A Phase 1, Open Label, Dose-escalation Study of the Safety and Pharmacokinetics of a Combination of Two Anti-SARS-CoV-2 mAbs (C144-LS and C135-LS) in Healthy Volunteers
Overview
- Phase
- Phase 1
- Intervention
- C144-LS and C-135-LS
- Conditions
- Covid19
- Sponsor
- Rockefeller University
- Enrollment
- 23
- Locations
- 1
- Primary Endpoint
- Grade 2 and Higher Adverse Events 4 Weeks After Administration.
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This is a first-in-human, open label, single dose, dose-escalation phase 1 study to evaluate the safety and pharmacokinetics of a combination of two highly neutralizing anti-SARS-CoV-2 mAbs targeting two distinct epitopes on the receptor protein binding domain (RBD) of the SARS-CoV-2 spike protein in healthy volunteers.
Detailed Description
The study has a standard 3+3 phase 1 dose escalation design. Study participants will receive subcutaneous injections of C144-LS and C135-LS at 4ml (approximately 100mg of each antibody administered separately) or 8ml (approximately 200mg of each antibody administered separately), or sequential intravenous infusions of C144-LS and C135-LS, at one of three increasing dose levels (1.5 mg/kg, 5 mg/kg and 15 mg/kg of each antibody).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged 18 or older.
- •If sexually active male or female, and participating in sexual activity that could lead to pregnancy, agrees to use one effective method of contraception from 10 days prior to the antibody administration until 6 months after investigational product (IP) administration.
Exclusion Criteria
- •Weight \> 110 kg for groups S1 and S2 only
- •History of prior positive SARS-CoV-2 RT-PCR or SARS-CoV-2 serology.
- •Active respiratory or non-respiratory symptoms consistent with COVID-
- •Medically attended acute illness or hospitalization (ie, \>24 hours) for any reason within 30 days prior to screening.
- •Acute exacerbation of a chronic pulmonary condition (eg, chronic obstructive pulmonary disease \[COPD\], asthma exacerbations, or uncontrolled hypertension, as defined by a systolic blood pressure \> 180 and/or diastolic blood pressure \> 120, in the presence or absence of anti-hypertensive medications) in the past 6 months prior to screening.
- •Use of systemic corticosteroids, immunosuppressive anti-cancer, or other medications considered significant by the trial physician within the last 6 months.
- •Other clinically significant acute or chronic medical condition that in the opinion of the investigator would preclude participation.
- •Laboratory abnormalities in the parameters listed:
- •Absolute neutrophil count less than 1,500 K/mcL;
- •Hemoglobin less than 10.5 gm/dL if female; less than 11 gm/dL if male;
Arms & Interventions
S1 - low dose
100 mg of C144-LS and 100 mg of C135-LS, subcutaneously
Intervention: C144-LS and C-135-LS
S2 - mid dose
200 mg of C144-LS and 200 mg of C135-LS, subcutaneously
Intervention: C144-LS and C-135-LS
V1 - low dose
1.5 mg/kg of C144-LS and 1.5 mg/kg of C135-LS, intravenously
Intervention: C144-LS and C-135-LS
V2 - mid dose
5 mg/kg of C144-LS and 5 mg/kg of C135-LS, intravenously
Intervention: C144-LS and C-135-LS
V3 - high dose
15 mg/kg of C144-LS and 15 mg/kg of C135-LS, intravenously
Intervention: C144-LS and C-135-LS
Outcomes
Primary Outcomes
Grade 2 and Higher Adverse Events 4 Weeks After Administration.
Time Frame: 4 weeks
The number of participants with treatment-related solicited and unsolicited grade 2 adverse events (including confirmed laboratory abnormalities).
Area Under the Curve of C135-LS and C144-LS
Time Frame: 48 weeks
Area under the curve of C135-LS and C144-LS when administered intravenously or subcutaneously in healthy volunteers
Grade 3 and Higher Adverse Events 4 Weeks After Administration.
Time Frame: 4 weeks
The number of participants with treatment-related solicited and unsolicited grade 3 adverse events (including confirmed laboratory abnormalities).
Related Serious Adverse Events (SAEs) Throughout the Study Period
Time Frame: 48 weeks
The number of participants with treatment-related solicited serious adverse events.
Elimination Half-life (t1/2) of C135-LS and C144-LS
Time Frame: 48 weeks
Half-life of C135-LS and C144-LS when administered intravenously or subcutaneously in healthy volunteers
Clearance Rate of C135-LS and C144-LS
Time Frame: 48 weeks
Clearance rate of C135-LS and C144-LS when administered intravenously or subcutaneously in healthy volunteers
Secondary Outcomes
- Investigational Product (IP)-Related Adverse Events During Study Follow up.(48 weeks)
- Anti-C144-LS and Anti-C135-LS Antibodies in All Study Groups.(48 weeks)