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Phase 1 Study of 162, a Novel Neutralizing Antibody Targeting Hepatitis B Surface Antigen, in Healthy Adult Subjects

Primary Purpose

Chronic Hepatitis B

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
162
Placebo
Sponsored by
Yangshengtang Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

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

Inclusion Criteria:

  1. Volunteer to participate in the study, be able to understand the requirements of a clinical study, and sign informed consent form.
  2. Aged ≥ 18 and ≤ 55 years older, male and female.
  3. Body weight ≥ 50 kg for male, body weight ≥ 45 kg for female, and body mass index (BMI) scores between ≥ 18 kg/m2 and ≤ 32.0 kg/m2.
  4. Vital signs, physical examination, laboratory tests and 12-lead ECG, etc. within normal limits; or, with no clinically significant abnormalities as determined by the investigator.
  5. A male participant must agree to use adequate contraception from screening through at least 12 weeks after the last dose of investigational product or placebo. Refer to Section 5.5 for more information on highly effective methods of contraception.
  6. Women of childbearing potential must have a negative pregnancy test prior to the dosing administration, and agree to use adequate contraception from screening through at least 12 weeks after the last dose of investigational product or placebo. A female participant of non-childbearing potential will have had at least 12 continuous months of natural (spontaneous) amenorrhoea, follicle stimulating hormone (FSH) level > 40 mIU/mL at screening, and an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms); or have had surgical bilateral oophorectomy, hysterectomy or tubal ligation beyond 6 weeks prior to screening. Refer to Section 5.5 for more information on highly effective methods of contraception

Exclusion Criteria:

  1. History of anaphylaxis or clinically significant drug allergy or drug allergy witnessed in previous studies with experimental drugs, or allergy to the active ingredients or excipients of the investigational product.
  2. History of allergic reactions to monoclonal antibodies or antibody fragments.
  3. History or presence of infectious or non-infectious liver disease, including but not limited to a history of alcoholic liver disease, non-alcoholic steatohepatitis, drug or autoimmune liver disease.
  4. History or presence of immune-mediated diseases, including but not limited to idiopathic thrombocytopenic purpura, systemic lupus erythematosus, rheumatoid arthritis.
  5. History or presence of any chronic infectious condition, including but not limited to tuberculosis or parasitic infections.
  6. History of allogenic transplantation of organs, bone marrow or stem cell.
  7. Active infection, or screening for infectious disease during the screening period (HBsAg, hepatitis C virus antibody [HCV-Ab], human immunodeficiency virus antibody [HIV-Ab], or syphilis antibody [TP-Ab]) is positive.
  8. QTcF >450 msec on 3 consecutive ECG recordings conducted at screening or baseline.
  9. Alanine transaminase (ALT) > 1.2 × ULN, aspartate aminotransferase (AST) > 1.2 × ULN or total bilirubin > 1.2 × ULN.
  10. Any other concomitant disease, condition or treatment that could interfere with the conduct of the study or that would, in the opinion of the Investigator or Sponsor, pose an unacceptable risk to the subject in the study or interfere with the interpretation of study data.
  11. Took any prescription drugs or over-the-counter drugs within 2 weeks prior to investigational product or placebo administration, or took any drugs within 5 half-lives at the time of investigational product or placebo administration (whichever is longer), but vitamins, supplements and topical corticosteroids will be permitted within 2 weeks prior to investigational product or placebo administration; or, took any herbal medicines within 30 days before investigational product or placebo administration.
  12. Those who have received live or attenuated vaccines (e.g., measles, mumps, rubella, varicella, yellow fever, rabies, BCG, typhoid vaccine, etc.) within 4 weeks before screening, or any covid-19 vaccine within 2 weeks before screening.
  13. Those who donated plasma within 7 days prior to the dosing administration or donated or lost blood 500 mL or more within 8 weeks prior to the dosing administration, or plan to donate during the study or within 8 weeks after the end of the study.
  14. Those who underwent surgery within 4 weeks before screening, or plan to undergo surgery during the study.
  15. Those who are participating in other clinical studies, or currently not participating in a study and have been dosed in another clinical study in the past 4 weeks.
  16. Pregnant or lactating women.
  17. Those who are determined disqualified to join clinical studies by investigator for other causes.

Sites / Locations

  • Nucleus Network Pty LtdRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

162

placebo

Arm Description

The dose-escalation stage will be conducted sequentially at 5 dose levels, which are 100 mg in the pre-test, and 200 mg, 400 mg, 800 mg and 1200 mg in the formal test. Two healthy adult subjects will be enrolled at 100 mg dose level and all given 162. At the start of each level with the exception of 100 mg level which there are only two subjects, two sentinel subjects will be randomized 1:1 to 162 or placebo. The remaining subjects will be randomized 5:1 to receive a single ascending dose of 162 or placebo.

At the start of each level with the exception of 100 mg level which there are only two subjects, two sentinel subjects will be randomized 1:1 to 162 or placebo. The remaining subjects will be randomized 5:1 to receive a single ascending dose of 162 or placebo.

Outcomes

Primary Outcome Measures

Incidence of Treatment-Emergent Adverse Events
incidence and severity of adverse events after the administrtion of 162 or placebo

Secondary Outcome Measures

Peak Plasma Concentration (Cmax)
Maximum concentration of 162 in blood after administration
Area under the plasma concentration versus time curve from time 0 to the last test time(AUC last)
Area under the plasma concentration of 162 versus time curve from time 0 to the last test time
Area under the plasma concentration versus time curve from time 0 to infinity time(AUC 0-∞)
Area under the plasma concentration of 162 versus time curve from time 0 to infinity time
Half life (t1/2)
The elimination half-life time of 162 in blood
Clearance (Cl)
Clearance of 162 in blood
Apparent volume of distribution (Vd)
The apparent volume of distribution of 162 in vitro
Immunogenicity
To evaluate the level of anti-drug antibody (ADA) produced by the subjects.

Full Information

First Posted
March 23, 2022
Last Updated
July 27, 2023
Sponsor
Yangshengtang Co., Ltd
Collaborators
Syneos Health
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1. Study Identification

Unique Protocol Identification Number
NCT05310487
Brief Title
Phase 1 Study of 162, a Novel Neutralizing Antibody Targeting Hepatitis B Surface Antigen, in Healthy Adult Subjects
Official Title
A Randomized, Double-blind, Placebo-controlled Phase I Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics of 162 With a Single Ascending Dose in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 30, 2022 (Actual)
Primary Completion Date
August 3, 2023 (Anticipated)
Study Completion Date
October 23, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yangshengtang Co., Ltd
Collaborators
Syneos Health

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 is the first in human study of 162, and the primary objective is to evaluate the safety and tolerability of 162 with a single ascending dose in healthy adult subjects. The dose-escalation stage will be conducted sequentially at 5 dose levels, which are 100 mg in the pre-test, and 200 mg, 400 mg, 800 mg and 1200 mg in the formal test. Two healthy adult subjects will be enrolled at 100 mg dose level and all given 162. Eight healthy adult subjects will be enrolled at each remaining dose levels (200 mg, 400 mg, 800 mg and 1200 mg), respectively.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
34 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
162
Arm Type
Experimental
Arm Description
The dose-escalation stage will be conducted sequentially at 5 dose levels, which are 100 mg in the pre-test, and 200 mg, 400 mg, 800 mg and 1200 mg in the formal test. Two healthy adult subjects will be enrolled at 100 mg dose level and all given 162. At the start of each level with the exception of 100 mg level which there are only two subjects, two sentinel subjects will be randomized 1:1 to 162 or placebo. The remaining subjects will be randomized 5:1 to receive a single ascending dose of 162 or placebo.
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
At the start of each level with the exception of 100 mg level which there are only two subjects, two sentinel subjects will be randomized 1:1 to 162 or placebo. The remaining subjects will be randomized 5:1 to receive a single ascending dose of 162 or placebo.
Intervention Type
Biological
Intervention Name(s)
162
Intervention Description
The investigational product 162 is a novel neutralizing antibody targeting HBsAg, for the treatment of patients with chronic hepatitis B
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
an intervention that appearance is the same as 162, but contains no active ingredients
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events
Description
incidence and severity of adverse events after the administrtion of 162 or placebo
Time Frame
Day 1-Day 28
Secondary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax)
Description
Maximum concentration of 162 in blood after administration
Time Frame
Day 1-Day 28
Title
Area under the plasma concentration versus time curve from time 0 to the last test time(AUC last)
Description
Area under the plasma concentration of 162 versus time curve from time 0 to the last test time
Time Frame
Day 1-Day 28
Title
Area under the plasma concentration versus time curve from time 0 to infinity time(AUC 0-∞)
Description
Area under the plasma concentration of 162 versus time curve from time 0 to infinity time
Time Frame
Day 1-Day 28
Title
Half life (t1/2)
Description
The elimination half-life time of 162 in blood
Time Frame
Day 1-Day 28
Title
Clearance (Cl)
Description
Clearance of 162 in blood
Time Frame
Day 1-Day 28
Title
Apparent volume of distribution (Vd)
Description
The apparent volume of distribution of 162 in vitro
Time Frame
Day 1-Day 28
Title
Immunogenicity
Description
To evaluate the level of anti-drug antibody (ADA) produced by the subjects.
Time Frame
Day 1-Day 28

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: Volunteer to participate in the study, be able to understand the requirements of a clinical study, and sign informed consent form. Aged ≥ 18 and ≤ 55 years older, male and female. Body weight ≥ 50 kg for male, body weight ≥ 45 kg for female, and body mass index (BMI) scores between ≥ 18 kg/m2 and ≤ 32.0 kg/m2. Vital signs, physical examination, laboratory tests and 12-lead ECG, etc. within normal limits; or, with no clinically significant abnormalities as determined by the investigator. A male participant must agree to use adequate contraception from screening through at least 12 weeks after the last dose of investigational product or placebo. Refer to Section 5.5 for more information on highly effective methods of contraception. Women of childbearing potential must have a negative pregnancy test prior to the dosing administration, and agree to use adequate contraception from screening through at least 12 weeks after the last dose of investigational product or placebo. A female participant of non-childbearing potential will have had at least 12 continuous months of natural (spontaneous) amenorrhoea, follicle stimulating hormone (FSH) level > 40 mIU/mL at screening, and an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms); or have had surgical bilateral oophorectomy, hysterectomy or tubal ligation beyond 6 weeks prior to screening. Refer to Section 5.5 for more information on highly effective methods of contraception Exclusion Criteria: History of anaphylaxis or clinically significant drug allergy or drug allergy witnessed in previous studies with experimental drugs, or allergy to the active ingredients or excipients of the investigational product. History of allergic reactions to monoclonal antibodies or antibody fragments. History or presence of infectious or non-infectious liver disease, including but not limited to a history of alcoholic liver disease, non-alcoholic steatohepatitis, drug or autoimmune liver disease. History or presence of immune-mediated diseases, including but not limited to idiopathic thrombocytopenic purpura, systemic lupus erythematosus, rheumatoid arthritis. History or presence of any chronic infectious condition, including but not limited to tuberculosis or parasitic infections. History of allogenic transplantation of organs, bone marrow or stem cell. Active infection, or screening for infectious disease during the screening period (HBsAg, hepatitis C virus antibody [HCV-Ab], human immunodeficiency virus antibody [HIV-Ab], or syphilis antibody [TP-Ab]) is positive. QTcF >450 msec on 3 consecutive ECG recordings conducted at screening or baseline. Alanine transaminase (ALT) > 1.2 × ULN, aspartate aminotransferase (AST) > 1.2 × ULN or total bilirubin > 1.2 × ULN. Any other concomitant disease, condition or treatment that could interfere with the conduct of the study or that would, in the opinion of the Investigator or Sponsor, pose an unacceptable risk to the subject in the study or interfere with the interpretation of study data. Took any prescription drugs or over-the-counter drugs within 2 weeks prior to investigational product or placebo administration, or took any drugs within 5 half-lives at the time of investigational product or placebo administration (whichever is longer), but vitamins, supplements and topical corticosteroids will be permitted within 2 weeks prior to investigational product or placebo administration; or, took any herbal medicines within 30 days before investigational product or placebo administration. Those who have received live or attenuated vaccines (e.g., measles, mumps, rubella, varicella, yellow fever, rabies, BCG, typhoid vaccine, etc.) within 4 weeks before screening, or any covid-19 vaccine within 2 weeks before screening. Those who donated plasma within 7 days prior to the dosing administration or donated or lost blood 500 mL or more within 8 weeks prior to the dosing administration, or plan to donate during the study or within 8 weeks after the end of the study. Those who underwent surgery within 4 weeks before screening, or plan to undergo surgery during the study. Those who are participating in other clinical studies, or currently not participating in a study and have been dosed in another clinical study in the past 4 weeks. Pregnant or lactating women. Those who are determined disqualified to join clinical studies by investigator for other causes.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Guat Hoon Ong
Phone
+65 9726 6883
Email
guathoonong@mail.yst.com.cn
Facility Information:
Facility Name
Nucleus Network Pty Ltd
City
Melbourne
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guat Hoon Ong
Phone
+65 9726 6883
Email
guathoonong@mail.yst.com.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1 Study of 162, a Novel Neutralizing Antibody Targeting Hepatitis B Surface Antigen, in Healthy Adult Subjects

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