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Study of the Safety, Tolerability and Pharmacokinetics of TMB-607 in HIV-Negative Volunteers

Primary Purpose

Human Immunodeficiency Virus

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TMB-607
Placebo
Sponsored by
TaiMed Biologics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Human Immunodeficiency Virus

Eligibility Criteria

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

Inclusion Criteria:

  • Participants must meet all of the following criteria to be included in the study:

    1. Male or female between 18-55 years of age on the day of screening
    2. HIV-negative volunteers, willing to undergo HIV testing and counseling, and receive HIV test results
    3. Normal 12-lead ECG at Screening and on Day 0, including normal sinus rate and rhythm, QTc interval ≤440msec, PR interval ≤200msec, and lack of any evidence of heart block, or left or right bundle branch block
    4. Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study
    5. In the opinion of the principal investigator or designee, has understood the information provided; written informed consent needs to be given before any study-related procedures are performed
    6. Agrees to use a barrier form of contraception if engaging in sexual activity at any time throughout the study (males and females) - two reliable forms of barrier contraception diaphragm, Intra Uterine Device (IUD), spermicides or condoms) must be used if participants engage in sexual activity that could result in pregnancy; hormonal contraception (e.g., oral contraceptive pill, injectable or implantable contraceptive) must not be relied upon while in this study; all female participants must be willing to undergo urine pregnancy tests at time points indicated in the Schedule of Events and Procedures
    7. For females of reproductive potential, negative urine pregnancy test at screening and within 96 hours prior to randomization; female participants of reproductive potential are defined as women who have not been post-menopausal for at least 24 consecutive months (i.e., who have had menses within the preceding 24 months) or have not undergone surgical sterilization (e.g., hysterectomy, or bilateral oophorectomy, salpingectomy, or tubal ligation)

Exclusion Criteria:

  • Participants having or meeting any of the following conditions or characteristics will be excluded from the study:

    1. Confirmed HIV-1 or HIV-2 infection
    2. Currently pregnant or breastfeeding
    3. Known allergy/sensitivity or any hypersensitivity to components of study drug or its formulation, or known allergy to sulfonamide drugs
    4. History, or family history of Short of Long QT syndrome, Wolff-Parkinson-White Syndrome, or congenital heart disease
    5. Family history of sudden cardiac death, or unexplained cardiac death in an otherwise healthy individual between the ages of 1 and 40 years
    6. History of syncope, palpitations, unexplained dizziness, hypokalemia, heart arrhythmias, or significant cardiac disease
    7. Major psychiatric illness including any history of schizophrenia or severe psychosis, bipolar disorder requiring therapy, suicide attempt in the previous 3 years
    8. Serious illness requiring systemic treatment and/or hospitalization within 21 days prior to randomization
    9. Receipt of immunomodulatory agents (e.g., interleukins, interferons, cyclosporine, systemic corticosteroids), HIV vaccine, systemic cytotoxic chemotherapy, or investigational therapy within 180 days prior to study entry
    10. Any clinically significant acute or chronic medical condition requiring care of a physician (e.g., diabetes, coronary artery disease, rheumatologic illness, malignancy, substance abuse) that in the opinion of the investigator would preclude participation
    11. Any laboratory value of Grade 1 or higher according to the NCI Common Toxicity Criteria (Appendix A)
    12. Confirmed diagnosis of hepatitis B (surface antigen, HbsAg), or hepatitis C (HCV antibodies)
    13. Current confirmed STD infection
    14. In the opinion of the investigator, unlikely to comply with protocol

Sites / Locations

  • Lewis Katz School of Medicine at Temple University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1 Arm A

Cohort 1 Arm B

Cohort 1 Arm C

Cohort 2 Arm A

Cohort 2 Arm B

Cohort 2 Arm C

Cohort 2 Arm D

Arm Description

Subcutaneous 200 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 500 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 1000 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 100 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 400 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 800 mg of TMB-607 on Day 0 or Placebo

Subcutaneous 1500 mg of TMB-607 on Day 0 or Placebo

Outcomes

Primary Outcome Measures

TMB 607 plasma concentrations
Measurements of concentrations of TMB-607 in plasma will be used to determine the concentration-time profile of subcutaneous and intramuscular TMB-607 in all participants. TMB-607 plasma concentrations will be measured by a central lab using high-performance liquid chromatography - mass (HPLC-MS) method validated for the measurement of TMB-607 in human plasma.

Secondary Outcome Measures

Adverse Events Related to Treatment
The frequency of adverse events will be tabulated by the Medical Dictionary for Regulatory Activities (MedDRA) term and system organ class. The maximum intensity and frequency of adverse events will be summarized by treatment group

Full Information

First Posted
March 31, 2017
Last Updated
May 8, 2020
Sponsor
TaiMed Biologics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03110549
Brief Title
Study of the Safety, Tolerability and Pharmacokinetics of TMB-607 in HIV-Negative Volunteers
Official Title
A Phase 1, Randomized, Double-Blinded, Placebo-Controlled, Sequential Single Dose Escalation Study of the Safety, Tolerability and Pharmacokinetics of Subcutaneously and Intramuscularly Administered TMB-607 in HIV-Negative Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Terminated
Why Stopped
Drug development suspended by current holder of IND
Study Start Date
November 21, 2016 (Actual)
Primary Completion Date
July 22, 2019 (Actual)
Study Completion Date
July 22, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
TaiMed Biologics Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study is a Phase 1, randomized, double-blinded, placebo-controlled, sequential single dose escalation safety, tolerability and pharmacokinetic study of subcutaneous and intramuscular TMB-607 administered to HIV-negative volunteers.
Detailed Description
This study uses a sequential dose-escalation design for single dose subcutaneous and intramuscular administrations in HIV-negative volunteers. The study investigates seven TMB-607 dose groups: Cohort 1: 200 mg subcutaneously (Arm A), 500 mg subcutaneously (Arm B) and 1,000 mg subcutaneously (Arm C); Cohort 2: 100 mg intramuscularly (Arm A), 400 mg intramuscularly (Arm B), 800 mg intramuscularly (Arm C) and 1,500 mg intramuscularly (Arm D). Five participants will be enrolled in each dose group, and will be randomly assigned in a 4:1 ratio to receive TMB-607 or placebo in a double-blinded fashion (four participants per group assigned to active TMB-607; one participant per group assigned to placebo). In each group, a single dose injection of TMB-607 or placebo will be administered at Day 0. The first three Day 0 injections administered in each dose group must be given at least 24 hours apart. Subjects will be enrolled sequentially so that a maximum of three subjects in each Cohort is dosed within any 24-hour period. All subjects will be monitored for 24 hours after study drug administration, with vital signs and ECGs checked hourly, and intensive pharmacokinetic samples collected during this period. Study drug will only be administered on Mondays to prevent weekend days from interfering with the daily assessments closest to the time of dosing. Participants will be followed for 10 weeks after receiving study drug.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Human Immunodeficiency Virus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Five qualifying participants will be enrolled into each of seven dosage Arms - three escalating subcutaneous dosages (Cohort 1), and four escalating intramuscular dosages (Cohort 2). Enrolling participants will be randomized to receive active TMB-607 or placebo. Beginning with the lowest dosage group, a Data Safety Monitoring Board (DSMB) will review available data after four participants have completed two weeks of post-dose follow-up to determine whether escalation to the next dosage group may proceed
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 Arm A
Arm Type
Experimental
Arm Description
Subcutaneous 200 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 1 Arm B
Arm Type
Experimental
Arm Description
Subcutaneous 500 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 1 Arm C
Arm Type
Experimental
Arm Description
Subcutaneous 1000 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 2 Arm A
Arm Type
Experimental
Arm Description
Subcutaneous 100 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 2 Arm B
Arm Type
Experimental
Arm Description
Subcutaneous 400 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 2 Arm C
Arm Type
Experimental
Arm Description
Subcutaneous 800 mg of TMB-607 on Day 0 or Placebo
Arm Title
Cohort 2 Arm D
Arm Type
Experimental
Arm Description
Subcutaneous 1500 mg of TMB-607 on Day 0 or Placebo
Intervention Type
Drug
Intervention Name(s)
TMB-607
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
TMB 607 plasma concentrations
Description
Measurements of concentrations of TMB-607 in plasma will be used to determine the concentration-time profile of subcutaneous and intramuscular TMB-607 in all participants. TMB-607 plasma concentrations will be measured by a central lab using high-performance liquid chromatography - mass (HPLC-MS) method validated for the measurement of TMB-607 in human plasma.
Time Frame
10 Weeks Post Injection
Secondary Outcome Measure Information:
Title
Adverse Events Related to Treatment
Description
The frequency of adverse events will be tabulated by the Medical Dictionary for Regulatory Activities (MedDRA) term and system organ class. The maximum intensity and frequency of adverse events will be summarized by treatment group
Time Frame
10 Weeks Post Injection

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: Participants must meet all of the following criteria to be included in the study: Male or female between 18-55 years of age on the day of screening HIV-negative volunteers, willing to undergo HIV testing and counseling, and receive HIV test results Normal 12-lead ECG at Screening and on Day 0, including normal sinus rate and rhythm, QTc interval ≤440msec, PR interval ≤200msec, and lack of any evidence of heart block, or left or right bundle branch block Willing to comply with the requirements of the protocol and available for follow-up for the planned duration of the study In the opinion of the principal investigator or designee, has understood the information provided; written informed consent needs to be given before any study-related procedures are performed Agrees to use a barrier form of contraception if engaging in sexual activity at any time throughout the study (males and females) - two reliable forms of barrier contraception diaphragm, Intra Uterine Device (IUD), spermicides or condoms) must be used if participants engage in sexual activity that could result in pregnancy; hormonal contraception (e.g., oral contraceptive pill, injectable or implantable contraceptive) must not be relied upon while in this study; all female participants must be willing to undergo urine pregnancy tests at time points indicated in the Schedule of Events and Procedures For females of reproductive potential, negative urine pregnancy test at screening and within 96 hours prior to randomization; female participants of reproductive potential are defined as women who have not been post-menopausal for at least 24 consecutive months (i.e., who have had menses within the preceding 24 months) or have not undergone surgical sterilization (e.g., hysterectomy, or bilateral oophorectomy, salpingectomy, or tubal ligation) Exclusion Criteria: Participants having or meeting any of the following conditions or characteristics will be excluded from the study: Confirmed HIV-1 or HIV-2 infection Currently pregnant or breastfeeding Known allergy/sensitivity or any hypersensitivity to components of study drug or its formulation, or known allergy to sulfonamide drugs History, or family history of Short of Long QT syndrome, Wolff-Parkinson-White Syndrome, or congenital heart disease Family history of sudden cardiac death, or unexplained cardiac death in an otherwise healthy individual between the ages of 1 and 40 years History of syncope, palpitations, unexplained dizziness, hypokalemia, heart arrhythmias, or significant cardiac disease Major psychiatric illness including any history of schizophrenia or severe psychosis, bipolar disorder requiring therapy, suicide attempt in the previous 3 years Serious illness requiring systemic treatment and/or hospitalization within 21 days prior to randomization Receipt of immunomodulatory agents (e.g., interleukins, interferons, cyclosporine, systemic corticosteroids), HIV vaccine, systemic cytotoxic chemotherapy, or investigational therapy within 180 days prior to study entry Any clinically significant acute or chronic medical condition requiring care of a physician (e.g., diabetes, coronary artery disease, rheumatologic illness, malignancy, substance abuse) that in the opinion of the investigator would preclude participation Any laboratory value of Grade 1 or higher according to the NCI Common Toxicity Criteria (Appendix A) Confirmed diagnosis of hepatitis B (surface antigen, HbsAg), or hepatitis C (HCV antibodies) Current confirmed STD infection In the opinion of the investigator, unlikely to comply with protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey Jacobson, MD
Organizational Affiliation
Lewis Katz School of Medicine at Temple University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lewis Katz School of Medicine at Temple University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States

12. IPD Sharing Statement

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Study of the Safety, Tolerability and Pharmacokinetics of TMB-607 in HIV-Negative Volunteers

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