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临床试验/NCT05876312
NCT05876312
招募中
1 期

A Phase 1, Randomized, Double Blind, Placebo-Controlled, Single Ascending Dose Study in Healthy Participants Followed by a Phase 2a Open Label Study in Participants With PNH and Residual Anemia to Evaluate the Safety, Tolerability, PK and PD of ADX-038

ADARx Pharmaceuticals, Inc.8 个研究点 分布在 2 个国家目标入组 50 人2023年8月7日

概览

阶段
1 期
干预措施
ADX-038
疾病 / 适应症
Paroxysmal Nocturnal Hemoglobinuria (PNH)
发起方
ADARx Pharmaceuticals, Inc.
入组人数
50
试验地点
8
主要终点
Safety in Healthy Volunteers
状态
招募中
最后更新
10天前

概览

简要总结

The first-in-human Phase 1/Phase 2a study described herein will evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of ADX-038 in both healthy participants (HP) and in patients with paroxysmal nocturnal hemoglobinuria (PNH).

详细描述

The clinical study described in this protocol is a Phase 1/Phase 2a study evaluating safety, tolerability, PK, and PD of ADX-038. The study consists of 2 parts: 1. Phase 1 - Randomized, double-blind, placebo-controlled, parallel group, single ascending dose (SAD) in HP with up to 5 dose cohorts. 2. Phase 2a - Open label, single-arm (ADX-038), 2 dose study in participants with paroxysmal nocturnal hemoglobinuria (PNH) and residual anemia on a standard-of-care (SOC) anti-C5 regimen of ravulizumab or eculizumab.

注册库
clinicaltrials.gov
开始日期
2023年8月7日
结束日期
2028年7月31日
最后更新
10天前
研究类型
Interventional
研究设计
Parallel
性别
All

研究者

责任方
Sponsor

入排标准

入选标准

  • Phase 1 Key Inclusion Criteria
  • 18 to 55 years of age
  • Participants who are healthy as determined by medical evaluation
  • History of recent meningococcal, pneumococcal and Haemophilus influenzae type B vaccinations or willing to be vaccinated
  • Screening tests negative for illicit drug, nicotine, and alcohol use
  • Phase 1 Key

排除标准

  • History of any significant medical conditions, except for completely excised non-melanoma skin cancer or low grade cervical intraepithelial neoplasia without evidence of recurrence within the prior 3 months
  • Any viral, bacterial, parasitic, or fungal infection within the prior 30 days
  • Frequent respiratory, nasopharyngeal or ear infections (more than 5 infections per year)
  • History of environmental exposure or sick contact that increase the risk of meningococcal, pneumococcal and/or Haemophilus influenza type B infections
  • Complement deficiency or immunodeficiency syndrome
  • Major surgery or significant traumatic injury within the prior 3 months
  • History of anaphylaxis or hypersensitivity reactions
  • History of penicillin allergy
  • History of splenectomy
  • History of alcohol abuse or illicit drug use

研究组 & 干预措施

Phase 1 - Active ADX-038 administered to HP

For each cohort in Phase 1 (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-038): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.

干预措施: ADX-038

Phase 1- Placebo administered to HP

For each cohort in Phase 1 (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-038): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.

干预措施: Placebo

Phase 2a - ADX-038 administered to PNH participants

This will be initiated at the dose level determined by the Safety Review Committee from SAD in HPs. The treatment of PNH participants is an open-label study.

干预措施: ADX-038

结局指标

主要结局

Safety in Healthy Volunteers

时间窗: 365 days

To evaluate the safety and tolerability of ADX-038 in HVs by incidence, relationship, and severity of adverse events and serious adverse events

Safety in Paroxysmal Nocturnal Hemoglobinuria Participants

时间窗: 365 days

Evaluate the safety and tolerability of ADX-038 by incidence, relationship, and treatment-emergent adverse events and serious adverse events.

次要结局

  • Pharmacokinetics in Healthy Participants(8 days)
  • Pharmacodynamics in Healthy Participants(365 days)
  • Pharmacodynamics in Paraxysmal Nocturnal Hemoglobinuria(365 days)

研究点 (8)

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