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

4 juni 2013 bijgewerkt door: 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)

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

36

Fase

  • Fase 1

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Texas
      • Austin, Texas, Verenigde Staten, 78744
        • PPD Development, LP

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 45 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Verviervoudigen

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Ander: 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
Ander: 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
Ander: 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
Ander: 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
Ander: 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

Wat meet het onderzoek?

Primaire uitkomstmaten

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

Secundaire uitkomstmaten

Uitkomstmaat
Tijdsspanne
Outcome of this study using SC RB006 with and without RB007 in healthy volunteers was safety as determined by Serious Adverse Events
Tijdsspanne: 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
Tijdsspanne: 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)
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Matthew M Medlock, MD, PPD

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 augustus 2009

Primaire voltooiing (Werkelijk)

1 december 2009

Studie voltooiing (Werkelijk)

1 december 2009

Studieregistratiedata

Eerst ingediend

2 juni 2013

Eerst ingediend dat voldeed aan de QC-criteria

4 juni 2013

Eerst geplaatst (Schatting)

7 juni 2013

Updates van studierecords

Laatste update geplaatst (Schatting)

7 juni 2013

Laatste update ingediend die voldeed aan QC-criteria

4 juni 2013

Laatst geverifieerd

1 juni 2013

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • REG1-CLINSC101

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