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Tolerance, Pharmacokinetics / Pharmacodynamics (PK / PD) and Immunogenicity of Pegylated Uric Acid Oxidase for Injection in Healthy Adults and Hyperuricemia Volunteers

Primary Purpose

Hyperuricemia

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Polyglycol lated urate oxidase for injection
Placebo
Sponsored by
The Affiliated Hospital of Qingdao University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperuricemia

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy volunteers:

    • Subjects understand well trial purpose, nature, content, process and possible adverse reactions, and voluntarily sign an informed consent form.
    • Serum uric acid level<360 µ mol / L twice on different days.
    • Healthy male or female aged between 18 and 60 years old (including the critical value).
    • The body mass index is in the range of 18-30kg/m2 (including the critical value). The weight of male is not less than 50 kg, and that of female is not less than 45 kg (including the critical value).
    • Subjects who had not any medical history of cardiovascular, digestive, respiratory, nervous, haemal diseases or hepatic/renal impairment.The following examination show that the indicators are normal or abnormal without clinical significance. The examination including: physical examination, 12-lead ECG, vital sign measurements and laboratory safety tests .
    • The subjects have no family planning within 6 months and could select contraceptive method. They have no sperm and egg donation program.
    • Before the study, all subjects have been informed of the study's purpose, protocal, benefits, and risks, and signed the informed consent voluntarily.
    • The blood pregnancy test of female subjects was negative, the menstrual cycle was regular, and the menstrual bleeding period was 3 ~ 7 days.

Patients with hyperuricemia:

  • Patients with hyperuricemia ,male or female aged between 18 and 60 years old (including the critical value).
  • Stop uric acid lowering treatment for at least 7 days, and 480≤UA≤540µmol/L twice on different days within 7 days.
  • The body mass index is in the range of 18-30kg/m2 (including the critical value). The weight of male is not less than 50 kg, and that of female is not less than 45 kg (including the critical value).
  • Before the study, all subjects have been informed of the study's purpose, protocal, benefits, and risks, and signed the informed consent voluntarily.
  • The blood pregnancy test of female subjects was negative, the menstrual cycle was regular, and the menstrual bleeding period was 3 ~ 7 days.

Exclusion Criteria:

  • Healthy volunteers:

    • A history of drug allergy, or allergic allergic disease, or known to be allergic to the test drug or its excipients or the same type of drug;
    • Hepatitis (including hepatitis B and C), positive screening results for AIDS or syphilis;
    • Any history of acute or chronic illness that might affect drug absorption, and/or metabolism;
    • Any history of drug abuse in the past 12 months prior to screening;
    • Any history of alcohol abuse 3 months prior to screening or moderate drinkers (drink more 2 units per day or 14 units per week);
    • Smoking more than 5 cigarettes per day during the 3 months prior to screening;
    • Blood donation, massive blood loss (#400mL) or enrolled in other clinical trials 3 months prior to screening;
    • Any use of other prescription drugs (including contraceptive)#over-the counter drugs, Chinese herbal medicine, health care products and 14 days prior to medication for this study;
    • Any history of postural hypotension, syncope, or amaurosis;
    • 6-glucose phosphate dehydrogenase (G6PD) deficiency;
    • Lactating or pregnant women

Patients with hyperuricemia:

  • Using uric acid lowering drugs and unwilling to stop existing drugs.
  • Ultrasonic examination of the metatarsal-toe joint suggested the presence of tophi.
  • Serum CA72-4 level ≥7.5U / mL.
  • History of organic heart disease (symptomatic cardiac insufficiency with grade II-IV).
  • Patients with refractory hypertension.
  • Patients with malignant tumors (treatment or not).
  • Patients with organ transplantation treated with immunosuppressants.
  • Any history of drug abuse in the past 12 months prior to screening;
  • Any history of alcohol abuse 3 months prior to screening or moderate drinkers (drink more 2 units per day or 14 units per week).
  • Smoking more than 5 cigarettes per day during the 3 months prior to screening.
  • A history of drug allergy, or allergic allergic disease, or known to be allergic to the test drug or its excipients or the same type of drug.
  • Any history of acute or chronic illness that might affect drug absorption, and/or metabolism.
  • 6-glucose phosphate dehydrogenase (G6PD) deficiency.
  • Once treated with urate oxidase.
  • Subjects had an uncorrected dehydration, acidosis, hypotension, renal insufficiency, or were using drugs with nephrotoxicity.

Sites / Locations

  • The Affiliated Hospital of Qingdao UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PEGylated Urate Oxidase for Injection

Placebo

Arm Description

PEGylated Urate Oxidase for Injection,specification:5mg,Single dose ascending.Healthy subjects were divided into three dose groups (0.5mg, 1mg, 2mg), and hyperuricemia patients were divided into four dose groups (2mg, 4mg, 8mg, 12 mg), with increasing dose design.Each group will receive the experimental drug in 6 subjects.

Placebo , specification: 5mg,Single dose. Groups received the placebo in 2 patients per group.

Outcomes

Primary Outcome Measures

Peak Plasma Concentration (Cmax)
Evaluation of Peak Plasma Concentration (Cmax)
Maximum tolerated dose Maximum tolerated dose
Maximum tolerated dose Maximum tolerated dose for a single dose
Area under the plasma concentration versus time curve (AUC)0-t
Evaluation of Area under the plasma concentration versus time curve (AUC)0-t

Secondary Outcome Measures

Occurrence rate of Adverse Events
Adverse events were recorded to evaluate the safety of the studied drugs
Immunogenicity
Antidrug antibody detection

Full Information

First Posted
January 28, 2022
Last Updated
February 4, 2022
Sponsor
The Affiliated Hospital of Qingdao University
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1. Study Identification

Unique Protocol Identification Number
NCT05226013
Brief Title
Tolerance, Pharmacokinetics / Pharmacodynamics (PK / PD) and Immunogenicity of Pegylated Uric Acid Oxidase for Injection in Healthy Adults and Hyperuricemia Volunteers
Official Title
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Tolerance, Pharmacokinetics / Pharmacodynamics (PK / PD) and Immunogenicity of Pegylated Uric Acid Oxidase for Injection in Healthy Adults and Hyperuricemia Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 8, 2021 (Actual)
Primary Completion Date
December 1, 2022 (Anticipated)
Study Completion Date
April 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Affiliated Hospital of Qingdao University

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
A randomized, double-blind, placebo-controlled study of tolerance, pharmacokinetic / pharmacodynamics (PK / PD) and immunogenicity of single administration of PEG uric oxidase for injection in healthy adults and hyperuricemia volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperuricemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
54 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PEGylated Urate Oxidase for Injection
Arm Type
Experimental
Arm Description
PEGylated Urate Oxidase for Injection,specification:5mg,Single dose ascending.Healthy subjects were divided into three dose groups (0.5mg, 1mg, 2mg), and hyperuricemia patients were divided into four dose groups (2mg, 4mg, 8mg, 12 mg), with increasing dose design.Each group will receive the experimental drug in 6 subjects.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo , specification: 5mg,Single dose. Groups received the placebo in 2 patients per group.
Intervention Type
Drug
Intervention Name(s)
Polyglycol lated urate oxidase for injection
Intervention Description
Single dose escalation
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax)
Description
Evaluation of Peak Plasma Concentration (Cmax)
Time Frame
500 days
Title
Maximum tolerated dose Maximum tolerated dose
Description
Maximum tolerated dose Maximum tolerated dose for a single dose
Time Frame
500 days
Title
Area under the plasma concentration versus time curve (AUC)0-t
Description
Evaluation of Area under the plasma concentration versus time curve (AUC)0-t
Time Frame
500 days
Secondary Outcome Measure Information:
Title
Occurrence rate of Adverse Events
Description
Adverse events were recorded to evaluate the safety of the studied drugs
Time Frame
500 day
Title
Immunogenicity
Description
Antidrug antibody detection
Time Frame
500day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteers: Subjects understand well trial purpose, nature, content, process and possible adverse reactions, and voluntarily sign an informed consent form. Serum uric acid level<360 µ mol / L twice on different days. Healthy male or female aged between 18 and 60 years old (including the critical value). The body mass index is in the range of 18-30kg/m2 (including the critical value). The weight of male is not less than 50 kg, and that of female is not less than 45 kg (including the critical value). Subjects who had not any medical history of cardiovascular, digestive, respiratory, nervous, haemal diseases or hepatic/renal impairment.The following examination show that the indicators are normal or abnormal without clinical significance. The examination including: physical examination, 12-lead ECG, vital sign measurements and laboratory safety tests . The subjects have no family planning within 6 months and could select contraceptive method. They have no sperm and egg donation program. Before the study, all subjects have been informed of the study's purpose, protocal, benefits, and risks, and signed the informed consent voluntarily. The blood pregnancy test of female subjects was negative, the menstrual cycle was regular, and the menstrual bleeding period was 3 ~ 7 days. Patients with hyperuricemia: Patients with hyperuricemia ,male or female aged between 18 and 60 years old (including the critical value). Stop uric acid lowering treatment for at least 7 days, and 480≤UA≤540µmol/L twice on different days within 7 days. The body mass index is in the range of 18-30kg/m2 (including the critical value). The weight of male is not less than 50 kg, and that of female is not less than 45 kg (including the critical value). Before the study, all subjects have been informed of the study's purpose, protocal, benefits, and risks, and signed the informed consent voluntarily. The blood pregnancy test of female subjects was negative, the menstrual cycle was regular, and the menstrual bleeding period was 3 ~ 7 days. Exclusion Criteria: Healthy volunteers: A history of drug allergy, or allergic allergic disease, or known to be allergic to the test drug or its excipients or the same type of drug; Hepatitis (including hepatitis B and C), positive screening results for AIDS or syphilis; Any history of acute or chronic illness that might affect drug absorption, and/or metabolism; Any history of drug abuse in the past 12 months prior to screening; Any history of alcohol abuse 3 months prior to screening or moderate drinkers (drink more 2 units per day or 14 units per week); Smoking more than 5 cigarettes per day during the 3 months prior to screening; Blood donation, massive blood loss (#400mL) or enrolled in other clinical trials 3 months prior to screening; Any use of other prescription drugs (including contraceptive)#over-the counter drugs, Chinese herbal medicine, health care products and 14 days prior to medication for this study; Any history of postural hypotension, syncope, or amaurosis; 6-glucose phosphate dehydrogenase (G6PD) deficiency; Lactating or pregnant women Patients with hyperuricemia: Using uric acid lowering drugs and unwilling to stop existing drugs. Ultrasonic examination of the metatarsal-toe joint suggested the presence of tophi. Serum CA72-4 level ≥7.5U / mL. History of organic heart disease (symptomatic cardiac insufficiency with grade II-IV). Patients with refractory hypertension. Patients with malignant tumors (treatment or not). Patients with organ transplantation treated with immunosuppressants. Any history of drug abuse in the past 12 months prior to screening; Any history of alcohol abuse 3 months prior to screening or moderate drinkers (drink more 2 units per day or 14 units per week). Smoking more than 5 cigarettes per day during the 3 months prior to screening. A history of drug allergy, or allergic allergic disease, or known to be allergic to the test drug or its excipients or the same type of drug. Any history of acute or chronic illness that might affect drug absorption, and/or metabolism. 6-glucose phosphate dehydrogenase (G6PD) deficiency. Once treated with urate oxidase. Subjects had an uncorrected dehydration, acidosis, hypotension, renal insufficiency, or were using drugs with nephrotoxicity.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yu Cao, Doctor
Phone
+86-18661809090
Email
caoyu1767@126.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yu Cao, Doctor
Organizational Affiliation
The Affiliated Hospital of Qingdao University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Changgui Li, Doctor
Organizational Affiliation
The Affiliated Hospital of Qingdao University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Affiliated Hospital of Qingdao University
City
Qingdao
State/Province
Shandong
ZIP/Postal Code
266003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yu Cao, Doctor
Phone
+86-18661809090
Email
caoyu1767@126.com

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
All the technical achievements and outcomes of this trial are owned by Revised Biomedical (Hangzhou) Research Institute Co., Ltd. and the research center. The research center can not publish any academic papers without the consent of the sponsor.

Learn more about this trial

Tolerance, Pharmacokinetics / Pharmacodynamics (PK / PD) and Immunogenicity of Pegylated Uric Acid Oxidase for Injection in Healthy Adults and Hyperuricemia Volunteers

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