. Female subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 16weeks before the screening test until admission. Usage of any prescription drugs within 2 weeks or over-the-counter medication including herbal supplements (with the exception of multi-vitamins) within 1 week before IMP administration without prior approval from the investigator Positive pregnancy test at screening or Day -1 Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol Enrollment in another concurrent clinical interventional study, or intake of another IMP, within four months or 5 half-lives (of the other IMP) prior to inclusion in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kenichi Furihata, MD, PhD
Organizational Affiliation
P-One Clinic, 4F, View Tower Hachioji, 8-1, Yokamachi, Hachioji-shi, Tokyo 192-0071, Japan
Official's Role
Principal Investigator
Facility Information:
Facility Name
P-One Clinic
City
Tokyo
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate Emapalumab in Japanese Healthy Volunteers.

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