Study in Healthy Volunteers Evaluating Safety and Pharmacokinetics of Zika Virus Immune Globulin (ZIKV-IG)

March 14, 2024 updated by: Emergent BioSolutions

Safety and Pharmacokinetic Evaluation of Zika Virus Immune Globulin in Healthy Volunteers

Currently, there are no licensed therapeutics against Zika virus infection. Due to this unmet medical need, Zika Virus Immune Globulin (ZIKV-IG) is being developed as a therapeutic intervention against Zika virus infection. In this first-in-human study, evaluation of ZIKV-IG safety and pharmacokinetics (absorption, metabolism and excretion) will be conducted in healthy adult volunteers.

Study Overview

Detailed Description

This study will be evaluating safety and pharmacokinetics (PK) of one dose level of ZIKV-IG (50 mL) in healthy adult volunteers. The study is a single-center, double-blind, randomized and placebo-controlled design. The primary objective is to assess safety of intravenously (IV) administered ZIKV-IG, while the secondary objective is to determine the PK profile of ZIKV-IG in healthy adult volunteers.

There will be a total of 30 subjects enrolled into the study; dosing of the first six subjects will be staggered over three separate days, wherein two subjects per day will be randomized 1:1 to either receive 50 mL of placebo IV or 50 mL of ZIKV-IG IV (the total amount of gamma immune globulin [IgG] protein from a single 50mL dose is 4.65g). After the first six subjects are dosed, the remaining 24 subjects will be randomized 2:1 to receive either ZIKV-IG or placebo. A safety monitoring committee will review safety data (collected up to 3 days post-dosing) of the first 12 dosed subjects prior to dosing of the remaining 18 subjects. Overall, there will be 19 subjects randomized to receive ZIKV-IG and 11 subjects randomized to receive placebo on Day 1. On Day 1 (post-dose at 1 hour, 3 hours, 8 hours) and Day 2, safety and PK assessments will be conducted while the subjects are in the Phase 1 clinic. After the discharge on Day 2, the subjects will come back to the clinic for safety and PK assessments on Days 3, 4, 6, 8, 10, 12, 15, 22, 29, 43, 57 and 85. Total study duration for each subject will be up to 4 months (from screening to Day 85).

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

    • Ontario
      • Toronto, Ontario, Canada, M5V 2T3
        • Syneos Health, Early Phase

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

18 years to 55 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  1. Informed consent voluntarily signed by subject.
  2. Age: 18-55 years of age.
  3. Blood type O+ or O-.
  4. Body mass index (BMI) of 18-30.

    • Note: minimum body weight of 50 kg.
  5. For female subjects (with male partners) that are not surgically sterilized (e.g., did not undergo hysterectomy, bilateral oophorectomy or tubal ligation), use of an effective method of contraception throughout the trial including:

    • Using hormonal contraception (oral, injectable or implant) continuously for 3 months prior to screening and willing to continue to use hormonal contraception throughout the entire trial.
    • Intrauterine device (IUD) inserted at least 1 month prior to screening.
    • Double barrier type of birth control measure (e.g., condoms, diaphragms, cervical sponge with spermicide).
    • True abstinence.
    • For female subjects who are post-menopausal, documented follicle- stimulating hormone (FSH) ≥40 milli-international units per milliliter (mIU/mL) must be obtained. If the FSH is <40 mIU/mL, the subject must agree to use an acceptable form of contraception (see above).
    • Females of childbearing potential without male sexual partners must be willing to maintain their sexual status as it is throughout the study.
  6. For male subjects that have not had a vasectomy, use of a condom with spermicide or true abstinence for the duration of the study. Note: female partners (that are of childbearing potential) of male study subjects (that have not had a vasectomy) should use one of the effective contraception methods (eg, hormonal contraception, IUD or barrier type). Also, male subjects must not donate sperm for the duration of the study.

    • Males without female sexual partners must be willing to maintain their sexual status as it is throughout the study.
  7. Healthy as determined by principal investigator or a qualified designate based on medical history, physical exam, vital signs, urinalysis, blood chemistry and hematology test results at screening.

Exclusion Criteria:

  1. Use of any investigational product within the past 30 days.
  2. Use of any investigational product during the study.
  3. Individuals with blood type A, B or AB.
  4. Recipient of any blood product within the past 12 months.
  5. Plasma donation within 7 days or significant blood loss or blood donation within 56 days of baseline.
  6. Blood donation at any time during the study.
  7. Females with a hemoglobin level ≤120 g/L.
  8. Males with a hemoglobin level <130 g/L.
  9. History of hypersensitivity to blood or plasma products.
  10. History of allergy to latex or rubber.
  11. History of immunoglobulin A (IgA) deficiency.
  12. History of hypercoagulable conditions (e.g., deep vein thrombosis or pulmonary embolism).
  13. History of myocardial infarction.
  14. History of stroke.
  15. History of renal impairment/failure.
  16. Currently pregnant or lactating or planning to become pregnant during the study.
  17. History of flavivirus infection [ZIKV, dengue virus (DENV), West Nile virus (WNV), Japanese encephalitis virus (JEV), yellow fever virus (YFV)] or vaccination with licensed or investigational flavivirus vaccine.
  18. Plans to travel to an area with active flavivirus (e.g., ZIKV and/or DENV) transmission during the study (and up to 10 months after the study drug administration) or has returned from an endemic area with these diseases within 30 days of screening.
  19. Positive nucleic acid test (NAT) or serology for ZIKV or positive serology for WNV or DENV.
  20. Positive serology test (at screening) for human immunodeficiency virus 1 and 2 (HIV), hepatitis C virus (HCV); positive test for hepatitis B virus (HBV) as determined by HBsAg.
  21. History of chronic or acute severe neurologic condition (e.g., diagnosis of Guillain-Barre syndrome, epilepsy, Bell's palsy, meningitis or disease with any focal neurologic deficits).
  22. Heavy smokers (≥15cigarettes a day) or electronic cigarette use.
  23. History of, or suspected substance abuse problem (including alcohol).
  24. Failure of drug (urine) test at screening or baseline.
  25. Failure of alcohol (breath) test at screening or baseline.
  26. Receipt of a live vaccine within 28 days prior to screening or anticipated receipt of a live vaccine during the study period.
  27. Individuals with planned surgical procedures that will occur during the study.
  28. An opinion of the investigator that it would be unwise to allow participation of the subject in the study.

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: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Zika Virus Immune Globulin (ZIKV-IG)
Single dose of 50 mL Zika Virus Immune Globulin (ZIKV-IG) will be administered intravenously over 33 minutes.
Zika Virus Immune Globulin (ZIKV-IG) is a human immune globulin preparation containing neutralizing antibodies to Zika virus.
Other Names:
  • Anti-Zika Immune Globulin (Human)
  • NP-024
Placebo Comparator: Placebo (Saline Solution)
Single dose of 50 mL placebo will be administered intravenously over 33 minutes.
Placebo is a normal saline solution (0.9% sodium chloride).
Other Names:
  • Saline solution

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Subjects With Adverse Events.
Time Frame: Up to Day 85
Number of subjects with of adverse events by severity.
Up to Day 85

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Maximum Concentration (Cmax)
Time Frame: 0-2 hours predose to Day 85 postdose
Maximum observed serum concentration of Zika Virus Immune Globulin (ZIKV-IG)
0-2 hours predose to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Time to Maximum Concentration (Tmax)
Time Frame: 0-2 hours predose up to Day 85 postdose
Time at which maximum serum concentration of Zika Virus Immune Globulin (ZIKV-IG) occurs.
0-2 hours predose up to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Up to Last Quantifiable Concentration (AUC0-t)
Time Frame: 0-2 hours predose to Day 85 postdose
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration.
0-2 hours predose to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Area Under the Curve Extrapolated to Infinity (AUC0-inf)
Time Frame: 0-2 hours predose up to Day 85 postdose
Area under the concentration-time curve from time 0 to the last quantifiable serum Zika Virus Immune Globulin (ZIKV-IG) concentration, plus the area extrapolated to infinity.
0-2 hours predose up to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Clearance (CL)
Time Frame: 0-2 hours predose up to Day 85 postdose
Total body clearance of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.
0-2 hours predose up to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Half-Life (t1/2)
Time Frame: 0-2 hours predose up to Day 85 postdose
Apparent first order terminal elimination half-life of Zika Virus Immune Globulin (ZIKV-IG).
0-2 hours predose up to Day 85 postdose
Assessment of Zika Virus Immune Globulin (ZIKV-IG) Volume of Distribution (Vz)
Time Frame: 0-2 hours predose up to Day 85 postdose
Volume of distribution of Zika Virus Immune Globulin (ZIKV-IG) following IV administration.
0-2 hours predose up to Day 85 postdose

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Vadim Dreyzin, MD, Syneos Health
  • Principal Investigator: Michael McDonnell, MD, Syneos Health

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.

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)

June 27, 2018

Primary Completion (Actual)

March 6, 2019

Study Completion (Actual)

March 6, 2019

Study Registration Dates

First Submitted

August 7, 2018

First Submitted That Met QC Criteria

August 9, 2018

First Posted (Actual)

August 10, 2018

Study Record Updates

Last Update Posted (Actual)

March 18, 2024

Last Update Submitted That Met QC Criteria

March 14, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

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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