A Phase 1b, Randomized, Double-blind, Placebo-controlled Study in Healthy Volunteers to Investigate the Effects of CSL324 in the Lung After Segmental Challenge With Endotoxin
Overview
- Phase
- Phase 1
- Intervention
- CSL324
- Conditions
- Healthy Volunteers
- Sponsor
- CSL Behring
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Percent reduction in mean absolute neutrophil cell counts in bronchoalveolar lavage fluid (BALF) between CSL324 and placebo
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This is a phase 1b, randomized, double-blind, placebo-controlled study in healthy volunteers to investigate the antiinflammatory effect of pretreatment with CSL324 on response to a lipopolysaccharide (LPS) endotoxin challenge in a single lung segment. Saline will be instilled into a segment in the contralateral lung for the purpose of comparison.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male or female volunteer.
- •Between the ages of ≥ 18 and ≤ 65 years.
- •Body mass index within the range of 18 to 32 kg/m2
- •Female of nonchildbearing potential or of childbearing potential and willing to use a highly effective method of contraception (in addition to male partner condom with or without spermicide)
- •Nonsmoker or an ex-smoker who has stopped smoking (including e-cigarettes or vaping devices) for \> 1 year with a smoking history of \< 10 pack-years.
Exclusion Criteria
- •Any clinically significant abnormalities in physical examination findings, electrocardiogram (ECG) readings, safety laboratory test results, or ANC \< 2.0 × 109 cells/L.
- •History of myeloproliferative or lymphoproliferative disease.
- •Current or previous history of any immunosuppressive condition.
- •Currently receiving any immunosuppressive or immunomodulatory therapy, or history of undergoing such therapy.
Arms & Interventions
CSL324
Intravenous (IV) dose of CSL324
Intervention: CSL324
Placebo
IV dose of 0.9% saline
Intervention: Placebo
Outcomes
Primary Outcomes
Percent reduction in mean absolute neutrophil cell counts in bronchoalveolar lavage fluid (BALF) between CSL324 and placebo
Time Frame: Obtained at 24 hours after the segmental lipopolysaccharide (LPS) challenge with endotoxin in the lung
Secondary Outcomes
- Percent reduction in the mean change in concentrations of G CSF in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Area under the plasma concentration-time curve from time 0 to the last measurable concentration (AUC0-last)(Time 0 and up to 6 days after CSL324 administration)
- Percent reduction in the mean change in biomarkers of neutrophil activation in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Percent reduction in the mean change in total protein in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Serum concentration of CSL324(Up to 6 days after CSL324 administration)
- Number of subjects with antidrug antibodies (ADAs) to CSL324 in serum(Prior to and up to 6 days after CSL324 and placebo administration)
- Area under the plasma concentration-time curve from time 0 to 120 hours (AUC0-120h)(Time 0 to 120 hours after CSL324 administration)
- Percent reduction in the mean change in concentrations of surfactant protein D (SP D) in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Number and percentage of subjects with treatment-emergent adverse events (TEAEs) by treatment group(Up to 32 days after CSL324 and placebo administration)
- Percent reduction in the mean change in concentrations of sRAGE in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Maximum plasma concentration (Cmax)(Prior to and up to 6 days after CSL324 administration)
- Time to reach Cmax (Tmax)(Prior to and up to 6 days after CSL324 administration)
- Percent reduction in the mean change in concentrations of von Willebrand factor (vWF) in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)
- Percent reduction in the mean change in concentrations of VEGF A in BALF from Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung between CSL324 and placebo(Baseline to 24 hours after segmental LPS challenge with endotoxin in the lung)