A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Two-Part, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of REGN9035 (an Anti-REGN5381 Antibody and Reversal Agent) and REGN5381 (an NPR1 Agonist Antibody) When Administered Alone or in Sequence to Healthy Volunteers and Mildly Hypertensive Subjects
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 2
- 主要终点
- Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)
研究概览
简要总结
The primary objective of the study is to:
• Evaluate the safety and tolerability of REGN5381 and REGN9035 administered alone or sequentially.
The secondary objectives of the study are to:
- Evaluate the ability of single intravenous (IV) doses of REGN9035 (compared to placebo) to reverse the acute hemodynamic effects of REGN5381
- Evaluate the hemodynamic effects of single IV doses of REGN5381
- Evaluate the persistence of the hemodynamic effects of single IV doses of REGN5381 and the reversal of REGN5381 effects by REGN9035 (compared to placebo)
- Evaluate the pharmacokinetics of single IV doses of REGN5381 and REGN9035 administered alone or sequentially
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
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Body mass index (BMI) between 18 and 32 kg/m2, inclusive, at the screening visit.
- •Normal or mildly elevated blood pressure as defined in the protocol.
排除标准
- •History of unexplained syncope or autonomic dysfunction.
- •History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, or neurological disease.
- •Protocol-defined risk factors for cardiovascular disease.
- •Note: Other protocol defined inclusion / exclusion criteria apply
研究组 & 干预措施
Part A
Single ascending dose (SAD) of REGN9035 or matching placebo given by intravenous (IV) administration.
干预措施: REGN9035 (Drug)
Part A
Single ascending dose (SAD) of REGN9035 or matching placebo given by intravenous (IV) administration.
干预措施: Placebo (Other)
Part B
Selected doses of REGN5381 or matching placebo given by IV administration followed by selected doses of REGN9035 and/or matching placebo via IV infusion
干预措施: REGN9035 (Drug)
Part B
Selected doses of REGN5381 or matching placebo given by IV administration followed by selected doses of REGN9035 and/or matching placebo via IV infusion
干预措施: REGN5381 (Drug)
Part B
Selected doses of REGN5381 or matching placebo given by IV administration followed by selected doses of REGN9035 and/or matching placebo via IV infusion
干预措施: Placebo (Other)
结局指标
主要结局
Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)
时间窗: Up to Day 162
次要结局
- Absolute change from baseline in SBP(Through Day 36)
- Maximum change in the mean SBP obtained after study drug administration(Up to Day 3)
- Maximum change in the mean MAP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (pre-REGN5381 administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Mean diastolic blood pressure (DBP) obtained after study drug administration(Up to Day 3)
- Mean stroke volume (SV) obtained after study drug administration(Up to Day 3)
- Absolute change in the mean MAP obtained after study drug administration(Up to Day 3)
- Maximum change in the mean PP obtained after study drug administration(Up to Day 3)
- Mean systolic blood pressure (SBP) obtained after study drug administration(Up to Day 3)
- Mean pulse rate (PR) obtained after study drug administration(Up to Day 3)
- Absolute change in the mean PP obtained after study drug administration(Up to Day 3)
- Absolute change in the mean PR obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (pre-REGN administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Mean arterial pressure (MAP) obtained after study drug administration(Up to Day 3)
- Mean pulse pressure (PP) obtained after study drug administration(Up to Day 3)
- Absolute change in the mean DBP obtained after study drug administration(Up to Day 3)
- Absolute change in the mean SBP obtained after study drug administration(Up to Day 3)
- Absolute change in the mean SV obtained after study drug administration(Up to Day 3)
- Maximum change in the mean DBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REGN administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (post-REN5381 administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (post-REN5381 administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Maximum change in the mean SV obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REGN administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (pre-REGN administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (pre-REN5381 administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Maximum change in the mean PR obtained after study drug administration(Up to Day 3)
- Time to return to within 10% of baseline (pre-REGN5381) MAP(Up to approximately Day 162)
- Percent change in the mean MAP obtained after study drug administration(Up to Day 3)
- Percent change in the mean PR obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REN5381 administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REGN5381 administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Percent change from baseline (post-REN5381 administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (pre-REGN5381 administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (pre-REGN administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (pre-REGN administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Percent change in the mean SV obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REGN administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (post-REN5381 administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Percent change in the mean SBP obtained after study drug administration(Up to Day 3)
- Percent change in the mean DBP obtained after study drug administration(Up to Day 3)
- Percent change in the mean PP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (post-REGN5381 administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (post-REGN administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (post-REN5381 administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Time to return to within 10% of baseline (pre-REGN5381) PP(Up to approximately Day 162)
- Percent change from baseline (post-REN5381 administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (pre-REGN5381 administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (pre-REGN5381 administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Maximum change from baseline (pre-REGN administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Percent change from baseline (pre-REN5381 administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (pre-REN5381 administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Time to return to within 10% of baseline (pre-REGN5381) SBP(Up to approximately Day 162)
- DBP(Through Day 36)
- MAP(Through Day 36)
- Absolute change from baseline (pre-REGN5381 administration) in the mean DBP obtained after study drug administration(Up to Day 3)
- Absolute change from baseline (pre-REGN5381 administration) in the mean MAP obtained after study drug administration(Up to Day 3)
- Percent change from baseline (pre-REN5381 administration) in the mean SBP obtained after study drug administration(Up to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) DBP obtained after study drug administration.(Baseline to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) MAP obtained after study drug administration.(Baseline to Day 3)
- PR(Through Day 36)
- Absolute change from baseline in DBP(Through Day 36)
- Absolute change from baseline in PP(Through Day 36)
- Percent change from baseline in MAP(Through Day 36)
- Percent change from baseline in PP(Through Day 36)
- Percent change from baseline in PR(Through Day 36)
- Percent change from baseline (pre-REN5381 administration) in the mean PR obtained after study drug administration(Up to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) PR obtained after study drug administration.(Baseline to Day 3)
- Concentrations of total REGN9035(Up to Day 162)
- Maximum change from baseline (pre-REGN administration) in the mean PP obtained after study drug administration(Up to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) SBP obtained after study drug administration.(Baseline to Day 3)
- Time to return to within 10% of baseline (pre-REGN5381) DBP(Up to approximately Day 162)
- Time to return to within 10% of baseline (pre-REGN5381) PR(Up to approximately Day 162)
- Time to return to within 10% of baseline (pre-REGN5381) SV(Up to approximately Day 162)
- Percent change from baseline (pre-REN5381 administration) in the mean SV obtained after study drug administration(Up to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) PP obtained after study drug administration.(Baseline to Day 3)
- Percentage of participants who return to within 10% of baseline (pre-REGN5381 administration) SV obtained after study drug administration.(Baseline to Day 3)
- SBP(Through Day 36)
- Absolute change from baseline in MAP(Through Day 36)
- Absolute change from baseline in PR(Through Day 36)
- PP(Through Day 36)
- Percent change from baseline in SBP(Through Day 36)
- Percent change from baseline in DBP(Through Day 36)
- Concentrations of total REGN5381 over time(Up to Day 162)
- Concentrations of total REGN9035 and/or total REGN5381(Up to Day 162)
