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Phase 1 Single-ascending Dose Study to Evaluate Safety and Tolerability of MEDI4920 in Healthy Adults

Phase 1
Completed
Conditions
Healthy Volunteer
Interventions
Biological: MEDI4920 3 mg
Biological: MEDI4920 10 mg
Biological: MEDI4920 300 mg
Biological: MEDI4920 1000 mg
Other: Placebo
Biological: MEDI4920 100 mg
Biological: MEDI4920 30 mg
Biological: MEDI4920 3000 mg
Registration Number
NCT02151110
Lead Sponsor
MedImmune LLC
Brief Summary

Phase 1 single IV dose study to evaluate safety and tolerability of MEDI4920

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
59
Inclusion Criteria
  • Healthy as determined by a responsible study physician based on medical evaluation
  • Body weight 40 to 100 kg
  • Body mass index 19.0 to 30.0 kg/m2
Exclusion Criteria
  • History of allergy or sensitivity to Shellfish or protein based antigens
  • previous immunization with KLH
  • previous splenectomy
  • History of diagnosed or suspected thromboembolic event or coagulation disorder

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MEDI4920 3 mgMEDI4920 3 mgParticipants received single IV dose of MEDI4920 3 milligram (mg) infused on Day 1.
MEDI4920 10 mgMEDI4920 10 mgParticipants received single IV dose of MEDI4920 10 mg infused on Day 1.
MEDI4920 300 mgMEDI4920 300 mgParticipants received single IV dose of MEDI4920 300 mg infused on Day 1.
MEDI4920 1000 mgMEDI4920 1000 mgParticipants received single IV dose of MEDI4920 1000 mg infused on Day 1.
PlaceboPlaceboParticipants received single IV dose of placebo matching with MEDI4920 infused on Day 1.
MEDI4920 100 mgMEDI4920 100 mgParticipants received single IV dose of MEDI4920 100 mg infused on Day 1.
MEDI4920 30 mgMEDI4920 30 mgParticipants received single IV dose of MEDI4920 30 mg infused on Day 1.
MEDI4920 3000 mgMEDI4920 3000 mgParticipants received single IV dose of MEDI4920 3000 mg infused on Day 1.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)The start of study drug administration (Day 1) to the follow-up period (Day 113) or early discontinuation visit

An adverse event (AE) is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening situation (immediate risk of dying); persistent or significant disability or incapacity; congenital anomaly or birth defect in the offspring of a participant who received the study drug. A TEAE is defined as the event with onset after the start of infusion (Day 1) to Day 113 or early discontinuation visit inclusive. The AEs were summarized using Medical Dictionary for Regulatory Activities version 19.0.

Secondary Outcome Measures
NameTimeMethod
Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-last) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC0-last) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Maximum Observed Plasma Concentration (Cmax) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The maximum observed plasma concentration (Cmax) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Percentage of Participants Positive for Anti-drug Antibodies (ADA)Baseline (pre-infusion on Day 1) and post-baseline Days 15, 29, 57, and 113 or early discontinuation visit, whichever occurred first

Plasma samples were collected for assessment of anti-drug antibodies (ADA) against MEDI4920. The incidence of positive serum antibodies to MEDI4920 are presented.

T-cell Dependent Antibody Response (TDAR) Measured by Anti-keyhole Limpet Hemocyanin Immunoglobulin G (Anti-KLH IgG) ConcentrationDay 43

The T-cell dependent antibody response (TDAR) assay measures the immune response (ie, antibody production) to an introduced antigen, keyhole limpet hemocyanin (KLH). The KLH is a potent immunostimulating protein with an extensive history of safe and effective use in vaccine development and immunological research. TDAR was evaluated by measuring anti-KLH IgG titers at a time point consistent with the expected timing for antibody responses following immunization. The primary time point for the analysis of the TDAR to KLH was Day 43. The data was presented for geometric mean ratio (MEDI4920/placebo) estimated from the dose response model.

Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The area under the plasma concentration-time curve from time zero to infinity (AUC 0-inf) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Dose-normalized AUC0-inf (AUC0-infinity/D) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The AUC (0-infinity)/D is the area under concentration-time curve extrapolated to infinity postdose normalized by MEDI4920 dose. The AUC (0-infinity)/D was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Terminal Elimination Half Life (t1/2) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The terminal elimination half-life (t1/2) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Systemic Clearance (CL) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The systemic clearance (CL) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Volume of Distribution at Steady-state (Vss) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The volume of distribution at steady-state (Vss) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Volume of Distribution Based on Terminal Phase (Vz) of MEDI4920Pre-infusion, at the middle of the infusion, post-infusion (5 minutes, and 2, 6, and 12 hours) on Day 1; Days 2, 3, 5, 8, 15, 22, 29, 43, 57, 85, and 113 or early discontinuation visit, whichever occurred first

The volume of distribution based on terminal phase (Vz) was estimated based on the plasma concentrations of MEDI4920. Standard deviation was calculated only if number of participants were more than or equal to 3.

Trial Locations

Locations (1)

Research Site

🇬🇧

Leeds, United Kingdom

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