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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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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).

Studietyp

Interventionell

Inskrivning (Faktisk)

48

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

      • Québec, Kanada, G1P0A2
        • Syneos Health

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

45 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Kvinna

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0
Tidsram: 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)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Determination of ACE-2494 serum Cmax
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 februari 2018

Primärt slutförande (Faktisk)

13 juni 2019

Avslutad studie (Faktisk)

17 juni 2019

Studieregistreringsdatum

Först inskickad

7 mars 2018

Först inskickad som uppfyllde QC-kriterierna

20 mars 2018

Första postat (Faktisk)

27 mars 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

18 juli 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

16 juli 2019

Senast verifierad

1 juli 2019

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • A2494-01

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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