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A Single Dose Escalation Study of PCSK9 Inhibitor (JS002) in Health Subjects

11 de dezembro de 2019 atualizado por: Shanghai Junshi Bioscience Co., Ltd.

A Randomized, Double-blind, Placebo-controlled, Single-dose Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of JS002 (Recombinant Humanized Anti-PCSK9 Monoclonal Antibody) Injection in Healthy Subjects.

JS002 is a recombinant humanized Anti- PCSK9 monoclonal antibody; This is a phase Ia, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of a single subcutaneous injection of JS002 in healthy subjects.

In this study, the dose ascending design includes five dose level cohorts (15 mg, 50 mg, 150 mg, 300 mg, and 450 mg) administered by subcutaneous injection, and three intravenous administration cohorts (15 mg, 150 mg, and 450 mg). Each cohort will enroll 8 to 12 subjects (distribution of study drug and placebo in a 3:1 ratio).

The duration of the study is 84-day per subjects.

Visão geral do estudo

Status

Concluído

Condições

Tipo de estudo

Intervencional

Inscrição (Real)

84

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

    • Beijing
      • Beijing, Beijing, China, 100020
        • Fuwai Hospital Chinese Academy of Medical Sciences

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

18 anos a 45 anos (Adulto)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  1. Healthy men or women aged 18 to 45 years old at screening visit;
  2. Have the ability to read and understand, volunteer to participate in the study, and signed written informed consent.
  3. The body mass index (BMI) at screening visit was in the range of 18 to 30 kg/m2 (inclusive) and the body weight ≥ 50 kg.
  4. The sitting blood pressure ≥90/60 mmHg and <140/90 mmHg at screening visit.
  5. Serum LDL-C level ≥ 70 mg/dL (1.8 mmol/L) and < 190 mg/dL (4.9 mmol/L) at screening visit.
  6. Serum Triglyceride (TG) level < 250 mg/dL (2.8 mmol/L) at screening visit.
  7. No fertility [female: documented hysterectomy, bilateral oophorectomy, tubal ligation or other female permanent sterilization, or menopause (menopause for more than one year)], or those with fertility are willing to take, during the entire study period, strict and effective contraceptive measures, in addition, female subjects with fertility should have a negative blood/urine pregnancy test at screening visit.

Exclusion Criteria:

  1. Subjects who meet any of the following criteria will be excluded from the study:
  2. Evolocumab and/or Alirocumab, or other targeted drugs to PCSK9, has been used at any time.
  3. Any therapeutic or research biological agents has been used during the first 6 months of baseline/random (Day 0).
  4. Participated in any clinical study within 3 months prior to baseline/random (Day 0).
  5. Any drug or health supplement that affects blood lipids or lipid metabolism during the first 30 days of baseline/random (Day 0), including but not limited to: Probucol, statins (e.g. Atorvastatin, Rosuvastatin, etc.), cholesterol absorption inhibitors (such as Ezetimibe), bile acid sequestrants (such as Cholestyramine), red yeast and hawthorn preparations, fibrates, high-purity fish oil preparations (or omega-fatty acids ≥ 1000 mg / day) and niacin preparation (nicotinic acid ≥ 50 mg), etc.
  6. Start a new intense exercise or diet control within 30 days of random (Day 0) or major changes to previous diet and lifestyle (including exercise, smoking and drinking). The following conditions occur before the baseline/random (Day 0) 1 day (ie Day-1) need to be excluded:

    • Creatine kinase (CK) ≥ 3 times the upper limit of normal (ULN) (Note: related to exercise), or
    • Urinary cotinine is positive, or
    • Positive alcohol saliva test.
  7. Previous or concomitant diseases (such as nephrotic syndrome, liver disease, diabetes, hypothyroidism, etc.) or any clinically significant abnormalities found in physical examinations, laboratory tests, and electrocardiograms, which would make the subject unsuitable for this study.
  8. The medical history or clinical evidence indicates that the subject had severe acute or chronic disease (including not limited to: heart, kidney, nerves, endocrine, blood, immunity, infection, metabolic disorders, etc.), and the disease has not been controlled, which may confuse the outcome of the study or put the subject at risk judged by the investigator, The following situations need to be excluded:

    • had major surgery in the last 6 months, or
    • has been hospitalized (e.g. infection) in the last 3 months, or
    • donated blood or blood loss ≥500 mL in the past 3 months, or
    • has used any prescription or over-the-counter drugs in the past 1 month.
  9. Transplantation History of organs (such as heart, lung, liver, kidney, etc.) Malignant tumors history, except for cervical carcinoma in situ or surgically resected skin cancer (basal cells and squamous epithelial cells) for more than 5 years.
  10. Drug abuse or alcohol dependence in the past 1 year.
  11. HIV infection, or HIV antibody positive at screening visit.
  12. Syphilis infection, or serotonin antibody (TPPA) positive at screening visit.
  13. Hepatitis B surface antigen (HBsAg) was positive at screening visit.
  14. Hepatitis C virus (HCV) antibody was positive at screening visit.
  15. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≥ 2 times the upper limit of normal (ULN); alkaline phosphatase and bilirubin ≥ 1.5 times the upper limit of normal (ULN).
  16. Allergy history to mammalian-derived biological agents, including monoclonal antibodies.
  17. Women during pregnancy and lactation.
  18. Any other investigator believes that the subject is not suitable for the study, such as the subject has potential compliance issues, cannot complete all tests and assessments according to the protocol requirements.

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 sequencial
  • Mascaramento: Dobro

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: JS002
JS002, Subcutaneous or intravenous injection
JS002, Subcutaneous or intravenous injection of a single dose of JS002, dose cohort according to ascending dose design
Outros nomes:
  • Recombinant humanized Anti- PCSK9 monoclonal antibody
Comparador de Placebo: Placebo,
Placebo,Subcutaneous or intravenous injection
Placebo,Subcutaneous or intravenous injection of a single dose of placebo, dose cohort according to ascending dose design
Outros nomes:
  • Placebo of Recombinant humanized Anti- PCSK9 monoclonal antibody

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Number of participants with adverse events(SAE, drug-related (S)AE etc)based on physical examinations, vital signs, 12 lead ECGs , laboratory tests and injection site reactions.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration

Medidas de resultados secundários

Medida de resultado
Prazo
Number of participants with anti-drug antibodies.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration
Serum concentrations of JS002 at different timepoint after the drug administration.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration
Change from baseline in LDL-C and other lipid parameters (TC, HDL-C, non-HDL-C, VLDL-C, ApoB, ApoA1, Lp(a) and TG).
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration

Outras medidas de resultado

Medida de resultado
Prazo
Changes over time of serum concentrations of JS002.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration
Changes over time of LDL-C.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration
Change over time of unbound/total serum PCSK9.
Prazo: Up to 84 days after dose administration
Up to 84 days after dose administration

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)

11 de dezembro de 2017

Conclusão Primária (Real)

14 de agosto de 2018

Conclusão do estudo (Real)

14 de agosto de 2018

Datas de inscrição no estudo

Enviado pela primeira vez

1 de dezembro de 2019

Enviado pela primeira vez que atendeu aos critérios de CQ

11 de dezembro de 2019

Primeira postagem (Real)

13 de dezembro de 2019

Atualizações de registro de estudo

Última Atualização Postada (Real)

13 de dezembro de 2019

Última atualização enviada que atendeu aos critérios de controle de qualidade

11 de dezembro de 2019

Última verificação

1 de dezembro de 2019

Mais Informações

Termos relacionados a este estudo

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 .

Ensaios clínicos em JS002

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