A Randomized, Double Blind, Single-Dose, Two-Period Crossover Comparative Pharmacology Study Comparing TPI-120 and Neulasta® Administered Through Subcutaneous Route in Healthy Adult Subjects
Overview
- Phase
- Phase 1
- Intervention
- PEG-rhG-CSF
- Conditions
- Healthy Volunteers
- Sponsor
- Adello Biologics, LLC
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Maximum observed concentration (Cmax)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This is a single or up to 2 centers, double-blind, randomized, single-dose, two-way, crossover study comparing the Test (T) and Reference (R) products following subcutaneous administration. Subjects will be randomly assigned to one of two treatments sequences (TR or RT).
All subjects will be dosed at the CRO's designated clinical site(s) and the same protocol requirements and procedures will be followed within each group.
Detailed Description
The current study design was prepared to assess and compare the PK, PD, safety, tolerability of the Adello biosimilar candidate, TPI-120 and the US-licensed reference product, Neulasta® after administering a single subcutaneous 2 mg dose in healthy adult subjects in a crossover design. The primary PK parameters are AUC0-t, AUC0-inf, and Cmax, and the primary PD parameters are baseline-corrected AUEC0-t and Emax for ANC. This is a single or up to 2 centers, double-blind, randomized, single-dose, two-way, crossover study comparing the Test (T) and Reference (R) products following subcutaneous administration. Subjects will be randomly assigned to one of two treatments sequences (TR or RT). All subjects will be dosed at the CRO's designated clinical site(s) and the same protocol requirements and procedures will be followed within each group.
Investigators
Dr. Apinya Vutikullid
principal investigator
Adello Biologics, LLC
Eligibility Criteria
Inclusion Criteria
- •Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to dosing), 19 - 55 years of age (inclusive), with body mass index (BMI) ≥ 19 and ≤ 30 kg/m2, and body weight not \< 50 kg or \> 100 kg at the time of screening.
- •Healthy as defined by:
- •The absence of clinically significant (in the opinion of the PI/designee) illness or surgery within 4 weeks prior to dosing.
- •The absence of a clinically significant (in the opinion of the PI/designee) history of disease.
- •WBC (white blood cell) \> 4.0 x 109/L and \< 1.5 times the upper limit of normal (ULN), ANC (absolute neutrophil count) \> 2.0 x 109/L and \< 1.5 times the upper limit of normal (ULN), Platelet count \> 150 x 109/L, AST (aspartate aminotransferase) \< 2.5 time the upper limit of normal (ULN), ALT (alanine aminotransferase) \< 2.5 time the upper limit of normal (ULN), Serum bilirubin \< 1.5 time the upper limit of normal (ULN) and Serum creatinine \< 1.5 time the upper limit of normal (ULN). \[Refer to APPENDIX 1 for normal reference ranges\]
- •The absence of febrile (defined by a documented oral temperature of 101.5 °F or greater) or infectious illness within 1 week of first dosing.
- •The absence of a clinically significant history of skin disorders, including psoriasis.
- •Females of childbearing potential must be willing to use acceptable contraceptive methods throughout the study, and for 30 days thereafter.
- •Females of non-childbearing potential must have undergone sterilization procedures, at least 6 months prior to the first dose or be postmenopausal with amenorrhea for at least 1 year prior to the first dose and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status.
- •Capable of consent.
Exclusion Criteria
- •Positive test for hepatitis B, hepatitis C, or HIV.
- •Illicit/illegal drug use as evidenced by a positive test for alcohol or drug screen at screening or check -in.
- •Positive result for urine alcohol test at screening or check-in
- •Tobacco use as evidenced by a positive cotinine result at screening or check-in.
- •History of allergic reactions to pegfilgrastim, filgrastim, Escherichia coli (E. coli)-derived proteins, or other related drugs. History of allergic reactions or hypersensitivity to acetate/acetic acid, polysorbate 20, or sorbitol.
- •Hereditary fructose intolerance.
- •Females with positive pregnancy tests at screening or check-in.
- •Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study or completing follow-up activities.
- •Clinically significant ECG or vital sign abnormalities at screening.
- •History of significant alcohol abuse within one year prior to initial dosing or regular use of alcohol (more than 14 units of alcohol per week) within six months prior to initial dosing.
Arms & Interventions
TPI-120 (PEG-rhG-CSF)
PEG-rhG-CSF (recombinant granulocyte-colony stimulating factor conjugated with monomethoxypolyethylene glycol) Adello Biologics, LLC, Chicago, IL
Intervention: PEG-rhG-CSF
Neulasta (PEG-rhG-CSF)
Neulasta®, (PEG-rhG-CSF) Amgen, Thousand Oaks, CA
Intervention: Neulasta (PEG-rhG-CSF)
Outcomes
Primary Outcomes
Maximum observed concentration (Cmax)
Time Frame: 56 days
To evaluate the pharmacokinetics
Area under the concentration-time curve from time zero to the time of the last non-zero concentration (AUC0-t)
Time Frame: 56 days
To evaluate the pharmacokinetics
Area under the concentration-time curve from time zero to infinity (extrapolated AUC0-inf)
Time Frame: 56 days
To evaluate the pharmacokinetics
Secondary Outcomes
- Safety Variable - Tolerability as measured by Injection Site reactions(1, 2, 4, and 24 hours postdose during each study period)
- Safety Variable - Immunogenicity as measured by presence of Anti Drug Antibodies(Day 1 of each study period & Day 22 of each study period)