- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06444048
Phase 1, Randomized, Double-Blind, Placebo-controlled Study to Evaluate the Safety and Tolerability of an Enterovirus D68-specific Monoclonal Antibody in Healthy Adults
A Phase 1, Placebo-Controlled, Double-Blinded Study to Assess the Safety and Pharmacokinetics of Single Ascending Doses of EV68-228-N Ins Healthy Adult Volunteers
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Maryland
-
Baltimore, Maryland, United States, 21201-1509
- University of Maryland, School of Medicine, Center for Vaccine Development and Global Health
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232-0011
- Vanderbilt University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provides written informed consent prior to initiation of any study procedures.
- Is able to understand and agrees to adhere to planned study procedures and is available for all study visits.
- Adult volunteers 18 to 49 years of age, inclusive.
- Females who are of childbearing potential must agree not to become pregnant. Not of childbearing potential includes post-menopausal females (defined as no menses for at least 12 months without an alternative medical cause for amenorrhea) or surgically sterile females with documented history of hysterectomy, bilateral oophorectomy, tubal ligation/salpingectomy, or Essure(R) placement.
Females who have sexual intercourse with male partners must agree to use at least one acceptable form of contraception for the duration of the study.
Acceptable methods of birth control include long-acting reversible contraception (LARC), combined pill, progestin-only pill, hormone-releasing transdermal patch or vaginal ring, and depot medroxyprogesterone acetate (DMPA) injection. Participants who choose to use a licensed hormonal product should use them for a minimum of 28 days prior to study infusion. True sexual abstinence or a monogamous relationship with a vasectomized partner who has been vasectomized for 180 days or more prior to the participant's first infusion are also acceptable contraceptive methods.
Participants who report practicing true abstinence, defined as no heterosexual vaginal-penile intercourse, need to practice true abstinence at all times during the study. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and the withdrawal method are not acceptable methods of contraception.
- Females of childbearing potential must agree to not donate ova or oocytes during the study.
- Participant is in good health Good health is defined by the absence of a medical condition described in the exclusion criteria. If the participant has another current, ongoing medical condition, the condition cannot meet any of the following criteria: (1) was first diagnosed within 3 months of enrollment with a clinically significant condition, in the opinion of investigator that has worsened within 3 months of enrollment; (2) had non-elective surgery, clinically significant medical procedure, or hospitalization within 3 months of enrollment; (3) received new prescription for systemic medication within 30 days of enrollment, unless the new prescription is in the same class of agent or a transition from generic to/from brand name equivalent; or (4) takes medication that may pose a risk to participant's safety or impede assessment of adverse events or study endpoints if they participate in the study.
- Must agree to refrain from donating blood or blood products during the study. This includes whole blood cells, red blood cells, platelets, plasma, and plasma derivatives collected and donated outside of the study blood draws.
- Body mass index (BMI) 18 kg/m2 to 32 kg/m2, inclusive, and a weight of 125 kg or less at time of screening.
- Must have adequate venous access for intravenous (IV) infusion and blood sampling.
Exclusion Criteria:
All participants meeting any of the exclusion criteria at baseline will be excluded from study participation.
- Positive pregnancy test at screening or prior to infusion.
- Female participant who is lactating.
- Presence of significant psychiatric condition, that in the opinion of the site PI or appropriate sub-investigator, precludes study participation.
- History of drug abuse or alcohol abuse within 6 months of enrollment that, in the opinion of the site PI or appropriate sub-investigator, precludes study participation.
Has a significant acute illness (with or without fever), as determined by the site PI or appropriate sub-investigator, within 72 hours prior to infusion.
If the participant meets all other eligibility criteria, they may be enrolled and dosed once they meet this eligibility criterion. If the illness resolves within the 28-day screening window, they do not need to be rescreened, otherwise they will need to be rescreened.
- Currently enrolled in or plans to participate in another clinical trial with an investigational agent that will be received during the study-reporting period.
Has a history of significant hypersensitivity, intolerance, or allergy to any drug compound, vaccine, food, or other substance, unless approved by the Investigator (or designee).
Sensitivity to glycine, citric acid, trisodium citrate, sorbitol, or polysorbate 80 (components of the study product) is exclusionary.
- Any history of an infusion reaction to any biologic product.
- Receipt of a monoclonal antibody in the 180 days prior to infusion.
- Receipt of a blood product within 120 days prior to infusion.
- Received any live-attenuated vaccine in the 28 days prior or any other vaccine in the 14 days prior to infusion.
Has used any prohibited medication within 30 days prior to Day 1 or plans to use prohibited medication during the study.
Prohibited medications include systemic immunosuppressive drugs, immune modulators (except acetaminophen or non-steroidal anti-inflammatory drugs), oral corticosteroids, and systemic anti-neoplastic agents. Topical, inhaled, and intranasal steroids, as well as topical anti-neoplastic agents are acceptable.
- Has clinically significant findings on 12-lead electrocardiogram. Clinical significance will be determined by a cardiologist. Examples of findings that will lead to exclusion are significant left ventricular hypertrophy, right or left bundle branch block, advanced A-V heart block, non-sinus rhythm (excluding isolated premature atrial contractions), pathologic Q wave abnormalities, significant ST-T wave changes, and prolonged QTc interval. Long QT interval is defined in males as a median QTcB greater than 450 msec or in females as a median QTcB greater than 460 msec (Bazett's correction) at screening.
Abnormal vital signs (Grade 1 or higher) at screening or on Day 1.
Grade 1 or higher is equivalent to:
Systolic blood pressure (SBP) > 140 mmHg or < 85 mmHg Diastolic blood pressure (DBP) > 90 mmHg Oral temperature >/= 38.0 degrees Celsius (100.4 degrees Fahrenheit)
Abnormal laboratory results that are Grade 1 or worse at screening based on the Toxicity Tables in Appendix B7.
Creatinine, alanine transaminase (ALT), hemoglobin (Hgb), platelets (PLT), white blood cell count (WBC), and total bilirubin (T bili).
Laboratory studies can be repeated once if an alternative, transient etiology for abnormal laboratory values is identified.
- Known, current human immunodeficiency virus (HIV), hepatitis B Virus (HBV), or hepatitis C virus (HCV) infection
- Has any medical disease or condition that, in the opinion of the site PI or appropriate sub-investigator, precludes study participation.
Medical conditions include, but are not limited to, kidney disease with creatinine clearance < 90 mL/min/1.73 cm2 (CKD-EPI method); known active liver disease including steatosis; ischemic heart disease, clinically significant cardiac conduction disorder, arrhythmia requiring treatment, congenital long QT syndrome, uncompensated heart failure; diabetes requiring insulin; neuropathy or myopathy; and malignancy (not including squamous cell skin cancer, basal cell skin cancer, or cervical low-grade squamous intraepithelial lesions).
Participation may be precluded due to safety concerns or inability to adequately evaluate clinical trial endpoints.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Cohort 1A
Healthy adult participants will be randomized at a 5:1 ratio.
10 participants to receive a 3 mg/kg single intravenous infusion of EV68-228-N and 2 Participants matching Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80)
|
EV68-228-N is a recombinant human monoclonal IgG1 antibody which is produced by genetically engineered plasmids in Nicotiana benthamiana.
This intervention is directed against enterovirus EV-D68 capsid protein potentially providing treatments for EV-D68 infection and AMF.
|
|
Placebo Comparator: Cohort 1B
Healthy adult participants will be randomized at a 5:1 ratio.
10 participants to receive a 3 mg/kg single intravenous infusion of EV68-228-N and 2 Participants matching Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80)
|
The placebo is a sterile buffer solution formulated to match the EV68-228-N Drug Product.
The formulation is 20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80, with a target pH of 5.5.
The placebo will be filled into glass vials at 10 mL per vial.
The formulation buffer is a clear colorless liquid.
|
|
Experimental: Cohort 2A
Healthy adult participants will be randomized at a 5:1 ratio to receive a single intravenous infusion of EV68-228-N and Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80) 10 mg/kg.
N=2
|
EV68-228-N is a recombinant human monoclonal IgG1 antibody which is produced by genetically engineered plasmids in Nicotiana benthamiana.
This intervention is directed against enterovirus EV-D68 capsid protein potentially providing treatments for EV-D68 infection and AMF.
|
|
Placebo Comparator: Cohort 2B
Healthy adult participants will be randomized at a 5:1 ratio to receive a single intravenous infusion of EV68-228-N and Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80) 10 mg/kg.
N=2
|
The placebo is a sterile buffer solution formulated to match the EV68-228-N Drug Product.
The formulation is 20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80, with a target pH of 5.5.
The placebo will be filled into glass vials at 10 mL per vial.
The formulation buffer is a clear colorless liquid.
|
|
Experimental: Cohort 3A
Healthy adult participants will be randomized at a 5:1 ratio to receive a single intravenous infusion of EV68-228-N N=10 and Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80) 30 mg/kg.
N=2
|
EV68-228-N is a recombinant human monoclonal IgG1 antibody which is produced by genetically engineered plasmids in Nicotiana benthamiana.
This intervention is directed against enterovirus EV-D68 capsid protein potentially providing treatments for EV-D68 infection and AMF.
|
|
Placebo Comparator: Cohort 3B
Healthy adult participants will be randomized at a 5:1 ratio to receive a single intravenous infusion of EV68-228-N N=10 and Placebo (20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80) 30 mg/kg.
N=2
|
The placebo is a sterile buffer solution formulated to match the EV68-228-N Drug Product.
The formulation is 20mM Citrate + 10 mM Glycine, 8% Sucrose, and 0.01% Polysorbate 80, with a target pH of 5.5.
The placebo will be filled into glass vials at 10 mL per vial.
The formulation buffer is a clear colorless liquid.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants Experiencing Solicited Adverse Events (AEs) Through 48 Hours Post-infusion
Time Frame: Day 1 (post-infusion) through 48 hours post-infusion
|
Number of participants in each treatment group experiencing at least one solicited AE of any severity through 48 hours post-infusion
|
Day 1 (post-infusion) through 48 hours post-infusion
|
|
Number of Participants Experiencing Unsolicited AEs - Including Clinical and Laboratory AEs - Through Day 29
Time Frame: Day 1 (post-infusion) through Day 29
|
Number of participants in each treatment group experiencing at least one unsolicited AE - including clinical and laboratory AEs - through Day 29
|
Day 1 (post-infusion) through Day 29
|
|
Number of Participants Experiencing Unsolicited Serious Adverse Events (SAEs), Medically Attended Adverse Events (MAAEs), and New Onset Chronic Medical Conditions (NOCMCs) Through the End of the Study
Time Frame: Day 1 (post-infusion) through Day 121
|
Number of participants in each treatment group experiencing at least one SAE, MAAE, or NOCMC through the end of the study.
|
Day 1 (post-infusion) through Day 121
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Area Under the Concentration-time Curve From Time 0 (Time of Infusion Start, t=0 Hours) to the Last Quantifiable Concentration (AUC0-last) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
Pharmacokinetics (PK) parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
AUC0-last is defined as the area under the concentration time-curve from time of infusion start (t=0 hours) to the last quantifiable concentration above the lower limit of quantitation (LLOQ)
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Area Under the Concentration-time Curve From Time 0 (Time of Infusion Start, t=0 Hours) to Infinity (AUC0-infinity) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
AUC0-infinity is defined as the area under the concentration time-curve from time of infusion start (t=0 hours) extrapolated to infinity based on the last observed concentration (Clast) and the elimination rate constant (lambda-z), where Clast is defined as the last observed positive concentration above the lower limit of quantitation (LLOQ) and lambda-z is defined as the first-order rate constant associated with the terminal (log-linear) portion of the concentration versus time curve describing the rate of elimination from serum.
Estimated by linear regression of time vs. log concentration, AUC0-infinity was computed by adding AUC0-last to an area extrapolated by Clast divided by lambda-z.
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Area Under the Concentration-time Curve From Time 0 (Time of Infusion Start, t=0 Hours) to 48 Hours Post-dose (AUC0-48) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
AUC0-48 is defined as the area under the concentration time-curve from time of infusion start (t=0 hours) to 48 hours post-infusion start.
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion
|
|
Maximum Observed Serum Concentration (Cmax) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
Cmax is defined as the maximum observed serum concentration.
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Time of Maximum Observed Serum Concentration (Tmax) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
Tmax is defined at the time of at which Cmax occurs.
Because non-steady state data was collected, the entire curve was considered.
If the maximum observed concentration was not unique, then the first maximum was used.
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Apparent Terminal Elimination Half-life (t1/2) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
t1/2 is defined as the time it takes serum concentrations to reduce by 50% during the terminal elimination phase and was estimated by the natural logarithm of 2 (ln(2)) divided by the elimination rate constant (lambda-z).
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Total Clearance (CL) of EV68-228-N in Serum
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
CL is defined as the total clearance and represents a volume that is cleared of the molecule of interest per hour.
It was calculated as the dose divided by the area under the concentration-time curve from time 0 (time of infusion start, t=0 hours) to infinity (AUC0-infinity).
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Volume of Distribution (Vz) of EV68-228-N in Serum During the Terminal Phase
Time Frame: Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
PK parameters were estimated from the EV68-228-N serum concentration-time data using Phoenix WinNonlin Non-compartmental analysis.
Vz is defined as the theoretical volume that the total amount of the molecule of interest would occupy if uniformly distributed at the concentration observed in serum.
If the terminal phase was adequately captured, this value should approximate the volume of distribution at steady state and was calculated as the total clearance (CL) divided by elimination rate constant (lambda-z).
|
Prior to infusion; end of infusion; 1, 3, 5, 24, and 48 hours after end of infusion; Days 8, 15, 29, 61, 91, and 121
|
|
Number of Participants With Detectable Anti-EV68-228-N Antibodies in Serum
Time Frame: Day 1 (pre-dose), Days 8, 15, 29, 61, 91, and 121
|
Anti-EV68-228-N antibodies were assessed utilizing a Meso Scale Discovery (MSD) Electrochemiluminescent (ECL) assay.
Detectable anti-EV68-228-N is defined as having a positive screening MSD ECL assay result AND a positive confirmatory MSD ECL assay result.
|
Day 1 (pre-dose), Days 8, 15, 29, 61, 91, and 121
|
Collaborators and Investigators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 23-0005
- 5UM1AI148684-04 (U.S. NIH Grant/Contract)
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.
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