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Completed

NCT Number: NCT05343819

Ascending Multiple Intravenous Doses of AON-D21 in Healthy Male Subjects.

The main purpose of this study is to evaluate safety, tolerability, pharmacokinetics and pharmacodynamic parameters after multiple ascending intravenous doses of AON-D21 in healthy male subjects.

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Key information

Conditions

Age range

18 year–55 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

Nuvisan GmbH

Neu-Ulm, 89231, Germany

About this study

This study will potentially include 2 two sequential cohorts with 8 healthy male subjects per cohort, then 16 enrolled subjects in total. Within each dose group 6 subjects will be randomized to receive AON-D21 and 2 subjects will be randomly assigned to placebo.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 18 to 55 years of age inclusive, at the time of signing the informed consent.
  • Body mass index (BMI) within the range 18 - 30 kg/m2 with a body weight between 50 kg and 120 kg.
  • Male subjects
  • Subject is healthy as determined by medical evaluation
  • Subject provided written informed consent
  • Subject is willing to comply with all requirements and restrictions according to the study protocol.

Exclusion criteria

  • Any concomitant disease, condition, or treatment that could interfere with the conduct of the study.
  • Any acquired or congenital immune deficiency.
  • Acute infection (including viral infections) in the preceding 6 weeks (8 weeks for respiratory infections).
  • Clinically relevant abnormality following the Investigator's review of the physical examination, vital signs, ECG and clinical study protocol-defined clinical laboratory tests that, in the opinion of the Investigator, would preclude inclusion in the trial at screening and admission.
  • Evidence of COVID-19 signs or symptoms, exposure to infected person or confirmed COVID-19 infection within the last 2 weeks.
  • Use of any concomitant medication or prescribed or non-prescribed drugs within 2 weeks or 5 times the half-life, whichever is longer, prior to the first study treatment administration.
  • Administration of vaccine(s) within 2 weeks prior to screening or plans to receive such vaccines during the study.
  • Use of any investigational drug or participation in any clinical study within 30 days or 5 half-life times, whichever is longer, prior to dosing.
  • Positive drug or alcohol screen at screening and admission.
  • Any significant blood loss, donated one unit (450 mL) of blood or more, or donated plasma, or received a transfusion of any blood or blood products within 30 days prior to dosing.
  • Subjects who are unable to refrain from the consumption of Seville oranges, grapefruit or grapefruit juice and /or pomelos, exotic citrus fruits, grapefruit hybrids, starfruit or fruit juices from 72 hours prior to dosing on Day 1, until completion of the last PK blood sample time point.
  • Legal incapacity or limited legal capacity, or incarceration.
  • Inability to understand or communicate reliably with the Investigator.

Treatment and study plan

AON-D21

Drug

AON-D21 is a PEGylated L-configured aptamer that binds and thereby neutralizes the complement component C5a from activating both C5a receptors.

Placebo

Drug

Isotonic glucose solution identical in appearance to AON-D21.

Primary outcomes

  1. Number of participants with treatment-related adverse events as assessed by CTCAE v5.0

    Time frame: 27 days

    Nature, occurrence, and severity of treatment-emergent adverse events.

  2. Per dosing cohort number of participants with treatment-emergent adverse events as assessed by CTCAE v5.0.

    Time frame: 27 days

    Overall number of participants with treatment related treatment-emergent adverse events (TEAEs) as assessed by CTCAE v5.0 per dosing cohort.

Secondary outcomes

  1. Pharmacokinetics assessment

    Time frame: 27 days

    Area under the concentration-time curve (AUC) over the dosing interval at steady state (AUC0-tau) of AON-D21 in plasma.

  2. Pharmacokinetics assessment

    Time frame: 27 days

    Maximum concentration at steady state (Cmax) of AON-D21 in plasma.

  3. Pharmacokinetics assessment

    Time frame: 27 days

    Average drug concentration at steady state (Cav) of AON-D21 in plasma.

  4. Pharmacokinetics assessment

    Time frame: 27 days

    Trough concentrations (Ctrough) of AON-D21 in plasma.

  5. Pharmacokinetics assessment

    Time frame: 27 days

    Time of maximum concentration at steady state (Tmax) of AON-D21 in plasma.

  6. Pharmacokinetics assessment

    Time frame: 27 days

    Terminal half-life at steady state (t1/2) of AON-D21 in plasma.

  7. Pharmacokinetics assessment

    Time frame: 27 days

    Accumulation ratios for Cmax and AUC of AON-D21 in plasma.

  8. Pharmacokinetics assessment

    Time frame: 27 days

    Clearance (CL) of AON-D21 in plasma at steady state.

  9. Pharmacokinetics assessment

    Time frame: 27 days

    Volume of distribution (Vz) of AON-D21 in plasma at steady state.

  10. Pharmacokinetics assessment

    Time frame: 27 days

    AUC from 0 to 48 hours (AUC0-48) after the first dose of AON-D21 in plasma.

  11. Pharmacokinetics assessment

    Time frame: 27 days

    AUC from 0 extrapolated to infinity (AUC0-inf) after the first dose of AON-D21 in plasma.

  12. Pharmacokinetics assessment

    Time frame: 27 days

    Maximum concentration (Cmax) after the first dose of AON-D21 in plasma.

  13. Pharmacokinetics assessment

    Time frame: 27 days

    Time to maximum concentration (Tmax) after the first dose of AON-D21 in plasma.

  14. Pharmacokinetics assessment

    Time frame: 27 days

    Terminal half life (t1/2) after the first dose of AON-D21 in plasma.

  15. Pharmacodynamics assessment

    Time frame: 27 days

    Measurement of concentration of C5 in plasma.

  16. Pharmacodynamics assessment

    Time frame: 27 days

    Measurement of concentration of C5a in plasma.

  17. Pharmacodynamics assessment

    Time frame: 27 days

    Measurement of concentration of C5b-9 in plasma.

  18. Pharmacodynamics assessment

    Time frame: 27 days

    Qualitative assessment of terminal complement complex (TCC) formation in plasma.

  19. To assess potential for immunogenicity

    Time frame: 27 days

    Measurement of anti-drug antibodies (ADA) in plasma.

  20. To assess potential for immunogenicity

    Time frame: 27 days

    Measurement of anti-polyethylene glycol (PEG) antibodies in plasma.

Sponsors and collaborators

Lead sponsor

Aptarion Biotech AG

Industry

Registry information

Official study title

A Randomized, Single-center, Double-blind, Placebo Controlled Trial With Ascending Multiple Intravenous Doses to Determine Safety, Tolerability and Pharmacokinetics of AON-D21 in Healthy Male Subjects.

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Apr 25, 2022
Registry last updated
Dec 19, 2022

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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