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Safety and Pharmacodynamics of SEL-212 (Pegsiticase + SEL-110) in Subjects With Elevated Blood Uric Acid Levels

Phase 1
Completed
Conditions
Gout
Interventions
Biological: SEL-037
Biological: SEL-212
Registration Number
NCT02648269
Lead Sponsor
Selecta Biosciences, Inc.
Brief Summary

This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming.

Detailed Description

This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming. Cohorts of subjects in the SEL-110 only arms of the study will be given a single, ascending intravenous dose of SEL-110 and then monitored for safety and rapamycin levels (pharmacokinetics) over 30 days. Cohorts of subjects in the SEL-212 arms of the study will be given a single, ascending intravenous dose of SEL-110 with a fixed dose of SEL-037 and then monitored for safety, rapamycin levels, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days. One additional control group with receive a single intravenous infusion of SEL-037 at a fixed dose and then monitored for safety, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
63
Inclusion Criteria
  • Male or female subjects ages 21 to 70 inclusive. Female subjects must be of non-childbearing potential;
  • Has at the screening visit a serum uric acid ≥ 6 mg/dL, with or without a history of gout;
  • The use of allopurinol, febuxostat (Uloric®), or probenecid as uric acid-lowering therapy is permissible if dosing has been stable for at least the month prior to the screening visit;
  • Has adequate venous access and able to receive IV therapy;
  • Evidence of a personally signed and dated informed consent document indicating that subject has been informed of all pertinent aspects of the study;
Exclusion Criteria
  • Prior exposure to any experimental or marketed uricase (for arms receiving SEL-037 or SEL-212);
  • History of any allergy to pegylated products;
  • Glucose-6-phosphate dehydrogenase deficiency or known catalase deficiency;
  • History of hematological or autoimmune disorders, is immunosuppressed or immunocompromised;
  • Presently taking a drug classified as CYP3A4 inducer or inhibitor;
  • Has participated in a clinical trial within 30 days of the Screening;

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SEL-110SEL-110Single intravenous dose of SEL-110
SEL-110SEL-212Single intravenous dose of SEL-110
SEL-212SEL-212Single intravenous dose of SEL-110 plus SEL-037 (pegsiticase)
SEL-037SEL-037Single intravenous dose of SEL-037 (pegsiticase)
Primary Outcome Measures
NameTimeMethod
Safety and tolerability as assessed by frequency of drug related adverse events, graded by severity30 days

To assess the safety and tolerability of a single infusion of SEL-110, SEL-212 or SEL-037 as assessed by frequency of drug related adverse events, graded by severity

Secondary Outcome Measures
NameTimeMethod
Immunogenicity of SEL-037 (measurement of anti-drug antibody levels)30 days

Immunogenicity of SEL-037 by measurement of anti-drug antibody levels over 30 days

Pharmacokinetics of SEL-110 (AUC)30 days

Measurement of the pharmacokinetics of SEL-110 over 30 days by area under the blood concentration versus time curve (AUC)

Pharmacokinetics of SEL-037 (AUC)30 days

Measurement of the pharmacokinetics of SEL-037 over 30 days by area under the serum concentration versus time curve (AUC)

Pharmacodynamics of SEL-037 (blood uric acid levels)30 days

Pharmacodynamics of SEL-037 by measurement of blood uric acid levels over 30 days

Trial Locations

Locations (6)

Orlando Clinical Research Center, Inc.

🇺🇸

Orlando, Florida, United States

Miami Research Associates

🇺🇸

Miami, Florida, United States

SNBL Clinical Pharmacology Center Inc.

🇺🇸

Baltimore, Maryland, United States

Davita Clinical Research

🇺🇸

Minneapolis, Minnesota, United States

Altoona Center for Clincal Research

🇺🇸

Duncansville, Pennsylvania, United States

Baptist Health Center for Clinical Research

🇺🇸

Little Rock, Arkansas, United States

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