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A Study to Assess the Safety of MEDI7836 in Healthy Adults.

2017年4月13日 更新者:MedImmune LLC

A Phase 1a, Randomised, Placebo-controlled, Single-ascending Dose Study to Evaluate the Safety and Tolerability of MEDI7836 in Healthy Adults

To assess the safety of a single ascending dose of MEDI7836 in healthy adult male subjects and healthy adult female subjects of non-childbearing potential.

調査の概要

詳細な説明

This is a Phase 1a, randomised, blinded (the investigator and subject will be blinded to treatment assignment and sponsor will be unblinded to treatment assignment), placebo-controlled study to evaluate the safety of single-ascending SC doses of MEDI7836 in healthy adult males subjects and healthy adult female subjects of non-childbearing potential. The study will be conducted at a single site in the United Kingdom (UK). Four dosing cohorts of MEDI7836 or placebo are planned for this study for a total of 32 subjects (24 subjects receiving MEDI7836, 8 subjects receiving placebo).

研究の種類

介入

入学 (実際)

79

段階

  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~50年 (大人)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Vital signs, ECG, and laboratory parameters within normal range at screening and Day -1
  2. Negative alcohol and drug screen at screening and Day -1
  3. Able and willing to comply with the requirements of the protocol
  4. Females subjects must have been surgically sterilised or be postmenopausal
  5. Nonsterilised males who are sexually active with a female partner of childbearing potential or a female partner who has been surgically sterilised by bilateral tubal ligation must use a condom with spermicide with their partner from screening until the end of the study follow-up period

Exclusion Criteria:

  1. Concurrent enrolment in another clinical study where the subject is receiving an investigational product
  2. Individuals who are legally institutionalised
  3. Receipt of any marketed or investigational biologic agent within 4 months
  4. Receipt of any investigational non-biologic agent within 3 months or 5 half-lives prior to screening, whichever is longer
  5. Use of any medication (prescription or over the counter, including herbal remedies) within 14 days or 5 half-lives of Day 1,
  6. Known history of allergy or reaction to any component of the investigational product formulation
  7. History of anaphylaxis following any biologic therapy
  8. History of chronic alcohol or drug abuse within 12 months prior to screening,
  9. Presence of a positive drug or alcohol screen at screening and Day -1.
  10. Current smoker, or history of smoking within 6 months of screening
  11. Pregnant or breastfeeding women
  12. Any active medical or psychiatric condition or other reason which, in the opinion of the investigator or medical monitor, may compromise the safety of the subject in the study or interfere with evaluation of the investigational product or reduce the subject's ability to participate in the study
  13. Any clinically relevant abnormal findings in physical examination, ECG, vital signs, haematology, clinical chemistry or urinalysis during screening or Day -1,
  14. History of any known primary immunodeficiency disorder or use of immunosuppressive medication within 12 months of screening
  15. History of a clinically significant infection requiring antibiotics or antiviral medication from 30 days prior to screening, up to and including Day 1
  16. Diagnosis of a helminth parasitic infection within 6 months prior to screening that has not been treated with, or has failed to respond to, standard of care therapy
  17. History of cancer, except for basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy ≥ 12 months prior to screening or other malignancies treated with apparent success with curative therapy ≥ 5 years prior to screening
  18. Positive tuberculosis (TB) test (Quantiferon-TB Gold) at screening or TB requiring treatment within the 12 months prior to the screening visit
  19. Positive hepatitis B surface antigen, hepatitis B anti-core antibody, or hepatitis C virus antibody serology at screening.
  20. Subjects with a history of hepatitis B vaccination without history of hepatitis B are allowed to enter the study.
  21. A positive human immunodeficiency virus test at screening or subject taking antiretroviral medications, as determined by medical history and/or subject's verbal report
  22. Evidence of active liver disease, including jaundice or aspartate transaminase (AST), alanine transaminase (ALT), or alkaline phosphatase greater than twice the upper limit of normal (ULN)
  23. Major surgery within 8 weeks prior to screening, or planed in-patient surgery or hospitalisation during the study period
  24. Receipt of live attenuated vaccines 30 days prior to the date of screening Where participation in the study would result in donation of blood or blood products in excess of 500 mL within an 8-week period

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:ダブル

武器と介入

参加者グループ / アーム
介入・治療
プラセボコンパレーター:Placebo
Participants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1.
Participants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1.
実験的:MEDI7836 Dose 1
Participants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1.
Participants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1.
実験的:MEDI7836 Dose 2
Participants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1.
Participants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1.
実験的:MEDI7836 Dose 3
Participants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1.
Participants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1.
実験的:MEDI7836 Dose 4
Participants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1.
Participants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
時間枠:From Study Drug Administration to 281 Days Postdose
Any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening situation (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received MEDI7836. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pretreatment state.
From Study Drug Administration to 281 Days Postdose
Number of Participants With Injection Site Reactions
時間枠:From Study Drug Administration to 281 Days Postdose
Participants were evaluated for manifestations of injection site reactions.
From Study Drug Administration to 281 Days Postdose
Number of Participants With Clinical Laboratory Abnormalities Reported as Treatment-Emergent Adverse Events
時間枠:From Study Drug Administration to 281 Days Postdose
An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent adverse events between first dose of study drug and Day 281 after the last dose that were absent before treatment or that worsened relative to pre-treatment state. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.
From Study Drug Administration to 281 Days Postdose
Number of Participants With Vital Signs and Physical Examination Abnormalities Reported as Treatment-Emergent Adverse Events
時間枠:From Study Drug Administration to 281 Days Postdose
Vital sign parameters included blood pressure, temperature, pulse rate, respiratory rate and weight. Physical examination included assessment of general appearance, weight, head, ears, eyes, nose, throat, neck, skin, cardiovascular system, respiratory system, abdominal system, and nervous system. Criteria for abnormal physical findings was based on investigator's discretion. TEAEs were present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug until Day 281 after the last dose of study drug.
From Study Drug Administration to 281 Days Postdose
Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events
時間枠:From Study Drug Administration to 281 Days Postdose
AEs observed in participants with clinically significant ECG abnormalities were assessed. ECG parameters included heart rate, RR, PR, QRS, QT and QTc intervals. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pre-treatment state.
From Study Drug Administration to 281 Days Postdose

二次結果の測定

結果測定
メジャーの説明
時間枠
Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity]) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 extrapolated to infinity (AUC0-inf).
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Area Under the Concentration-Time Curve From Zero to Last Observation (AUC [0-t]) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 to the last quantifiable data point (AUC0-t).
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Maximum Observed Serum Concentration (Cmax) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
The Cmax is the maximum observed serum concentration of study drug.
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Apparent Systemic Clearance (CL/F) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body.
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Terminal Phase Elimination Half Life (T1/2) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum.
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
The Tmax is defined as actual sampling time to reach maximum observed MEDI7836 concentration.
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Apparent Terminal-Phase Volume of Distribution (Vz/F) of MEDI7836
時間枠:Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
The apparent volume of distribution of MEDI7836 after a single dose, calculated according to the equation: Vz/F = Apparent total clearance (CL/F) / terminal phase rate constant (λz).
Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose
Percentage of Participants Positive for Anti-Drug Antibodies to MEDI7836
時間枠:Predose on Day 1 to 281 days Postdose
A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study.
Predose on Day 1 to 281 days Postdose

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Annelize Koch, MD、Parexel

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2015年3月1日

一次修了 (実際)

2016年1月1日

研究の完了 (実際)

2016年4月1日

試験登録日

最初に提出

2015年3月9日

QC基準を満たした最初の提出物

2015年3月13日

最初の投稿 (見積もり)

2015年3月17日

学習記録の更新

投稿された最後の更新 (実際)

2017年5月16日

QC基準を満たした最後の更新が送信されました

2017年4月13日

最終確認日

2017年4月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • D5450C00001

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