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Clinical Trials/NCT07287033
NCT07287033
Recruiting
Phase 1

A Randomized, Quadruple-blinded, Placebo-controlled, Single-ascending and Multiple Dose Study to Evaluate the Safety, Local Tolerability, Pharmacokinetics, Immunogenicity, Pharmacodynamics, and Exploratory Clinical Activity of MY006 in Healthy Volunteers and Adolescent and Adult Patients With Peanut Allergy

Mabylon AG1 site in 1 country48 target enrollmentDecember 6, 2025

Overview

Phase
Phase 1
Intervention
MY006 Low Dose
Conditions
Not specified
Sponsor
Mabylon AG
Enrollment
48
Locations
1
Primary Endpoint
Proportion of Subjects with Adverse Events and Serious Adverse Events (Safety and Local Tolerability)
Status
Recruiting
Last Updated
4 months ago

Overview

Brief Summary

The goal of this clinical trial is to evaluate the safety, pharmacokinetics, and effectiveness of MY006, a therapy designed to prevent severe or potentially life-threatening allergic reactions caused by accidental peanut intake. In the first part of the study, adult participants receive one dose or two doses of MY006 or a placebo, administered by subcutaneous injection. The safety of MY006, including the number of adverse events, injection-site reactions, and immunogenicity, in these participants will be reviewed by an independent Safety Monitoring Committee and, if the safety is judged acceptable, the second part of the study will be started. In the second part of the study, adult and adolescent participants with peanut allergy receive one dose of MY006 or a placebo, administered by subcutaneous injection. Several weeks later, the participants are given a food peanut challenge to assess reactions and treatment effects. The duration of the study for participants is for up to 32 weeks.

Registry
clinicaltrials.gov
Start Date
December 6, 2025
End Date
April 1, 2027
Last Updated
4 months ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Sponsor
Mabylon AG
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Part A - Single-ascending dose and multiple dose cohorts in healthy volunteers
  • Subject is male or female between 18 to 55 years of age, inclusive, at the screening visit.
  • Subject agrees voluntarily to participate, and is able to read and understand, and willing to sign, the Institutional Review Board/Independent Ethics Committee-approved informed consent form prior to performing any screening visit procedures.
  • Subject weight at screening and admission is between 45 kg and 100 kg, inclusive.
  • Subject has a body mass index between 18.0 and 30.0 kg/m2, inclusive, at screening visit.
  • Part B - Peanut-allergic patient cohorts
  • Participant and/or parent/legal guardian must be able to understand and provide informed consent and/or assent, as applicable.
  • Patient is male or female between 12 to 55 years of age, inclusive, at the screening visit.
  • Patient weight at screening and admission is between 40 kg and 100 kg, inclusive.
  • If patient is 12-17 years of age, their body mass index (BMI) must be above the 5th percentile and below the 95th percentile for age and sex at the screening visit. If patient is 18 years of age or above, their BMI must be between 18.0 and 30.0 kg/m2, inclusive, at the screening visit.

Exclusion Criteria

  • Part A - Single-ascending dose and multiple dose cohorts in healthy volunteers
  • Subject has a clinically relevant history, as determined by the Principal Investigator or designee, or presence of respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, and/or connective tissue diseases or disorders.
  • Subject has clinically significant abnormal vital signs, after 5 minutes or more of sitting rest, defined as any of the following:
  • Systolic blood pressure ≥140 mmHg;
  • Diastolic blood pressure ≥90 mmHg; and/or
  • Heart rate ≥90 beats per minute.
  • Subject has any clinically significant abnormalities in rhythm, conduction, or morphology of the resting electrocardiogram (ECG) and/or any clinically significant abnormalities in the 12-lead ECG as considered by the Principal Investigator or designee that may interfere with the interpretation of QTc interval changes.
  • Subject has history of severe allergy/hypersensitivity, ongoing clinically significant allergy/hypersensitivity, as judged by the Principal Investigator or designee, known or suspected allergy to peanuts, and/or history of hypersensitivity to drugs with a similar structure or class.
  • Part B - Peanut-allergy patient cohorts
  • Patient has history of frequent or recent severe, life-threatening episodes of anaphylaxis or anaphylactic shock to peanut, as defined by more than 3 episodes of anaphylaxis within the past year and/or an episode of anaphylaxis within 60 days of screening.

Arms & Interventions

Part A, Single Ascending Dose, Dose Level 1 (Healthy Volunteers)

Cohort A1: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 Low Dose

Part A, Single Ascending Dose, Dose Level 1 (Healthy Volunteers)

Cohort A1: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Part A, Single Ascending Dose, Dose Level 2 (Healthy Volunteers)

Cohort A2: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 Mid Dose

Part A, Single Ascending Dose, Dose Level 2 (Healthy Volunteers)

Cohort A2: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Part A, Single Ascending Dose, Dose Level 3 (Healthy Volunteers)

Cohort A3: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 High Dose

Part A, Single Ascending Dose, Dose Level 3 (Healthy Volunteers)

Cohort A3: MY006 or Placebo, subcutaneous, single dose in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Part A, Multiple Dose (Healthy Volunteers)

Cohort A4: MY006 or Placebo, subcutaneous, every 2 weeks, total of 2 doses in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 Selected Dose

Part A, Multiple Dose (Healthy Volunteers)

Cohort A4: MY006 or Placebo, subcutaneous, every 2 weeks, total of 2 doses in healthy volunteers. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Part B, Single Dose with Early Peanut Challenge (Peanut-Allergic Patients)

Cohort B1: MY006 or Placebo, subcutaneous, single dose in adults and adolescents. Peanut challenge will occur early after dosing. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 Selected Dose

Part B, Single Dose with Early Peanut Challenge (Peanut-Allergic Patients)

Cohort B1: MY006 or Placebo, subcutaneous, single dose in adults and adolescents. Peanut challenge will occur early after dosing. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Part B, Single Dose with Late Peanut Challenges (Peanut-Allergic Patients)

Cohort B2: MY006 or Placebo, subcutaneous, single dose in adults and adolescents. Peanut challenge will occur late after dosing. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: MY006 Selected Dose

Part B, Single Dose with Late Peanut Challenges (Peanut-Allergic Patients)

Cohort B2: MY006 or Placebo, subcutaneous, single dose in adults and adolescents. Peanut challenge will occur late after dosing. The cohort will consist of 8 subjects. The subjects will be randomized in a 6:2 ratio in a quadruple-blinded manner to receive MY006 or Placebo (vehicle), respectively.

Intervention: Placebo (Vehicle)

Outcomes

Primary Outcomes

Proportion of Subjects with Adverse Events and Serious Adverse Events (Safety and Local Tolerability)

Time Frame: From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25)

The nature of the adverse event (AE), date of the AE onset, date of the AE outcome to date, severity of the AE, and action taken for the AE will be documented together with the Principal Investigator's assessment of the seriousness of the AE and causal relationship to study drug and/or study procedure. The AEs will be coded using the Medical Dictionary for Regulatory Activities (MedDRA) version 21.0 or higher.

Secondary Outcomes

  • Pharmacokinetics: Cmax (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25))
  • Pharmacokinetics: Tmax (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25))
  • Pharmacokinetics: AUClast (Part A, SAD, Cohorts A1-A3)(From dosing (Day 1) to End of Study visit (Week 24))
  • Pharmacokinetics: AUClast (Part A, MD, Cohort A4)(From Day 15 to End of Study visit (Week 26))
  • Pharmacokinetics: AUC0-504hr (Part A, SAD, Cohorts A1-A3)(From dosing (Day 1) to Day 21)
  • Pharmacokinetics: AUC0-336hr (Part B, Cohorts B1-B2)(From dosing (Day 1) to Day 14)
  • Pharmacokinetics: AUC0-336hr (Part A, MD, Cohort A4)(From dosing (Day 1) to Day 14)
  • Pharmacokinetics: AUCinf (Part A, SAD, Cohorts A1-A3; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Week 24/25))
  • Pharmacokinetics: AUCinf (Part A, MD, Cohort A4)(From Day 15 to End of Study visit (Week 26))
  • Pharmacokinetics: AUC%extrap (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or Week 26; Part B, Week 24/25))
  • Pharmacokinetics: λz (Part A, MD, Cohort A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Week 24/25))
  • Immunogenicity: Treatment-enhanced ADA (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25))
  • Immunogenicity: ADA Titers (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25))
  • Pharmacokinetics: t½ (Part A, MD, Cohort A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 26; Part B, Week 24/25))
  • Pharmacokinetics: CL/F (Part A, MD; Cohort A4, Day 15; Part B, Cohorts B1-B2)(From dosing (Day 1) to Day 15 (Part A) or End of Study visit (Part B, Week 24/25))
  • Pharmacokinetics: Vz/F (Part A, MD, Cohort A4, Day 15; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 26; Part B, Week 24/25))
  • Pharmacokinetics: Racc,Cmax (Part A, MD, Cohort A4)(From dosing (Day 1) to Day 15)
  • Pharmacokinetics: Racc,C72 (Part A; MD; Cohort A4)(From dosing (Day 1) to Day 18)
  • Pharmacokinetics: Racc,C168 (Part A, MD, Cohort A4)(From Day 8 to Day 22)
  • Pharmacokinetics: Racc,AUC0-336hr (Part A, MD, Cohort A4)(From dosing (Day 1) to Day 15)
  • Immunogenicity: ADA (Part A, Cohorts A1-A4; Part B, Cohorts B1-B2)(From dosing (Day 1) to End of Study visit (Part A, Week 24 or 26; Part B, Week 24/25))

Study Sites (1)

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