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Completed

NCT Number: NCT05388903

A Study to Assess the Safety and Pharmacokinetics of Single Ascending Subcutaneous and Intravenous Doses of DS-2325a in Healthy Subjects

Netherton syndrome (NS) is a rare autosomal recessive disease and no systemic treatment or standard of care currently exists for patients with NS. DS-2325a, a specific and potent inhibitor of kallikrein 5, is expected to treat NS by replacing a defective gene.

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Key information

About this study

This first-in-human study for DS-2325a will evaluate the safety, tolerability, and pharmacokinetics of single ascending doses of DS-2325a in healthy participants. DS-2325a will be evaluated after both subcutaneous (SC) injections and intravenous (IV) infusions, as it may have to be given intravenously to young patients and as loading dose.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Participants must give written informed consent to participation in the study prior to Screening
  • Healthy men and women 18 to 45 years of age (inclusive), with a BMI of 18 kg/m2 to 30 kg/m^2 (inclusive) at Screening
  • All women must have a negative serum pregnancy test at Screening and all women of childbearing potential must have a negative urine pregnancy test on Day -1
  • Women must not be lactating during the study treatment period and for 3 months after the last dose of study treatment
  • Women of childbearing potential must practice effective contraception during the study treatment period and for 3 months after the last dose of study treatment. They must agree to use 2 different means of nonhormonal contraceptive methods
  • Women of non-childbearing potential must be either surgically sterile (ie, bilateral tubal ligation at least 3 months prior to dosing) or in menopausal state confirmed as follows: 1 year of spontaneous amenorrhea without an alternative medical cause and a serum FSH level ≥40 mIU/mL
  • Men must agree to use contraception (condom with spermicide) during the study treatment period and for at least 3 months after the last dose of study treatment or be surgically sterile (vasectomy at least 3 months prior to dosing)
  • Women should not donate eggs and men should not donate sperm during the study treatment period and for at least 3 months after the last dose of study treatment
  • Participants must be in good health as determined by Screening medical history, physical examination, vital signs, ECGs, serum chemistry, hematology, virology, and urinalysis performed at Screening and on Day -1

Exclusion criteria

  • History or current chronic lung disease including asthma, chronic obstructive pulmonary disease (COPD), or heavy smoking of >10 pack years
  • Previous or current treatment with systemic corticosteroids or any immunosuppressive agents
  • Participants who have received a transfusion or any blood products within the last year prior to dosing
  • Participants who have made any blood donation or have had a loss of blood of ≥500 mL within 56 days prior to the dose of study drug
  • Participants who consume more than 21 units of alcohol per week (1 unit of alcohol equals 1/2 pint of beer, 4 ounces of wine, or 1 ounce of spirits) or those participants who have a significant history of alcoholism or drug/chemical abuse within the last 2 years.
  • Participants with positive results on tests for drugs of abuse, cotinine, or alcohol at Screening and/or Day -1.

Treatment and study plan

DS-2325a

Drug

Subcutaneous injection (starting dose 30 mg)

Placebo

Drug

Subcutaneous injection

Primary outcomes

  1. Number of Participants with Any Treatment-emergent Adverse Events Following Administration of DS-2325a

    Time frame: Screening (Day -28 to -3) pre-dose up to Day 57 post-dose

    Treatment-emergent adverse events (TEAEs) are defined as new adverse events (AEs) that occur after the dose of study drug or as AEs that were present prior to the dose of study drug but which worsened in severity after the start of study drug.

Secondary outcomes

  1. Pharmacokinetic Parameter Area Under the Concentration Curve (AUC)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  2. Pharmacokinetic Parameter Time to Maximum Concentration (Tmax)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  3. Pharmacokinetic Parameter Maximum Concentration (Cmax)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  4. Pharmacokinetic Parameter Last Measurable Time (Tlast)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  5. Pharmacokinetic Parameter Elimination Rate Constant Associated With the Terminal Phase (Kel)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  6. Pharmacokinetic Parameter Elimination Half-life (T1/2)

    Time frame: SC and IV cohorts: Day 1 pre-dose and 1, 2, 4, 8 hours (hr) post-dose; 24, 48, 96, 120, 144, 168, 192, 240, 288, 336, 384, 432, 480, 552, 624, 696, 768, 840, 1008, 1176, 1344 hr post-dose

    Pharmacokinetic parameters will be calculated for DS-2325a by noncompartmental methods.

  7. Number of Participants Who Are Anti-Drug Antibody (ADA)-Positive (Baseline and Post-Baseline) and Number of Participants Who Have Treatment-emergent ADA

    Time frame: Day 1 pre-dose and 336 hours (hr), 552 hrs, 696 hrs, and 1344 hrs post-dose

    Blood samples will be collected to determine ADAs.

Sponsors and collaborators

Lead sponsor

Daiichi Sankyo

Industry

Registry information

Official study title

A Phase 1, Subjects- and Investigator-Blinded, Sponsor-Unblinded, Placebo-Controlled, Randomized, Sequential Cohort Study to Assess the Safety and Pharmacokinetics of Single Ascending Subcutaneous and Intravenous Doses of DS-2325a in Healthy Subjects

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
May 24, 2022
Registry last updated
Mar 6, 2023

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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