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A Study of the Safety, Tolerability, Pharmacokinetics, and Immunogenicity of BCX17725

Phase 1
Recruiting
Conditions
Netherton Syndrome
Interventions
Drug: Placebo
Registration Number
NCT06539507
Lead Sponsor
BioCryst Pharmaceuticals
Brief Summary

This is a first-in-human, Phase 1/1b, 3-part study that includes the evaluation of safety, tolerability, pharmacokinetics (PK), and immunogenicity of BCX17725 when administered via single and multiple doses in healthy adult participants (Parts 1 and 2), and multiple doses in participants with Netherton Syndrome (Part 3).

Detailed Description

Parts 1 and 2 are randomized, placebo-controlled, single-ascending-dose (SAD) and multiple-ascending-dose (MAD) study parts, respectively, in healthy participants. Part 3 will evaluate multiple dose administrations in participants with Netherton syndrome in an open-label design.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Male or non-pregnant, non-lactating female aged 18 to 55 years, inclusive (Parts 1 and 2) or aged 18 to 65 years, inclusive (Part 3)
  • Confirmed diagnosis of Netherton syndrome (Part 3 only)
  • BMI between 18 and 30 kg/m^2, inclusive (Parts 1 and 2 only)
  • Estimated glomerular filtration rate (eGFR) of ≥ 90 mL/min/1.73 m^2 (Parts 1 and 2) or ≥ 60 mL/min/1.73 m^2 (Part 3)
  • Agree to follow the protocol contraception requirements from screening until 90 days after the last dose of study drug
  • In the opinion of the investigator, expected to adequately comply with all required study procedures and restrictions for the duration of the study
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part 2 - placebo multiple dosesPlaceboParticipants randomized to placebo will receive placebo as multiple doses
Part 3 - BCX17725 multiple dosesBCX17725Participants will receive BCX17725 as multiple doses
Part 2 - BCX17725 multiple dosesBCX17725Participants randomized to BCX17725 will receive BCX17725 as multiple doses in sequential ascending dose cohorts
Part 1 - BCX17725 single doseBCX17725Participants randomized to BCX17725 will receive BCX17725 as a single dose in sequential ascending dose cohorts
Part 1 - placebo single dosePlaceboParticipants randomized to placebo will receive placebo as a single dose
Primary Outcome Measures
NameTimeMethod
Incidence of treatment-emergent adverse events (TEAEs)From screening through EOS (ie, through Day 78 in Parts 1 and 3, and Day 106 in Part 2)

Incidence of TEAEs as assessed by Common Terminology Criteria for Adverse Events (CTCAE) from screening through end-of-study (EOS) in each study part

Secondary Outcome Measures
NameTimeMethod
Area under the serum concentration-time curve (AUC) from time 0 to the time of last measurable concentration (AUC0-t)Up to Day 64 (Part 1), Day 92 (Part 2), and Day 78 (Part 3)

AUC0-t of BCX17725

Time to maximum observed serum concentration (Tmax)Up to Day 64 (Part 1), Day 92 (Part 2), and Day 78 (Part 3)

Time to Cmax of BCX17725

Terminal elimination half-life (t1/2)Up to Day 64 (Part 1), Day 92 (Part 2), and Day 78 (Part 3)

Terminal elimination half-life (t1/2) of BCX17725

Number of participants who are anti-drug antibody (ADA)-positive (baseline and post-baseline) and number of participants who have treatment-emergent ADAsDay 1 pre-dose and up to Day 64 (Part 1), Day 92 (Part 2), and Day 78 (Part 3)

Incidence of ADAs to BCX17725

Maximum observed serum concentration (Cmax)Up to Day 64 (Part 1), Day 92 (Part 2), and Day 78 (Part 3)

Cmax of BCX17725

Trial Locations

Locations (1)

Investigative site

🇦🇺

Brisbane, Queensland, Australia

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