Bioavailability and Pharmacokinetics Study of Sirukumab in Healthy Male Participants

A Phase 1, Randomized, Open-label, Parallel-design Study to Assess Absolute Bioavailability and Single-dose Pharmacokinetics Following Subcutaneous Administration of Sirukumab Delivered By A Pre-filled Syringe Fitted With UltraSafe Passive™ Delivery System or an Autoinjector in Healthy Male Subjects

The purpose of the study is to assess the bioavailability (the extent to which a medication becomes available to the body) of subcutaneously (under the skin using a needle) administered sirukumab and to compare the pharmacokinetics of sirukumab administered subcutaneously using a pre-filled syringe fitted with the UltraSafe Passive™ Delivery system (PFS-U) with the SmartJect™ Autoinjector (PFS-AI) in healthy male participants.

Study Overview

• Status: Completed
• Conditions: Healthy
• Intervention / Treatment: Drug: Sirukumab (IV infusion); Drug: Sirukumab (SC injection with PFS-U); Drug: Sirukumab (SC injection with PFS-U); Drug: Sirukumab (SC injection with PFS-AI); Drug: Sirukumab (SC injection with PFS-AI)

Detailed Description

This is a randomized (the study medication is assigned by chance), open-label (all people know the identity of the intervention), parallel-group (each group of participants will be treated at the same time), multicenter; single-dose study. Approximately 138 participants will be randomly allocated in a 3:3:3:7:7 ratio to 1 of the 5 treatment groups as follows: Group 1 (a single intravenous infusion of 100 mg sirukumab), Group 2 (a single subcutaneous [SC] injection of 50 mg sirukumab with PFS-U), Group 3 (a single SC injection of 50 mg sirukumab with PFS-AI, Group 4 (a single SC injection of 100 mg sirukumab with PFS-U), and Group 5 (a single SC injection of 100 mg sirukumab with PFS-AI). Randomization will be stratified by body weight (50.0 kg to <70.0 kg, 70.0 kg to <85.0 kg, 85.0 kg to 100.0 kg). Participants will be hospitalized in the study unit for administration of study drug and will be discharged after completion of all scheduled assessments on Day 5. Participants will be required to return to the study unit for outpatient visits on Days 6 and 7, followed by weekly/biweekly outpatient visits, and then a safety follow-up for a total of 13 weeks after study drug administration. Safety evaluations will include assessment of adverse events, physical examination, vital signs, injection site and infusion reactions, electrocardiogram, and clinical laboratory tests. The maximum study duration for each participant will be 120 days.

• Study Type: Interventional
• Enrollment (Actual): 144
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Arizona
    • Tempe, Arizona, United States
  • Nebraska
    • Lincoln, Nebraska, United States

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 55 years (Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

• Must have a weight in the range of 50.0 kg to 100.0 kg, inclusive
• Participant must be healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiogram performed at screening
• Each participant must sign an informed consent form (ICF) indicating that he understands the purpose of and procedures required for the study and is willing to participate in the study
• Must be willing and able to adhere to the study visit schedule and other protocol requirements
• Must agree to abstain from alcohol intake 48 hours before administration of study agent and during the inpatient period of the study

Exclusion Criteria:

• Have any known malignancy or history of malignancy, except for nonmelanoma skin cancer that has been treated with no evidence of recurrence for at least 3 months before Day 1
• Have a known history of lymphoproliferative disease, including lymphoma, or signs and symptoms suggestive of possible lymphoproliferative disease, such as lymphadenopathy and/or splenomegaly
• Have any underlying physical or psychological medical condition that, in the opinion of the investigator, would make it unlikely that the participant will complete the study
• Have evidence of any chronic medical condition requiring prescription medications (eg, hypertension, elevated cholesterol/triglycerides, asthma, or diabetes)
• Have a history of or current elevations in triglycerides that required treatment

Study Plan

How is the study designed?

Design Details

• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

5

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group 1; 18 participants will receive a single intravenous (IV) infusion of 100 mg sirukumab	Drug: Sirukumab (IV infusion); Participants will receive a single IV infusion of 100 mg sirukumab.
Experimental: Group 2; 18 participants will receive a single subcutaneous (SC) injection of 50 mg sirukumab using a Pre-filled Syringe (PFS) fitted with the UltraSafe Passive™ Delivery System (PFS-U)	Drug: Sirukumab (SC injection with PFS-U); Participants will receive a single SC injection of 50 mg sirukumab with PFS-U.; Drug: Sirukumab (SC injection with PFS-U); Participants will receive a single SC injection of 100 mg sirukumab with PFS-U.
Experimental: Group 3; 18 participants will receive a single SC injection of 50 mg sirukumab using the SmartJect™ Autoinjector (PFS-AI)	Drug: Sirukumab (SC injection with PFS-AI); Participants will receive a single SC injection of 50 mg sirukumab with PFS-AI.; Drug: Sirukumab (SC injection with PFS-AI); Participants will receive a single SC injection of 100 mg sirukumab with PFS-AI.
Experimental: Group 4; 42 participants will receive a single SC injection of 100 mg sirukumab using a PFS-U	Drug: Sirukumab (SC injection with PFS-U); Participants will receive a single SC injection of 50 mg sirukumab with PFS-U.; Drug: Sirukumab (SC injection with PFS-U); Participants will receive a single SC injection of 100 mg sirukumab with PFS-U.
Experimental: Group 5; 42 participants will receive a single SC injection of 100 mg sirukumab using a PFS-AI	Drug: Sirukumab (SC injection with PFS-AI); Participants will receive a single SC injection of 50 mg sirukumab with PFS-AI.; Drug: Sirukumab (SC injection with PFS-AI); Participants will receive a single SC injection of 100 mg sirukumab with PFS-AI.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Absolute bioavailability of 100 mg sirukumab administered subcutanoeusly	Bioavailability will be evaluated by using the formula: AUC from time zero to infinity with extrapolation of the terminal phase of SC injection divided by AUC from time zero to infinity with extrapolation of the terminal phase of IV infusion of sirukumab and multiplied by 100.	Up to Week 13
Maximum Observed Serum Concentration (Cmax) of 100 mg sirukumab administered subcutanoeusly	The Serum Concentration (Cmax) is defined as maximum observed analyte concentration.	Up to Week 13
Area Under the Serum Concentration-Time Curve From Time Zero to 77 days (AUC0-77d) of 100 mg sirukumab administered subcutanoeusly		Up to Week 13

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of participants with adverse events		Up to Week 13
Immunogenicity of sirukumab	Serum levels of antibodies to sirukumab will be used to evaluate potential immunogenicity.	Up to Week 13

Collaborators and Investigators

• Sponsor: Janssen Research & Development, LLC
• Collaborators: GlaxoSmithKline

Study record dates

Study Major Dates

• Study Start: March 1, 2014
• Primary Completion (Actual): January 1, 2015
• Study Completion (Actual): January 1, 2015

Study Registration Dates

• First Submitted: March 4, 2014
• First Submitted That Met QC Criteria: March 4, 2014
• First Posted (Estimate): March 5, 2014

Study Record Updates

• Last Update Posted (Estimate): March 9, 2016
• Last Update Submitted That Met QC Criteria: March 8, 2016
• Last Verified: March 1, 2016

More Information

Terms related to this study

• Keywords: Healthy; Pharmacokinetics; Subcutaneous; Bioavailability; Male; Sirukumab
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Immunologic Factors; Antibodies, Monoclonal
• Other Study ID Numbers: CR103367; CNTO136NAP1003 (Other Identifier: Janssen Research & Development, LLC)