A First-in-Human Study With XAB05 in Healthy Subjects

Study Overview
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Brief Summary
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This study is a randomized, placebo-controlled, first in human, single ascending dose Phase 1 study

Detailed Description
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This study is a First in Human (FIH) single ascending dose study with XAB05 to evaluate safety, tolerability, PK and exploratory markers of efficacy for XAB05 in healthy volunteers.

Official Title
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A First-in-Human Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Exploratory Markers of Efficacy for XAB05 in Healthy Subjects

Conditions
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Infection, Bacterial

Intervention / Treatment
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* Biological: Experimental


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: .The subject must understand the nature of the study and must provide signed and dated written informed consent in accordance with local regulations before the conduct of any study-related procedures. 2. Healthy as determined by the Investigator, based on a medical evaluation including medical history, physical examination, laboratory tests and ECG recording. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied, may be included only if, in the opinion of the Investigator, the finding is (a) unlikely to introduce additional risk to the subject, (b) will not interfere with study procedures or confound study results, and (c) is not otherwise exclusionary (see Exclusion Criteria). 3. The subject is a male or female, aged 18 to 65 years, inclusive, at Screening. 4. The subject weighs at least 50 kg and has a BMI between 18.0 and 34.0 kg/m2, inclusive, at Screening and on Day -1. 5. Women of child-bearing potential must agree not to attempt to become pregnant and to use a highly effective form of hormonal (oral contraception, a hormonal implant, hormonal injection or hormonal intra-uterine devices) or non-hormonal (non-hormonal intra-uterine device/system in combination with a barrier method (e.g. condom, diaphragm, cervical cap with spermicide)) birth control or abstinence during the study and for 90 days after the (last) study drug administration. Postmenopausal women must have had ≥12 months of spontaneous amenorrhea (with documented follicle-stimulating hormone (FSH) ≥30 mIU/mL). Surgically sterile women are defined as those who have had a hysterectomy, bilateral ovariectomy, or bilateral tubal ligation. Women who are surgically sterile must provide documentation of the procedure by an operative report or by ultrasound. All women must have a negative pregnancy test result at Screening and on Day -1. Exclusion Criteria: 1. The subject has history or evidence of clinically significant hematologic, dermatologic, neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic including difficulty voiding, immunologic, endocrine disease, or psychiatric disorder, or other abnormality, which may impact the ability of the subject to participate or potentially confound the study results, or which, in the investigator's opinion, makes subjects unsuitable for the study. 2. The subject has a significant history of allergies, as determined by the Principal Investigator. 3. The subject is taking antihistamines, NSAIDs, or mast cell stabilizers (e.g. disodium cromoglycate) and is unable to stop taking these medications from 7 days prior to Day 1. 4. The subject has received any prescription or non-prescription drugs (including steroids and COVID-19 vaccination, but excluding paracetamol, oral contraception, a hormonal implant or hormonal intra-uterine devices), vitamins and herbal remedies (including St John's Wort), within 14 days or 5 half-lives (whichever is longer) prior to Day -1. 5. A clinically significant abnormality on physical examination, ECG, or laboratory evaluations at Screening or between Screening and study drug administration. 6. The subject has a supine blood pressure outside the ranges of 90 to 140 mm Hg for systolic and 45 to 90 mm Hg for diastolic, confirmed on repeat testing at Screening and on Day -1.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: XAB05<br>Single ascending dose from 0.25 mg/kg up to 20mg/kg IV infusion | Biological: Experimental<br>* Participants will receive a single IV infusion in a double blind manner<br>|
| Placebo Comparator: Placebo<br>Single IV infusion | Biological: Experimental<br>* Participants will receive a single IV infusion in a double blind manner<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Safety and tolerability parameters: physical examination | Number of clinically relevant findings during inspection, percussion, palpation, and auscultation. | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters: Adverse events (AEs) | Number of adverse events (AEs) | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters :infusion site reactions/local tolerability | Incidence of infusion site reactions/local tolerability | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters: clinical laboratory values | Number of clinically significant laboratory abnormalities | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters:vital signs - Blood pressure value | Blood pressure (mm Hg) | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters:vital signs - Pulse value | pulse rate | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters:vital signs -repiratory value | respiration rate | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters:vital signs -temperature | temporal body temperature | From screening through study completion, up to 30 days | 
| Safety and tolerability parameters: electrocardiogram (ECG): | Number of Clinically significant abnormal findings recorded by investigator based on HR, PR, QRS, and QT values of ECG | From screening through study completion, up to 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PK parameters for XAB05 : Cmax | Maximal Observed concentration (Cmax) | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05: tmax | Time to Cmax | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05 :Ceoi | Concentration at the end of infusion | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05 : t1/2 | Terminal elimination half-life of the drug | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05 : AUC0-t | Area under the concentration-time curve up to the last measurable concentration | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05 :AUC0-inf | Area under the concentration-time curve to infinite time | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05: CL | Clearance of the drug | From treatment day through study completion, up to 30 days | 
| PK parameters for XAB05 : Vz | Volume of distribution | From treatment day through study completion, up to 30 days | 
| Immunogenicity parameters | concentration of anti-drug antibodies (ADA) | From treatment day through study completion, up to 30 days |