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First Clinical Study of the Safety and Blood Levels of a Human Monoclonal Antibody (2217LS) Against Lyme Disease Bacteria in Healthy People

Primary Purpose

Lyme Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
2217LS
0.9% Sodium Chloride (NaCl)
Sponsored by
MassBiologics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Lyme Disease focused on measuring LYME, Lyme bacteria, Borrelia burgdorferi (B. burgdorferi), Human Monoclonal Antibody, Outer surface protein A (OspA)

Eligibility Criteria

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

Inclusion Criteria:

  1. Capable of giving written informed consent and able to effectively communicate with the Investigator and study personnel. A signed informed consent form (ICF) must be on file prior to initiating the screening procedures.
  2. Willing and able to complete all study requirements, restrictions, visits and procedures.
  3. Negative for serum anti-B. burgdorferi antibodies by an FDA approved modified two-tier ELISA test.
  4. Age 19 to 65 years, inclusive.
  5. Weight 50 kg to 105 kg, inclusive.
  6. Seated blood pressure is greater than 90/40 mmHg or less than 140/90 mmHg at the screening visit, and seated heart rate is higher than 40 bpm or lower than 99 bpm at the screening visit.
  7. Women of reproductive potential must agree not to become pregnant for at least 12 months after the study product administration. If a woman is sexually active and has no history of hysterectomy or tubal ligation, she must agree to use hormonal or barrier birth control with spermicidal gel.
  8. Males of reproductive potential must use a barrier method of contraception during the course of the study.
  9. Screening laboratory values must meet the following criteria:

    • WBC > 3,900 and < 11,000/mm3
    • Platelets > 100,000/mm3
    • Hemoglobin > 10.5 gm/dl
    • Creatinine ≤ ULN
    • BUN ≤ ULN
    • AST ≤ ULN
    • ALT ≤ ULN
    • Alkaline Phosphatase ≤ ULN
    • Total Bilirubin < 1.5 x ULN AND Direct Bilirubin ≤ ULN
    • HgbA1c ≤ 6.4

Exclusion Criteria:

  1. Previous receipt of humanized or human monoclonal antibody whether licensed or investigational.
  2. Positive serology for HIV antibody, HCV antibody or Hepatitis B surface antigen.
  3. Regular use of more than 20 cigarettes per day (or equivalent amount of nicotine containing product)
  4. Drug or alcohol abuse within previous 12 months or a positive screen within 24 hours of study product administration.
  5. History of a previous severe allergic reaction with generalized urticaria, angioedema or anaphylaxis.
  6. Any current medical or other condition that in the opinion of the PI would jeopardize the safety of the volunteer participating in the study.
  7. Clinically significant gastrointestinal, cardiovascular, neurologic, psychiatric, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease, as determined by the PI. The investigator will consider all conditions, which could conceivably increase risk to the subjects, alter study drug metabolism, or jeopardize data integrity as clinically significant when making this determination.
  8. Physical finding on examination considered clinically significant such as murmur (other than functional), hepatosplenomegaly, lymphadenopathy or focal neurological deficit.
  9. Positive serum pregnancy test during screening or within 24 hours of study product administration, or an unwillingness to undergo pregnancy testing.
  10. Breast-feeding.
  11. Treatment with another investigational drug or other investigational intervention within 30 days of study drug dosing.
  12. Safety laboratory abnormalities at Screening or Day -1, which are clinically significant as determined by the PI.
  13. Tick bite within 4 weeks prior to screening.
  14. Receipt of any Lyme disease vaccine.

Abnormal ECG or laboratory parameters may be repeated once, if in the opinion of the PI, the results are due to technical factors or are inconsistent with the potential subject's medical evaluation.

Potential study subjects who met all inclusion and none of the exclusion criteria, but who, for personal or administrative reasons, were not included in a study cohort, may be rescreened if more than 30 days have passed since their previous screening. There are no restrictions on the number of re-screens permitted for these subjects.

Sites / Locations

  • Celerion Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

0.5 mg/kg of 2217LS

1.5 mg/kg of 2217LS

5 mg/kg of 2217LS

10 mg/kg of 2217LS

0.9% Sodium Chloride (NaCl)

Arm Description

Single dose subcutaneous injection

Single dose subcutaneous injection

Single dose subcutaneous injection

Single dose subcutaneous injection

Single dose subcutaneous injection

Outcomes

Primary Outcome Measures

Safety and tolerability of a study treatment by number of adverse events reported
Adverse events will be assessed by targeted medical history, physical examination, and laboratory testing. Abnormal laboratory values constitute adverse events only if they induce signs or symptoms and/or require therapy that are new or enhanced from baseline. Injection site reactions (pain, tenderness, erythema/redness, and induration/swelling) will be evaluated pre-dose through Day 15. The reactions are rated Mild (Grade 1), Moderate (Grade 2), and Severe (Grade 3) according to FDA guidance for industry. Adverse events will be summarized by System Organ Class (SOC) using MedDRA.

Secondary Outcome Measures

Pharmacokinetics (PK) parameter: Maximum serum concentration observed (Cmax) of 2217LS
Serial measurements of 2217LS concentration in the serum.
Pharmacokinetics (PK) parameter: Area under the curve (AUC) of 2217LS
Serial measurements of 2217LS concentration in the serum.
Pharmacokinetics (PK) parameter: Serum half life (T 1/2) of 2217LS
Serial measurements of 2217LS concentration in the serum.
Assessment of immunogenicity anti-drug antibodies (ADA) of 2217LS
Serial measurements of 2217LS concentration in the serum.

Full Information

First Posted
April 14, 2021
Last Updated
September 15, 2022
Sponsor
MassBiologics
Collaborators
Celerion
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1. Study Identification

Unique Protocol Identification Number
NCT04863287
Brief Title
First Clinical Study of the Safety and Blood Levels of a Human Monoclonal Antibody (2217LS) Against Lyme Disease Bacteria in Healthy People
Official Title
A Phase 1 Study in Healthy Subjects to Evaluate the Safety and Pharmacokinetics of a Human Monoclonal Antibody (2217LS) Against Borrelia Burgdorferi (B. Burgdorferi) Outer Surface Protein A (OspA)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
February 11, 2021 (Actual)
Primary Completion Date
August 16, 2022 (Actual)
Study Completion Date
August 16, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MassBiologics
Collaborators
Celerion

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 research study of the investigational drug 2217LS in healthy volunteers. Investigational means 2217LS is a new drug that has not been approved for the treatment of any disease. 2217LS is human antibody designed to provide protection from Lyme disease. Lyme disease is a disease carried by infected ticks and can cause the infection to spread to the joints, heart and nervous system in humans. This is the first time 2217LS will be given to humans. This is not a study of how well 2217LS works against Lyme disease. The only purposes of this study are to: 1) Learn about the safety and tolerability of a subcutaneous (SC [under the skin]) injection of 2217LS when administered to healthy volunteers. 2) Find out how much 2217LS is in the blood of healthy volunteers after receiving 2217LS SC. In this study, groups of healthy volunteers will be given different doses of 2217LS by SC injection. Volunteers will stay in the study unit for a total of 4 overnights. The planned duration of participation is up to 14 months. Study personnel will monitor their safety using standard procedures like physical examinations, electrocardiograms, questions about possible side effects, blood and urine tests. The amount of 2217LS in their blood will also be measured.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lyme Disease
Keywords
LYME, Lyme bacteria, Borrelia burgdorferi (B. burgdorferi), Human Monoclonal Antibody, Outer surface protein A (OspA)

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Randomized, partial-blind, placebo controlled, sequential, dose escalation study, consisting of four cohorts of 10 subjects. Each cohort will have a sentinel group consisting of 2 subjects randomized 1:1 to receive 2217LS or placebo. Sentinel subjects will be dosed first. If judged safe and well tolerated by the Principal Investigator (PI) and if the stopping rules have not been met, the remaining 8 subjects in the cohort will be randomized 7:1 to 2217LS or placebo, respectively and dosed no less than 24 hours after dosing of sentinel subjects has been completed. For each cohort, safety and pharmacokinetic (PK) data will be reviewed by the PI, Independent Medical Monitor (IMM) and Sponsor prior to dosing the next cohort. A minimum of 7 days of safety data and available PK data from a minimum of 8 subjects from the preceding cohort must be reviewed. Dosing of the next cohort may proceed upon agreement between the PI, IMM and Sponsor, if the stopping rules have not been met.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
0.5 mg/kg of 2217LS
Arm Type
Experimental
Arm Description
Single dose subcutaneous injection
Arm Title
1.5 mg/kg of 2217LS
Arm Type
Experimental
Arm Description
Single dose subcutaneous injection
Arm Title
5 mg/kg of 2217LS
Arm Type
Experimental
Arm Description
Single dose subcutaneous injection
Arm Title
10 mg/kg of 2217LS
Arm Type
Experimental
Arm Description
Single dose subcutaneous injection
Arm Title
0.9% Sodium Chloride (NaCl)
Arm Type
Placebo Comparator
Arm Description
Single dose subcutaneous injection
Intervention Type
Biological
Intervention Name(s)
2217LS
Intervention Description
Fully Human Monoclonal Antibody
Intervention Type
Other
Intervention Name(s)
0.9% Sodium Chloride (NaCl)
Intervention Description
Subcutaneous injection
Primary Outcome Measure Information:
Title
Safety and tolerability of a study treatment by number of adverse events reported
Description
Adverse events will be assessed by targeted medical history, physical examination, and laboratory testing. Abnormal laboratory values constitute adverse events only if they induce signs or symptoms and/or require therapy that are new or enhanced from baseline. Injection site reactions (pain, tenderness, erythema/redness, and induration/swelling) will be evaluated pre-dose through Day 15. The reactions are rated Mild (Grade 1), Moderate (Grade 2), and Severe (Grade 3) according to FDA guidance for industry. Adverse events will be summarized by System Organ Class (SOC) using MedDRA.
Time Frame
Day 1 through Day 360
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK) parameter: Maximum serum concentration observed (Cmax) of 2217LS
Description
Serial measurements of 2217LS concentration in the serum.
Time Frame
14 Study Days - Day-1 Pre Dose, Day 2 or 3, 4 or 5, 6 or 7, 8 or 9, 10 or 11, 14 or 15, 29, 60, 90, 120, 180, 240, 360
Title
Pharmacokinetics (PK) parameter: Area under the curve (AUC) of 2217LS
Description
Serial measurements of 2217LS concentration in the serum.
Time Frame
14 Study Days - Day-1 Pre Dose, Day 2 or 3, 4 or 5, 6 or 7, 8 or 9, 10 or 11, 14 or 15, 29, 60, 90, 120, 180, 240, 360
Title
Pharmacokinetics (PK) parameter: Serum half life (T 1/2) of 2217LS
Description
Serial measurements of 2217LS concentration in the serum.
Time Frame
14 Study Days - Day-1 Pre Dose, Day 2 or 3, 4 or 5, 6 or 7, 8 or 9, 10 or 11, 14 or 15, 29, 60, 90, 120, 180, 240, 360
Title
Assessment of immunogenicity anti-drug antibodies (ADA) of 2217LS
Description
Serial measurements of 2217LS concentration in the serum.
Time Frame
10 Study Days - Day 1 Pre-Dose, Day 8 or 9, 14 or 15, 29, 60, 90, 120, 180, 240, 360

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Capable of giving written informed consent and able to effectively communicate with the Investigator and study personnel. A signed informed consent form (ICF) must be on file prior to initiating the screening procedures. Willing and able to complete all study requirements, restrictions, visits and procedures. Negative for serum anti-B. burgdorferi antibodies by an FDA approved modified two-tier ELISA test. Age 19 to 65 years, inclusive. Weight 50 kg to 105 kg, inclusive. Seated blood pressure is greater than 90/40 mmHg or less than 140/90 mmHg at the screening visit, and seated heart rate is higher than 40 bpm or lower than 99 bpm at the screening visit. Women of reproductive potential must agree not to become pregnant for at least 12 months after the study product administration. If a woman is sexually active and has no history of hysterectomy or tubal ligation, she must agree to use hormonal or barrier birth control with spermicidal gel. Males of reproductive potential must use a barrier method of contraception during the course of the study. Screening laboratory values must meet the following criteria: WBC > 3,900 and < 11,000/mm3 Platelets > 100,000/mm3 Hemoglobin > 10.5 gm/dl Creatinine ≤ ULN BUN ≤ ULN AST ≤ ULN ALT ≤ ULN Alkaline Phosphatase ≤ ULN Total Bilirubin < 1.5 x ULN AND Direct Bilirubin ≤ ULN HgbA1c ≤ 6.4 Exclusion Criteria: Previous receipt of humanized or human monoclonal antibody whether licensed or investigational. Positive serology for HIV antibody, HCV antibody or Hepatitis B surface antigen. Regular use of more than 20 cigarettes per day (or equivalent amount of nicotine containing product) Drug or alcohol abuse within previous 12 months or a positive screen within 24 hours of study product administration. History of a previous severe allergic reaction with generalized urticaria, angioedema or anaphylaxis. Any current medical or other condition that in the opinion of the PI would jeopardize the safety of the volunteer participating in the study. Clinically significant gastrointestinal, cardiovascular, neurologic, psychiatric, metabolic, renal, hepatic, respiratory, inflammatory, or infectious disease, as determined by the PI. The investigator will consider all conditions, which could conceivably increase risk to the subjects, alter study drug metabolism, or jeopardize data integrity as clinically significant when making this determination. Physical finding on examination considered clinically significant such as murmur (other than functional), hepatosplenomegaly, lymphadenopathy or focal neurological deficit. Positive serum pregnancy test during screening or within 24 hours of study product administration, or an unwillingness to undergo pregnancy testing. Breast-feeding. Treatment with another investigational drug or other investigational intervention within 30 days of study drug dosing. Safety laboratory abnormalities at Screening or Day -1, which are clinically significant as determined by the PI. Tick bite within 4 weeks prior to screening. Receipt of any Lyme disease vaccine. Abnormal ECG or laboratory parameters may be repeated once, if in the opinion of the PI, the results are due to technical factors or are inconsistent with the potential subject's medical evaluation. Potential study subjects who met all inclusion and none of the exclusion criteria, but who, for personal or administrative reasons, were not included in a study cohort, may be rescreened if more than 30 days have passed since their previous screening. There are no restrictions on the number of re-screens permitted for these subjects.
Facility Information:
Facility Name
Celerion Inc.
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

First Clinical Study of the Safety and Blood Levels of a Human Monoclonal Antibody (2217LS) Against Lyme Disease Bacteria in Healthy People

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