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Completed

NCT Number: NCT05745727

A Study to Evaluate the Safety, Tolerability, PK, and PD Properties of PRX-115 in Adult Volunteers With Elevated Uric Acid Levels

This is a Phase 1, double-blind, placebo-controlled, single ascending dose study in participants with elevated uric acid levels. This study will be conducted in approximately 64 adult male and female participants in the dose escalation phase.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

New Zealand Clinical Research, Grafton, Auckland, New Zealand

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About this study

Participants will be assigned to 1 of 8 sequential dosing cohorts, each composed of 8 participants (6 active + 2 placebo) who will receive a single dose of PRX-115 or placebo by intravenous (IV) infusion.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Males or females 18 to 65 years of age, inclusive.
  • Serum uric acid greater than 6.0 mg/dL (0.35 mmol/L) at the Screening visit.
  • Body mass index within the range 18.5 to 40 kg/m^2, inclusive, at the Screening visit.
  • Women of childbearing potential may be included only if they have a negative beta human chorionic gonadotropin (β-hCG) test result at Screening.
  • Men and women of childbearing potential and their partners should use double barrier contraception.

Exclusion criteria

  • Has any condition known to have arthritis as a clinical manifestation
  • Had greater than or equal to 1 gout flare in the last year prior to either Screening or Day -1.
  • Has clinical evidence of subcutaneous tophi at either Screening or Day -1.
  • Estimated glomerular filtration rate (eGFR) value less than or equal to 60 mL/min/1.73m^2
  • History of significant renal disease, and/or presence of renal stones at either Screening or Day -1.
  • Has a history of anaphylaxis, severe allergic reactions, or severe atopy.
  • History of autoimmune disorders, and/or participant is immunocompromised or treated with immunosuppressive medications.
  • Has evidence of cardiovascular or cerebrovascular disease.
  • History of congestive heart failure, New York Heart Association Class III or IV.
  • BP outside the range of 90 to 150 mm Hg for systolic or 50 to 95 mm Hg for diastolic.
  • Participants with hypertension who are not on stable medication for at least 6 months.
  • Has uncontrolled type 2 diabetes
  • Concurrent treatment with urate lowering drugs (ULDs).
  • Prior exposure to any experimental or marketed uricase (eg, rasburicase [Elitek, Fasturtec], pegloticase [Krystexxa®], pegadricase [SEL-212]).
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency or known catalase deficiency.

Treatment and study plan

PRX-115

Drug

Escalating doses of PRX-115 will be given in different cohorts i.e., Cohorts 1 through 8

Other names: Escalating doses of PRX-115

Placebo

Drug

Escalating doses of Placebo will be given in different cohorts i.e., Cohorts 1 through 8

Other names: Placebo to match

Primary outcomes

  1. Number of participants with adverse events receiving PRX-115 compared to placebo

    Time frame: Day 0 - Day 85

    To assess the safety and tolerability of a single infusion of PRX-115 as assessed by frequency of drug related adverse events, graded by severity.

  2. Number of participants with abnormal clinically significant clinical laboratory results

    Time frame: Day 0 - Day 85

    Clinical laboratory tests include hematology, coagulation and biochemistry

  3. Number of participants with abnormal clinical vital signs

    Time frame: Day 0 - Day 85

    Vital signs include pulse rate, blood pressure, respiratory rate and tympanic temperature

  4. Number of participants with abnormal clinically significant results from physical examination

    Time frame: Day 0 - Day 85

  5. Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) parameters

    Time frame: Day 0 - Day 85

Secondary outcomes

  1. PK of PRX-115: Maximum observed plasma drug concentration (Cmax)

    Time frame: Day 1 - Day 85

    The Cmax PK parameter calculated based on the observed plasma drug concentration versus time curve

  2. PK of PRX-115: Area under the plasma concentration versus time curve (AUC 0-t)

    Time frame: Day 1 - Day 85

    The PK parameter calculated will be Area under the plasma drug concentration-time curve of the last measurable drug concentration (AUC0-t).

  3. PK of PRX-115: Time to maximum observed plasma drug concentration (Tmax)

    Time frame: Day 1 - Day 85

    The PK parameter calculated will be Time to maximum observed plasma drug concentration (T max).

  4. PK of PRX-115: total body clearance (CL)

    Time frame: Day 1 - Day 85

    The PK parameter calculated will be total body clearance (CL).

  5. PK of PRX-115: volume of distribution during the terminal phase (Vd)

    Time frame: Day 1 - Day 85

    The PK parameter calculated will be volume of distribution during the terminal phase (Vd).

  6. PK of PRX-115: Terminal elimination half-life (T ½)

    Time frame: Day 1 - Day 85

    The PK parameter of Terminal elimination half-life (T ½) is calculated based on the plasma drug concentration-time curve

  7. PK of PRX-115: Area under the plasma concentration versus time curve (AUC 0-inf)

    Time frame: Day 1 - Day 85

    The PK parameters calculated will be Area under the plasma drug concentration-time curve from time 0 to infinity (AUC0-inf).

  8. Pharmacodynamics of PRX-115: blood uric acid levels

    Time frame: Day 0 - Day 85

    Pharmacodynamics of PRX-115 by measurement of blood uric acid levels over 85 days

  9. Immunogenicity of PRX-115: measurement of anti-drug antibody levels

    Time frame: Day 1 - Day 85

Sponsors and collaborators

Lead sponsor

Protalix

Industry

Registry information

Official study title

A Double-blind, Placebo-controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics Properties of PRX-115 in Adult Volunteers With Elevated Uric Acid Levels.

Important dates

Study start
2023
Primary completion
2024
Study completion
2025
First posted
Feb 27, 2023
Registry last updated
Feb 11, 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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