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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.

Visão geral do estudo

Status

Concluído

Intervenção / Tratamento

Descrição detalhada

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).

Tipo de estudo

Intervencional

Inscrição (Real)

48

Estágio

  • Fase 1

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Québec, Canadá, G1P0A2
        • Syneos Health

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

45 anos a 75 anos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Fêmea

Descrição

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.)

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Outro
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Triplo

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Experimental: Cohort 1
ACE-2494 or placebo 0.06 mg/kg SC Day 1
Recombination fusion protein
Experimental: Cohort 2
ACE-2494 or placebo 0.2 mg/kg SC Day 1
Recombination fusion protein
Experimental: Cohort 3
ACE-2494 or placebo 0.6 mg/kg SC Day 1
Recombination fusion protein
Experimental: Cohort 4
ACE-2494 or placebo 1.0 mg/kg SC Day 1
Recombination fusion protein
Experimental: Cohort 5
ACE-2494 or placebo 2.0 mg/kg SC Day 1
Recombination fusion protein
Experimental: Cohort 6
ACE-2494 or placebo TBD (not to exceed 3.0 mg/kg SC) Day 1
Recombination fusion protein

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0
Prazo: 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)

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Determination of ACE-2494 serum Cmax
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

15 de fevereiro de 2018

Conclusão Primária (Real)

13 de junho de 2019

Conclusão do estudo (Real)

17 de junho de 2019

Datas de inscrição no estudo

Enviado pela primeira vez

7 de março de 2018

Enviado pela primeira vez que atendeu aos critérios de CQ

20 de março de 2018

Primeira postagem (Real)

27 de março de 2018

Atualizações de registro de estudo

Última Atualização Postada (Real)

18 de julho de 2019

Última atualização enviada que atendeu aos critérios de controle de qualidade

16 de julho de 2019

Última verificação

1 de julho de 2019

Mais Informações

Termos relacionados a este estudo

Palavras-chave

Outros números de identificação do estudo

  • A2494-01

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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