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Completed

NCT Number: NCT01293487

Safety And Tolerability Study Of RN564 In Women With Osteopenia And Healthy Men.

The purpose of this study is to determine the safety and tolerability of RN564 in women with osteopenia and healthy men.

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Key information

Age range

55 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Ambulatory Diagnostic Center, Coral Gables, Florida, United States

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Diagnosis of osteopenia for women (BMD T-scores between -1.0 and - 2.5 SD at the lumbar spine, the femoral neck or total hip)
  • Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >45 kg (99 lbs).
  • Have at least 3 vertebral bodies in the L1-L4 region and one femoral neck site that are accessible by DXA.

Exclusion criteria

  • Evidence or history of any underlying condition, other than primary osteopenia, that affect bone metabolism (eg, hyperparathyroidism, hypoparathyroidism).
  • Subjects with pre-existing periodontal/dental disease or those who have undergone invasive dental procedures (eg, tooth extraction, oral surgery) within 60 days prior to Day -1.
  • If QTcF exceeds 455 msec, the ECG should be repeated two more times and the average of the three QTcF values should be used to determine the subject's eligibility.

Treatment and study plan

RN564

Biological

Intravenous, single dose with experimental dose

Primary outcomes

  1. Number of Participants With Dose-Limiting or Intolerable Treatment Related Adverse Events (AEs)

    Time frame: Day 1 to Day 85

    Dose-limiting or intolerable treatment related AEs was defined as any of the following criteria occurred in 2 or more participants: Serious adverse events, Increased liver transaminases, Increased bilirubin (in absence of ALT/AST elevations, allergic / hypersensitivity reactions, vasculitis, Musculoskeletal pain, Increased serum creatinine, Diarrhea, enteritis or nausea, Prolongation of QTcF interval or any other criteria If considered appropriate by the Medical Monitor and Investigator. A dose level was also be considered intolerable if, in the judgment of the Investigator and Sponsor, the type, frequency, or severity of AEs becomes unacceptable.

  2. Percentage of Participants With All-Causality AEs by Grade

    Time frame: Day 1 to Day 85

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE.

  3. Percentage of Participants With Treatment-Related AEs by Grade

    Time frame: Day 1 to Day 85

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity was graded as Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. Relatedness to drug was assessed by investigator.

  4. Number of Participants With Any Laboratory Abnormality

    Time frame: Day 1 to 85

    Criteria for abnormality: hematology: hemoglobin, hematocrit, red blood cell count: less than(<) 0.8*lower limit of normal (LLN); platelets: <0.5*LLN,>1.75*ULN, white blood cell count: <0.6*LLN, >1.5*ULN; lymphocytes, total neutrophils: <0.8*LLN, >1.2*ULN; eosinophils, basophils, monocytes: >1.2*ULN; coagulation: activated partial thromboplastin time, prothrombin, prothrombin international ratio: >1.1*ULN; liver function: bilirubin: >1.5*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: >3.0*ULN; protein, albumin: <0.8*LLN></0>1.2*ULN; renal function: blood urea nitrogen, creatinine: >1.3*ULN; uric acid: >1.2*ULN; electrolytes: sodium>1.05*ULN, potassium, chloride, calcium, bicarbonate: <0.9*LLN,>1.1*ULN; urinalysis: pH<4.5, >8; glucose, protein, blood, ketones, urobilinogen, bilirubin, nitrite; Other(glucose: <0.6*LLN,>1.5*ULN), urine casts, granular casts, hyaline casts>1 LPF; hormones: T4, T3, TSH<0.8*LLN.

  5. Median Change From Baseline in Platelets and White Blood Cell [WBC] Count (With Differentials) at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

    Median change from baseline in platelets, WBC count, lymphocytes (absolute [Abs]), total neutrophils (Abs), basophils (Abs), eosinophils (Abs), and monocytes (Abs)

  6. Median Change From Baseline in Red Blood Cell (RBC) Count at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  7. Median Change From Baseline in Hematocrit at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  8. Median Change From Baseline in Hemoglobin, Total Protein, and Albumin at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  9. Median Change From Baseline in Select Clinical Chemistry Parameters at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

    Includes median changes from baseline in total bilirubin, direct bilirubin, indirect bilirubin, blood urea nitrogen (BUN), creatinine, uric acid, calcium, magnesium, and glucose

  10. Median Change From Baseline in Sodium, Potassium, Chloride, and Bicarbonate at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  11. Median Change From Baseline in Liver Function Tests at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

    Includes median changes in aspartate aminotransferase (AST), alanine aminotransferase (AST), gamma glutamyltransferase (GGT), and alkaline phosphatase

  12. Median Change From Baseline in Thyroid-Stimulating Hormone (TSH) at Last Observation

    Time frame: Baseline, Last observation (up to Day 85)

  13. Median Change From Baseline in Serum Creatine Kinase (CK), Amylase, and Lipase at Last Observation

    Time frame: Baseline, Last Observation (up to Day 85)

  14. Median Change From Baseline in Free Triiodothyronine (T3) and Free Thyroxine (T4) at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  15. Median Change From Baseline in T4 at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  16. Median Change From Baseline in Urine WBC at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  17. Median Change From Baseline in Urine pH at Last Observation

    Time frame: Baseline, last observation (up to Day 85)

  18. Number of Participants With Abnormal and Clinically Relevant Changes in Blood Pressure

    Time frame: Day 1 up to 85

    Participants with maximum changes from baseline (defined as increases or decreases of greater than or equal to [≥]20 mmHg or ≥30 mmHg) in either standing or supine systolic blood pressure (SBP) or diastolic blood pressure (DBP) measured in millimeters mercury (mmHg).

  19. Number of Participants With Abnormal and Clinically Relevant Changes in Electrocardiogram (ECG) Parameters

    Time frame: Day 1 up to 85

    Participants with maximum changes from baseline (BSL) defined as: ≥25 to 50 percent (%) increase in maximum PR interval or QRS complex; increase from BSL of ≥30 milliseconds (msec) but <60 msec in corrected QT (QTc) interval or QTcF interval (QTc interval corrected using Fridericia's correction); or increase from BSL ≥60 msec in either QTc interval or QTcF interval.

  20. Number of Participants With Positive Anti-Drug Antibodies (ADAs) by Study Visit

    Time frame: Days -1, 8, 15, 29, 43, 57, and 85

Secondary outcomes

  1. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

  2. Maximum Observed Serum Concentration (Cmax)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

  3. Time to Reach Maximum Observed Serum Concentration (Tmax)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

  4. Volume of Distribution at Steady State (Vss)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady-state.

  5. Clearance (CL)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    CL is a quantitative measure of the rate at which a drug substance is removed from the body.

  6. Terminal Elimination Half-Life (t1/2)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    Terminal elimination half-life is the time measured for the plasma concentration to decrease by one half.

  7. Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - Inf)]

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    AUC (0 - inf)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - inf).

  8. Apparent Volume of Distribution (Vz/F)

    Time frame: Day 1 prior to infusion, 1, 2, 4, 8 and 12 hours and anytime on Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85 post-infusion

    Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. Based on internal clinical pharmacology guidance on the most appropriate parameter calculations for this study design, data for Vz/F was not collected instead Vss was reported.

  9. Percentage Change From Baseline in Total Dickkopf-1 (DKK-1) Concentrations Over Time

    Time frame: Day -1, Day 1 (predose and at end of infusion) and at 2, 4, 8, and 12 hours postdose, and Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57, and 85

  10. Mean Percentage Change From Baseline in Serum Procollagen Type 1 Amino-Terminal Propeptide (PINP) (ng/mL) Over Time

    Time frame: Baseline (Days -1, 1), Days 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85

    Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082

  11. Mean Percentage Change From Baseline in Serum n-Terminal Telopeptide(NTX) Over Time

    Time frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85

    Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082

  12. Mean Percentage Change From Baseline in Serum Carboxy (C) Terminal Telopeptide (CTX) Over Time

    Time frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85

    Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082

  13. Mean Percentage Change From Baseline in Serum Bone-Specific Alkaline Phosphatase (BSAP) Over Time

    Time frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85

    Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082

  14. Mean Percentage Change From Baseline in Serum Osteocalcin Over Time

    Time frame: Days -1, 1 (predose), 2, 3, 4, 5, 8, 15, 22, 29, 36, 43, 57 and 85

    Baseline calculated as average of Day -1 and Day 1 prior to infusion of PF-04840082

  15. Mean Percentage Change From Baseline in Lumbar Spine Bone Mineral Density (BMD) at Day 85

    Time frame: Days -1 and 85

  16. Femoral Neck BMD at Day 85

    Time frame: Day 85

    BMD was evaluated by dual energy X-ray absorptiometry (DXA).

  17. Femoral Neck T-Score at Day 85

    Time frame: Day 85

    BMD was evaluated by DXA. T-score was calculated based on actual measured bone density value and is the standardized scores that reflect the standard deviations (SDs) above/below the mean. A BMD T-score of -1.0 or more indicates normal bone density. T-score between -1.0 and -2.5 indicates low bone density known as osteopenia. A T-score of -2.5 or less is diagnostic of osteoporosis.

  18. Mean Percentage Change From Baseline in Distal Radius BMD at Day 85

    Time frame: Baseline (Day -1), Day 85

    BMD was evaluated by DXA.

  19. PK/PD Model Describing the Relationship Between PF-04840082 PK Parameter Estimates/Concentrations and Changes in PD Endpoints

    Time frame: Day 1 to Day 85

    Data for this Outcome Measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the Participant Flow and Baseline Characteristics modules.

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A PHASE 1 STUDY TO EVALUATE THE SAFETY, TOLERABILITY, IMMUNOGENICITY, PHARMACOKINETICS AND PHARMACODYNAMICS OF ESCALATING DOSES OF RN564 IN WOMEN WITH OSTEOPENIA AND IN HEALTHY MEN

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Feb 10, 2011
Registry last updated
Sep 24, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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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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