A Study of NP-011 in Healthy Volunteers
Condition: Myocardial Infarction
MeSH terms: Myocardial Infarction; Infarction
Study type: Interventional
Phase: Phase 1

Summary: 
      This is a Phase 1, randomised, double-blind, placebo-controlled, single ascending dose (SAD)
      and multiple ascending dose (MAD) study to evaluate the safety, tolerability, and
      pharmacokinetic of NP-011 in healthy volunteers.
    

Detailed description: 
      NP-011 is a truncated form of human MFG-E8 recombinant protein. NP-011 placebo has an
      identical formulation to the NP-011 drug product, prepared without the active pharmaceutical
      ingredient.

      The study will be conducted in 2 parts:

      Single Ascending Dose (SAD): The participants will be randomized to receive NP-011 (n= 6 per
      cohort) or placebo (n= 2 per cohort) on Day 1.

      For all Part 1 cohorts, 2 sentinel participants will receive the first dose of IP (1 to
      receive NP-011, 1 to receive placebo) on Day 1. If dosing of the sentinel participants
      proceeds without clinically significant adverse events over 24 hours, the remaining
      participants in the cohort will be dosed at the discretion of the Principal Investigator
      (PI), according to the randomization schedule.

      There are total five cohorts in Part 1 Cohort 1A: NP-011 250 μg or placebo (6:2) Cohort 1B:
      NP-011 500 μg or placebo (6:2) Cohort 1C: NP-011 1000 μg or placebo (6:2) Cohort 1D: NP-011
      2000 μg or placebo (6:2) Cohort 1E: NP-011 4000 μg or placebo (6:2)

      Multiple Ascending Dose (MAD): The part 2 progress after the completion of Day 8 assessments
      in Cohort 1E upon satisfactory review of all available safety data by the SMC.

      Participants will be enrolled into 3 sequential cohorts in Part 2. Dose levels for Part 2
      cohorts may be revised by agreement with the SMC and based on emerging safety and PK data.

      Cohort 2A: NP-011 1000 μg or placebo (6:2) Cohort 2B: NP-011 2000 μg or placebo (6:2) Cohort
      2C: NP-011 4000 μg or placebo (6:2)

      The participants will be randomized to receive the NP-011 (n= 6 per cohort) or placebo (n=2
      per cohort)

      The safety and pharmacokinetic data will be reviewed by SMC in both the parts (SAD and MAD)
      prior to the decision to increase or decrease the dose level for the next cohort or expand
      the number of participants in a cohort (to a maximum of an additional 8 participants at a
      given dose level).
    

Intervention name(s): NP-011 (Single Ascending Dose Phase); NP-011 (Multiple Ascending Dose Phase); NP-011 (Placebo)
Intervention type(s): Drug; Drug; Other
Intervention description(s): The participants will receive assigned single dose of NP-011 after a minimum 8 hour fast on Day 1; The participants will receive assigned dose of NP-011 after a minimum 8 hour fast once daily for 7 days; The participants will receive single dose of NP-011 after a minimum 8 hour fast on Day 1 in Single Ascending Dose part and will receive once daily for 7 days after a minimum 8 hour fast in Multiple Ascending dose part of the study
Allocation: Randomized
Intervention model: Sequential Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment