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A Study to Test Safety, Tolerability, and the Way the Body Absorbs, Distributes, and Gets Rid of a Study Drug Called MOR106, in Healthy Subjects and in Patients With Moderate to Severe Atopic Dermatitis

16 de marzo de 2020 actualizado por: Galapagos NV

A Parallel-design Phase 1 Study to Assess Safety, Tolerability and Pharmacokinetics/Exposure Following Different Single Dose Levels of MOR106 (Administered Subcutaneously or Intravenously) in Healthy Male Subjects (Randomized, Open-label), and in Subjects With Moderate to Severe Atopic Dermatitis (Randomized, Placebo-controlled, Double-blind, Repeated Subcutaneous Dosing Over 12 Weeks)

The clinical study consists of three parts:

  • Part 1 with healthy volunteers.
  • Part 2 and Part 3 including subjects with moderate to severe atopic dermatitis (a skin disease).

For Part 1 the main goal of the study is to compare the safety, tolerability, and exposure of administration of the test drug via an injection in a skin layer just under the surface (subcutaneous), to administration of the test drug into the vein (intravenous).

For Part 2 and Part 3 the main goal of the study is to assess the safety and tolerability of administration of the test drug via an injection in a skin layer just under the surface (subcutaneous) during 12 weeks of treatment.

Descripción general del estudio

Estado

Terminado

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

44

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Augsburg, Alemania, 86179
        • Klinikum Augsburg Süd
      • Dessau, Alemania, 06847
        • Municipal Hospital Dessau
      • Dresden, Alemania, 1307
        • University Hospital Carl Gustav Carus
      • Erlangen, Alemania, 91054
        • University Hospital Erlangen, Department of Dermatology
      • Magdeburg, Alemania, 39120
        • Medical Faculty University Clinic Magdeburg, University dermatology clinic
      • Recklinghausen, Alemania, 45657
        • Vest Clinic, Department of Dermatology and Allergy
      • Alicante, España, 03010
        • Hospital General Universitario de Alicante
      • Madrid, España, 28034
        • Hospital Ramon Y Cajal
      • Sevilla, España, 41009
        • Hospital Universitario Virgen Macarena
      • Valencia, España, 46014
        • Hospital General Universitario de Valencia
      • Manchester, Reino Unido
        • MEU
      • Northwood, Reino Unido, HA6 2RN
        • MeDiNova North London
      • Romford, Reino Unido, RM1 3PJ
        • MeDiNova East London
      • Sidcup, Reino Unido, DA14 6LT
        • MeDiNova South London
      • Kapitanivka, Ucrania, 08112
        • ARENSIA

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

Part 1:

  • Male between 18-50 years of age (extremes included), on the day of signing the informed consent form (ICF).
  • Subjects between 65-88 kg (extremes included) with a body mass index (BMI) between 18-30 kg/m², inclusive.
  • Judged to be in good health based upon the results of a medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and screening laboratory profile prior to the initial investigation medicinal product (IMP) administration.

Part 2 and Part 3:

  • Male or female between 18-65 years of age (extremes included), on the day of signing ICF.
  • A BMI between 18-30 kg/m², inclusive.
  • Diagnosis of AD for at least one year since first diagnosis as per Hanifin and Rajka Criteria.
  • EASI ≥ 12 at screening and ≥ 16 at the baseline visit (Day 1 predose)
  • ≥ 10% BSA of AD involvement at screening.
  • IGA score ≥ 3 (on 0-4 IGA scale).
  • Willingness to use an additive free, basic, bland emollient twice daily for at least seven days before the baseline visit and throughout the study.
  • Subject is a candidate for systemic therapy and is not responding adequately or has a contraindication to topical corticosteroids (TCS) and / or topical calcineurin inhibitors (TCI), per investigator's judgment.

Exclusion Criteria:

Part 1, Part 2 and Part 3:

  • Known hypersensitivity to IMP ingredients as determined by the investigator (such as, but not limited to, anaphylaxis requiring hospitalization).
  • Prior treatment with MOR106.
  • Any concurrent illness, condition, disability, or clinically significant abnormality (including laboratory tests, ≥ New York Heart Association Classification (NYHA) III/IV) or clinically significant illness in the three months prior to initial IMP administration that, in the investigator's opinion, represents a safety risk for the subject's participation in the study, may affect the interpretation of clinical safety or efficacy data, or may prevent the subject from safely completing the assessments required by the protocol.
  • History of, or current immunosuppressive condition.

In addition for Part 2 and 3:

  • Active chronic or acute skin infection requiring treatment with systemic (oral, sc or iv) antibiotics, antivirals or antifungals within 4 weeks of baseline, or clinical signs of infective eczema within 1 week before baseline (Day 1 pre-dose).
  • Having used any of the following treatments:

    i) Exposure to a biologic therapy for AD. ii) Immunosuppressive/ immunomodulating drugs (e.g. systemic corticosteroids, cyclosporine, mycophenolate-mofetil, interferon-γ (IFN-γ), azathioprine, methotrexate, etc.) within 4 weeks of baseline. iii) Phototherapy (ultraviolet (UVB) or Psoralen Ultraviolet A [PUVA]) for AD within four weeks of baseline. iv) Treatment with TCS or TCI within two weeks before the baseline visit. v) Treatment with biologics (for non-AD indications) within five half-lives (if known) or 12 weeks prior to baseline visit, whichever is longer. vi) Regular use (more than two visits per week) of a tanning booth/parlor within four weeks of the screening visit.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Ciencia básica
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: MOR106 Single Dose A, i.v. infusion, Part 1
A single dose of MOR106 will be administered by i.v. infusion.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Experimental: MOR106 Single Dose B, s.c. injection, Part 1
A single dose of MOR106 will be administered by s.c. injection.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Experimental: MOR106 Single Dose C, s.c. injection, Part 1
A single dose of MOR106 will be administered by s.c. injection.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Experimental: MOR106 Single Dose D, s.c. injection, Part 1
A single dose of MOR106 will be administered by s.c. injection.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Experimental: MOR106 Repeated Doses E, s.c. injection, Part 2
Repeated doses of MOR106 will be administered by s.c. injection with a loading dose on the first day of administration.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Comparador de placebos: Placebo s.c.injection, Part 2
Corresponding Placebo will be administered by s.c. injection.
Corresponding placebo s.c. injections.
Experimental: MOR106 Repeated Doses F, s.c. injection, Part 3
Repeated doses of MOR106 will be administered by s.c. injection with a loading dose on the first day of administration.
The active pharmaceutical drug substance of MOR106 is a human immunoglobulin gamma-1 (IgG1) monoclonal antibody that binds with a high apparent affinity to human interleukin-17C (IL-17C).
Comparador de placebos: Placebo s.c.injection, Part 3
Corresponding Placebo will be administered by s.c. injection.
Corresponding placebo s.c. injections.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
The number of incidents of Treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), serious adverse events (SAEs) and discontinuations due to Adverse Events (AEs) Part 1.
Periodo de tiempo: From study drug administration until Day 50 postdose or early discontinuation (ED) visit
To evaluate the safety and tolerability of single doses of MOR106 administered s.c. in comparison to i.v.
From study drug administration until Day 50 postdose or early discontinuation (ED) visit
The number of incidents of Treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), serious adverse events (SAEs) and discontinuations due to Adverse Events (AEs) Part 2.
Periodo de tiempo: From study drug administration until Day 197 postdose or early discontinuation (ED) visit
To evaluate the safety and tolerability of multiple doses of MOR106 administered s.c.
From study drug administration until Day 197 postdose or early discontinuation (ED) visit
The number of incidents of Treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), serious adverse events (SAEs) and discontinuations due to Adverse Events (AEs) Part 3.
Periodo de tiempo: From study drug administration until Day 155 postdose or early discontinuation (ED) visit
To evaluate the safety and tolerability of multiple doses of MOR106 administered s.c.
From study drug administration until Day 155 postdose or early discontinuation (ED) visit
AUC ratio between s.c. and i.v. dosing (area under the plasma concentration-time curve) Part 1.
Periodo de tiempo: Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
To determine the relative bioavailability following sc route of administration.
Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
Area under the serum concentration-time curve from time zero to infinity (AUC0-inf) Part 1.
Periodo de tiempo: Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
To characterize the pharmacokinetics (PK) of MOR106.
Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
Terminal elimination half-life (t1/2) Part 1.
Periodo de tiempo: Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
To characterize the PK of MOR106.
Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
Maximum observed plasma concentration (Cmax) Part 1.
Periodo de tiempo: Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit
To characterize the PK of MOR106.
Between Day 1 study period and Day 50 postdose or early discontinuation (ED) visit

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Occurrence of anti-drug antibodies (ADA) Part 1.
Periodo de tiempo: From baseline through Day 50 postdose or early discontinuation (ED) visit
To monitor the occurrence of ADA after single administrations of MOR106.
From baseline through Day 50 postdose or early discontinuation (ED) visit
Occurrence of anti-drug antibodies (ADA) Part 2.
Periodo de tiempo: From baseline through Day 197 postdose or early discontinuation (ED) visit
To monitor the occurrence of ADA after multiple administrations of MOR106.
From baseline through Day 197 postdose or early discontinuation (ED) visit
Occurrence of anti-drug antibodies (ADA) Part 3.
Periodo de tiempo: From baseline through Day 155 postdose or early discontinuation (ED) visit
To monitor the occurrence of ADA after multiple administrations of MOR106.
From baseline through Day 155 postdose or early discontinuation (ED) visit
MOR106 serum concentrations after multiple s.c. administrations Part 2.
Periodo de tiempo: Between Day 1 study period and Day 197 postdose or early discontinuation (ED) visit
Steady-state will be assessed using MOR106 serum concentrations.
Between Day 1 study period and Day 197 postdose or early discontinuation (ED) visit
MOR106 serum concentrations after multiple s.c. administrations Part 3.
Periodo de tiempo: Between Day 1 study period and Day 155 postdose or early discontinuation (ED) visit
Steady-state will be assessed using MOR106 serum concentrations.
Between Day 1 study period and Day 155 postdose or early discontinuation (ED) visit
Percent change in Eczema Area and Severity Index (EASI) Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Percent change in Eczema Area and Severity Index (EASI) Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Proportion of subjects who achieve ≥50% overall improvement in Eczema Area and Severity Index (EASI) score Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Proportion of subjects who achieve ≥50% overall improvement in Eczema Area and Severity Index (EASI) score Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Time to first response of Eczema Area and Severity Index (EASI) improvement with 50% Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Time to first response of Eczema Area and Severity Index (EASI) improvement with 50% Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score. The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Proportion of subjects who achieve ≥75% and ≥90% improvement in Eczema Area and Severity Index (EASI) Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score,The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Proportion of subjects who achieve ≥75% and ≥90% improvement in Eczema Area and Severity Index (EASI) Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of EASI score,The EASI score ranges are between 0 (no eczema) and 72. Higher values represent a worse outcome.
From baseline to Day 85
Proportion of subjects who achieve an Investigators' Global Assessment (IGA) score of 0 or 1 Part 2.
Periodo de tiempo: at Day 85 visit
To assess the efficacy of MOR106 by use of IGA score, an assessment scale to determine severity of AD and clinical response to treatment based on a 5-point scale ranging from 0 (clear) to 4 (severe) score. Higher values represent a worse outcome.
at Day 85 visit
Proportion of subjects who achieve an Investigators' Global Assessment (IGA) score of 0 or 1 Part 3.
Periodo de tiempo: at Day 85 visit
To assess the efficacy of MOR106 by use of IGA score, an assessment scale to determine severity of AD and clinical response to treatment based on a 5-point scale ranging from 0 (clear) to 4 (severe) score. Higher values represent a worse outcome.
at Day 85 visit
Proportion of subjects who achieve an Investigators' Global Assessment (IGA) score reduction of ≥2 Part 2.
Periodo de tiempo: at Day 85 visit
To assess the efficacy of MOR106 by use of IGA score, an assessment scale to determine severity of AD and clinical response to treatment based on a 5-point scale ranging from 0 (clear) to 4 (severe) score. Higher values represent a worse outcome.
at Day 85 visit
Proportion of subjects who achieve an Investigators' Global Assessment (IGA) score reduction of ≥2 Part 3.
Periodo de tiempo: at Day 85 visit
To assess the efficacy of MOR106 by use of IGA score, an assessment scale to determine severity of AD and clinical response to treatment based on a 5-point scale ranging from 0 (clear) to 4 (severe) score. Higher values represent a worse outcome.
at Day 85 visit
Percent change in Scoring Atopic Dermatitis (SCORAD) score Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of SCORAD.The SCORAD evaluates the extent of atopic dermatitis and ranges between 0 and 103. Higher values represent a worse outcome.
From baseline to Day 85
Percent change in Scoring Atopic Dermatitis (SCORAD) score Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of SCORAD.The SCORAD evaluates the extent of atopic dermatitis and ranges between 0 and 103. Higher values represent a worse outcome.
From baseline to Day 85
Absolute and percent change in body surface area (BSA), Patient Oriented Eczema Measure (POEM) score Part 2.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of POEM. The POEM is calculated by summing the score of each question resulting in a maximum score of 28 and a minimum score of 0.
From baseline to Day 85
Absolute and percent change in body surface area (BSA), Patient Oriented Eczema Measure (POEM) score Part 3.
Periodo de tiempo: From baseline to Day 85
To assess the efficacy of MOR106 by use of POEM. The POEM is calculated by summing the score of each question resulting in a maximum score of 28 and a minimum score of 0.
From baseline to Day 85
Weekly change from baseline in Pruritus Numeric Rating Scale (NRS) Part 2.
Periodo de tiempo: From screening until Day 197 or early discontinuation (ED) visit twice daily
To assess the efficacy of MOR106 by NRS. An 11-point (0 - 10) scale will be used to assess itch (pruritus). 0 being 'no itch' and 10 being the 'worst itch imaginable'.
From screening until Day 197 or early discontinuation (ED) visit twice daily
Weekly change from baseline in Pruritus Numeric Rating Scale (NRS) Part 3.
Periodo de tiempo: From screening until Day 155 or early discontinuation (ED) visit twice daily
To assess the efficacy of MOR106 by NRS. An 11-point (0 - 10) scale will be used to assess itch (pruritus). 0 being 'no itch' and 10 being the 'worst itch imaginable'.
From screening until Day 155 or early discontinuation (ED) visit twice daily

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Director de estudio: Helen Timmis, MB CHB, Galapagos NV

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

13 de agosto de 2018

Finalización primaria (Actual)

2 de marzo de 2020

Finalización del estudio (Actual)

2 de marzo de 2020

Fechas de registro del estudio

Enviado por primera vez

20 de septiembre de 2018

Primero enviado que cumplió con los criterios de control de calidad

26 de septiembre de 2018

Publicado por primera vez (Actual)

28 de septiembre de 2018

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

18 de marzo de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

16 de marzo de 2020

Última verificación

1 de marzo de 2020

Más información

Términos relacionados con este estudio

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre MOR106

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