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Study of Subcutaneous and Intravenous ALXN1720 With and Without rHuPH20 in Healthy Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: ALXN1720 IV
Drug: ALXN1720 SC
Drug: Placebo SC
Drug: Placebo IV
Registration Number
NCT04920370
Lead Sponsor
Alexion Pharmaceuticals, Inc.
Brief Summary

This study is designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity of ALXN1720 administered subcutaneously (SC) or intravenously (IV).

Detailed Description

Participants will be randomized in a 3:1 ratio to receive the active treatment or placebo.

The study will be conducted in healthy adult participants, including participants of Japanese descent.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
97
Inclusion Criteria
  • Body weight within 50 to 90 kilograms (kg), inclusive, and body mass index within the range of 18 to 29.9 kg/meter squared, inclusive.
  • Willing to follow protocol-specified contraception guidance while on treatment and for 6 months after the last dose of study treatment.
  • Vaccination with tetravalent meningococcal conjugate vaccine and serogroup B meningococcal vaccine.
  • No clinically significant or relevant abnormalities as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram, and clinical laboratory evaluation.
  • For the cohorts with Japanese participants, parents and grandparents must both be Japanese, and participants must have resided for less than 5 years outside of Japan.
Exclusion Criteria
  • Current or recurrent disease that could affect clinical assessments or clinical laboratory evaluations.
  • History of complement deficiency or complement activity below the reference range.
  • Female participants who are breastfeeding.
  • Immunization with a live-attenuated vaccine 28 days prior to dosing on Day 1 or planned vaccination during the course of the study. Immunization with inactivated or recombinant influenza vaccine, or nucleoside-modified messenger ribonucleic acid or recombinant COVID-19 vaccine is permitted.
  • Current tobacco smoking, history of illicit drug abuse, or history of significant alcohol abuse.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
ALXN1720 Single Dose IVALXN1720 IVParticipants will receive a single dose of ALXN1720 IV.
ALXN1720 Multiple Dose SCALXN1720 SCParticipants will receive multiple doses of ALXN1720 SC.
PlaceboPlacebo IVParticipants will receive Placebo SC or Placebo IV according to their assigned cohort.
ALXN1720 Single Dose SCALXN1720 SCParticipants will receive a single dose of ALXN1720 SC.
ALXN1720 Single Dose SC + rHuPH20ALXN1720 SCParticipants will receive a single dose of ALXN1720 SC in combination with rHuPH20.
PlaceboPlacebo SCParticipants will receive Placebo SC or Placebo IV according to their assigned cohort.
ALXN1720 Single Dose SC + rHuPH20rHuPH20Participants will receive a single dose of ALXN1720 SC in combination with rHuPH20.
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-emergent and Serious Adverse Events (TEAEs, SAEs)Up to 176 days following the first day of dosing
Secondary Outcome Measures
NameTimeMethod
Maximum Observed Concentration (Cmax) of ALXN1720 SC, ALXN1720 SC/rHuPH20, and ALXN1720 IVUp to 176 days following the first day of dosing
Area Under The Concentration-time Curve (AUC) of ALXN1720 SC, ALXN1720 SC/rHuPH20, and ALXN1720 IVUp to 176 days following the first day of dosing
Change from Baseline in Serum Concentrations of Free Complement Component 5 (C5)Baseline, 176 days following the first day of dosing
Change from Baseline in Ex Vivo Chicken Red Blood Cell (cRBC) Hemolysis ActivityBaseline, 176 days following the first day of dosing
Change from Baseline in Serum Concentrations of Total C5Baseline, 176 days following the first day of dosing
Comparison of AUC of ALXN1720 SC, ALXN1720 SC/rHuPH20, and ALXN1720 IV Between Healthy Non-Japanese Participants and Participants of Japanese DescentUp to 176 days following the first day of dosing
Comparison of Change from Baseline in Serum Concentrations of Free C5 Between Healthy Non-Japanese Participants and Participants of Japanese DescentBaseline, 176 days following the first day of dosing
Comparison of Change from Baseline in Serum Concentrations of Total C5 Between Healthy Non-Japanese Participants and Participants of Japanese DescentBaseline, 176 days following the first day of dosing
Incidence of Antidrug Antibodies (ADAs) to ALXN1720Up to 176 days following the first day of dosing
Absolute Bioavailability of ALXN1720Up to 176 days following the first day of dosing

The absolute bioavailability for ALXN1720 SC will be defined by the ratio of the geometric means for AUC for ALXN1720 SC over ALXN1720 IV after a single dose.

Comparison of Incidence of TEAEs and SAEs Between Healthy Non-Japanese Participants and Participants of Japanese DescentUp to 176 days following the first day of dosing
Comparison of Cmax of ALXN1720 SC, ALXN1720 SC/rHuPH20, and ALXN1720 IV Between Healthy Non-Japanese Participants and Participants of Japanese DescentUp to 176 days following the first day of dosing
Comparison of Change from Baseline in Serum Concentrations in Ex Vivo cRBC Hemolysis Activity Between Healthy Non-Japanese Participants and Participants of Japanese DescentBaseline, 176 days following the first day of dosing
Comparison of ADAs to ALXN1720 Between Healthy Non-Japanese Participants and Participants of Japanese DescentUp to 176 days following the first day of dosing

Trial Locations

Locations (1)

Clinical Study Site

🇬🇧

London, United Kingdom

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