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Microdose and First-In-Human (FIH) Study of Recombinant Human Placental Alkaline Phosphatase (hRESCAP)

2013년 10월 23일 업데이트: W.J. Pasman, TNO

A Single Dose Study to Assess the Peak Plasma Concentration of a Microdose of Recombinant Human Placental Alkaline Phosphatase (hRESCAP, Part 1) Followed by a Single Ascending Dose, FIH Study to Assess Safety and Tolerability of hRESCAP (Part 2).

In the present study human recombinant placental alkaline phosphatase (hRESCAP) will be investigated. Alkaline Phosphatase is naturally present in the body and reported to use lipopolysaccharde (LPS, bacterial endotoxins) and extracellular nucleotides leaking from damaged and ischemic cells as physiological substrates. The LPS-substrate prevalence makes alkaline phosphatase an interesting novel therapeutic agent in the treatment of LPS-mediated diseases. A bovine homologue of this protein (bovine intestinal alkaline phosphatase, BIAP) has previously been investigated for treatment of acute inflammatory responses such as sepsis, and was shown to be safe in humans. hRESCAP, which will be investigated in the current study, is expected to have a longer half-life in humans than the previously investigated BIAP, due to the fact that it is more sialylated. The possibility to increase the t1/2 to days instead of minutes enables treatment of chronic diseases.

연구 개요

상태

완전한

정황

상세 설명

In the current study the peak plasma concentration (pharmacokinetics/elimination) of [14C]-labelled hRESCAP in healthy volunteers will be investigated at increasing single doses (up to anticipated therapeutic dose), with a microdose (≤30 nmol) as a safe starting dose.

  • Part 1: To assess the peak plasma concentration of a single microdose (≤30 nmol) of a recombinant human protein (hRESCAP), administered intravenously, as a suitable technique to predict the pharmacokinetics in humans at pharmacologically relevant doses;
  • Part 2: To determine the safety and tolerability of single dose of hRESCAP up to 5300 µg in healthy male volunteers administered intravenously;
  • To determine the peak plasma concentration of hRESCAP in healthy male volunteers within a pharmacologically relevant dose-range and compare this with BIAP pharmacokinetics with emphasis on half-life (t1/2).

연구 유형

중재적

등록 (예상)

4

단계

  • 초기 1단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • South-Holland
      • Leiden, South-Holland, 네덜란드, 2333CL
        • Centre for Human Drug Research

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 (성인)

건강한 자원 봉사자를 받아들입니다

연구 대상 성별

남성

설명

Inclusion Criteria:

  1. Healthy male subjects, 18 - 45 years of age, inclusive. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, haematology, blood chemistry, and urinalysis;
  2. Body mass index (BMI) between 18 and 30 kg/m2, inclusive;
  3. Ability to communicate well with the investigator in the Dutch language;
  4. Able to participate and willing to give written informed consent and to comply with the study restrictions;
  5. Venous access sufficient to allow blood sampling as per protocol.

Exclusion Criteria:

  1. Any clinically significant abnormality as determined by medical history taking and physical examinations obtained during the screening visit that in the opinion of the investigator would interfere with the study objectives or compromise subject safety;
  2. History of a surgical event that may significantly affect the study outcome;
  3. History of allergy or other inflammatory indications;
  4. History of asthma or other inflammatory disease;
  5. Use of prescription medications, over the counter medications, vitamin, herbal and dietary supplements within 21 days prior to study drug administrations, or less than 5 half-lives, whichever is longer, and during the course of the study.
  6. Alkaline Phosphatase levels in plasma of < 30 IU/L or > 115 IU/L;
  7. Clinically relevant abnormal laboratory results, ECG, vital signs, or physical findings at screening that in the opinion of the investigator would interfere with the study objectives or compromise subject safety;
  8. Participation in an investigational drug, food (ingredients) or device study within 3 months prior to screening or more than 4 times in the past year;
  9. Any psychological conditions which, in the opinion of the investigator, might create undue risk to the subject or interfere with the subject's ability to comply with the protocol;
  10. History of alcohol or illicit drug abuse (alcohol abuse defined as alcohol consumption > 28 units/week);
  11. Reported unexplained weight loss or weight gain of > 2 kg in the month prior to screening;
  12. Positive test results for Hepatitis B, Hepatitis C or HIV;
  13. Donation of blood within 3 months prior to screening or donation of plasma within 14 days prior to screening;
  14. Not having a general practitioner;
  15. Not willing to accept information transfer which concerns participation in the study, or information regarding health, like laboratory results, findings at anamnesis or physical examination and eventual adverse events to and from his general practitioner;
  16. Not willing to give permission to have the general practitioner to be notified upon participation in this study;
  17. Prior participation in part 1 is not allowed for subjects participating in part 2.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 특수 증상
  • 할당: 무작위
  • 중재 모델: 단일 그룹 할당
  • 마스킹: 네 배로

무기와 개입

참가자 그룹 / 팔
개입 / 치료
활성 비교기: 14C-hRESCAP
Peak plasma concentration response of a dose hRESCAP will be examined and compared with the saline condition
one acute bolus administration of different dosages of hRESCAP (microdose, part 1; and FIH: low dose, 414 µg; medium dose, 2480 µg; high dose, 5300 µg; part 2)
다른 이름들:
  • recombinant human placental alkaline phosphatase
위약 비교기: saline
Peak plasma concentration response of different dosages of hRESCAP will be examined and controlled with the saline condition
활성 비교기: Microdose
Peak plasma concentration of a very low dose of hRESCAP as a first test in humans (first starting dose, before the other arms).
one acute bolus administration of different dosages of hRESCAP (microdose, part 1; and FIH: low dose, 414 µg; medium dose, 2480 µg; high dose, 5300 µg; part 2)
다른 이름들:
  • recombinant human placental alkaline phosphatase

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Evaluate the peak plasma concentration of hRESCAP after microdose administration of hRESCAP
기간: 35 days
After administration of hRESCAP intravenously, blood will be withdrawn of the subjects frequently for in total 35 days (five times the anticipated half-life period of one week).
35 days

2차 결과 측정

결과 측정
측정값 설명
기간
In the ascending dose study increased dosages of of hRESCAP will be supplied till finally the therapeutic dose.
기간: Two weeks (based upon time phrame of micodose section of the study)
In three subjects a low, medium and high dose of hRESCAP will be administered and a control saline administration in one subject. The peak plasma concentration of hRESCAP response of different dosages will be useful for treatment evaluation. The administration of the different dosages supplied is one week apart for safety reasons.
Two weeks (based upon time phrame of micodose section of the study)

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

TNO

수사관

  • 수석 연구원: Koos Burggraaf, MD, PhD, CHDR

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2013년 6월 1일

기본 완료 (실제)

2013년 7월 1일

연구 완료 (실제)

2013년 10월 1일

연구 등록 날짜

최초 제출

2013년 6월 18일

QC 기준을 충족하는 최초 제출

2013년 6월 27일

처음 게시됨 (추정)

2013년 6월 28일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2013년 10월 24일

QC 기준을 충족하는 마지막 업데이트 제출

2013년 10월 23일

마지막으로 확인됨

2013년 10월 1일

추가 정보

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

위약에 대한 임상 시험

3
구독하다