- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02860715
Clinical Trial of GX-I7 in Healthy Volunteers
October 21, 2018 updated by: Genexine, Inc.
A Phase 1, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GX-I7 in Healthy Volunteers
This is a Phase 1, randomized, double-blind, placebo-controlled, single ascending dose study designed to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of GX-I7 in healthy volunteers.
Study Overview
Detailed Description
The subjects who are adequately eligible to attend this clinical trial via screening will be hospitalized one day prior to the injection (Day -1), administered a single dose of GX-I7 solution for subcutaneous injection, and then discharged on Day 3.
After completing all scheduled tests at the visit 8 (Day 28), safety-related data of each cohort will be evaluated by Independent Safety Monitoring Committee (SMC).
Dose escalation will proceed under the principal investigator, medical monitor, and the sponsor's mutual approval, referring to SMC's evaluation.
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Seoul, Korea, Republic of, 110-744
- Seoul National University Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
19 years to 45 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Subject is willing and able to give informed consent after listening character of the clinical trial
- Must be 19-45 years of age, inclusive
- Weight 50-100kg, BMI 18-30kg/m2
- Subject who is adequately able to attend the study based on medical history and physical exam, no clinically significant abnormality from vital sign and clinical laboratory values
- No clinical abnormality from ECG test
- Non-smoker (no smoking or no use of any product containing nicotine least for one month and negative from urine test)
Exclusion Criteria:
- Suspected or confirmed malignancy, or has malignancy history
- Any clinically significant acute or chronic medical condition requiring care of a physician, in liver, biliary tract, renal, nervous system (CNS or peripheral). respiratory system, endocrine (diabetes, hyperlipidemia etc), cardiovascular (congestive heart failure, coronary artery disease, myocardial infarction etc), hematology, malignancy, urinary disease, mental disorder, musculoskeletal disorder, immune system (rheumatoid arthritis, lupus etc), otorhinolaryngologic diseases
- Positive to HBsAg, hepatitis C virus (HCV) Ab and HIV Ab
- Are considering or scheduled to undergo any surgical or dental procedure during the study
- Administered other Investigational Product (IP) by attending other clinical study or biological equivalent study within recent 3 months
- Any Serious adverse drug reaction (SAR) against vaccines or antibiotics, any medical history with serious allergic diseases
- Positive from urine drug screen or respiratory alcohol screen at medical screening or check-in
- History of alcohol, drug, or substance abuse in the past 12 months
- Consumption of alcohol within 48 hours prior to hospitalization
- Medications with antacid, analgesic, herbal treatment, vitamin, mineral (except maximum 4 grams of acetaminophen) hormone, steroids, insulin, hypoglycemic drug or other hormone substitute within 14 days before administration
- Planning pregnancy or donation of sperm/disagreeing proper contraception during the study and 3 months following IP administration
- Do not have veins suitable for cannulation or multiple venipunctures
- Any other factor that the Investigator thinks will increase subject risk with participation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: SCREENING
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Cohort 1
GX-I7 SC 20㎍/㎏ (8 subjects) / Placebo (2 subjects)
|
Interleukin-7 (IL-7) is T cell growth factor that can be used for treating lymphopenia patients.
GX-I7 is a protein drug recombining human IL-7 and hybrid Fc (hyFc).
HyFc made by Genexine is composed of hinge-CH2 region of Immunoglobulin D (IgD) and CH2-CH3 region of Immunoglobulin G4 (IgG4).
The recombined region is not exposed and each region's characteristics can reduce immunogenicity and improve the efficacy of drug.
Consequently, it will be able to treat the patients with lymphopenia in effective ways.
Other Names:
This is the placebo of GX-I7 described above.
Other Names:
|
EXPERIMENTAL: Cohort 2
GX-I7 SC 60㎍/㎏ (8 subjects) / Placebo (2 subjects)
|
Interleukin-7 (IL-7) is T cell growth factor that can be used for treating lymphopenia patients.
GX-I7 is a protein drug recombining human IL-7 and hybrid Fc (hyFc).
HyFc made by Genexine is composed of hinge-CH2 region of Immunoglobulin D (IgD) and CH2-CH3 region of Immunoglobulin G4 (IgG4).
The recombined region is not exposed and each region's characteristics can reduce immunogenicity and improve the efficacy of drug.
Consequently, it will be able to treat the patients with lymphopenia in effective ways.
Other Names:
This is the placebo of GX-I7 described above.
Other Names:
|
EXPERIMENTAL: Cohort 3
GX-I7 IM 60㎍/㎏ (8 subjects) / Placebo (2 subjects)
|
Interleukin-7 (IL-7) is T cell growth factor that can be used for treating lymphopenia patients.
GX-I7 is a protein drug recombining human IL-7 and hybrid Fc (hyFc).
HyFc made by Genexine is composed of hinge-CH2 region of Immunoglobulin D (IgD) and CH2-CH3 region of Immunoglobulin G4 (IgG4).
The recombined region is not exposed and each region's characteristics can reduce immunogenicity and improve the efficacy of drug.
Consequently, it will be able to treat the patients with lymphopenia in effective ways.
Other Names:
This is the placebo of GX-I7 described above.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of adverse events including laboratory abnormality after Single Subcutaneous (SC) Injection of GX-I7
Time Frame: 4 weeks
|
Adverse events after injections.
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pharmacokinetic (PK) Assessment: Maximum serum concentration (Cmax)
Time Frame: 4 weeks
|
PK Parameters to be assessed by single SC administration will be Cmax.
|
4 weeks
|
Pharmacokinetic (PK) Assessment: Time to Cmax (Tmax)
Time Frame: 4 weeks
|
PK Parameters to be assessed by single SC administration will be Tmax.
|
4 weeks
|
Pharmacokinetic (PK) Assessment: apparent terminal half-life (t1/2)
Time Frame: 4 weeks
|
PK Parameters to be assessed by single SC administration will be t1/2.
t1/2=lnf(2)/λz (λz: invariable for speed of loss obtained from linear regression analysis in logarithmic plot of terminal phase)
|
4 weeks
|
Pharmacokinetic (PK) Assessment: Area under the curve from zero to last time of measurable concentration after single administration by trapezoidal rule (AUCt)
Time Frame: 4 weeks
|
PK Parameters to be assessed by single SC administration will be AUC (0-inf).
|
4 weeks
|
Pharmacokinetic (PK) Assessment: Area under the curve from zero to infinity (AUC(0-inf))
Time Frame: 4 weeks
|
PK Parameters to be assessed by single SC administration will be AUC(0-inf).
|
4 weeks
|
Pharmacodynamic (PD) Assessment: Emax of Absolute Lymphocyte Count (ALC)
Time Frame: 8 weeks
|
PD parameters will be determined by Emax of ALC, which will be compared with peripheral baseline.
|
8 weeks
|
Pharmacodynamic (PD) Assessment: Area Under The Effect-Time Curve Up To Last Quantifiable Effect (AUEClast) of ALC
Time Frame: 8 weeks
|
PD parameters will be determined by AUEClast of ALC, which will be compared with peripheral baseline.
|
8 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exploratory PD (PD) assessment: Change of the ratio of immune cells
Time Frame: 4 weeks
|
Change of the ratio of immune cells by flow cytometer
|
4 weeks
|
Exploratory PD (PD) assessment: T cells in lymphocytes by flow cytometer
Time Frame: 4 weeks
|
Cluster of Differentiation 4 (CD4) T and Cluster of differentiation 8 (CD8) T in lymphocytes by flow cytometer
|
4 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Howard Lee, M.D, Ph.D., Seoul National University Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Kang MC, Choi DH, Choi YW, Park SJ, Namkoong H, Park KS, Ahn SS, Surh CD, Yoon SW, Kim DJ, Choi JA, Park Y, Sung YC, Lee SW. Intranasal Introduction of Fc-Fused Interleukin-7 Provides Long-Lasting Prophylaxis against Lethal Influenza Virus Infection. J Virol. 2015 Dec 9;90(5):2273-84. doi: 10.1128/JVI.02768-15.
- Seo YB, Im SJ, Namkoong H, Kim SW, Choi YW, Kang MC, Lim HS, Jin HT, Yang SH, Cho ML, Kim YM, Lee SW, Choi YK, Surh CD, Sung YC. Crucial roles of interleukin-7 in the development of T follicular helper cells and in the induction of humoral immunity. J Virol. 2014 Aug;88(16):8998-9009. doi: 10.1128/JVI.00534-14. Epub 2014 Jun 4.
- Ahn SS, Jeon BY, Park SJ, Choi DH, Ku SH, Cho SN, Sung YC. Nonlytic Fc-fused IL-7 synergizes with Mtb32 DNA vaccine to enhance antigen-specific T cell responses in a therapeutic model of tuberculosis. Vaccine. 2013 Jun 12;31(27):2884-90. doi: 10.1016/j.vaccine.2013.04.029. Epub 2013 Apr 23.
- Martin CE, van Leeuwen EM, Im SJ, Roopenian DC, Sung YC, Surh CD. IL-7/anti-IL-7 mAb complexes augment cytokine potency in mice through association with IgG-Fc and by competition with IL-7R. Blood. 2013 May 30;121(22):4484-92. doi: 10.1182/blood-2012-08-449215. Epub 2013 Apr 22.
- Nam HJ, Song MY, Choi DH, Yang SH, Jin HT, Sung YC. Marked enhancement of antigen-specific T-cell responses by IL-7-fused nonlytic, but not lytic, Fc as a genetic adjuvant. Eur J Immunol. 2010 Feb;40(2):351-8. doi: 10.1002/eji.200939271.
- Park SH, Song MY, Nam HJ, Im SJ, Sung YC. Codelivery of IL-7 Augments Multigenic HCV DNA Vaccine-induced Antibody as well as Broad T Cell Responses in Cynomolgus Monkeys. Immune Netw. 2010 Dec;10(6):198-205. doi: 10.4110/in.2010.10.6.198. Epub 2010 Dec 31.
- Lee SW, Choi D, Heo M, Shin EC, Park SH, Kim SJ, Oh YK, Lee BH, Yang SH, Sung YC, Lee H. hIL-7-hyFc, A Long-Acting IL-7, Increased Absolute Lymphocyte Count in Healthy Subjects. Clin Transl Sci. 2020 Nov;13(6):1161-1169. doi: 10.1111/cts.12800. Epub 2020 May 20.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
July 11, 2016
Primary Completion (ACTUAL)
January 20, 2017
Study Completion (ACTUAL)
June 2, 2018
Study Registration Dates
First Submitted
June 15, 2016
First Submitted That Met QC Criteria
August 4, 2016
First Posted (ESTIMATE)
August 9, 2016
Study Record Updates
Last Update Posted (ACTUAL)
October 23, 2018
Last Update Submitted That Met QC Criteria
October 21, 2018
Last Verified
October 1, 2018
More Information
Terms related to this study
Other Study ID Numbers
- GX-I7-HV-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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.
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