Study Evaluating ABCL635 for Vasomotor Symptoms of Menopause
A First-in-Human Phase 1/2 Study of ABCL635 in Healthy Participants and in Postmenopausal Women With Moderate-to-Severe Vasomotor Symptoms
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Clinical Trial Coordinator
- Phone Number: 1-877-933-9037
- Email: clinicaltrials@abcellera.com
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 4L7
- CaRe Clinics
-
Red Deer, Alberta, Canada, T4P 1K4
- CaRe Clinics
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5T 3N4
- Mount Saint Joseph Hospital Clinical Trials Phase 1 Unit
-
-
Ontario
-
Toronto, Ontario, Canada, M4G 3E8
- Centricity Research
-
Toronto, Ontario, Canada, M4W 4L6
- Centricity Research
-
-
Quebec
-
Lévis, Quebec, Canada, G6V 0C9
- Alpha Recherche Clinique
-
Montreal, Quebec, Canada, H1Y 3H5
- GCP Research
-
Mount Royal, Quebec, Canada, H3P 3P1
- Altasciences Company Inc.
-
Québec, Quebec, Canada, G1V 4T3
- Diex Recherche Québec
-
Québec, Quebec, Canada, G1V 3M8
- Clinique RSF Inc.
-
Sherbrooke, Quebec, Canada, J1L 0H8
- Diex Recherche Sherbrooke
-
Trois-Rivières, Quebec, Canada, GSA 4P3
- Diex Recherche Trois-rivieres
-
Victoriaville, Quebec, Canada, G6P 3Z8
- Diex Recherche Victoriaville
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Good general health as determined through a review of their medical history and after conducting a general physical examination
- Body weight ≥ 45 to ≤ 120 kg
- Body mass index (BMI) between 18.5 kg/m2 and 35.0 kg/m2
- Non- or ex-smoker (an ex-smoker is defined as someone who completely stopped using nicotine products for at least 90 days prior to the first study drug administration)
- Healthy man or a postmenopausal woman who is ≥ 40 and ≤ 75 years of age OR a postmenopausal woman with or without VMS and who is ≥ 40 and ≤ 75 years of age OR a postmenopausal woman who is ≥ 40 and ≤ 75 years of age seeking treatment for relief for VMS
If a woman:
- has been compliant with local and/or national guidelines for breast cancer screening with documentation of a mammogram with normal/negative or no clinically significant findings. A screening mammogram may be conducted during study screening period, if needed
- has spontaneous amenorrhea for at least 12 consecutive months; or spontaneous amenorrhea for at least 6 months with biochemical criteria of menopause (follicle-stimulating hormone [FSH] > 40 IU/L); or had a bilateral oophorectomy > 6 weeks prior to screening, or s/p hysterectomy at least 6 weeks prior to screening and meeting the biochemical criteria of menopause (FSH > 40 IU/L)
If a man:
- possess a testosterone concentration of ≥ 15 nmol/L at the time of screening
- can procreate and agree to use one of the acceptable contraceptive regimens and not to donate sperm from the first study drug administration to at least 90 days after the last drug administration OR is unable to procreate; defined as surgically sterile
Exclusion Criteria:
- Pregnancy and/or lactation.
- Has endometrial hyperplasia or history of abnormal uterine bleeding without an identified cause in the past 6 months
- Previous or current history of a malignant tumor, except for non-melanoma skin cancer.
- Seated pulse rate less than 50 beats per minute (bpm) or more than 100 bpm or a seated blood pressure < 90/50 mmHg or > 140/90 mmHg
- eGFR < 60 mL/min/1.73 m2
- Severe hypersensitivity reactions (like angioedema) to any drugs.
- Significant uncontrolled cardiovascular, pulmonary, gastrointestinal, hepatic, renal, hematologic, neurological, psychiatric, endocrine, immunologic, or dermatologic disease.
- Clinically significant ECG abnormalities
- Presence or history of cardiogenic syncope in the past 6 months.
- Use of any over-the-counter products (including supplements) containing testosterone or any medication (hormonal, prescription, over the counter, herbal, or natural) for the treatment of hot flashes during the screening period and throughout the study; must be discontinued at least 28 days prior to study drug administration
- Employees of the sponsor or the investigator site and other individuals who are directly involved in the conduct of the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ABCL635 Part A
Part A: healthy male and female participants will receive a single dose of ABCL635 administered by subcutaneous (SC) injection
|
Participants will receive SC administrations of ABCL635
|
|
Placebo Comparator: Placebo Part A
Part A: Healthy male and female participants will receive a single dose of placebo (dextrose 5% solution) administered by SC injection
|
Participants will receive SC administration of placebo (5% dextrose solution)
|
|
Experimental: ABCL635 Part B
Part B: healthy postmenopausal women with or without VMS will receive up to 3 doses of ABCL635 administered by SC injection
|
Participants will receive SC administrations of ABCL635
|
|
Placebo Comparator: Placebo Part B
Part B: healthy postmenopausal women with or without VMS will receive up to 3 doses of placebo (dextrose 5% solution) administered by SC injection
|
Participants will receive SC administration of placebo (5% dextrose solution)
|
|
Experimental: ABCL635 Part C
Part C: postmenopausal women with moderate to severe VMS will receive a single dose of ABCL635 administered by SC injection
|
Participants will receive SC administrations of ABCL635
|
|
Placebo Comparator: Placebo Part C
Part C: postmenopausal women with moderate to severe VMS will receive a single dose of placebo (dextrose 5% solution) administered by SC injection
|
Participants will receive SC administration of placebo (5% dextrose solution)
|
|
Experimental: ABCL635 Part C OLE
Part C open label extension (OLE): postmenopausal women with moderate to severe VMS will receive a single dose of ABCL635 administered by SC injection upon completion of 12-week assessment.
|
Participants will receive SC administrations of ABCL635
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Frequency and severity of adverse events (AE)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
Number of participants with abnormalities in 12-lead safety electrocardiograms (ECG)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
Number of participants with abnormalities in physical examination
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
Number of participants with abnormalities in laboratory parameters, including general biochemistry, hematology, endocrinology, and urinalysis
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Plasma concentrations of ABCL635
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
Incidence of anti-ABCL635 antibodies
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; maximum plasma concentration (Cmax)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; time to maximum plasma concentration (Tmax)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; area under the plasma concentration-time curve from zero to the time of the last quantifiable concentration (AUC0-T)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; area under the plasma concentration-time curve from zero to hour 672 (AUC0-672)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; area under the plasma concentration-time curve from zero to infinity (AUC0-∞)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; percent of AUC obtained by extrapolation (%AUCextrap)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; terminal rate constant (λz)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; apparent plasma clearance of drug after extravascular administration (CL/F)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; apparent volume of distribution after extravascular administration (Vz/F)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
PK parameters; half-life (Thalf)
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
|
Mean change from baseline to each study week in the frequency of moderate and severe VMS (VMSM-S frequency)
Time Frame: up to day 141 (Part C)
|
up to day 141 (Part C)
|
|
|
Mean change from baseline to each study week in the severity of moderate and severe VMS (VMSM-S severity)
Time Frame: up to day 141 (Part C)
|
up to day 141 (Part C)
|
|
|
Mean change from baseline to each study week in the frequency of all reported VMS (VMSTotal frequency).
Time Frame: up to day 141 (Part C)
|
up to day 141 (Part C)
|
|
|
Mean change from baseline to each study week in the moderate to severe hot flash score (HFM-S).
Time Frame: up to day 141 (Part C)
|
The moderate to severe hot flash score (HFM-S) is a metric that combines the frequency and severity of hot flashes:
|
up to day 141 (Part C)
|
|
Mean change in the Menopause-Specific Quality of Life Questionnaire (MENQOL) 4-domain scores (ie, physical, vasomotor, psychosocial, and sexual) from baseline to weeks 1, 2, 3, 4, 5, 9, and 13
Time Frame: up to day 141 (Part C)
|
The Mean change in the Menopause-Specific Quality of Life Questionnaire (MENQOL) measures the impact of menopause symptoms over the last week. The questionnaire has 29 items across four domains: vasomotor (items 1 to 3), psychosocial (items 4 to 10), physical (items 11 to 26), and sexual (items 27 to 29). Items pertaining to a specific symptom are rated as present or not present, and if present, how bothersome on a 0 (not bothersome) to 6 (extremely bothersome) scale. The mean change in the MENQOL domain scores will be assessed from Baseline to each week measured. A negative change in the score from Baseline to each week measured indicates an improvement in quality of life. |
up to day 141 (Part C)
|
|
Mean change in the Patient-Reported Outcomes Measurement Information System Sleep Disturbance 8b Short Form (PROMIS-SD-SF-8b) total score from baseline to weeks 1, 2, 3, 4, 5, 9, and 13.
Time Frame: up to day 141 (Part C)
|
The PROMIS-SD-SF-8b assesses the perception of sleep quality, sleep depth, and any perceived difficulties related to getting and staying asleep. Questions are scored using the following scale: 1 (very much), 2 (quite a bit), 3 (somewhat), 4 (a little bit), and 5 (not at all). The mean change in the PROMIS-SD-SF-8b score will be assessed from Baseline to each week measured. A positive change in the score from Baseline to each week measured indicates a reduction in sleep disturbance. |
up to day 141 (Part C)
|
|
Frequency of Patient Global Impression of Change in VMS (PGI-C VMS) responses at weeks 2, 3, 4, 5, 9, and 13.
Time Frame: up to day 141 (Part C)
|
The Patient Global Impression of Change (PGI-C) for vasomotor symptoms (VMS) rates the perception of their hot flashes and night sweats at each designated timepoint compared to the start of the study.
The response is a seven-point scale ranging from "much better" to "much worse."
The frequency of each PGI-C VMS score will be reported at each scheduled timepoint.
|
up to day 141 (Part C)
|
|
Mean change from baseline to each study week in the total hot flash score (HFTotal).
Time Frame: up to day 141 (Part C)
|
The total hot flash score (HFTotal) is a metric that combines the frequency and severity of hot flashes:
|
up to day 141 (Part C)
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Physiological PD parameters; change over time from baseline in LH and FSH (men and women), testosterone in men only, and estradiol in women only
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
|
PK-PD; Relationship between selected PK endpoints and relevant physiological and behavioral PD endpoints
Time Frame: Day 0 to day 197
|
Day 0 to day 197
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Eric Sicard, Altasciences Company Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ABCL635-101
- 297103 (Other Identifier: Health Canada CTA control number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.