跳至主要内容
临床试验/NCT05318534
NCT05318534招募中1 期

GL-0719 - A Phase 1, Double-blind, Placebo-controlled, Single Ascending Intravenous and Subcutaneous Injection Dose, Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study in Healthy Male and Female Subjects and an Open-label Evaluation of Safety, Tolerability, Pharmacokinetics, and Pilot Efficacy Biomarkers in Subjects With Cold Agglutinin Disease

Gliknik Inc.2 个研究点 分布在 1 个国家目标入组 70 人开始时间: 2022年4月8日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
发起方
Gliknik Inc.
入组人数
70
试验地点
2
主要终点
Incidence of abnormal clinical laboratory findings in 12-lead ECG parameters, vital signs, physical examination and measurement of cytokines

研究概览

简要总结

The purpose of this first-in-human (FIH) study is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GL-0719 following single intravenous (IV) and subcutaneous injection (SC) doses in healthy adult male and female subjects.

In addition, safety, tolerability, PK, and pilot efficacy biomarkers will be evaluated in subjects with cold agglutinin disease (CAD).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • for Cohorts 1 to 7
  • Healthy female or male subjects who, at the time of screening, are between the ages of 18 and 65 years, inclusive.
  • Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  • Body mass index of 18.0 to 32.0 kg/m^2, inclusive; and a total body weight > 50 kg up to a maximum of 110 kg.
  • Study subjects must have received a quadrivalent meningococcal conjugate vaccine (meningococcal serogroups A, C, W, and Y) within the past 5 years or vaccination a minimum of 14 days prior to initial study drug administration.
  • The subject must be capable of understanding the investigational nature, potential risks and benefits of the study and capable of providing valid informed consent.
  • Inclusion Criteria for Cohorts 8 to 9
  • Female or male subjects who, at the time of screening, are at least 18 years of age with a total body weight of ≥ 50 kg.
  • Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  • The subject must be capable of understanding the investigational nature, potential risks and benefits of the study and capable of providing valid informed consent.
  • The subject must be willing to return to the study center for study treatment and study-related follow-up procedures as required by the protocol.
  • Study subjects must have received a quadrivalent meningococcal conjugate vaccine (meningococcal serogroups A, C, W, and Y) within the past 5 years or vaccination a minimum of 14 days prior to initial study drug administration.
  • The Participant Identification Center (PIC) site will have provided evidence that the PIC site used to confirm diagnosis of Cold Agglutinin Disease (CAD)
  • Primary Cold Agglutinin Disease (CAD) or CAD secondary to active lymphoid or other hematologic malignancy (Cold Agglutinin Syndrome).
  • Hemoglobin level < 105 gram per liter (g/L).
  • Bilirubin level above the normal reference range.

排除标准

  • for Cohorts 1 to 7
  • History of any clinically significant (as determined by the investigator) cardiac, endocrine, hematological, hepatic, immunological, metabolic, urological, pulmonary, neurological, dermatological, psychiatric, renal, or other major disease.
  • Evidence of clinically significant medical condition or other condition that might significantly interfere with the absorption, distribution, metabolism, or excretion of study drug, or place the subject at an unacceptable risk as a participant in this study.
  • Signs and symptoms of, or diagnosis consistent with a chronic autoimmune disorder and/or positive antinuclear antibodies (ANA) test by indirect immunofluorescence confirmed by ANA titer ≥ 1:
  • Documented history of autoimmune disease, or history of a syndrome that required systemic steroids or immunosuppressive medications, except for subjects with vitiligo or resolved childhood asthma/atopy.
  • Any underlying medical condition that, in the opinion of the investigator, renders the subject a poor candidate for this study or could confound the results of the study or put the subject at undue risk.
  • Key Exclusion Criteria for Cohorts 8 to 9
  • CAD secondary to infection or an autoimmune disorder.
  • CAD secondary to active lymphoid or other hematologic malignancy not meeting the inclusion criteria.
  • Diagnosis of any other malignancy except for adequately treated basal or squamous cell skin cancer, curatively treated in situ disease, or other cancer from which the subject has been disease-free for ≥ 5 years.
  • Clinically relevant infection of any kind within the month preceding enrollment (example, active hepatitis C, pneumonia).
  • Clinical diagnosis of Systemic Lupus Erythematosus (SLE), other autoimmune disorders, or ANA titer > 1:160 at Screening.
  • Positive hepatitis panel and/or positive HIV (Human Immuno Deficiency) test. Subjects whose results are compatible with prior immunization may be included at the discretion of the investigator.
  • Positive HIV antibody at Screening.
  • Treatment with an investigational drug within 90 days or five half-lives preceding the first dose of IP (whichever is longer), with the exception of subjects who received GL-0719 in this study in Cohort 8, who cannot be re-enrolled in Cohort 9 within 60 days after their last dose of GL-
  • Concurrent plasma exchange therapy.
  • Other protocol defined inclusion/exclusion criteria may apply.

研究组 & 干预措施

GL-0719

Experimental

Dose level cohorts randomized in a 3:1 ratio to GL-0719 or placebo treatment, respectively.

The study will comprise a single-dose, sequential-group design.

Single Ascending IV Dose Cohorts

  • Cohort 1: 4 subjects
  • Cohort 2: 8 subjects
  • Cohort 3: 8 subjects
  • Cohort 4: 8 subjects
  • Cohort 5: 8 subjects

Subcutaneous Injection Cohort

  • Cohort 6: 8 subjects
  • Cohort 7: 8 subjects
  • Cohort 8 (Patient Arm): Up to 6 subjects with Cold Agglutinin Disease (CAD); Placebo is not applicable.
  • Cohort 9 (Patient Arm): Up to 12 subjects with Cold Agglutinin Disease (CAD); Placebo is not applicable.

干预措施: GL-0719 (Drug)

Placebo

Placebo Comparator

Dose level cohorts randomized in a 3:1 ratio to GL-0719 or placebo treatment, respectively.

The study will comprise a single-dose, sequential-group design.

Single Ascending IV Dose Cohorts

  • Cohort 1: 4 subjects
  • Cohort 2: 8 subjects
  • Cohort 3: 8 subjects
  • Cohort 4: 8 subjects
  • Cohort 5: 8 subjects

Subcutaneous Injection Cohort

  • Cohort 6: 8 subjects
  • Cohort 7: 8 subjects

干预措施: Placebo (Drug)

结局指标

主要结局

Incidence of abnormal clinical laboratory findings in 12-lead ECG parameters, vital signs, physical examination and measurement of cytokines

时间窗: Screening (Days -42 to -15) to Follow-up (Day 31±2)

Incidence and severity of adverse events (AEs)

时间窗: Day 1 to Follow-up (Day 31±2)

Incidence of laboratory abnormalities, based on hematology, clinical chemistry, and urinalysis test results

时间窗: Screening (Days -42 to -15) to Follow-up (Day 31±2)

次要结局

  • Time of the maximum observed concentration (tmax)(Day 1 to Follow-up (Day 31±2))
  • Maximum Observed Concentration (Cmax)(Day 1 to Follow-up (Day 31±2))
  • Apparent terminal elimination half-life (t1/2)(Day 1 to Follow-up (Day 31±2))
  • Incidence of anti-drug antibodies(Day -1, Day 15±1 and Follow-up (Day 31±2))
  • Area Under the Concentration time Curve from Time 0 Extrapolated to Infinity (AUC0-∞)(Day 1 to Follow-up (Day 31±2))
  • Area Under the Concentration time Curve from Time 0 to the Time of the Last (AUC0-tlast)(Day 1 to Follow-up (Day 31±2))
  • The degree of complement classical pathway inhibition in study subjects over time(Day 1 to Follow-up (Day 31±2))

研究者

发起方
Gliknik Inc.
申办方类型
Industry
责任方
Sponsor

研究点 (2)

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