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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.

研究概览

地位

完全的

详细说明

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).

研究类型

介入性

注册 (实际的)

48

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Québec、加拿大、G1P0A2
        • Syneos Health

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

45年 至 75年 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

女性

描述

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.)

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:其他
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:三倍

武器和干预

参与者组/臂
干预/治疗
实验性的:Cohort 1
ACE-2494 or placebo 0.06 mg/kg SC Day 1
Recombination fusion protein
实验性的:Cohort 2
ACE-2494 or placebo 0.2 mg/kg SC Day 1
Recombination fusion protein
实验性的:Cohort 3
ACE-2494 or placebo 0.6 mg/kg SC Day 1
Recombination fusion protein
实验性的:Cohort 4
ACE-2494 or placebo 1.0 mg/kg SC Day 1
Recombination fusion protein
实验性的:Cohort 5
ACE-2494 or placebo 2.0 mg/kg SC Day 1
Recombination fusion protein
实验性的:Cohort 6
ACE-2494 or placebo TBD (not to exceed 3.0 mg/kg SC) Day 1
Recombination fusion protein

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0
大体时间: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)

次要结果测量

结果测量
措施说明
大体时间
Determination of ACE-2494 serum Cmax
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2018年2月15日

初级完成 (实际的)

2019年6月13日

研究完成 (实际的)

2019年6月17日

研究注册日期

首次提交

2018年3月7日

首先提交符合 QC 标准的

2018年3月20日

首次发布 (实际的)

2018年3月27日

研究记录更新

最后更新发布 (实际的)

2019年7月18日

上次提交的符合 QC 标准的更新

2019年7月16日

最后验证

2019年7月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • A2494-01

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

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