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A Study of ACE-2494 in Healthy Subjects

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamic Effects of ACE-2494 in Healthy Postmenopausal Women

The purpose of the study is to assess safety, tolerance, pharmacokinetic, and pharmacodynamics of single doses of ACE-2494 in healthy postmenopausal women.

Studieoversikt

Status

Fullført

Intervensjon / Behandling

Detaljert beskrivelse

Subjects will be evaluated for study inclusion/exclusion criteria during the screening period (within 4 weeks prior to Day -1) and eligible subjects who have signed the informed consent form (ICF) will be enrolled and treated with study drug (ACE-2494 or placebo) on Day 1. Subjects will be randomized (3:1, ACE-2494: placebo) to receive one dose of either ACE-2494 or placebo, respectively, on Day 1.

The primary objective of the study is to evaluate the safety and tolerability of single ascending doses of ACE-2494 in healthy postmenopausal women. The secondary objectives are to characterize the pharmacokinetic (PK) profile and pharmacodynamic (PD) effects, including serum biomarkers, fat, lean, and bone mass (DXA), muscle volume and intramuscular fat fraction (MRI).

Studietype

Intervensjonell

Registrering (Faktiske)

48

Fase

  • Fase 1

Kontakter og plasseringer

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

Studiesteder

      • Québec, Canada, G1P0A2
        • Syneos Health

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

45 år til 75 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Hunn

Beskrivelse

Inclusion Criteria:

  1. Postmenopausal women, with menopause defined by follicle stimulating hormone (FSH) level > 40 IU/L and either 12 months of spontaneous amenorrhea or at least 6 months post-surgical bilateral oophorectomy and/or hysterectomy
  2. Age 45-75 years
  3. Body mass index (BMI) 18.5-32.0 kg/m2
  4. Clinical laboratory values that meet the following criteria prior to dosing on Day 1:

    1. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2 x upper limit of normal (ULN)
    2. Serum creatinine ≤ 1.5 x ULN
  5. Ability to adhere to the study visit schedule/procedures, and to understand and comply with protocol requirements
  6. Signed written informed consent

Exclusion Criteria:

  1. Smokers (use of tobacco products within 3 months prior to screening)
  2. History of hepatitis B (HBsAg and HB core Ab), human immunodeficiency virus (HIV) antibody or active hepatitis C
  3. Positive drug or alcohol screen test at screening or on Day 1
  4. History of drug or alcohol abuse (as defined by the investigator) or required treatment for drug or alcohol use within 2 years of Day 1
  5. Donated or lost ≥ 500 mL of whole blood within 2 months prior to Day 1
  6. History of opportunistic infection (e.g., invasive candidiasis or pneumocystis pneumonia) within 6 months prior to screening; serious local infection (e.g., cellulitis, abscess) or systemic infection (e.g., septicemia) within 3 months prior to screening
  7. History of severe allergic or anaphylactic reaction or hypersensitivity to recombinant proteins or any other drugs
  8. Systemic glucocorticoid therapy, statin medication, growth hormone, androgen, insulin, oral hormone replacement therapy or any other therapy (including investigational) with known or intended effects on muscle within 3 months prior to Day 1
  9. Anti platelet, anti-coagulant, or any other therapy (including investigational) with known or intended effects on bleeding risk within 1 week prior to Day 1 (Daily low-dose aspirin is allowed)
  10. Treatment with another investigational drug, device, or approved therapy for investigational use within 30 days prior to Day 1; administration of a biological product in the context of a clinical research study within 90 days prior to Day 1
  11. Participation in another clinical trial involving intervention with or without an investigational drug or device at any time during the study period
  12. Unwilling or unable to maintain physical activity at baseline level for the duration of the study
  13. For Cohorts 4-6 only, any condition that would prevent MRI scanning or compromise the ability to obtain a clear and interpretable scan of the thigh (e.g., pacemaker, knee/hip replacement, metallic implant, extreme claustrophobia, etc.)

Studieplan

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

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Trippel

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Cohort 1
ACE-2494 or placebo 0.06 mg/kg SC Day 1
Recombination fusion protein
Eksperimentell: Cohort 2
ACE-2494 or placebo 0.2 mg/kg SC Day 1
Recombination fusion protein
Eksperimentell: Cohort 3
ACE-2494 or placebo 0.6 mg/kg SC Day 1
Recombination fusion protein
Eksperimentell: Cohort 4
ACE-2494 or placebo 1.0 mg/kg SC Day 1
Recombination fusion protein
Eksperimentell: Cohort 5
ACE-2494 or placebo 2.0 mg/kg SC Day 1
Recombination fusion protein
Eksperimentell: Cohort 6
ACE-2494 or placebo TBD (not to exceed 3.0 mg/kg SC) Day 1
Recombination fusion protein

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0
Tidsramme: From initiation of treatment (Study Day 1) to end of follow-up period (Study Day 85)
Adverse events (including both clinical observations and laboratory measurements), deemed related to ACE-2494 treat, will be recorded for each study subject
From initiation of treatment (Study Day 1) to end of follow-up period (Study Day 85)

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Determination of ACE-2494 serum Cmax
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of maximum serum concentration of ACE-2494 following subcutaneous administration
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of ACE-2494 serum Tmax
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of time to maximum serum concentration of ACE-2494 following subcutaneous administration
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of ACE-2494 serum T1/2
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of serum half-life of ACE-2494 following subcutaneous administration
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of ACE-2494 AUC
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of the area under the serum concentration curve of ACE-2494 following subcutaneous administration
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum GDF8 following ACE-2494 treatment
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum levels of growth differentiation factor (GDF)8 following treatment with ACE-2492
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum BSAP following ACE-2494 treatment
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum levels of bone-specific alkaline phosphatase (BSAP) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum CTX following ACE-2494 treatment
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum levels of carboxy-terminal collagen crosslinks (CTX) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum FSH following ACE-2494 treatment
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Quantitation of serum levels of follicle stimulating hormone (FSH) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of body composition following ACE-2494 treatment by DXA
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Regional and whole-body quantitation of fat mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of body composition following ACE-2494 treatment by DXA
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Regional and whole-body quantitation of lean mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of body composition following ACE-2494 treatment by DXA
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Regional and whole-body quantitation of bone mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of total muscle volume in the thigh by magnetic resonance imaging (MRI)
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only
Tidsramme: From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)
Determination of intramuscular fat in the thigh by magnetic resonance imaging (MRI)
From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85)

Samarbeidspartnere og etterforskere

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

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 (Faktiske)

15. februar 2018

Primær fullføring (Faktiske)

13. juni 2019

Studiet fullført (Faktiske)

17. juni 2019

Datoer for studieregistrering

Først innsendt

7. mars 2018

Først innsendt som oppfylte QC-kriteriene

20. mars 2018

Først lagt ut (Faktiske)

27. mars 2018

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

18. juli 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

16. juli 2019

Sist bekreftet

1. juli 2019

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • A2494-01

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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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