A Phase 1 Randomized, 2-part, Single-blind, Placebo-controlled, Single and Multiple Ascending Dose Study to Assess Safety, Tolerability, Pharmacokinetics, Immunogenicity, and Pharmacodynamics of LAD603 in Healthy Adult Subjects
Overview
- Phase
- Phase 1
- Intervention
- LAD603
- Conditions
- Healthy Volunteers
- Sponsor
- Almirall, S.A.
- Enrollment
- 92
- Locations
- 1
- Primary Endpoint
- Part 1: Number of Participants with Adverse Events (AEs) and Severity of AEs
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The purpose of the study is to evaluate the safety, tolerability, pharmacokinetics (PK), and immunogenicity of single and multiple ascending doses of LAD603 in healthy adult participants in both Part 1 and 2.
Detailed Description
This is a 2-part study. Part 1 will comprise up to 8 cohorts of healthy adult participants and investigate single ascending doses of LAD603. Part 2 will comprise up to 4 cohorts of healthy adult subjects and will investigate multiple ascending doses of LAD603. Each ascending dose level will be investigated by a sequential cohort, with dose escalation based on satisfactory safety, tolerability, PK, and pharmacodynamics (PD) (biomarker) data from the previous cohort(s). Dose levels evaluated in Part 2 of this study will not exceed dose levels that were safe and well tolerated in the single-dose study, and may be changed, depending on emerging safety and tolerability, PK, and PD (biomarker) data. Each participant will participate for about 8 weeks in Part 1 and for about 14 weeks in Part 2 of the study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participant is male or female aged between 18 and 65 years, inclusive, at the time of signing the informed consent.
- •Participant is willing and able to understand and comply with study requirements
- •Participant is willing to participate and have provided signed informed consent in accordance with institutional and regulatory guidelines, and authorization to use protected health information (Health Insurance Portability and Accountability Act \[HIPAA\]) prior to any study-related procedures being performed.
- •Participant has a body mass index (BMI) of greater than or equal to (\>=) 18.5 and less than or equal to (\<=) 29.9 kilogram per meter square (kg/m\^2) with a body weight of at least 60 kg.
- •Participant is in good health as determined by medical history and has no clinically relevant abnormalities in the physical examination, vital signs, 12-lead ECG, and laboratory tests as determined by the Investigator.
- •Participant is a female who is not pregnant (i.e., does not have a positive serum pregnancy test on Day -1\]) or breastfeeding, and who is either not a WOCBP or is a WOCBP who agrees to follow the contraceptive guidance for at least 28 days or 1 menstrual period (whichever is longer) prior to Day -1 until 30 days after the last dose of investigational medical product (IMP) and to refrain from egg donation/collection until at least 60 days after the last dose of IMP OR Participant is a male who either had a vasectomy at least 90 days prior to Screening (with appropriate post vasectomy documentation of absence of sperm in the ejaculate) or who agrees to use contraception from the Day 1 visit until 30 days after the last dose of IMP and to refrain from sperm donation during this period, or is a vasectomized male who agrees to use a condom from the Day 1 visit until 30 days after the last dose of IMP.
Exclusion Criteria
- •Participant has a history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, inflammatory, or allergic disease (including drug allergies, any active seizure disorder requiring therapy with antiepileptic drugs, active peptic ulcer disease, gastrointestinal bleeding, chronic gastritis, inflammatory bowel disease or chronic diarrhea, but excluding mild seasonal allergies or stable, well-controlled thyroiditis), a history of organ transplant, or is at increased risk for capillary leak syndrome.
- •Participant has had major surgery (requiring general anesthesia) within 3 months prior to Baseline (Day -1).
- •Participant has a history of cancer or lymphoproliferative disease within the previous 5 years, other than resected cutaneous basal cell, squamous cell carcinoma or carcinoma in situ of the cervix that has been treated with no evidence of recurrence.
- •Participant has a clinically significant ECG abnormality at Screening or Baseline (Day -1), including, but not limited to, the following:
- •An abnormal PR interval (\>=220 millisecond \[msec\] or \<=100 msec)
- •QTc prolongation (corrected QT interval by Fredericia's formula \[QTcF\] \>=450 msec)
- •Participant has a mean heart rate (HR) at Screening or Baseline (Day -1) that is \<=45 beats per minute (bpm) or \>100 bpm
- •Participant has systolic blood pressure \<90 millimeter of mercury (mmHg) or \>140 mmHg or diastolic blood pressure \<50 mmHg or \>90 mmHg at Screening or Baseline (Day -1)
- •Participant with active chronic or acute infection including skin infection requiring treatment with systemic antimicrobials, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks before Baseline (Day -1), or skin infections within 4 weeks prior to Baseline (Day -1), or fever \>38°C of unknown etiology within 1 week prior to Baseline (Day -1).
- •Participant has known hypersensitivity to any of the formulation excipients of the IMP or previous severe adverse reaction to subcutaneous medication.
Arms & Interventions
Part 2: (LAD603) Cohort A
Participants will receive multiple ascending dose of LAD603 SC injection on Days 1, 15, 18 and 22.
Intervention: LAD603
Part 2: (LAD603) Cohort B
Participants will receive multiple ascending dose of LAD603 SC injection on Days 1, 15, 18 and 22.
Intervention: LAD603
Part 2: (LAD603) Cohort C
Participants will receive multiple ascending dose of LAD603 SC injection on Days 1, 15, 18 and 22.
Intervention: LAD603
Part 1: (LAD603) Cohort 1
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 2
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 3
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 4
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 5
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 6
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 7
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: (LAD603) Cohort 8
Participants will receive single ascending dose of LAD603 SC injection on Day 1.
Intervention: LAD603
Part 1: Placebo
Participants will receive single ascending dose of matching placebo SC injection on Day 1.
Intervention: Placebo
Part 2: (LAD603) Cohort D
Participants will receive multiple ascending dose of LAD603 SC injection on Days 1, 15, 18 and 22.
Intervention: LAD603
Part 2: Placebo
Participants will receive multiple ascending dose of matching placebo SC injection on Days 1, 8 15, and 22.
Intervention: Placebo
Outcomes
Primary Outcomes
Part 1: Number of Participants with Adverse Events (AEs) and Severity of AEs
Time Frame: Baseline up to Day 31
Part 1: Number of Participants with Clinically Significant Changes from Baseline in Vital Sign Parameter
Time Frame: Baseline up to Day 31
Part 1: Number of Participants with Clinically Significant Changes from Baseline in Electrocardiograms (ECGs) Parameters
Time Frame: Baseline up to Day 31
Part 1: Number of Participants with Clinically Significant Changes from Baseline in Clinical Laboratory Parameters
Time Frame: Baseline up to Day 31
Part 2: Number of Participants with AEs and Severity of AEs
Time Frame: Baseline up to Day 64
Part 2: Number of Participants with Clinically Significant Changes from Baseline in ECGs Parameters
Time Frame: Baseline up to Day 64
Part 2: Number of Participants with Clinically Significant Changes from Baseline in Clinical Laboratory Parameters
Time Frame: Baseline up to Day 64
Part 2: Number of Participants with Clinically Significant Changes from Baseline in Vital Sign Parameter
Time Frame: Baseline up to Day 64
Secondary Outcomes
- Part 1: Maximum Serum Concentration (Cmax) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Minimum Serum Concentration (Cmin) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Time to Reach Maximum Serum Concentration (Tmax) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Area Under the Serum Concentration-time Curve (AUC) from Zero to Time of the Last Concentration (AUC0-t) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 2: Area Under the Concentration-time Curve within a Dosing Interval (AUCτ) at Steady State of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 1: Apparent Volume of Distribution Associated with the Terminal Phase (Vz/F) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Area Under the Serum Concentration-time Curve (AUC) from Zero to 1 Week After Investigational Medicinal Product (IMP) Administration (AUC0-1w) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Apparent Total Serum Clearance (CL/F) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Area Under the Serum Concentration-time Curve (AUC) from Zero to infinity (AUC0-inf) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Elimination Half-life (t½) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 2: Accumulation Ratios (RA) at Steady State Based on AUCτ (RA[AUC]) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Accumulation Ratios (RA) at Steady State Based on Cmax (RA[Cmax]) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Serum Concentration Observed at the Last Planned Sampling Timepoint Prior to Dosing (Ctrough; RA[Ctrough]) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Serum Concentration Observed at the Last Planned Sampling Timepoint Prior to Dosing (Ctrough) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: 24 and 36 hours (Day 2), 48 hours (Day 3), 96 hours (Day 5), 168 hours (Day 8); Pre-dose (Day 15); Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 1: Smallest Terminal Elimination Rate Constant (λz) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 1: Mean Residence Time (MRT) of LAD603(Pre-dose, 2, 6, 12 hours (Day 1); Post-dose: at 24 and 36 hours (Day 2), 48 hours (Day 3), 72 hours (Day 4), 120 hours (Day 6), 168 hours (Day 8), 240 hours (Day 11); 336 hours (Day 15), 504 hours (Day 22), 672 hours (Day 29))
- Part 2: Area Under the Concentration-time Curve within a Dosing Interval (AUCτ) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 1))
- Part 2: Maximum Serum Concentration (Cmax) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 1))
- Part 2: Time to Reach Maximum Serum Concentration (Tmax) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Average Steady State Serum Drug Concentration (Cav,ss)(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Elimination Half-life (t½) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))
- Part 2: Smallest Terminal Elimination Rate Constant (λz) of LAD603(Pre-dose, 2, 6, and 12 hours post-dose (Day 22))