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Phase 2a Study to Evaluate PRS-080 in Anemic Chronic Kidney Disease Patients

Primary Purpose

Anemia of Chronic Kidney Disease

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PRS-080#022-DP
PRS-080-Placebo#001
Sponsored by
Pieris Pharmaceuticals GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anemia of Chronic Kidney Disease focused on measuring Hepcidin, Hemoglobin, Iron, Anemia of chronic disease

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with stage 5 CKD having been on hemodialysis for at least 90 days;
  • Male and post-menopausal (no menses for at least 12 months without an alternative medical cause) female patients with an age of ≥18 years and with a maximum body weight of 85 kg;
  • Patients being on stable erythropoiesis stimulating agent dose for 4 weeks prior to Screening;
  • Patients being on stable oral or intravenous iron doses for 4 weeks prior to Screening;
  • Mean of 3 Hb values during the screening period, each obtained at least 7 days apart must be ≤10.5 g/dL, with a difference of ≤1.0 g/dL between the lowest and highest value;
  • Serum ferritin concentration ≥300 ng/mL;
  • Transferrin saturation ≤30%;
  • Plasma hepcidin concentration at least 5 nmol/L;
  • Screening serum folate and vitamin B12 ≥lower limit of normal Hepcidin 5 - 50 nmol/L;
  • Male patients with a female partner of childbearing potential agree to use a medically acceptable method of contraception (e.g., condoms, sexual abstinence, vasectomy), not including the rhythm method for 30 days after administration of the study medication; and
  • The patient is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study's provisions, and has duly signed the informed consent form (ICF). Patient agrees to comply with the protocol-mandated procedures and visits.

Exclusion Criteria:

  • Anemia due to causes other than chronic kidney disease, including hemoglobinopathies, hemolytic anemias, myelodysplasia or malignancy;
  • Blood transfusion within 2 months before administration of study medication;
  • Previous enrollment in this study;
  • Patients treated with PRS-080#022-DP in a previous clinical study;
  • Current or previous (within 60 days or 5 half-lives before study medication administration) treatment with another investigational drug and/or medical device or participation in another clinical study;
  • Employees of the sponsor or patients who are employees or relatives of the investigator;
  • Known allergy to any component of the PRS-080#022-DP formulation;
  • Positive for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus antibody (anti-hepatitis C virus Ab), or human immunodeficiency virus (HIV), serology test results not older than 3 months are accepted;
  • Planned surgery during the study period;
  • Known or suspected active infection;
  • Active or chronic gastrointestinal bleeding, or known coagulation disorder;
  • Unwilling or unable to comply with the protocol, in the judgment of the investigator;
  • Unstable angina, myocardial infarction, percutaneous transluminal coronary angioplasty/stents, apoplexy (sudden circulatory disturbances of an organ or specific region of the body) or coronary artery bypass grafting <3 months prior to Screening;
  • Congestive heart failure: New York Heart Association Class III or IV;
  • Peripheral arterial disease with necrosis, stage IV (Fontaine) or grade III (category 5 and 6, Rutherford); and
  • Any medical condition that in the judgment of the investigator might interfere with study participation or jeopardize patient's safety during the study (e.g., active infection).

Sites / Locations

  • University Hospital Brno
  • HDS - Klaudian's Hospital
  • Institute of Clinical and Experimental Medicine (ICEM)
  • VFN Strahov
  • MZV DaVita
  • Technical University Munich

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

PRS-080#022-DP

PRS-080-Placebo#001

Arm Description

Experimental: PRS-080#022-DP Hepcidin antagonist, repeated administrations, ascending doses

Experimental: PRS-080-Placebo#001 Comparator treatment, repeated administrations

Outcomes

Primary Outcome Measures

Number of patients with adverse events
Composite measure including signs and symptoms, changes from baseline heart rate and blood pressure, ECG, body temperature, respiratory rate clinical chemistry and hematology

Secondary Outcome Measures

Cmax
Measuring the maximum concentration of PRS-080#022 in the blood
Effects of PRS-080#022 on serum iron
Changes in total serum iron concentration compared to baseline
Effects of PRS-080#022 on ferritin
Changes in serum ferritin concentration compared to baseline
Effects of PRS-080#022 on transferrin saturation
Changes in serum transferrin saturation compared to baseline
Effect of PRS-080#022 on hepcidin concentrations in plasma
Changes in hepcidin concentration compared to baseline
Number of patients developing anti-drug antibodies
Number of patients with antibodies against PRS-080#022 at day 28 compared to baseline
Effects on red blood cell Hb concentration
Changes in Hb concentration compared to baseline
ctrough
Measuring the concentration of PRS-080#022 before the drug application
tmax
Evaluation of the time for PRS-080#022 to reach maximum concentration
Elimination of PRS-080#022
Evaluation of Terminal rate constant and terminal half-life (t½ ) after the very last administration of PRS-080 in plasma

Full Information

First Posted
October 19, 2017
Last Updated
October 17, 2019
Sponsor
Pieris Pharmaceuticals GmbH
Collaborators
FGK Clinical Research GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT03325621
Brief Title
Phase 2a Study to Evaluate PRS-080 in Anemic Chronic Kidney Disease Patients
Official Title
Phase 2a Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Repeated Administrations Over 4 Weeks of the Hepcidin Antagonist PRS-080#022-DP in Anemic Chronic Kidney Disease Patients Undergoing Hemodialysis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
September 30, 2017 (Actual)
Primary Completion Date
March 30, 2019 (Actual)
Study Completion Date
June 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pieris Pharmaceuticals GmbH
Collaborators
FGK Clinical Research GmbH

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
Anticalin® proteins are engineered human proteins that are able to bind specific target molecules. The Anticalin PRS-080#022-DP to be investigated in this study is directed against hepcidin and is intended for the treatment of anemia of chronic disease. This pilot Phase 2a study shall investigate the safety, pharmacokinetics and pharmacodynamics of repeated administrations of PRS-080#022-DP in anemic stage 5 chronic kidney disease (CKD) patients undergoing hemodialysis.
Detailed Description
This is a multi-center, randomized, double-blind, placebo-controlled, multiple ascending dose, pilot Phase 2a study in anemic stage 5 chronic kidney disease patients requiring hemodialysis. Eligible patients will undergo screening assessments and PRS-080#22-DP will be administered by intravenous infusion. The study will consist of 2 dose cohorts of 4 mg/kg and 8 mg/kg body weight with 6 patients in each cohort. Using a standard 4+2 design, 4 patients in each cohort will be randomized to PRS-080#022-DP and 2 patients in each cohort will be randomized to placebo. The decision to escalate the dose will be based on an interim analysis of clinical and laboratory safety as well on a comparison with pharmacokinetic data. Safety and tolerability, pharmacokinetics, pharmacodynamics as well as potential immunogenicity will be investigated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia of Chronic Kidney Disease
Keywords
Hepcidin, Hemoglobin, Iron, Anemia of chronic disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Multicenter, double-blind, placebo-controlled, two dose groups
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRS-080#022-DP
Arm Type
Active Comparator
Arm Description
Experimental: PRS-080#022-DP Hepcidin antagonist, repeated administrations, ascending doses
Arm Title
PRS-080-Placebo#001
Arm Type
Placebo Comparator
Arm Description
Experimental: PRS-080-Placebo#001 Comparator treatment, repeated administrations
Intervention Type
Biological
Intervention Name(s)
PRS-080#022-DP
Other Intervention Name(s)
PRS-080
Intervention Description
Biological/Vaccine: PRS-080#022-DP Hepcidin antagonism to mobilize iron and to treat anemia
Intervention Type
Biological
Intervention Name(s)
PRS-080-Placebo#001
Other Intervention Name(s)
Placebo
Intervention Description
Placebo Comparator
Primary Outcome Measure Information:
Title
Number of patients with adverse events
Description
Composite measure including signs and symptoms, changes from baseline heart rate and blood pressure, ECG, body temperature, respiratory rate clinical chemistry and hematology
Time Frame
112 days
Secondary Outcome Measure Information:
Title
Cmax
Description
Measuring the maximum concentration of PRS-080#022 in the blood
Time Frame
112 days
Title
Effects of PRS-080#022 on serum iron
Description
Changes in total serum iron concentration compared to baseline
Time Frame
56 days
Title
Effects of PRS-080#022 on ferritin
Description
Changes in serum ferritin concentration compared to baseline
Time Frame
56 days
Title
Effects of PRS-080#022 on transferrin saturation
Description
Changes in serum transferrin saturation compared to baseline
Time Frame
56 days
Title
Effect of PRS-080#022 on hepcidin concentrations in plasma
Description
Changes in hepcidin concentration compared to baseline
Time Frame
56 days
Title
Number of patients developing anti-drug antibodies
Description
Number of patients with antibodies against PRS-080#022 at day 28 compared to baseline
Time Frame
112 days
Title
Effects on red blood cell Hb concentration
Description
Changes in Hb concentration compared to baseline
Time Frame
56 days
Title
ctrough
Description
Measuring the concentration of PRS-080#022 before the drug application
Time Frame
112 days
Title
tmax
Description
Evaluation of the time for PRS-080#022 to reach maximum concentration
Time Frame
112 days
Title
Elimination of PRS-080#022
Description
Evaluation of Terminal rate constant and terminal half-life (t½ ) after the very last administration of PRS-080 in plasma
Time Frame
112 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with stage 5 CKD having been on hemodialysis for at least 90 days; Male and post-menopausal (no menses for at least 12 months without an alternative medical cause) female patients with an age of ≥18 years and with a maximum body weight of 85 kg; Patients being on stable erythropoiesis stimulating agent dose for 4 weeks prior to Screening; Patients being on stable oral or intravenous iron doses for 4 weeks prior to Screening; Mean of 3 Hb values during the screening period, each obtained at least 7 days apart must be ≤10.5 g/dL, with a difference of ≤1.0 g/dL between the lowest and highest value; Serum ferritin concentration ≥300 ng/mL; Transferrin saturation ≤30%; Plasma hepcidin concentration at least 5 nmol/L; Screening serum folate and vitamin B12 ≥lower limit of normal Hepcidin 5 - 50 nmol/L; Male patients with a female partner of childbearing potential agree to use a medically acceptable method of contraception (e.g., condoms, sexual abstinence, vasectomy), not including the rhythm method for 30 days after administration of the study medication; and The patient is legally competent, has been informed of the nature, the scope and the relevance of the study, voluntarily agrees to participation and the study's provisions, and has duly signed the informed consent form (ICF). Patient agrees to comply with the protocol-mandated procedures and visits. Exclusion Criteria: Anemia due to causes other than chronic kidney disease, including hemoglobinopathies, hemolytic anemias, myelodysplasia or malignancy; Blood transfusion within 2 months before administration of study medication; Previous enrollment in this study; Patients treated with PRS-080#022-DP in a previous clinical study; Current or previous (within 60 days or 5 half-lives before study medication administration) treatment with another investigational drug and/or medical device or participation in another clinical study; Employees of the sponsor or patients who are employees or relatives of the investigator; Known allergy to any component of the PRS-080#022-DP formulation; Positive for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus antibody (anti-hepatitis C virus Ab), or human immunodeficiency virus (HIV), serology test results not older than 3 months are accepted; Planned surgery during the study period; Known or suspected active infection; Active or chronic gastrointestinal bleeding, or known coagulation disorder; Unwilling or unable to comply with the protocol, in the judgment of the investigator; Unstable angina, myocardial infarction, percutaneous transluminal coronary angioplasty/stents, apoplexy (sudden circulatory disturbances of an organ or specific region of the body) or coronary artery bypass grafting <3 months prior to Screening; Congestive heart failure: New York Heart Association Class III or IV; Peripheral arterial disease with necrosis, stage IV (Fontaine) or grade III (category 5 and 6, Rutherford); and Any medical condition that in the judgment of the investigator might interfere with study participation or jeopardize patient's safety during the study (e.g., active infection).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lutz Renders, Prof. MD
Organizational Affiliation
Technical University, Munich
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ondřej Viklický, Prof.MD
Organizational Affiliation
Institute of Clinical and Experimental Medicine Nephrology Clinic Prague
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital Brno
City
Brno
ZIP/Postal Code
625 00
Country
Czechia
Facility Name
HDS - Klaudian's Hospital
City
Mladá Boleslav
ZIP/Postal Code
293 50
Country
Czechia
Facility Name
Institute of Clinical and Experimental Medicine (ICEM)
City
Prague
ZIP/Postal Code
140 21
Country
Czechia
Facility Name
VFN Strahov
City
Prague
ZIP/Postal Code
169 00
Country
Czechia
Facility Name
MZV DaVita
City
Düsseldorf
ZIP/Postal Code
40210
Country
Germany
Facility Name
Technical University Munich
City
Munich
ZIP/Postal Code
81675
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://pieris.com
Description
Pieris Pharmaceuticals

Learn more about this trial

Phase 2a Study to Evaluate PRS-080 in Anemic Chronic Kidney Disease Patients

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