Safety Tolerability and Pharmacokinetics of ALD403
Primary Purpose
Migraine Disorders
Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
ALD403
ALD403
Sumatriptan
Sponsored by
About this trial
This is an interventional treatment trial for Migraine Disorders focused on measuring Migraine Disorders, Phase 1, ALD403
Eligibility Criteria
Inclusion Criteria Part A:
- Healthy males and females between the ages of 18 and 65 (inclusive).
- Normal renal function as calculated by the Cockcroft- Gault equation at screening.
- Body Mass Index (BMI) between 18.0 and 30.0 kg/m2, and a total body weight of 50 to 100kg inclusive.
- No clinically significant disease or abnormal laboratory values as determined by medical history, physical examination, electrocardiogram, and laboratory evaluations
Exclusion Criteria Part A:
- History of febrile illness within 5 days prior to the first dose
- Any clinically significant laboratory findings
- Any clinically significant physical exam abnormalities
- Hospitalization for any reason within 30 days of the screening visit.
- History of or positive human immunodeficiency virus (HIV) screen result
- History of positive Hepatitis B surface antigen (HBsAg), and/or positive Hepatitis C antibody (HCV) at screening.
- History of malignancy within five years prior to screening.
- History of leukemia, myeloproliferative disorder or lymphoproliferative disorder
- History of rubber, latex allergy or allergy to medical adhesives
- Positive urine, drug or alcohol screen result
- Current smokers
- Previous treatment or clinical trial with a monoclonal antibody.
- Participation in any clinical research study evaluating another investigational drug or therapy within 30 days or at least 5 half-lives
Inclusion Criteria Part B:
- Healthy females between the ages of 18 and 65 (inclusive).
- Male and female migraine patients with clinically diagnosed migraine not attributed to another cause with or without aura based on International Headache Society criteria.
- Migraine patients must have a history of migraine with or without aura for more than 1 year with 1-8 moderate or severe migraine attacks per month in the 2 months prior to starting in the study.
- Normal renal function as defined by Cockcroft- Gault equation at screening.
- Body Mass Index (BMI) between 18.0 and 30.0 kg/m2, and a total body weight of 50 to 100kg inclusive.
- No clinically significant disease or abnormal laboratory values as determined by medical history, physical examination, electrocardiogram, and laboratory evaluations conducted at the screening visit or at the time of admission
Exclusion Criteria Part B:
- For migraine patients: patient is not able to refrain from use of their usual triptan therapy (if applicable) from 48 hours (Day -2) prior to dosing on Day 1 until the morning of discharge (Day 3).
- Migraine patients who experience migraine with prolonged aura, familiar hemiplegic migraine, migrainous infarction or basilar migraine
- For migraine patients: patient has more than 8 headache-days per month or has taken medication for acute headache on more than 8 days a month in the past 3 months
- For migraine patients: patient was greater than 50 years old at the age of migraine onset
- History of febrile illness within 5 days prior to the first dose
- Any clinically significant laboratory findings
- Any clinically significant physical exam abnormalities
- Previous treatment or clinical trial with a monoclonal antibody.
- Hospitalization for any reason within 30 days of the screening visit.
- History of or positive human immunodeficiency virus (HIV) screen result
- History of positive Hepatitis B surface antigen (HBsAg), and/or positive Hepatitis C antibody (HCV
- History of malignancy within five years prior to screening.
- History of leukemia, myeloproliferative disorder or lymphoproliferative disorder
- Positive urine drug or alcohol screen result
- Current smokers.
- Known contraindication to sumatriptan
- Participation in any clinical research study evaluating another investigational drug or therapy within 30 days or at least 5 half-lives
Sites / Locations
- Centre for Clinical Studies, Nucleus Network
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Part A, Cohorts A - H
Part A, Cohort I
Part B
Arm Description
ALD403/Placebo
ALD403/Placebo
ALD403/Placebo/Sumatriptan
Outcomes
Primary Outcome Measures
Safety and tolerability of ALD403: laboratory variables, ECG and adverse events
Physical Examination
Vital signs
12-lead ECG (electrocardiogram)
Clinical laboratory tests (hematology, chemistry)
Number of participants with Adverse Events
Secondary Outcome Measures
Evaluation of Pharmacokinetics of ALD403
Cmax - maximum plasma concentration
Tmax - Time to achieve maximum plasma concentration
AUC - Area under the plasma concentration-time curve
T1/2 - Elimination half-life
Vz - Volume of distribution
CL - Clearance
Bioavailability
Evaluation of pharmacodynamics of ALD403
Blood perfusion rates
Plasma levels of unbound ALD403
Immunogenicity
Full Information
NCT ID
NCT01579383
First Posted
April 16, 2012
Last Updated
April 25, 2013
Sponsor
Alder Biopharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01579383
Brief Title
Safety Tolerability and Pharmacokinetics of ALD403
Official Title
A Single Dose, Placebo-Controlled, Ascending Dose Study to Determine the Safety, Tolerability and Pharmacokinetics of ALD403, a Humanized Anti-Calcitonin Gene-Related Peptide Monoclonal Antibody Administered by Intravenous Infusion and Subcutaneous Injection
Study Type
Interventional
2. Study Status
Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
April 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alder Biopharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine the safety, tolerability and pharmacokinetics of ALD403, a monoclonal antibody, administered by intravenous infusion and subcutaneous injection.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Disorders
Keywords
Migraine Disorders, Phase 1, ALD403
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
104 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Part A, Cohorts A - H
Arm Type
Experimental
Arm Description
ALD403/Placebo
Arm Title
Part A, Cohort I
Arm Type
Experimental
Arm Description
ALD403/Placebo
Arm Title
Part B
Arm Type
Experimental
Arm Description
ALD403/Placebo/Sumatriptan
Intervention Type
Biological
Intervention Name(s)
ALD403
Intervention Description
Single Dose IV infusion on Day 1
Intervention Type
Biological
Intervention Name(s)
ALD403
Intervention Description
Single Dose subcutaneous injection on Day 1
Intervention Type
Biological
Intervention Name(s)
Sumatriptan
Intervention Description
Single Dose subcutaneous injection on Day 1
Primary Outcome Measure Information:
Title
Safety and tolerability of ALD403: laboratory variables, ECG and adverse events
Description
Physical Examination
Vital signs
12-lead ECG (electrocardiogram)
Clinical laboratory tests (hematology, chemistry)
Number of participants with Adverse Events
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Evaluation of Pharmacokinetics of ALD403
Description
Cmax - maximum plasma concentration
Tmax - Time to achieve maximum plasma concentration
AUC - Area under the plasma concentration-time curve
T1/2 - Elimination half-life
Vz - Volume of distribution
CL - Clearance
Bioavailability
Time Frame
12 weeks
Title
Evaluation of pharmacodynamics of ALD403
Description
Blood perfusion rates
Plasma levels of unbound ALD403
Immunogenicity
Time Frame
12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Part A:
Healthy males and females between the ages of 18 and 65 (inclusive).
Normal renal function as calculated by the Cockcroft- Gault equation at screening.
Body Mass Index (BMI) between 18.0 and 30.0 kg/m2, and a total body weight of 50 to 100kg inclusive.
No clinically significant disease or abnormal laboratory values as determined by medical history, physical examination, electrocardiogram, and laboratory evaluations
Exclusion Criteria Part A:
History of febrile illness within 5 days prior to the first dose
Any clinically significant laboratory findings
Any clinically significant physical exam abnormalities
Hospitalization for any reason within 30 days of the screening visit.
History of or positive human immunodeficiency virus (HIV) screen result
History of positive Hepatitis B surface antigen (HBsAg), and/or positive Hepatitis C antibody (HCV) at screening.
History of malignancy within five years prior to screening.
History of leukemia, myeloproliferative disorder or lymphoproliferative disorder
History of rubber, latex allergy or allergy to medical adhesives
Positive urine, drug or alcohol screen result
Current smokers
Previous treatment or clinical trial with a monoclonal antibody.
Participation in any clinical research study evaluating another investigational drug or therapy within 30 days or at least 5 half-lives
Inclusion Criteria Part B:
Healthy females between the ages of 18 and 65 (inclusive).
Male and female migraine patients with clinically diagnosed migraine not attributed to another cause with or without aura based on International Headache Society criteria.
Migraine patients must have a history of migraine with or without aura for more than 1 year with 1-8 moderate or severe migraine attacks per month in the 2 months prior to starting in the study.
Normal renal function as defined by Cockcroft- Gault equation at screening.
Body Mass Index (BMI) between 18.0 and 30.0 kg/m2, and a total body weight of 50 to 100kg inclusive.
No clinically significant disease or abnormal laboratory values as determined by medical history, physical examination, electrocardiogram, and laboratory evaluations conducted at the screening visit or at the time of admission
Exclusion Criteria Part B:
For migraine patients: patient is not able to refrain from use of their usual triptan therapy (if applicable) from 48 hours (Day -2) prior to dosing on Day 1 until the morning of discharge (Day 3).
Migraine patients who experience migraine with prolonged aura, familiar hemiplegic migraine, migrainous infarction or basilar migraine
For migraine patients: patient has more than 8 headache-days per month or has taken medication for acute headache on more than 8 days a month in the past 3 months
For migraine patients: patient was greater than 50 years old at the age of migraine onset
History of febrile illness within 5 days prior to the first dose
Any clinically significant laboratory findings
Any clinically significant physical exam abnormalities
Previous treatment or clinical trial with a monoclonal antibody.
Hospitalization for any reason within 30 days of the screening visit.
History of or positive human immunodeficiency virus (HIV) screen result
History of positive Hepatitis B surface antigen (HBsAg), and/or positive Hepatitis C antibody (HCV
History of malignancy within five years prior to screening.
History of leukemia, myeloproliferative disorder or lymphoproliferative disorder
Positive urine drug or alcohol screen result
Current smokers.
Known contraindication to sumatriptan
Participation in any clinical research study evaluating another investigational drug or therapy within 30 days or at least 5 half-lives
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Hodsman, MD
Organizational Affiliation
Nucleus Network
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centre for Clinical Studies, Nucleus Network
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
12. IPD Sharing Statement
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Safety Tolerability and Pharmacokinetics of ALD403
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