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

4. juni 2013 oppdatert av: 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)

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

36

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Texas
      • Austin, Texas, Forente stater, 78744
        • PPD Development, LP

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 45 år (Voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Annen: Cohort 1
Cohort 1: 6 subjects received Subcutaneous RB006 0.5 mg/kg and 2 subjects received SC placebo
Placebo
Andre navn:
  • SC Placebo
Subcutaneous RB006 0.5 mg/kg
Andre navn:
  • SC RB006
Annen: Cohort 1-A
Cohort 1-A: 4 subjects received open-label Subcutaneous RB006 0.5 mg/kg
Subcutaneous RB006 0.5 mg/kg
Andre navn:
  • SC RB006
Annen: Cohort 2
Cohort 2: 6 subjects received Subcutaneous RB006 1.0 mg/kg and 2 subjects received SC placebo
Placebo
Andre navn:
  • SC Placebo
Subcutaneous RB006 1.0 mg/kg
Andre navn:
  • SC RB006
Annen: Cohort 3
Cohort 3: 6 subjects received Subcutaneous RB006 3.0 mg/kg and 2 subjects received SC placebo
Placebo
Andre navn:
  • SC Placebo
Subcutaneous RB006 3.0 mg/kg
Andre navn:
  • SC RB006
Annen: 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.
Andre navn:
  • SC RB006

Hva måler studien?

Primære resultatmål

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

Sekundære resultatmål

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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Matthew M Medlock, MD, PPD

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. august 2009

Primær fullføring (Faktiske)

1. desember 2009

Studiet fullført (Faktiske)

1. desember 2009

Datoer for studieregistrering

Først innsendt

2. juni 2013

Først innsendt som oppfylte QC-kriteriene

4. juni 2013

Først lagt ut (Anslag)

7. juni 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

7. juni 2013

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. juni 2013

Sist bekreftet

1. juni 2013

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • REG1-CLINSC101

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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