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Pharmacokinetic Comparability of Benralizumab Using Accessorized Pre-Filled Syringe or Autoinjector in Healthy Volunteers

Primary Purpose

Asthma, Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Benralizumab
Benralizumab
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma, Chronic Obstructive pulmonary Disease, Pharmacokinetics, Healthy volunteers

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male and/or female subjects of non-child-bearing potential aged 18 to 55 years (inclusive) with suitable veins for cannulation or repeated venipuncture.
  • Females must be non pregnant,non lactating and non-child-bearing potential, confirmed at screening
  • Sexually active male willingness to use contraception
  • Body mass index (BMI) between 18 and 29.9 kg/m2 inclusive and weigh at least 55 kg and no more than 100 kg inclusive.

Exclusion Criteria:

  • History of any clinically significant disease, severe allergy/anaphylaxis to any biologic therapy, Guillain-Barré syndrome, smoking and alcohol or drug abuse
  • Diagnosis of helminth parasitic infection and acute upper or lower respiratory infections
  • Disorders related to cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment
  • Alanine aminotransferase/aspartate aminotransferase level ≥1.5 times the upper limit of normal
  • White blood cell count and neutrophils < lower limit of normal
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of Investigational medicinal product (IMP)
  • Positive result for serum hepatitis B surface antigen or anti-Hemoglobin C (anti-HBc) antibody, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.
  • Intake of new chemical entity (not been approved for marketing) within 3 months of the first administration of investigational product
  • Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening
  • Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent
  • Receipt of any marketed (e.g., omalizumab, mepolizumab etc.) or investigational biologic within 4 months or 5 half-lives prior to the date informed consent
  • Receipt of live attenuated vaccines 30 days prior to randomization on Day 1
  • Current malignancy, or history of malignancy except (basal cell carcinoma, localized squamous cell carcinoma of the skin or in situ carcinoma of the cervix)
  • Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP.
  • Use of antacids, analgesics (except paracetamol/acetaminophen), herbal remedies, mega-dose vitamins (20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of IMP or longer
  • Previous receipt of received benralizumab
  • Any ongoing or recent minor medical complaints
  • Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order

Sites / Locations

  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Other

Arm Label

Benralizumab by Accessorized Pre-Filled Syringe

Benralizumab by Autoinjector

Arm Description

Drug administration by Accessorized Pre-Filled Syringe. A total of 180 subjects will be randomized and will be stratified by weight group (55 to 69.9 kg, 70 to 84.9 kg and 85 to 100 kg). Within each of the 3 weight groups, subjects will be randomized 1:1:1:1:1:1 to 1 of the 6 combinations of treatment (APFS) with injection site (upper arm, abdomen or thigh)

Drug administration by Autoinjector A total of 180 subjects will be randomized and will be stratified by weight group (55 to 69.9 kg, 70 to 84.9 kg and 85 to 100 kg). Within each of the 3 weight groups, subjects will be randomized 1:1:1:1:1:1 to 1 of the 6 combinations of treatment (APFS) with injection site (upper arm, abdomen or thigh)

Outcomes

Primary Outcome Measures

Area Under the Concentration-time Curve From Zero to Infinity (AUCinf)
To compare the AUCinf following single SC administration of Benralizumab by using APFS or AI devices
Area Under the Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)
To compare the AUClast following single SC administration of Benralizumab by using APFS or AI devices
Maximum Observed Concentration (Cmax)
To compare the Cmax following single SC administration of Benralizumab by using APFS or AI devices

Secondary Outcome Measures

Time When Maximum Concentration is Observed (Tmax)
To evaluate the Tmax of Benralizumab administered to various injection sites and in subjects with different body weight ranges
Terminal Half-life (t½)
To evaluate the t½ of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Apparent Extravascular Clearance (CL/F)
To evaluate the CL/F of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Apparent Volume of Distribution Based on the Terminal Phase (Vz/F)
To evaluate the Vz/F of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Number of Participants With Adverse Events
To evaluate safety and tolerability of Benralizumab
Antidrug Antibody (ADA) Status
To evaluate the immunogenicity of Benralizumab

Full Information

First Posted
October 28, 2016
Last Updated
July 3, 2019
Sponsor
AstraZeneca
Collaborators
Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT02968914
Brief Title
Pharmacokinetic Comparability of Benralizumab Using Accessorized Pre-Filled Syringe or Autoinjector in Healthy Volunteers
Official Title
A Multicenter, Randomized, Open-Label, Parallel Group Phase 1 Pharmacokinetic Comparability Study of Benralizumab Administrated Using Accessorized Pre-Filled Syringe (APFS) or Autoinjector (AI) in Healthy Volunteers.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
January 4, 2017 (Actual)
Primary Completion Date
July 13, 2017 (Actual)
Study Completion Date
July 13, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Parexel

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
An open-label, single dose Pharmacokinetic (PK) comparability study to demonstrate comparable drug exposure following Subcutaneous benralizumab administration by using accessorized pre-filled syringe (APFS) or autoinjector (AI) devices.
Detailed Description
A study of descriptive comparison of benralizumab PK by weight and injection site. This study will be a multicenter, randomized, open-label, parallel group Phase 1 study designed to compare benralizumab PK exposure in healthy subjects following single subcutaneous (SC) administration of fixed 30 mg dose of benralizumab by using APFS and single-use AI. Eligible subjects will be healthy subjects aged 18 to 55 years, with a body weight of 55 to 100 kg and a body mass index of 18 to 29.9 kg/m2 . A total of 180 subjects will be randomized. Randomization will be stratified by weight group (55 to 69.9 kg, 70 to 84.9 kg and 85 to 100 kg), and within each of the 3 weight groups, subjects will be randomized 1:1:1:1:1:1 to 1 of the 6 combinations of treatment (APFS or AI) with injection site (upper arm, abdomen or thigh), presented in Table 1. This study will be performed at 2 study centers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma, Chronic Obstructive Pulmonary Disease
Keywords
Asthma, Chronic Obstructive pulmonary Disease, Pharmacokinetics, Healthy volunteers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
180 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Benralizumab by Accessorized Pre-Filled Syringe
Arm Type
Active Comparator
Arm Description
Drug administration by Accessorized Pre-Filled Syringe. A total of 180 subjects will be randomized and will be stratified by weight group (55 to 69.9 kg, 70 to 84.9 kg and 85 to 100 kg). Within each of the 3 weight groups, subjects will be randomized 1:1:1:1:1:1 to 1 of the 6 combinations of treatment (APFS) with injection site (upper arm, abdomen or thigh)
Arm Title
Benralizumab by Autoinjector
Arm Type
Other
Arm Description
Drug administration by Autoinjector A total of 180 subjects will be randomized and will be stratified by weight group (55 to 69.9 kg, 70 to 84.9 kg and 85 to 100 kg). Within each of the 3 weight groups, subjects will be randomized 1:1:1:1:1:1 to 1 of the 6 combinations of treatment (APFS) with injection site (upper arm, abdomen or thigh)
Intervention Type
Biological
Intervention Name(s)
Benralizumab
Intervention Description
A humanized, afucosylated, monoclonal antibody (mAb) that binds specifically to the human IL-5 receptor alpha subunit (IL-5Rα) on the target cell.
Intervention Type
Biological
Intervention Name(s)
Benralizumab
Intervention Description
A humanized, afucosylated, monoclonal antibody (mAb) that binds specifically to the human IL-5 receptor alpha subunit (IL-5Rα) on the target cell.
Primary Outcome Measure Information:
Title
Area Under the Concentration-time Curve From Zero to Infinity (AUCinf)
Description
To compare the AUCinf following single SC administration of Benralizumab by using APFS or AI devices
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Area Under the Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUClast)
Description
To compare the AUClast following single SC administration of Benralizumab by using APFS or AI devices
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Maximum Observed Concentration (Cmax)
Description
To compare the Cmax following single SC administration of Benralizumab by using APFS or AI devices
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Secondary Outcome Measure Information:
Title
Time When Maximum Concentration is Observed (Tmax)
Description
To evaluate the Tmax of Benralizumab administered to various injection sites and in subjects with different body weight ranges
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Terminal Half-life (t½)
Description
To evaluate the t½ of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Apparent Extravascular Clearance (CL/F)
Description
To evaluate the CL/F of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Apparent Volume of Distribution Based on the Terminal Phase (Vz/F)
Description
To evaluate the Vz/F of Benralizumab administered to various anatomical injection sites and in subjects with different body weight ranges.
Time Frame
At Pre-dose (Day 1) and at Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Number of Participants With Adverse Events
Description
To evaluate safety and tolerability of Benralizumab
Time Frame
At predose and 2 h postdose (Day 1), Days 2, 4, 5, 6, 8, 15, 29, 43 and 57
Title
Antidrug Antibody (ADA) Status
Description
To evaluate the immunogenicity of Benralizumab
Time Frame
At predose (Day 1), Days 29 and 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male and/or female subjects of non-child-bearing potential aged 18 to 55 years (inclusive) with suitable veins for cannulation or repeated venipuncture. Females must be non pregnant,non lactating and non-child-bearing potential, confirmed at screening Sexually active male willingness to use contraception Body mass index (BMI) between 18 and 29.9 kg/m2 inclusive and weigh at least 55 kg and no more than 100 kg inclusive. Exclusion Criteria: History of any clinically significant disease, severe allergy/anaphylaxis to any biologic therapy, Guillain-Barré syndrome, smoking and alcohol or drug abuse Diagnosis of helminth parasitic infection and acute upper or lower respiratory infections Disorders related to cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment Alanine aminotransferase/aspartate aminotransferase level ≥1.5 times the upper limit of normal White blood cell count and neutrophils < lower limit of normal Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of Investigational medicinal product (IMP) Positive result for serum hepatitis B surface antigen or anti-Hemoglobin C (anti-HBc) antibody, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody. Intake of new chemical entity (not been approved for marketing) within 3 months of the first administration of investigational product Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening Receipt of immunoglobulin or blood products within 30 days prior to the date informed consent Receipt of any marketed (e.g., omalizumab, mepolizumab etc.) or investigational biologic within 4 months or 5 half-lives prior to the date informed consent Receipt of live attenuated vaccines 30 days prior to randomization on Day 1 Current malignancy, or history of malignancy except (basal cell carcinoma, localized squamous cell carcinoma of the skin or in situ carcinoma of the cervix) Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP. Use of antacids, analgesics (except paracetamol/acetaminophen), herbal remedies, mega-dose vitamins (20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of IMP or longer Previous receipt of received benralizumab Any ongoing or recent minor medical complaints Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Rainard Fuhr, Medicine
Organizational Affiliation
PAREXEL Early Phase Clinical Unit Berlin
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Pablo Forte-Soto
Organizational Affiliation
PAREXEL Early Phase Clinical Unit London
Official's Role
Principal Investigator
Facility Information:
Facility Name
Research Site
City
Berlin
ZIP/Postal Code
14050
Country
Germany
Facility Name
Research Site
City
Harrow
ZIP/Postal Code
HA1 3UJ
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
31539289
Citation
Martin UJ, Fuhr R, Forte P, Barker P, Axley MJ, Aurivillius M, Yan L, Roskos L. Comparison of autoinjector with accessorized prefilled syringe for benralizumab pharmacokinetic exposure: AMES trial results. J Asthma. 2021 Jan;58(1):93-101. doi: 10.1080/02770903.2019.1663428. Epub 2019 Sep 20.
Results Reference
derived
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4091&filename=230172_D3250C00030_SAP_Final_21-Sep-2018.pdf
Description
SAP
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4091&filename=230172_D3250C00030_Protocol_Final_21-Sep-2018.pdf
Description
SP

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Pharmacokinetic Comparability of Benralizumab Using Accessorized Pre-Filled Syringe or Autoinjector in Healthy Volunteers

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