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Safety, Tolerability and PK/PD of RB006 in a Healthy Volunteer SAD (SC101)

4. Juni 2013 aktualisiert von: Regado Biosciences, Inc.

A Phase 1 Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RB006 Administered Subcutaneously, With and Without IV RB007, in Healthy Young Volunteers

This was a Phase 1a, single-center, double-blind, randomized, placebo-controlled study of the safety, tolerability, PK, and PD of single ascending doses of RB006 administered as an SC injection, with and without IV RB007 (an active control agent for RB006), in healthy young volunteers. The study originally planned to enroll 4 cohorts of 8 subjects each (N=32); however, upon review cohort (Cohort 1-A) was necessary in order to fully define the PK profile of SC RB006. Therefore, 36 subjects were enrolled in this study.

Each cohort was balanced by sex with no more than 2/3 of one sex enrolled in any particular cohort (i.e., 5 of 8 subjects in each cohort). No subject participated in >1 dose group, and progression to the next higher dose only occurred if the prior dose level was well tolerated, as assessed by a Safety Review Committee (SRC)

Studienübersicht

Studientyp

Interventionell

Einschreibung (Tatsächlich)

36

Phase

  • Phase 1

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre bis 45 Jahre (Erwachsene)

Akzeptiert gesunde Freiwillige

Ja

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  1. An Institutional Review Board (IRB)-approved informed consent was signed and dated prior to any study-related activities.
  2. Subject was between the ages of 18 and 45 years, inclusive.
  3. Subject was a female with a negative urine or serum pregnancy test or postmenopausal for at least 1 year prior to randomization.
  4. Subject had a body mass index (BMI) between 18 kg/m2 and 32 kg/m2 (weight/[height]2) and was ≥50 kg and ≤120 kg total body weight.
  5. Subject had normal (or abnormal and clinically insignificant) laboratory values at Screening.
  6. Subject was medically normal with no significant abnormal findings at the Screening physical examination.
  7. Subject had the ability to understand the requirements of the study and a willingness to comply with all study procedures.
  8. Subject had not consumed and agreed to abstain from taking any dietary supplements or nonprescription drugs
  9. Subject had not consumed and agreed to abstain from taking any prescription drugs
  10. Subject had not consumed alcohol-containing beverages for 3 days prior to CRU admission
  11. Subject had not consumed grapefruit or grapefruit juice within the 14 days prior to CRU admission
  12. Subject had not used tobacco or nicotine-containing products within 6 months prior to CRU admission

Exclusion Criteria:

  1. Evidence or history of clinically significant oncologic, pulmonary, hepatic, gastrointestinal (GI), cardiovascular, hematologic, metabolic, neurological, immunologic, nephrologic, endocrine, or psychiatric disease.
  2. Any evidence or history of intracranial bleeding, aneurysm, or thrombotic or hemorrhagic stroke.
  3. Any known individual or family history of a bleeding diathesis or coagulopathy.
  4. Active or expected menstruation during the Treatment Phase (females only).
  5. History of thrombocytopenia associated with abnormal bleeding or risk of a bleeding event, or screening or baseline platelet count <100,000/mm3.
  6. History of thrombocytosis associated with a thrombotic event or risk for a thrombotic event, or screening or baseline platelet count >600,000/mm3.
  7. Endoscopically confirmed peptic ulcer disease within 3 years of CRU admission or GI bleeding within 3 months of CRU admission, including a positive stool for occult blood at Screening or Baseline.
  8. Urinary tract bleeding within 3 months of CRU admission, including microscopic hematuria on screening or baseline urinalysis.
  9. Unusual or prolonged bleeding (e.g., gum bleeding, nosebleeds, easy bruising), as documented on the Self-Reported Bleeding Questionnaire, at Screening.
  10. Severe trauma, fracture, major surgery, or biopsy of a parenchymal organ within 3 months of CRU admission.
  11. Severe persistent hypertension (systolic pressure >180 mmHg or diastolic pressure >110 mmHg).
  12. Baseline hemoglobin <12.0 g/dL for males or <11.0 g/dL for females; prothrombin time (PT) greater than the ULN; or aPTT greater than the ULN.
  13. Clinically significant liver dysfunction (e.g., as evidenced by elevated liver function tests).
  14. Clinically significant renal dysfunction (e.g., estimated glomerular filtration rate <60 mL/min or serum creatinine >1.5 mg/dL).
  15. History of illicit drug abuse in the past year or current evidence of such abuse in the opinion of the Investigator.
  16. Positive findings on urine drug screen.
  17. Positive findings for human immunodeficiency virus, hepatitis B, and/or hepatitis C at Screening.
  18. Pregnant or lactating.
  19. Acute illness within 1 week of CRU admission.
  20. A history of alcohol abuse in the past year relative to CRU admission.
  21. Donated plasma within 7 days of study drug administration.
  22. Donated 1 or more pints of blood (or equivalent blood loss) within 6 weeks prior to study drug administration.
  23. Use of an investigational drug within 30 days prior to CRU admission or prior REG1 Anticoagulation System exposure.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Vervierfachen

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Sonstiges: Cohort 1
Cohort 1: 6 subjects received Subcutaneous RB006 0.5 mg/kg and 2 subjects received SC placebo
Placebo
Andere Namen:
  • SC Placebo
Subcutaneous RB006 0.5 mg/kg
Andere Namen:
  • SC RB006
Sonstiges: Cohort 1-A
Cohort 1-A: 4 subjects received open-label Subcutaneous RB006 0.5 mg/kg
Subcutaneous RB006 0.5 mg/kg
Andere Namen:
  • SC RB006
Sonstiges: Cohort 2
Cohort 2: 6 subjects received Subcutaneous RB006 1.0 mg/kg and 2 subjects received SC placebo
Placebo
Andere Namen:
  • SC Placebo
Subcutaneous RB006 1.0 mg/kg
Andere Namen:
  • SC RB006
Sonstiges: Cohort 3
Cohort 3: 6 subjects received Subcutaneous RB006 3.0 mg/kg and 2 subjects received SC placebo
Placebo
Andere Namen:
  • SC Placebo
Subcutaneous RB006 3.0 mg/kg
Andere Namen:
  • SC RB006
Sonstiges: Cohort 4

8 subjects received subcutaneous RB006 2.0 mg/kg as well as the following:

  • 4 subjects received an IV bolus injection of 1 mg/kg RB007 at 72 hours post-RB006 administration
  • 4 subjects received an IV bolus injection of 1 mg/kg RB007 at 24, 72, and 120 hours post-RB006 administration
  • Arm 1: 4 subjects received an IV bolus injection of 1 mg/kg RB007 at 72 hours post-RB006 administration
  • Arm 2: 4 subjects received an IV bolus injection of 1 mg/kg RB007 at 24, 72, and 120 hours post-RB006 administration.
Andere Namen:
  • SC RB006

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
Primary Outcome of this study using SC RB006 with and without RB007 in healthy volunteers was safety as determined by Treatment Emergent Adverse Events
Zeitfenster: 10 days
10 days

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Zeitfenster
Outcome of this study using SC RB006 with and without RB007 in healthy volunteers was safety as determined by Serious Adverse Events
Zeitfenster: 10 days
10 days
Outcome of this study using SC RB006 with and without RB007 in healthy volunteers was pharmacodynamics as determined by change from baseline in aPTT
Zeitfenster: Pre-dose, 1, 2, 3, 6, 9, 12, 15, 18, 24, 30, 36, 48, 60, 72, 84, 96, 120, 144, 168, 216 (and if applicable, 264) hours post RB006 dose
Pre-dose, 1, 2, 3, 6, 9, 12, 15, 18, 24, 30, 36, 48, 60, 72, 84, 96, 120, 144, 168, 216 (and if applicable, 264) hours post RB006 dose
Outcome of this study using SC RB006 with and without RB007 in healthy volunteers was pharmacokinetics as determined by Maximum Observed Plasma Concentration (Cmax)
Zeitfenster: Pre-dose, 1, 2, 3, 6, 9, 12, 15, 18, 24, 30, 36, 48, 60, 72, 84, 96, 120, 144, 168, and 216 (and if applicable, 264) hours post-RB006 dose
Pre-dose, 1, 2, 3, 6, 9, 12, 15, 18, 24, 30, 36, 48, 60, 72, 84, 96, 120, 144, 168, and 216 (and if applicable, 264) hours post-RB006 dose

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Ermittler

  • Hauptermittler: Matthew M Medlock, MD, PPD

Publikationen und hilfreiche Links

Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. August 2009

Primärer Abschluss (Tatsächlich)

1. Dezember 2009

Studienabschluss (Tatsächlich)

1. Dezember 2009

Studienanmeldedaten

Zuerst eingereicht

2. Juni 2013

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

4. Juni 2013

Zuerst gepostet (Schätzen)

7. Juni 2013

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Schätzen)

7. Juni 2013

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

4. Juni 2013

Zuletzt verifiziert

1. Juni 2013

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • REG1-CLINSC101

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