search
Back to results

Safety and Dose-finding Study of DC-TAB in Healthy Subjects

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
recombinant human alpha B-crystallin
placebo comparator
Sponsored by
Delta Crystallon BV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring alpha B-crystallin, immune tolerance

Eligibility Criteria

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

Inclusion Criteria:

  • Caucasian
  • Signed the written informed consent form before first screening procedure
  • Age ≥ 18 years and ≤ 55 years
  • In general good health in the opinion of the investigator
  • BMI between 20.0 and 28.0 kg/m2
  • Use of adequate and stable contraception for 3 months prior to study initiation, during the course of the study and 30 days thereafter. Sexually active males must use a condom. Sexually active females must use double-barrier contraception or hormonal contraceptive (oral, transdermal, vaginal ring, implants), or must have undergone clinically documented total hysterectomy and/or oophorectomy, surgical sterilization or be postmenopausal defined by amenorrhea for at least 12 months and confirmed with a FSH higher than 40 IU/mL.
  • If subjects claim abstinence as their method of contraception, they must be willing to agree to use condoms if they become sexually active from 14 days prior to the first dose of the study drug through 90 days beyond the conclusion of the study.

Exclusion Criteria:

  • Pregnant women, women planning to become pregnant and breastfeeding women
  • Subjects with a history of MS in first grade family members
  • A history of or currently active clinically significant cardiac (including clinically significant ECG abnormalities in the opinion of the PI), pulmonary, gastrointestinal, hepatic, renal, pancreatic, or neurological disease
  • ALT, AST and/or gamma-GT above 3 times the upper limit of normal
  • Serum creatinine above 1.5 times the upper limit of normal
  • Amylase above 1.5 times the upper limit of normal
  • Hemoglobin < 7.0 mmol/L for females and < 8 mmol/L for males; leucocytes > 20*109/L or < 3.5*109/L; platelets < 125*109/L
  • SBP > 160 mmHg and/or DBP > 100 mmHg
  • Known or suspected hypersensitivity to any component of DC-TAB
  • Known or suspected impairment of the immune system
  • Acute respiratory or other active infections or illnesses
  • Fever (oral temperature > 38.0 °C on day 1)
  • Blood donation or significant blood loss within 90 days of first study medication dosing.
  • Plasma donation within 7 days of first study medication dosing
  • Recipients of blood or blood products in the last 6 months
  • Participation in another clinical study within 90 days of the start of this trial or planning participation in another clinical trial during this study or in the 4 weeks after last visit
  • Taking immunosuppressive agents, corticosteroids, anti-allergic, anti-coagulation or anti-platelet medication
  • History of drug addiction (positive drug screen) or excessive use of alcohol (weekly intake more than 28 units of alcohol), or psychological or other emotional problems that are likely to invalidate informed consent, or limit the ability of the subject to comply with the protocol requirements
  • Positive HIV1, or HIV2 serology
  • Positive results from the hepatitis serology which indicates acute or chronic hepatitis B or hepatitis C
  • Positive alcohol breath test
  • Vaccination with any vaccine within 4 weeks prior to dosing of the study medication
  • Any physical condition that would, in the opinion of the investigator, place the subject at an unacceptable health risk or risk of injury or render the subject unable to meet the requirements of the protocol
  • History of serious adverse reactions or hypersensitivity to any medicinal product
  • Smoking > 5 cigarettes/day or unable to refrain from smoking while confined to the CPU
  • Use of prescription, over-the-counter (OTC), herbal supplements (excluding hormonal contraceptives, one-a-day vitamins, acetaminophen) within 14 days prior to the first dose of study drug).

Sites / Locations

  • Kendle International

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

single dose 4 mg

single dose 12.5 mg

single dose 25 mg

single dose 37.5 mg

single dose placebo

multiple dose 10 mg

multiple dose 25 mg

multiple dose 37.5 mg

multiple dose placebo

Arm Description

a single intravenous injection of 4 mg DC-TAB

a single intravenous injection of 12.5 mg DC-TAB

a single intravenous injection of 25 mg DC-TAB

a single intravenous injection of 4 mg DC-TAB

a single intravenous injection of placebo

three consecutive daily intravenous injections of 10 mg DC-TAB

three consecutive daily intravenous injections of 25 mg DC-TAB

three consecutive daily intravenous injections of 37.5 mg DC-TAB

three consecutive daily intravenous injections of placebo

Outcomes

Primary Outcome Measures

Safety (adverse events)
Frequency of

Secondary Outcome Measures

Antigen-specific T-cell response
Strength of antigen-specific T-cell responses
Pharmacokinetics (serum levels of DC-TAB)
Serum levels of DC-TAB
Local tolerability (Injection site abnormalities)
Injection site abnormalities
Antibody responses
Serum levels of anti-DC-TAB antibodies

Full Information

First Posted
May 1, 2015
Last Updated
May 12, 2015
Sponsor
Delta Crystallon BV
search

1. Study Identification

Unique Protocol Identification Number
NCT02442557
Brief Title
Safety and Dose-finding Study of DC-TAB in Healthy Subjects
Official Title
A Phase I, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics and T-cell Tolerizing Effect of DC-TAB in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
October 2010 (Actual)
Study Completion Date
July 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Delta Crystallon BV

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine safety and appropriate dose of DC-TAB for selective immune tolerance induction in humans.
Detailed Description
This study is a double-blind, randomized, placebo-controlled, dose-escalation study of DC-TAB in healthy human volunteers. DC-TAB is a solution of the small heat-shock protein alpha B-crystallin for intravenous injection, designed to induce selective immunological tolerance as a treatment for multiple sclerosis. In this first-in-man study, DC-TAB is administered to healthy subjects in varying doses and for a varying number of times, after which safety and tolerability is evaluated, as well as the impact of the treatment on antigen-specific responses by peripheral blood T cells and serum antibodies. Blood samples are additionally collected to measure serum concentrations of DC-TAB, and to determine the rate of clearance from the circulation. The study is double blind and placebo-controlled to strengthen the significance especially of immunological evaluations. The study consists of two parts. In Part 1, subjects receive a single dose of DC-TAB or placebo whereas in Part 2, (different) subjects receive DC-TAB or placebo on 3 consecutive days. In Part 1, four groups of subjects (n=10) are studied in a single dose, dose-escalation design. Each group of subjects are randomized to receive either DC-TAB (n=8) or placebo (n=2) once. In Part 2, three groups of subjects (n=12) are studied in a multiple dose, dose-escalation design. Each group of subjects are randomized to receive either DC-TAB (n=9) or placebo (n=3) once daily on 3 consecutive days. The next higher dose group in each part of the study only starts once safety data up to 4 days for Part 1, up to 8 days for Part 2 of the previous dose group have been reviewed and have raised no safety concerns. Part 2 is started once all safety data of Part 1 have been reviewed. Immunological effects of the treatments are evaluated over a period of 28 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
alpha B-crystallin, immune tolerance

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
single dose 4 mg
Arm Type
Active Comparator
Arm Description
a single intravenous injection of 4 mg DC-TAB
Arm Title
single dose 12.5 mg
Arm Type
Active Comparator
Arm Description
a single intravenous injection of 12.5 mg DC-TAB
Arm Title
single dose 25 mg
Arm Type
Active Comparator
Arm Description
a single intravenous injection of 25 mg DC-TAB
Arm Title
single dose 37.5 mg
Arm Type
Active Comparator
Arm Description
a single intravenous injection of 4 mg DC-TAB
Arm Title
single dose placebo
Arm Type
Placebo Comparator
Arm Description
a single intravenous injection of placebo
Arm Title
multiple dose 10 mg
Arm Type
Active Comparator
Arm Description
three consecutive daily intravenous injections of 10 mg DC-TAB
Arm Title
multiple dose 25 mg
Arm Type
Active Comparator
Arm Description
three consecutive daily intravenous injections of 25 mg DC-TAB
Arm Title
multiple dose 37.5 mg
Arm Type
Active Comparator
Arm Description
three consecutive daily intravenous injections of 37.5 mg DC-TAB
Arm Title
multiple dose placebo
Arm Type
Placebo Comparator
Arm Description
three consecutive daily intravenous injections of placebo
Intervention Type
Biological
Intervention Name(s)
recombinant human alpha B-crystallin
Other Intervention Name(s)
HspB5; CRYAB; DC-TAB
Intervention Description
intravenous injection
Intervention Type
Other
Intervention Name(s)
placebo comparator
Other Intervention Name(s)
phosphate-buffered saline
Intervention Description
intravenous injection
Primary Outcome Measure Information:
Title
Safety (adverse events)
Description
Frequency of
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Antigen-specific T-cell response
Description
Strength of antigen-specific T-cell responses
Time Frame
28 days
Title
Pharmacokinetics (serum levels of DC-TAB)
Description
Serum levels of DC-TAB
Time Frame
24 h
Title
Local tolerability (Injection site abnormalities)
Description
Injection site abnormalities
Time Frame
28 days
Title
Antibody responses
Description
Serum levels of anti-DC-TAB antibodies
Time Frame
28 days

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: Caucasian Signed the written informed consent form before first screening procedure Age ≥ 18 years and ≤ 55 years In general good health in the opinion of the investigator BMI between 20.0 and 28.0 kg/m2 Use of adequate and stable contraception for 3 months prior to study initiation, during the course of the study and 30 days thereafter. Sexually active males must use a condom. Sexually active females must use double-barrier contraception or hormonal contraceptive (oral, transdermal, vaginal ring, implants), or must have undergone clinically documented total hysterectomy and/or oophorectomy, surgical sterilization or be postmenopausal defined by amenorrhea for at least 12 months and confirmed with a FSH higher than 40 IU/mL. If subjects claim abstinence as their method of contraception, they must be willing to agree to use condoms if they become sexually active from 14 days prior to the first dose of the study drug through 90 days beyond the conclusion of the study. Exclusion Criteria: Pregnant women, women planning to become pregnant and breastfeeding women Subjects with a history of MS in first grade family members A history of or currently active clinically significant cardiac (including clinically significant ECG abnormalities in the opinion of the PI), pulmonary, gastrointestinal, hepatic, renal, pancreatic, or neurological disease ALT, AST and/or gamma-GT above 3 times the upper limit of normal Serum creatinine above 1.5 times the upper limit of normal Amylase above 1.5 times the upper limit of normal Hemoglobin < 7.0 mmol/L for females and < 8 mmol/L for males; leucocytes > 20*109/L or < 3.5*109/L; platelets < 125*109/L SBP > 160 mmHg and/or DBP > 100 mmHg Known or suspected hypersensitivity to any component of DC-TAB Known or suspected impairment of the immune system Acute respiratory or other active infections or illnesses Fever (oral temperature > 38.0 °C on day 1) Blood donation or significant blood loss within 90 days of first study medication dosing. Plasma donation within 7 days of first study medication dosing Recipients of blood or blood products in the last 6 months Participation in another clinical study within 90 days of the start of this trial or planning participation in another clinical trial during this study or in the 4 weeks after last visit Taking immunosuppressive agents, corticosteroids, anti-allergic, anti-coagulation or anti-platelet medication History of drug addiction (positive drug screen) or excessive use of alcohol (weekly intake more than 28 units of alcohol), or psychological or other emotional problems that are likely to invalidate informed consent, or limit the ability of the subject to comply with the protocol requirements Positive HIV1, or HIV2 serology Positive results from the hepatitis serology which indicates acute or chronic hepatitis B or hepatitis C Positive alcohol breath test Vaccination with any vaccine within 4 weeks prior to dosing of the study medication Any physical condition that would, in the opinion of the investigator, place the subject at an unacceptable health risk or risk of injury or render the subject unable to meet the requirements of the protocol History of serious adverse reactions or hypersensitivity to any medicinal product Smoking > 5 cigarettes/day or unable to refrain from smoking while confined to the CPU Use of prescription, over-the-counter (OTC), herbal supplements (excluding hormonal contraceptives, one-a-day vitamins, acetaminophen) within 14 days prior to the first dose of study drug).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Floris Höppener, PhD, MD
Organizational Affiliation
Syneos Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kendle International
City
Utrecht
ZIP/Postal Code
3584CJ
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
26599332
Citation
van Noort JM, Bsibsi M, Nacken PJ, Verbeek R, Venneker EH. Therapeutic Intervention in Multiple Sclerosis with Alpha B-Crystallin: A Randomized Controlled Phase IIa Trial. PLoS One. 2015 Nov 23;10(11):e0143366. doi: 10.1371/journal.pone.0143366. eCollection 2015.
Results Reference
derived

Learn more about this trial

Safety and Dose-finding Study of DC-TAB in Healthy Subjects

We'll reach out to this number within 24 hrs