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OpenTrials
Completed

NCT Number: NCT02601625

A Study to Assess the Pharmacokinetics and Safety of Single Doses of Anifrolumab in Healthy Subjects

This is a Phase I, Randomized, Placebo-Controlled, Double-Blind Study to Assess the Pharmacokinetics and Safety of anifrolumab following Single-Dose administration to healthy subjects

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Research Site

Baltimore, Maryland, 21225, United States

About this study

This is a Phase I placebo-controlled study to assess the pharmacokinetics, safety and tolerability of 2 doses of anifrolumab via the subcutaneous (SC) route of administration and 1 dose of anifrolumab via intravenous (IV) route in healthy subjects

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male and/or female subjects aged 18 - 55 years.
  • Females must have a negative pregnancy test at screening.
  • Females with an intact cervix must have documentation of a Pap smear with no documented malignancy.
  • Have a body mass index (BMI) between 18 and 32 kg/m2, inclusive, and weigh at least 50 kg.
  • Must have adequate abdominal adipose tissue for SC injection.
  • No history of latent or active TB prior to screening.
  • A chest radiograph with no evidence of current active infection or old active TB, malignancy, or clinically significant abnormalities within 6 months prior to screening.

Exclusion criteria

  • History of any clinically significant disease or disorder which may put the subject at risk .
  • History or presence of hepatic or renal disease.
  • Any clinically significant illness, medical/surgical procedure, or trauma within 8 weeks of participation .
  • Any clinically significant chronic or recent infection requiring hospitalization or treatment with anti-infectives.
  • History of cancer, apart from squamous or basal cell carcinoma of the skin.
  • Any clinically significant lab, vital sign or ECG abnormalities as judged by the investigator.
  • Known history of a primary immunodeficiency,HIV splenectomy or an underlying condition.
  • Any positive result on screening for hepatitis B, hepatitis C or HIV antibody.
  • History of drug abuse within 1 year of participation.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 4 weeks or 5 half-lives prior to participation.
  • Previous receipt of:
  • Anifrolumab;
  • B cell-depleting therapy (including but not limited to epratuzumab, ocrelizumab, or rituximab) ≤ 52 weeks prior to screening.
  • History of allergy/hypersensitivity to drugs with a similar chemical structure or class to anifrolumab or to any human gamma globulin therapy.
  • Any live or attenuated vaccine within 8 weeks prior to participation.

Treatment and study plan

Anifrolumab SC injection (300mg)

Drug

300 mg of anifrolumab delivered as 2 separate 1 mL SC injections administered serially on Day 1

Anifrolumab IV infusion (300mg)

Drug

300 mg of anifrolumab delivered as an IV infusion over 30 minutes on Day 1

Anifrolumab SC infusion (600mg)

Drug

600 mg of anifrolumab delivered as 4 mL SC by infusion pump on Day 1

Anifrolumab placebo SC injection (300mg)

Drug

300mg of placebo delivered as 2 separate 1 mL SC injections administered serially on Day 1

Anifrolumab placebo IV infusion (300mg)

Drug

600mg of placebo delivered as an IV infusion over 30 minutes on Day 1

Anifrolumab placebo SC infusion (600mg)

Drug

600 mg of placebo delivered as 4 mL SC by infusion pump on Day 1

Primary outcomes

  1. Pharmacokinetics: Observed Maximum Serum Concentration (Cmax) Following Single Dose of Anifrolumab.

    Time frame: On Day 1 pre-dose and at 5 minutes (IV cohort only), 24 and 48 hours post-dose and at each follow-up visit, up to 85 days

    To evaluate Cmax of anifrolumab after single administration of two doses subcutaneously and one dose intravenously.

    Up to 13 blood samples were collected in total.

  2. Pharmacokinetics: Area Under the Serum Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC0-t) Following Single Dose of Anifrolumab

    Time frame: On Day 1 pre-dose and at 5 minutes (IV cohort only), 24 and 48 hours post-dose and at each follow-up visit, up to 85 days

    To evaluate AUC(0-t) of anifrolumab after single administration of two doses subcutaneously and one dose intravenously

    Up to 13 blood samples were collected in total.

  3. Pharmacokinetics: Area Under Serum Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC) Following Single Dose of Anifrolumab

    Time frame: On Day 1 pre-dose and at 5 minutes (IV cohort only), 24 and 48 hours post-dose and at each follow-up visit, up to 85 days

    To evaluate AUC of anifrolumab after single administration of two doses subcutaneously and one dose intravenously.

    Up to 13 blood samples were collected in total.

  4. Safety: Number of Participants With Adverse Events (AEs)

    Time frame: From screening to final follow-up visit, up to 16 weeks

    To assess the safety and tolerability of single doses of anifrolumab

  5. Safety: Summary of Local Injection Site Pain (SC Cohorts) Assessed in Participants

    Time frame: Immediately after dosing, at 10, 20 minutes and 1 hour after injection

    Local injection site pain was assessed using a 100 mm participant rated Visual Analog Scale (VAS 0mm - 100mm ungraduated scale, where 0 = "no pain" to 100 = "worst imaginable pain"). This assessment was taken for only those participants in subcutaneously dosed treatment groups; 600 mg SC and 300 mg SC, anifrolumab and placebo. For the 300 mg SC anifrolumab and 300 mg SC placebo groups which received two simultaneous injections, the average VAS score (0mm-100mm) of the two injection sites were reported.

  6. Safety: Summary of Local Injection Site Pruritus (SC Cohorts) Assessed in Participants

    Time frame: Immediately after dosing, at 10, 20 minutes and 1 hour after injection

    Local injection site pruritus was assessed using a 100 mm participant rated Visual Analog Scale (VAS 0mm - 100mm ungraduated scale, where 0 = "no itching" to 100 = "worst imaginable itching"). This assessment was taken for only those participants in subcutaneously dosed treatment groups; 600 mg SC and 300 mg SC, anifrolumab and placebo. For the 300 mg SC anifrolumab and 300 mg SC placebo groups which received two simultaneous injections, the average VAS score (0mm-100mm) of the two injection sites were reported.

  7. Safety: Summary of Erythema Injection Site Reaction (SC Cohorts) Assessed in Participants

    Time frame: Immediately after dosing, at 10, 20 minutes and 1 hour after injection

    Erythema was measured as the largest diameter across the needle site on the skin in millimetres (mm). This assessment was taken for only those participants in subcutaneously dosed treatment groups; 600 mg SC and 300 mg SC, anifrolumab and placebo. For the 300 mg SC anifrolumab and 300 mg SC placebo groups which received two simultaneous injections, the average of the two injection site diameters (mm) were reported.

  8. Safety: Summary of the Induration Injection Site Reaction (SC Cohorts) Assessed in Participants

    Time frame: Immediately after dosing, at 10, 20 minutes and 1 hour after injection

    Induration was measured as the largest diameter across the needle site on the skin in millimetres (mm). This assessment was taken for only those participants in subcutaneously dosed treatment groups; 600 mg SC and 300 mg SC, anifrolumab and placebo. For the 300 mg SC anifrolumab and 300 mg SC placebo groups which received two simultaneous injections, the average of the two injection site diameters (mm) were reported.

Secondary outcomes

  1. Evaluation of Immunogenicity of Anifrolumab IV Infusions and SC Injections by the Measurement of Anti-drug Antibody (ADA).

    Time frame: Pre-dose and at Days 5 and Day 29, up to 85 days

    Immunogenicity was assessed in all groups by the presence or absence of ADA, which was determined in serum samples using validated bioanalytical methods. The reported results are based on the confirmatory assay (positive/negative) of the ADA. The number of participants with positive, negative and missing results are reported for each time point using the safety analysis set.

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Randomized, Phase 1, Placebo-controlled, Double-blind, Single-dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Subcutaneously and Intravenously Delivered Anifrolumab in Healthy Subjects.

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Nov 10, 2015
Registry last updated
Feb 26, 2019

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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