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Completed

NCT Number: NCT02175056

A Dose-Block Randomized, Placebo Controlled (Double-blind), Active Controlled(Open-label), Dose-escalation Study

The study design of this trial is a Dose-Block Randomized, Placebo controlled (Double-blind), Active Controlled(Open-label), Dose-escalation.

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Key information

About this study

  • Extended in vivo half-life of HL2351 is also anticipated to provide improved therapeutic efficacy based on sustained maintenance of an effective concentration.
  • A safety concern may be addressed by utilizing IL-1Ra that is being used after getting approval by the EMA and the US FDA and known to be relatively safe, and the Fc fusion technology that has been already applied to various therapeutic agents.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • A healthy adult man aged between 20 and 45 years (inclusive) at screening
  • Weight between 55 and 90 kg (inclusive) and the body mass index(BMI) between 18.0 and 27.0 (inclusive)
  • BMI(kg/m2) = Body weight (kg)/{height (m)}2
  • Voluntary consent to participation in this study and signature on the IRB-approved informed consent form after being explained about characteristics of this clinical study, prior to any screening test

Exclusion criteria

  • Current or history of a clinically significant hepatic, renal, neurological, immunological, respiratory or endocrine disease or hematological or oncological disease, cardiovascular disease or psychiatric disease (mood disorder or compulsive disorder, etc.) (in case of a hepatic disease, a hepatitis virus-infected subject may be also included)
  • Hypersensitivity to a drug (aspirin or antibiotics, etc.) or past history of clinically significant hypersensitivity
  • In sitting vital signs measured after resting for 3 min or more, systolic blood pressure of <90mmHg or >150mmHg, or diastolic blood pressure of <60mmHg or >100 mmHg
  • Past history of drug abuse or positive urine drug screening results
  • Use of any prescription medicine or oriental medicine within 2 weeks or use of any over-the-counter(OTC) medication or vitamin preparation within 1 week prior to the scheduled first dose (however, a subject may be included if other conditions are satisfied, at the discretion of the investigator)
  • Participation in another clinical study and administration of a drug within 3 months prior to the scheduled first dose (from the dosing day)
  • Whole blood donation within 2 months or apheresis within 1 month prior to the scheduled first dose, or transfusion within 1 month prior to the first dose
  • A habitual drinker (>21 units/week, 1 unit = 10 g of pure alcohol) or a person who cannot abstain from alcohol consumption during hospitalization
  • A smoker of 10 cigarettes/day on average over the past 3 months or a person who cannot abstain from smoking during hospitalization
  • A person who is planning to get pregnant during the study or who cannot practice acceptable contraception (example: surgical sterilization of a subject or a partner, intrauterine device used by a partner, barrier contraception, diaphragm or condom used in combination) even if not planning to get pregnant
  • Notable prolongation of the QT/QTcb interval at screening (e.g., repeated confirmation of QTcb interval > 450 ms)
  • Confirmed history of a risk factor for TdP (e.g., heart failure, hypokalemia, family history of a long QT syndrome)
  • Chronic, uncontrolled or symptomatic inflammatory disease (e.g., rheumatoid arthritis, systemic lupus erythematosis)
  • Pyrexia of ≥38°C within 1 week prior to administration of the investigational product
  • Past history of tuberculosis infection and/or positive Quantiferon TB-Gold test results at screening
  • A person who had participated in this study and received the investigational product
  • A person who is otherwise determined as not eligible for clinical study participation by the investigator due to other reasons including clinical laboratory test results

Treatment and study plan

HL2351

Biological

Dose-escalation For 5 level dose groups A ~ E(each 1, 2, 4, 8, 12mg/kg), 10 subjects (8 for the study drug and 2 for placebo) are randomized to each dose group, and the study drug or placebo is subcutaneously administered for the relevant dose group.

Kineret(Anakinra)

Biological

Active comparator(group F) is implemented in parallel with dose groups A~E in an open-label manner and 8 subjects subcutaneously administer Kineret® 100 mg.

Primary outcomes

  1. Tolerability as measured by the occurrence of Adverse Events

    Time frame: 29 days

    Adverse Events after single subcutaneous dose of HL2351

    : check Day -1, 1, 2, 3, 4, 5, 7, 11, 15, 22, 29

  2. Tolerability as measured by Physical Examination, Vital Signs and Safety Laboratory Tests

    Time frame: 29 days

    Changes from baseline in physical examination, vital signs, ECG, clinical laboratory tests (routine hematology, routine chemistry, blood coagulation and urinalysis) after single subcutaneous dose of HL2351

  3. Tolerability as measured by the occurrence of Local Toxicity

    Time frame: 4 days

    Local Toxicity after single subcutaneous dose of HL2351

    : check Day 1, 2, 4

  4. Tolerability as measured by Cytokine Laboratory Test

    Time frame: 4 days

    Cytokine Laboratory Test after single subcutaneous dose of HL2351

    : check Day 1, 2, 4

  5. Pharmacokinetics of HL2351: Maximum plasma concentration(Cmax)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  6. Pharmacokinetics of HL2351: Area under plasma drug concentration-time curve [AUC(0-last), AUCinf]

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  7. Pharmacokinetics of HL2351: Time of maximum concentration(Tmax)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  8. Pharmacokinetics of HL2351: Elimination half-life(T1/2)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  9. Pharmacokinetics of HL2351: Apparent Clearance(CL/F)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  10. Pharmacokinetics of HL2351: Apparent Volume of Distribution(Vz/F)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  11. Pharmacokinetics of HL2351: Mean Residence Time (MRT)

    Time frame: 29 days

    To assess pharmacokinetics after single subcutaneous injection of HL2351

  12. Pharmacodynamics of HL2351: IL-6 inhibition assay

    Time frame: 7 days

    To assess the pharmacodynamic dose-response relationship after single subcutaneous injection of HL2351 IL-6 inhibition assay: AUEClast, Emax

Secondary outcomes

  1. Immunogenicity of HL2351: Anti-drug Antibody

    Time frame: Day 1, Day 29

    To assess immunogenicity after single subcutaneous injection of HL2351

  2. Tolerability in comparison with Kineret(Anakinra): measured by the occurrence of Adverse Events

    Time frame: 3 days

    To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  3. Tolerability in comparison with Kineret(Anakinra): measured by Physical Examination, Vital Signs and Safety Laboratory Tests

    Time frame: 3 days

    To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  4. Tolerability in comparison with Kineret(Anakinra): measured by the occurrence of Local Toxicity

    Time frame: 3 days

    To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  5. Tolerability in comparison with Kineret(Anakinra): measured by Cytokine Laboratory Test

    Time frame: 3 days

    To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  6. Pharmacokinetics in comparison with Kineret(Anakinra): Maximum plasma concentration

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  7. Pharmacokinetics in comparison with Kineret(Anakinra): Area under plasma drug concentration-time curve [AUC(0-last), AUCinf]

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  8. Pharmacokinetics in comparison with Kineret(Anakinra): Time of maximum concentration(Tmax)

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  9. Pharmacokinetics in comparison with Kineret(Anakinra): Elimination half-life(T1/2)

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  10. Pharmacokinetics in comparison with Kineret(Anakinra): Apparent Clearance(CL/F)

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  11. Pharmacokinetics in comparison with Kineret(Anakinra): Apparent Volume of Distribution(Vz/F)

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  12. Pharmacokinetics in comparison with Kineret(Anakinra): Mean Residence Time (MRT)

    Time frame: 3 days

    To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

  13. Pharmacodynamics in comparison with Kineret(Anakinra): IL-6 inhibition assay

    Time frame: 1 day

    To explore pharmacodynamics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)

Sponsors and collaborators

Lead sponsor

Handok Inc.

Industry

Registry information

Official study title

A Dose-Block Randomized, Placebo Controlled (Double-blind), Active Controlled(Open-label), Dose-escalation Study to Investigate the Tolerability, and Pharmacokinetics/Pharmacodynamics of HL2351 After a Single Subcutaneous Administration in Healthy Male Subjects

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jun 26, 2014
Registry last updated
Oct 6, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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