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A 2-Part First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Immunogenicity of CMTX-101

Phase 1
Terminated
Conditions
Community-acquired Pneumonia
Bacterial Pneumonia
Interventions
Drug: Placebo
Registration Number
NCT05629741
Lead Sponsor
Clarametyx Biosciences, Inc.
Brief Summary

CMTX-101 is a bacterial biofilm disrupting monoclonal antibody being developed as an adjunct therapy with standard of care antibiotics. The goal of this clinical trial is to assess the safety and tolerability of CMTX-101 in healthy volunteers followed by a similar assessment in patients with suspected or confirmed community acquired bacterial pneumonia of moderate severity.

The main questions the study aims to answer are:

* Are single ascending doses of a CMTX-101 intravenous (IV) infusion safe and tolerated

* What is the pharmacokinetic (PK) profile of single-ascending doses CMTX 101

* Do single ascending doses of CMTX 101 induce development of anti-drug antibodies (ADA) and neutralizing antibodies (Nabs)

Exploratory efficacy biomarkers will also be measured in the patient part of the study. Participants will be administered a single IV infusion of CMTX-101 over a 60-minute period; patients will receive the infusion after starting standard of care antibiotics.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
28
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
CMTX-101 5 mg/kgCMTX-101CMTX-101 will be administered as a single IV infusion over 60 minutes.
CMTX-101 2.5 mg/kgCMTX-101CMTX-101 will be administered as a single IV infusion over 60 minutes.
CMTX-101 0 mg/kgPlaceboPlacebo will be administered as a single IV infusion over 60 minutes
CMTX-101 30 mg/kgCMTX-101CMTX-101 will be administered as a single IV infusion over 60 minutes.
CMTX-101 15 mg/kgCMTX-101CMTX-101 will be administered as a single IV infusion over 60 minutes.
Primary Outcome Measures
NameTimeMethod
Number and % of healthy subjects experiencing Adverse Events following ascending doses of a single CMTX-101 IV infusionCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Primary objective of Part 1

Number and % of hospitalized subjects with suspected or confirmed CABP of moderate severity experiencing Serious Adverse Events following dosing of a single CMTX-101 IV infusionDay 1 to Day 35

Primary objective of Part 2

Number and % of hospitalized subjects with suspected or confirmed CABP of moderate severity experiencing Solicited Adverse Events following dosing of a single CMTX-101 IV infusionDay 1 to Day 35

Primary objective of Part 2

Number and % of healthy subjects experiencing Serious Adverse Events following ascending doses of a single CMTX-101 IV infusionCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Primary objective of Part 1

Number and % of hospitalized subjects with suspected or confirmed CABP of moderate severity experiencing Adverse Events following dosing of a single CMTX-101 IV infusionDay 1 to Day 35

Primary objective of Part 2

Number and % of healthy subjects experiencing Solicited Adverse Events following ascending doses of a single CMTX-101 IV infusionCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Primary objective of Part 1

Secondary Outcome Measures
NameTimeMethod
Assess the AUC0-last Area under the concentration time curve following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the Terminal elimination half-determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Evaluate the immunogenicity of CMTX-101 as measured by anti-drug antibodies (ADAs) determined by electrochemiluminescence assay following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the AUC0-∞ Area under the concentration time curve from zero to infinite time following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the Terminal phase elimination rate determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the AUC0-last Area under the concentration time curve following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the AUC0-∞ Area under the concentration time curve from zero to infinite time following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the TMax - Time to reach maximum plasma concentration determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the Terminal phase elimination rate determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the Apparent volume of distribution (Vz/F) determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the CMax - Observed maximum plasma concentration determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the TMax - Time to reach maximum plasma concentration determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the Apparent total body clearance (CL/F) determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Assess the Terminal elimination half-determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the Apparent volume of distribution (Vz/F) determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Evaluate the immunogenicity of CMTX-101 as measured by anti-drug antibodies determined by electrochemiluminescence assay following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the Apparent total body clearance (CL/F) determined by ELISA following a single dose of a CMTX-101 IV infusion in hospitalized subjects with suspected or confirmed CABP of moderate severityDay 1 to Day 35

Secondary objective of Part 2

Assess the CMax - Observed maximum plasma concentration determined by ELISA following ascending doses of a single CMTX-101 IV infusion in healthy subjectsCohorts 1 and 2: Day 1 to Day 29. Cohorts 3 and 4: Day 1 to Day 100.

Secondary objective of Part 1

Trial Locations

Locations (8)

The Ohio State University

🇺🇸

Columbus, Ohio, United States

Augusta University Health

🇺🇸

Augusta, Georgia, United States

Snake River Research, PLLC

🇺🇸

Idaho Falls, Idaho, United States

University of Louisville

🇺🇸

Louisville, Kentucky, United States

Wayne State University

🇺🇸

Detroit, Michigan, United States

Buffalo VA Medical Center

🇺🇸

Buffalo, New York, United States

Medpace Clinical Pharmacology Unit

🇺🇸

Cincinnati, Ohio, United States

University of Virginia School of Medicine

🇺🇸

Charlottesville, Virginia, United States

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