Multiple Ascending Dose Study in Healthy Subjects
Primary Purpose
Amyloidosis
Status
Terminated
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
NPT189
Sponsored by
About this trial
This is an interventional treatment trial for Amyloidosis
Eligibility Criteria
Inclusion Criteria:
- Age 18-65 years, inclusive, at screening
- Weight 45-120 kg, inclusive
- Body Mass Index of 18.0-32.0 kg/m2, inclusive
- Female subjects of childbearing potential (defined as not surgically sterile or at least 2 years postmenopausal confirmed by a Screening Follicular Stimulating Hormone level of > 40) must agree to use two of the following forms of contraception from 60 days prior through 90 days following the dose of study drug: hormonal (oral, transdermal, implant, or injection), barrier (condom, diaphragm with spermicide), IUD, complete abstinence, or vasectomized partner (6 months minimum) or male subjects who are sexually active with women of childbearing potential must agree to complete abstinence or to use a condom for 90 days following the dose of study drug.
- No clinically significant abnormal findings on physical examination, vital signs, electrocardiogram (ECG), or clinical laboratory evaluation during screening; and systolic blood pressure between 140 mm and 90 mm Hg and diastolic blood pressure between 90 mm and 45 mm Hg.
- Can understand and sign the informed consent document, can communicate with the Investigator, and can understand and comply with the requirements of the protocol.
Exclusion Criteria:
- Have a past or present serious medical illness or other medical or social reason that in the opinion of the Principal Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
- Participation in a clinical trial (other than a screening visit) within 60 days of study drug administration.
- Use of any over-the-counter or prescription medication , vitamin preparations and other food supplements, or herbal medications (e.g., St. John's Wort) within 14 days prior to the dose of study drug or during the study, with the exception of hormonal contraceptives for women of childbearing potential, unless approved by the Principal Investigator or use of beta-blockers within 30 days prior to dose of study drug or during the study.
- Donation of blood or plasma within 30 days of the dose of study drug and throughout the duration of the study and for male subjects, donation of sperm through the duration of the study.
- Women who are nursing, pregnant, suspected of being pregnant, or trying to become pregnant, or are lactating, have a positive serum pregnancy test at screening or urine pregnancy test prior to administration of study drug regardless of childbearing potential.
- Positive blood screen for HIV, hepatitis B surface antigen (HbSAg), or hepatitis C as Screening, or a positive urine screen for alcohol (the day before each dose administration only) or, drugs of abuse, or cotinine at Screening and on the day before each dose administration.
- Have clinically significant abnormalities in laboratory values as judged by the clinical investigator.
- Have a history of alcoholism and/or drug abuse.
- Unsuitable veins for infusion or blood sampling.
Sites / Locations
- PRA Health Sciences
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Other
Other
Other
Arm Label
Treatment 2 mg/kg
Treatment 5 mg/kg
Treatment 12.5 mg/kg
Arm Description
Five IV doses of 2 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Five IV doses of 5 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Five IV doses of 12.5 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Outcomes
Primary Outcome Measures
Adverse event assessment in subjects receiving multiple intravenous infusions of NPT189
Summary of the frequency and percentage of adverse events
Secondary Outcome Measures
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189 (Cmax)
Observed maximum concentration (Cmax)
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189 (Tmax)
Time of the maximum measured concentration (Tmax)
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189 (AUC 0-tau)
Area under the serum concentration-time curve over a dosing interval, tau
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189. Terminal elimination half-life (t 1/2)
Terminal elimination half-life (t 1/2)
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189. Clearance (CL)
Clearance (CL)
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189. Volume of distribution (Vd)
Apparent volume of distribution (Vd)
Full Information
NCT ID
NCT03879278
First Posted
March 12, 2019
Last Updated
August 14, 2019
Sponsor
Proclara Biosciences, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03879278
Brief Title
Multiple Ascending Dose Study in Healthy Subjects
Official Title
A Phase 1 Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of NPT189 in Healthy Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
March 2019
Overall Recruitment Status
Terminated
Why Stopped
Mild infusion reactions were observed in two healthy volunteers.
Study Start Date
March 6, 2019 (Actual)
Primary Completion Date
June 27, 2019 (Actual)
Study Completion Date
June 27, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Proclara Biosciences, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This will be a Phase 1, randomized, double-blind, single center, placebo-controlled, multiple ascending dose (MAD) study in a maximum of 3 cohorts of 8 healthy male and female subjects each. Subjects in Cohorts 1, 2 and 3 will receive ascending multiple IV doses of NPT189 or matching placebo.
Detailed Description
This study is a Phase 1, randomized, double-blind, placebo-controlled, multiple dose, dose escalation safety, tolerability and PK study of NPT189 in healthy subjects. Three dose cohorts are planned each with a maximum of 8 subjects (6 active: 2 placebo) enrolled per cohort. Eligible subjects will be administered NPT189 by IV infusions at the dose specified for their cohort (i.e., 2 mg/kg, 5 mg/kg, and 12.5 mg/kg) or a matching placebo. Subjects will receive a total of 5 doses of NPT189, with doses administered at weekly intervals. Safety and tolerability will be assessed by analysis of adverse events (AEs), vital signs, electrocardiograms (ECG), laboratory and physical examinations. PK will be assessed by analysis of serum NPT189 concentrations.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyloidosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
8 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment 2 mg/kg
Arm Type
Other
Arm Description
Five IV doses of 2 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Arm Title
Treatment 5 mg/kg
Arm Type
Other
Arm Description
Five IV doses of 5 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Arm Title
Treatment 12.5 mg/kg
Arm Type
Other
Arm Description
Five IV doses of 12.5 mg/kg NPT189 (n = 6) or matching placebo (n = 2) administered once per week
Intervention Type
Drug
Intervention Name(s)
NPT189
Other Intervention Name(s)
IgG1 (Immunoglobulin G), Fusion Protein, GAIM (General Amyloid Interaction Motif)
Intervention Description
NPT189 is a recombinant immunoglobulin Fc fusion of GAIM (GAIM-IgG1Fc) as a potential treatment for peripheral amyloidosis.
Primary Outcome Measure Information:
Title
Adverse event assessment in subjects receiving multiple intravenous infusions of NPT189
Description
Summary of the frequency and percentage of adverse events
Time Frame
Day 1 through Day 112
Secondary Outcome Measure Information:
Title
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189 (Cmax)
Description
Observed maximum concentration (Cmax)
Time Frame
Day 1 through Day 112
Title
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189 (Tmax)
Description
Time of the maximum measured concentration (Tmax)
Time Frame
Day 1 through Day 112
Title
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189 (AUC 0-tau)
Description
Area under the serum concentration-time curve over a dosing interval, tau
Time Frame
Day 1 through Day 112
Title
Profile of pharmacokinetics (PK) of multiple intravenous (IV) infusions of NPT189. Terminal elimination half-life (t 1/2)
Description
Terminal elimination half-life (t 1/2)
Time Frame
Day 1 through DAy 112
Title
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189. Clearance (CL)
Description
Clearance (CL)
Time Frame
Day 1 through Day 112
Title
Profile of pharmacokinetics (PK) of multiple (IV) infusions of NPT189. Volume of distribution (Vd)
Description
Apparent volume of distribution (Vd)
Time Frame
Day 1 through Day 112
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:
Age 18-65 years, inclusive, at screening
Weight 45-120 kg, inclusive
Body Mass Index of 18.0-32.0 kg/m2, inclusive
Female subjects of childbearing potential (defined as not surgically sterile or at least 2 years postmenopausal confirmed by a Screening Follicular Stimulating Hormone level of > 40) must agree to use two of the following forms of contraception from 60 days prior through 90 days following the dose of study drug: hormonal (oral, transdermal, implant, or injection), barrier (condom, diaphragm with spermicide), IUD, complete abstinence, or vasectomized partner (6 months minimum) or male subjects who are sexually active with women of childbearing potential must agree to complete abstinence or to use a condom for 90 days following the dose of study drug.
No clinically significant abnormal findings on physical examination, vital signs, electrocardiogram (ECG), or clinical laboratory evaluation during screening; and systolic blood pressure between 140 mm and 90 mm Hg and diastolic blood pressure between 90 mm and 45 mm Hg.
Can understand and sign the informed consent document, can communicate with the Investigator, and can understand and comply with the requirements of the protocol.
Exclusion Criteria:
Have a past or present serious medical illness or other medical or social reason that in the opinion of the Principal Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
Participation in a clinical trial (other than a screening visit) within 60 days of study drug administration.
Use of any over-the-counter or prescription medication , vitamin preparations and other food supplements, or herbal medications (e.g., St. John's Wort) within 14 days prior to the dose of study drug or during the study, with the exception of hormonal contraceptives for women of childbearing potential, unless approved by the Principal Investigator or use of beta-blockers within 30 days prior to dose of study drug or during the study.
Donation of blood or plasma within 30 days of the dose of study drug and throughout the duration of the study and for male subjects, donation of sperm through the duration of the study.
Women who are nursing, pregnant, suspected of being pregnant, or trying to become pregnant, or are lactating, have a positive serum pregnancy test at screening or urine pregnancy test prior to administration of study drug regardless of childbearing potential.
Positive blood screen for HIV, hepatitis B surface antigen (HbSAg), or hepatitis C as Screening, or a positive urine screen for alcohol (the day before each dose administration only) or, drugs of abuse, or cotinine at Screening and on the day before each dose administration.
Have clinically significant abnormalities in laboratory values as judged by the clinical investigator.
Have a history of alcoholism and/or drug abuse.
Unsuitable veins for infusion or blood sampling.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Proclara Biosciences, Inc
Organizational Affiliation
Proclara Biosciences
Official's Role
Study Director
Facility Information:
Facility Name
PRA Health Sciences
City
Groningen
ZIP/Postal Code
9728 NZ
Country
Netherlands
12. IPD Sharing Statement
Plan to Share IPD
No
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Multiple Ascending Dose Study in Healthy Subjects
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