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Phase 1 Study to Assess Safety, Tolerability, PD, PK, Immunogenicity of IV NTR-441 Solution in Healthy Volunteers and COVID-19 Patients

Primary Purpose

Covid19

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
NTR-441
Placebo
Sponsored by
Neutrolis
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring Covid 19

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Healthy volunteers:

Inclusion Criteria:

  • Male or female, non-smoker, ≥18 and ≤55 years of age, with Body Mass Index (BMI) > 18.5 and < 32.0 kg/m2
  • Healthy with no clinically significant findings, determined by medical evaluation (medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluations) at Screening
  • Subject is able to understand and is willing to comply with all study requirements, and willing to follow the instructions of the study staff.
  • Subject voluntarily agrees to participate in this study.

Exclusion Criteria:

  • Pregnancy, nursing, and/or breastfeeding.
  • Study participant has a history of an anaphylactic reaction.
  • Subject has used an investigational drug within 30 days (or 5 half-lives whichever is longer) prior to the first dose of study drug.
  • Has received any prescription or nonprescription over-the-counter (except occasional use of acetaminophen, paracetamol or ibuprofen) medication, topical medications, vitamins, dietary or herbal during the last 14 days or 5 half-lives, whichever is longer.
  • Subject has a positive urine test for drugs of abuse at the screening visit or admission.
  • Regular consumption of alcohol within 6 months prior to Screening or use of illicit substances within 3 months prior to screening.
  • Subject has positive test for SARS-CoV-2 infection, human immunodeficiency virus (HIV), chronic or active hepatitis B, or active hepatitis C.
  • Donation or loss of blood or plasma within 4 weeks prior to initial dosing.
  • Subject has a history or current evidence of a serious and/or unstable cardiovascular, respiratory, gastrointestinal, hematologic, autoimmune, mental or other medical disorder, including cirrhosis or malignancy; a history of a psychiatric disorder that will affect the subject's ability to participate in the study.
  • Subject has a clinically relevant abnormal ECG; abnormal laboratory values.
  • Subject has hypertension.

COVID-19 patients:

Inclusion Criteria:

  • Male or female, non-smoker, ≥18 years of age.
  • Participant has active laboratory-confirmed SARS-CoV-2 infection.
  • Participant must be hospitalized for COVID-19 pneumonia.
  • Ability to provide informed consent personally, or by a legally acceptable representative if the participant is unable to do so.

Exclusion Criteria:

  • Pregnancy, nursing, and/or breastfeeding.
  • History of an anaphylactic reaction.
  • In the opinion of the clinical team, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments.
  • Severely immune-compromised participants.
  • Participant known to test positive for human immunodeficiency virus (HIV), chronic or active hepatitis B, or active hepatitis C.
  • Any other clinical conditions that in the opinion of the Investigator would make the participants unsuitable for the study.
  • Prior treatment with any investigational drug therapy against coronavirus infection within 5 half-lives, prior to enrollment
  • Participants who have received an experimental (or, in future, potentially a licensed) immunization or remdesivir against coronavirus remain eligible.
  • Participation in another clinical study with the study intervention administered from 30 days or 5 half-lives whichever is longer.
  • Anticipated transfer to another hospital which is not a study site during the intervention period.

Sites / Locations

  • Klinik FavoritenRecruiting
  • Medical University Vienna, Department of Clinical PharmacologyRecruiting
  • Kyiv City Clinical Hospital#1Recruiting
  • Vinnytsa City Clinical Hospital # 1

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

NTR-441

Placebo

Arm Description

Single Ascending Dose; Multiple Ascending Dose.

Single Ascending Dose; Multiple Ascending Dose.

Outcomes

Primary Outcome Measures

To evaluate safety and tolerability of single and multiple ascending doses of NTR-441 solution administered intravenously (IV) to adults
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 following a single or multiple IV of NTR-441.

Secondary Outcome Measures

Measurement of maximum plasma concentration (Cmax)
Maximum plasma concentration
Measurement of time of maximum plasma concentration (Tmax)
Time of maximum plasma concentration
Measurement of area under the concentration-time curve
Area under the concentration-time curve from predose to the time of the last quantifiable concentration
Measurement of the terminal elimination rate (λz)
Terminal elimination rate
Measurement of terminal elimination half-life (t½)
Terminal elimination half-life
Measurement of total body clearance (CL/F)
Total body clearance
Measurement of apparent volume of distribution
Apparent volume of distribution
To assess for immunogenicity of NTR-441 following single ascending and multiples ascending doses of NTR-441 solution administered IV to adults
Concentration of anti-drug antibodies of NTR-441 following single and multiples doses of NTR-441 solution administered IV

Full Information

First Posted
May 4, 2021
Last Updated
September 27, 2022
Sponsor
Neutrolis
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1. Study Identification

Unique Protocol Identification Number
NCT04941183
Brief Title
Phase 1 Study to Assess Safety, Tolerability, PD, PK, Immunogenicity of IV NTR-441 Solution in Healthy Volunteers and COVID-19 Patients
Official Title
A Randomized, Placebo-controlled, Double-blind, Single-ascending-dose and Multiple-ascending-dose, Phase 1 Study to Assess the Safety and Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of IV NTR-441 Solution in HV Adults and COVID-19 Patients
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 14, 2021 (Actual)
Primary Completion Date
November 2022 (Anticipated)
Study Completion Date
November 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neutrolis

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 first-in-human clinical study is a Phase 1a/ 1b, randomized, double-blind, placebo-controlled study to assess the safety, tolerability, and PK/PD of NTR-441 in healthy subjects and patients with COVID-19 after single ascending IV infusion doses and multiple ascending IV infusion doses.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
Covid 19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Randomized, placebo-controlled, double-blind, single-ascending-dose and multiple-ascending-dose
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
92 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
NTR-441
Arm Type
Experimental
Arm Description
Single Ascending Dose; Multiple Ascending Dose.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single Ascending Dose; Multiple Ascending Dose.
Intervention Type
Drug
Intervention Name(s)
NTR-441
Intervention Description
NTR-441
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
To evaluate safety and tolerability of single and multiple ascending doses of NTR-441 solution administered intravenously (IV) to adults
Description
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 following a single or multiple IV of NTR-441.
Time Frame
60 days
Secondary Outcome Measure Information:
Title
Measurement of maximum plasma concentration (Cmax)
Description
Maximum plasma concentration
Time Frame
15 days
Title
Measurement of time of maximum plasma concentration (Tmax)
Description
Time of maximum plasma concentration
Time Frame
14 days
Title
Measurement of area under the concentration-time curve
Description
Area under the concentration-time curve from predose to the time of the last quantifiable concentration
Time Frame
15 days
Title
Measurement of the terminal elimination rate (λz)
Description
Terminal elimination rate
Time Frame
15 days
Title
Measurement of terminal elimination half-life (t½)
Description
Terminal elimination half-life
Time Frame
15 days
Title
Measurement of total body clearance (CL/F)
Description
Total body clearance
Time Frame
15 days
Title
Measurement of apparent volume of distribution
Description
Apparent volume of distribution
Time Frame
15 days
Title
To assess for immunogenicity of NTR-441 following single ascending and multiples ascending doses of NTR-441 solution administered IV to adults
Description
Concentration of anti-drug antibodies of NTR-441 following single and multiples doses of NTR-441 solution administered IV
Time Frame
30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Healthy volunteers: Inclusion Criteria: Male or female, non-smoker, ≥18 and ≤55 years of age, with Body Mass Index (BMI) > 18.5 and < 32.0 kg/m2 Healthy with no clinically significant findings, determined by medical evaluation (medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluations) at Screening Subject is able to understand and is willing to comply with all study requirements, and willing to follow the instructions of the study staff. Subject voluntarily agrees to participate in this study. Exclusion Criteria: Pregnancy, nursing, and/or breastfeeding. Study participant has a history of an anaphylactic reaction. Subject has used an investigational drug within 30 days (or 5 half-lives whichever is longer) prior to the first dose of study drug. Has received any prescription or nonprescription over-the-counter (except occasional use of acetaminophen, paracetamol or ibuprofen) medication, topical medications, vitamins, dietary or herbal during the last 14 days or 5 half-lives, whichever is longer. Subject has a positive urine test for drugs of abuse at the screening visit or admission. Regular consumption of alcohol within 6 months prior to Screening or use of illicit substances within 3 months prior to screening. Subject has positive test for SARS-CoV-2 infection, human immunodeficiency virus (HIV), chronic or active hepatitis B, or active hepatitis C. Donation or loss of blood or plasma within 4 weeks prior to initial dosing. Subject has a history or current evidence of a serious and/or unstable cardiovascular, respiratory, gastrointestinal, hematologic, autoimmune, mental or other medical disorder, including cirrhosis or malignancy; a history of a psychiatric disorder that will affect the subject's ability to participate in the study. Subject has a clinically relevant abnormal ECG; abnormal laboratory values. Subject has hypertension. COVID-19 patients: Inclusion Criteria: Male or female, non-smoker, ≥18 years of age. Participant has active laboratory-confirmed SARS-CoV-2 infection. Participant must be hospitalized for COVID-19 pneumonia. Ability to provide informed consent personally, or by a legally acceptable representative if the participant is unable to do so. Exclusion Criteria: Pregnancy, nursing, and/or breastfeeding. History of an anaphylactic reaction. In the opinion of the clinical team, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments. Severely immune-compromised participants. Participant known to test positive for human immunodeficiency virus (HIV), chronic or active hepatitis B, or active hepatitis C. Any other clinical conditions that in the opinion of the Investigator would make the participants unsuitable for the study. Prior treatment with any investigational drug therapy against coronavirus infection within 5 half-lives, prior to enrollment Participants who have received an experimental (or, in future, potentially a licensed) immunization or remdesivir against coronavirus remain eligible. Participation in another clinical study with the study intervention administered from 30 days or 5 half-lives whichever is longer. Anticipated transfer to another hospital which is not a study site during the intervention period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Christa Firbas, Dr.
Phone
+43 1 40400 29850
Email
christa.firbas@meduniwien.ac.at
Facility Information:
Facility Name
Klinik Favoriten
City
Vienna
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alexander Zoufaly
Facility Name
Medical University Vienna, Department of Clinical Pharmacology
City
Vienna
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bernd Jilma, Univ. Prof. Dr.
Phone
+43 1 40400 29980
Email
bernd.jilma@meduniwien.ac.at
First Name & Middle Initial & Last Name & Degree
Bernd Jilma, Univ. Prof. Dr.
Facility Name
Kyiv City Clinical Hospital#1
City
Kyiv
Country
Ukraine
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Olena Karpenko
Facility Name
Vinnytsa City Clinical Hospital # 1
City
Vinnytsia
Country
Ukraine
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Larysa Moroz

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1 Study to Assess Safety, Tolerability, PD, PK, Immunogenicity of IV NTR-441 Solution in Healthy Volunteers and COVID-19 Patients

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