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Caplacizumab Single and Multiple Dose Study in Healthy Japanese and White Subjects.

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
Biological: Caplacizumab Dose 2 iv (single-dose)
Other: Placebo sc (single-dose)
Biological: Caplacizumab Dose 2 sc (single-dose)
Other: Placebo iv (single-dose)
Biological: Caplacizumab Dose 2 sc (multiple-dose)
Biological: Caplacizumab Dose 1 iv (single-dose)
Other: Placebo sc (multiple-dose)
Registration Number
NCT03172208
Lead Sponsor
Ablynx, a Sanofi company
Brief Summary

Primary objective:

To assess the safety and tolerability of single ascending intravenous (i.v.) doses, a single subcutaneous (s.c.) dose of caplacizumab (Part I), and multiple s.c. doses of caplacizumab (Part II) in Japanese subjects.

Secondary objectives:

* To compare the pharmacokinetic (PK) and pharmacodynamic (PD) profiles (total vWF:Ag concentration levels \[vWF:Ag\], coagulation factor VIII \[FVIII:C\], and ristocetin cofactor activity \[RICO\]) after single i.v. or s.c. administration of caplacizumab in Japanese and White subjects.

* To evaluate the immunogenicity of caplacizumab (anti-drug antibodies \[ADA\]) in Japanese subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • BMI between ≥18 kg/m² and <30 kg/m² at time of screening
  • Body weight between ≥45 kg and <100 kg
  • Baseline vWF:Ag between ≥60% and <170% (0.6-1.7 IU/mL)
Exclusion Criteria
  • History of and/or any sign or symptom indicating current abnormal hemostasis or blood dyscrasia, including but not limited to thrombocytopenia, thrombocytopathy, thromboasthenia, hemophilia, von Willebrand's disease, vascular purpura, bleeding gums and/or frequent nose bleeding, easy/spontaneous bruises, meno- or metrorrhagia, history of gastrointestinal bleeding or excessive bleeding after minor injury such as shaving.
  • Family history of congenital vascular malformation (e.g., Marfan's Syndrome) and/or bleeding disorder (e.g., hemophilia, von Willebrand's disease, Christmas disease)
  • Any surgical intervention (including tooth extraction) or trauma within the 4 weeks preceding screening for the study or any planned surgical intervention during the participation in the study
  • Treatment with vitamin K, direct oral anticoagulant (DOAC), warfarin, high dose heparin within 2 weeks before screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 2: White - Caplacizumab Dose 2 iv (SD)Caplacizumab Dose 2 iv (single-dose)Single dose (SD) of Caplacizumab Dose 2 administered intravenously (iv) to White participants
Group 3: Japanese - Placebo sc (SD)Placebo sc (single-dose)Single dose (SD) of Placebo administered subcutaneously (sc) to Japanese participants
Group 3: White - Caplacizumab Dose 2 sc (SD)Caplacizumab Dose 2 sc (single-dose)Single dose (SD) of Caplacizumab Dose 2 administered subcutaneously (sc) to White participants
Group 2: Japanese - Caplacizumab Dose 2 iv (SD)Caplacizumab Dose 2 iv (single-dose)Single dose (SD) of Caplacizumab Dose 2 administered intravenously (iv) to Japanese participants
Group 2: Japanese - Placebo iv (SD)Placebo iv (single-dose)Single dose (SD) of Placebo administered intravenously (iv) to Japanese participants
Group 2: White - Placebo iv (SD)Placebo iv (single-dose)Single dose (SD) of Placebo administered intravenously (iv) to White participants
Group 3: White - Placebo sc (SD)Placebo sc (single-dose)Single dose (SD) Placebo administered subcutaneously (sc) to White participants
Group 1: Japanese - Placebo iv (SD)Placebo iv (single-dose)Single dose (SD) of Placebo administered intravenously (iv) to Japanese participants
Group 4: Japanese - Caplacizumab Dose 2 sc (MD)Caplacizumab Dose 2 sc (multiple-dose)Multiple doses (MD) of Caplacizumab Dose 2 administered subcutaneously (sc) to Japanese participants
Group 1: Japanese - Caplacizumab Dose 1 iv (SD)Caplacizumab Dose 1 iv (single-dose)Single dose (SD) of Caplacizumab Dose 1 administered intravenously (iv) to Japanese participants
Group 3: Japanese - Caplacizumab Dose 2 sc (SD)Caplacizumab Dose 2 sc (single-dose)Single dose (SD) of Caplacizumab Dose 2 administered subcutaneously (sc) to Japanese participants
Group 4: Japanese - Placebo sc (MD)Placebo sc (multiple-dose)Multiple doses (MD) of Placebo administered subcutaneously (sc) to Japanese participants
Primary Outcome Measures
NameTimeMethod
The number of treatment-emergent adverse events (Safety and Tolerability)From signing of informed consent form until Day 28 (single-dose part) or Day 34 (multiple dose part)
Secondary Outcome Measures
NameTimeMethod
Pharmacokinetics: concentration of caplacizumab in plasmaFrom Day -1 to Day 6 (single dose part) or to Day 12 (multiple dose part)
Pharmacodynamics as measured by von Willebrand factor antigen in plasmaFrom screening to Day 6 (single dose part) or to Day 12 (multiple dose part)
Pharmacodynamics as measured by Ristocetin cofactor activity in plasmaFrom Day -1 to Day 6 (single dose part) or to Day 12 (multiple dose part)
Pharmacokinetics: concentration of caplacizumab in urineFrom Day 1 to Day 4 (single dose part) or to Day 8 (multiple dose part)
Pharmacodynamics as measured by Factor VIII clotting activity in plasmaFrom Day -1 to Day 6 (single dose part) or to Day 12 (multiple dose part)
Immunogenicity as measured by the concentration of anti-caplacizumab antibodies in serumFrom screening until Day 28 (single-dose part) or Day 34 (multiple dose part)

Trial Locations

Locations (1)

Investigator Site

🇺🇸

Glendale, California, United States

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