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Clinical Trials/NCT03928262
NCT03928262
Completed
Phase 1

A Phase 1, Randomized, Single-blind Study to Assess the Safety, Tolerability, and Pharmacokinetics of Benralizumab Administered as Single Subcutaneous Dose in Healthy Chinese Subjects

AstraZeneca1 site in 1 country36 target enrollmentApril 2, 2019

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
Healthy Subjects
Sponsor
AstraZeneca
Enrollment
36
Locations
1
Primary Endpoint
Safety as determined by abnormality in clinical chemistry
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

This is a Phase 1, randomized, single-blind study in healthy Chinese subjects at single dose administration of benralizumab: Treatment 1, Treatment 2 and Treatment 3. The study design allows an assessment of 3 doses with safety monitoring and PK sampling to evaluate the safety, tolerability and PK profile of benralizumab.

Detailed Description

This study will be conducted at 1 study center in Hong Kong. Approximately 36 healthy Chinese male and female subjects, aged 18 to 45 inclusive, will be randomized in a 1:1:1 ratio to receive a single SC administration of benralizumab: Treatment 1, Treatment 2 and Treatment 3 (12 subjects per group). Each subject will participate in only 1 treatment group. Approximately 8-12 evaluable subjects in each group that met specific non-compartmental analysis (NCA) criteria are required to ensure eligible AUC0-∞ calculation. The total length of the study for each subject is up to 117 days (28 days of screening and 85+/- 4 days of further study visits).

Registry
clinicaltrials.gov
Start Date
April 2, 2019
End Date
August 12, 2019
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Subjects must be willing and able to give written informed consent by signing an IRB/IEC approved Informed Consent Form (ICF) and follow the restrictions and procedures outlined for the study.
  • Healthy adult males or females as determined by medical history, physical examination, and laboratory tests. Subjects age between 18 to 45 years old (inclusive) at the time of signing informed consent. Subject is a Han Chinese who were born in China (including Hong Kong) with Han Chinese parents and grandparents who were born in China (including Hong Kong)
  • Have a body mass index (BMI) between 19 and 24 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg.
  • Medically healthy subjects with clinically insignificant screening results (e.g., laboratory profiles, medical histories, electrocardiograms \[ECGs\], physical examination). Haemoglobin must be greater than the lower limit of normal. A 12-lead ECG with QTc \>340 msec and \<450 msec.
  • Women of childbearing potential (WOCBP) must have a negative urine pregnancy test prior to administration of the IP and use an effective form of birth control (confirmed by the Investigator or designee). Highly effective forms of birth control include: true sexual abstinence, a vasectomised sexual partner, Implanon, female sterilization by tubal occlusion, any effective IUD Intrauterine device/IUS Ievonorgestrel Intrauterine system, Depo-Provera™ injections, oral contraceptive, and Evra Patch ™ or Nuvaring™. WOCBP must agree to use an effective method of birth control, as defined above, from enrolment, throughout the study duration and within 16 weeks (5 half-lives or longer) after the dosing and have negative serum or urine pregnancy test result on Visit 1 and Visit
  • Women of non-childbearing potential are defined as women who are either permanently sterilized (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy), or who are postmenopausal. Women will be considered postmenopausal if they have been amenorrhoeic for 12 months or more following cessation of exogenous hormonal treatment and follicle stimulating hormone (FSH) levels in the postmenopausal range.
  • Male subjects should be willing to use condoms, in association with another method of contraception, from the day of the first dosing until 16 weeks (5 half-lives or longer) after the dosing.

Exclusion Criteria

  • Any subject with a history of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, or neurological disorder that is capable of altering the metabolism or elimination of drugs or that constitutes a risk factor when taking the study medication.
  • Any subject with a documented history of disorders of the immune system at any time.
  • A helminth parasitic infection diagnosed within 24 weeks prior to the date informed consent is obtained that has not been treated with or has failed to respond to standard of care therapy.
  • Malignancy, current or within the past 5 years, except for adequately treated non-invasive basal cell and squamous cell carcinoma of the skin and cervical carcinoma-in-situ treated with apparent success more than 1 year prior to Visit
  • Any subject with a clinically significant relevant deviation from normal in physical examination, electrocardiography, or clinical laboratory tests, as determined by the Principal Investigator.
  • Any clinical significant findings off Chest x-rays or CT image. If a chest X-ray or CT has not been performed within 6 months prior to screening visit, a chest X-ray must be performed before the IP administration.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) level \> the upper limit of normal (ULN).
  • Positive result on screening for serum hepatitis B surface antigen, or hepatitis C antibody. Subjects with a history of hepatitis B vaccination without history of hepatitis B are allowed to enroll. A history of known immunodeficiency disorder including a positive human immunodeficiency virus (HIV) test.
  • Any subject with any condition resulting in an increased eosinophil count at screening.
  • Any condition requiring the regular use of any medication.

Outcomes

Primary Outcomes

Safety as determined by abnormality in clinical chemistry

Time Frame: Day (-1) to Day 85

Measurement of kidney function (e.g.urea ,creatinine, Uric acid), liver function(ALP, ALT, AST, albumin, total bilirubin), lipid profile(total cholesterol, triglycerides), potassium.

Safety as determined by abnormality in urinalysis

Time Frame: Day (-1) to Day 85

Measurement of glucose, ketones, leukocytes, blood and protein

Safety as determined by evaluation of body temperature in degree Celsius

Time Frame: Day (-1) to Day 85

Measurement of body temperature in degree Celsius

Number of subjects with Adverse events (AEs) and serious adverse events (SAEs)

Time Frame: Day (-1) to Day 85

The number and percentage of subjects with treatment-emergent AE/SAE/AE by severity/drug-related AE/drug-related SAE/death in each dose level group and overall. AE/SAE will be displayed by MedDRA SOC and/or PT.

Safety as determined by evaluation of blood pressure in mmHg

Time Frame: Day (-1) to Day 85

Measurement of blood pressure (systolic and diastolic in mmHg)

Safety as determined by abnormality in haematology

Time Frame: Day (-1) to Day 85

Measurement of red blood cell count, white blood cell count, haemoglobin and platelets

Safety as determined by evaluation of Pulse rate in beats per minute

Time Frame: Day (-1) to Day 85

Measurement of Pulse rate in beats per minute

Safety as determined by analysis of 12-lead ECG variables: PR, QRS, QT and QTcF (milliseconds)

Time Frame: Day (-1) to Day 85

The ECG variables will be summarized by absolute value at each visit by treatment group, together with the corresponding changes from baseline.

Safety as determined by analysis of 12-lead ECG variables: heart rate (beats per minute)

Time Frame: Day (-1) to Day 85

The ECG variables will be summarized by absolute value at each visit by treatment group, together with the corresponding changes from baseline.

Secondary Outcomes

  • Maximum observed concentration (Cmax)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85)
  • Apparent clearance (CL/F)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • Time for concentration to decrease by 50% (concentration half-life) (t1/2)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • All ADA positive samples will be tested for neutralizing antibodies (nAb). nAb as determined by evaluation of nAb positive percentage(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 29, Day 57 and Day 85.)
  • Area under the concentration-time curve from 0 to infinity (AUC0-∞)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • Time to maximum observed concentration (tmax)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • Area under the concentration-time curve from 0 to the last measurable time point (AUC0-t)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • Apparent volume of distribution at terminal phase (Vz/F)(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 2, Day 4, Day 5, Day 6, Day 8, Day 15, Day 29, Day 43, Day 57 and Day 85.)
  • Anti-drug antibody (ADA) as determined by evaluation of ADA positive percentage and ADA negative percentage(Blood samples will be collected from Day 1 (1 hour prior to administration of IP) and on Day 29, Day 57 and Day 85.)

Study Sites (1)

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