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
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.
研究者
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)