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Completed

NCT Number: NCT05564221

A Multiple Ascending Dose, Phase 1b Study of YH35324 in Atopic Healthy Subjects or Subjects With Allergic Diseases

This study aims to evaluate the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) profiles following multiple subcutaneous injections of YH35324 in healthy subjects or subjects with allergic diseases, who have atopy.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Soonchunhyang University Bucheon Hospital, Bucheon-si, Gyeonggi-do, South Korea

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About this study

YH35324 is a drug under development as a novel therapeutic agent for various IgE-mediated allergic diseases. Since YH35324 has a high binding affinity to human IgE, it prevents serum IgE from binding to receptors on mast cells and basophil, thereby inhibiting histamine release caused by degranulation when exposed to allergens. This study aims to evaluate the safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) profiles following multiple subcutaneous injections of YH35324 in healthy subjects or subjects with allergic diseases, who have atopy.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or female adults aged ≥ 19 to ≤ 55 years(Cohort 5, Mald or female adults ≥ 19)
  • Serum total IgE level ≥ 30 IU/mL or 30 to 700 IU/mL or >700IU/mL(Not Applicable for Cohort 5)
  • Meeting the following cohort-specific disease severity criteria [Cohorts 1-4]: Healthy subjects without any pathological symptoms or findings from medical examination, or subjects with a history of mild allergic diseases (allergic rhinitis, atopic dermatitis, food allergy, urticaria, or allergic asthma) [Cohort 5]: Subject who have been diagnosed with moderate to severe atopic dermatitis

Exclusion criteria

  • History of malignancy
  • Positive drug screen result
  • transaminase (AST) or alanine transaminase (ALT) level > 2 X the upper limit of normal
  • Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula
  • Allergy immunotherapy initiated or changed within 6 months prior to randomization(For Cohort 5, within 12 months prior to randomization)
  • History of participation in another clinical trial within 6 months prior to randomization

Treatment and study plan

YH35324

Drug

Subcutaneous injection of YH35324

Placebo

Drug

Subcutaneous injection of None of active ingredient

Omalizumab

Drug

Subcutaneous injection of Omalizumab

Other names: Xolair® prefilled syringe 150 for injection

Primary outcomes

  1. Occurrence and severity of adverse events (AEs)

    Time frame: Occurrence and severity of adverse events will be observed for 141 days after administration in Cohorts 1 to 5

    To evaluate the safety and tolerability following multiple administrations of YH35324

Secondary outcomes

  1. Area Under the Serum Concentration-Time Curve from Zero to the Time of the Last Quantitative Concentration (AUClast)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administrationin in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  2. Area Under the Serum Concentration-Time Curve from Zero to Infinity (AUCinf)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  3. Maximum Serum Concentration(Cmax)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  4. Time to Maximum Serum Concentration (Tmax)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  5. Terminal Elimination Rate Constant, Apparent Terminal Elimination Half-life (t1/2)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  6. Apparent Serum Clearance (CL/F)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  7. Apparent Volume of Distribution (Vz/F)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  8. Area Under the Serum Concentration-Time Curve during dosing interval at steady-state (AUCtau)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  9. Maximum Serum Concentration at steady-state (Cmax,ss)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  10. Time to Maximum Serum Concentration at steady-state (Tmax,ss)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  11. Accumulation ratio (Rac)

    Time frame: Serum concentrations of YH35324 will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PK profile of YH35324

  12. Change in serum free IgE level

    Time frame: Change in serum Free IgE will be observed for 141 days after administration in Cohorts 1 to 5

    To evaluate the PD profile on serum IgE following multiple administrations of YH35324

  13. Change in serum total IgE level

    Time frame: Change in serum Total IgE will be observed for 141 days after administration in Cohorts 1 to 4

    To evaluate the PD profile on serum IgE following multiple administrations of YH35324

  14. Serum concentrations of YH35324

    Time frame: Serum concentrations of YH35324 will be observed for 99 days after administration in Cohorts 5

    To evaluate the PK profile of YH35324

  15. Change in Eczema Area and Severity Index (EASI)

    Time frame: Change in Eczema Area and Severity Index (EASI) will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

  16. Change in Validated Investigator Global Assessment (vIGA-AD)

    Time frame: Change in Validated Investigator Global Assessment (vIGA-AD) will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

  17. Change in SCORing Atopic Dermatitis (SCORAD)

    Time frame: Change in SCORing Atopic Dermatitis (SCORAD) will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

  18. Change in Pruritus-Numerical Rating Scale (NRS)

    Time frame: Change in Pruritus-Numerical Rating Scale (NRS) will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

  19. Change in body surface area (BSA) of atopic dermatitis involvement

    Time frame: Change in body surface area (BSA) of atopic dermatitis involvement will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

  20. Number of days of rescue treatment (TCS or TCI) used

    Time frame: Number of days of rescue treatment (TCS or TCI) used will be observed for 141 days after administration in Cohorts 5

    To explore the clinical efficacy following multiple administrations of YH35324

Other outcomes

  1. Changes in FcεRI expression on basophil surface

    Time frame: Changes in FcεRI expression will be observed for 141days after administrationin in Cohorts 1 to 4

    To explore the PD profile on serum basophil following multiple administrations of YH35324

  2. Changes in allergen-induced skin prick wheal response

    Time frame: Changes in allergen-induced skin prick wheal response will be observed for 113 days in Cohorts 1 to 5

    To explore inhibition on allergens (allergy antigens) following multiple administrations of YH35324

  3. Changes in serum allergen specific IgE level

    Time frame: Changes in allergen-induced serum allergen specific IgE level will be observed for 141 days after administration in Cohorts 1 to 5

    To explore inhibition on allergens (allergy antigens) following multiple administrations of YH35324

  4. Incidence of serum anti-YH35324 antibodies

    Time frame: Incidence of serum Anti-YH35324 antibodies will be observed for 141 Days after administration in Cohorts 1 to 5

    To explore the immunogenicity following multiple administrations of YH35324

  5. Changes in serum Thymus and Activation-Regulated Chemokine (TARC, CCL17) and Macrophage-Derived Chemokine (MDC, CCL22)

    Time frame: Changes in serum Thymus and Activation-Regulated Chemokine and Macrophage-Derived Chemokine will be observed for 141 Days after administration in Cohorts 5

    To explore the PD following multiple administrations of YH35324

  6. Changes in serum cytokines (IL-4, IL-5, IL-10, IL-18, IL-22, IL-13, IL-31, IL-33, and IFN-γ) levels

    Time frame: Changes in serum cytokines levels will be observed for 141 Days after administration in Cohorts 5

    To explore the PD following multiple administrations of YH35324

Sponsors and collaborators

Lead sponsor

Yuhan Corporation

Industry

Registry information

Official study title

A Randomized, Double-Blind, Placebo/Active Controlled, Multiple Ascending Dose, Phase 1b Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Subcutaneous Injections of YH35324 in Atopic Healthy Subjects or Subjects With Allergic Diseases

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Oct 3, 2022
Registry last updated
Jan 24, 2025

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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