Pharmacodynamic Biomarkers to Support Biosimilar Development: PCSK9 Inhibitors

Study Overview
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Brief Summary
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This study is designed to assess pharmacokinetics and pharmacodynamics of evolocumab and alirocumab across an appropriate dose range to inform clinical trial operating characteristics for future clinical pharmacology pharmacodynamics similarity studies. This is a randomized, placebo-controlled, single-dose, parallel arm study in 72 healthy subjects assigned to one of four dose groups (low, intermediate low, intermediate high, and high) of each drug (evolocumab and alirocumab ) or placebo.

Detailed Description
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This study is designed to assess pharmacokinetics and pharmacodynamics of evolocumab and alirocumab, two monoclonal antibodies that inhibit proprotein convertase subtilisin/kexin type 9 (PCSK9), across an appropriate dose range to inform clinical trial operating characteristics for future clinical pharmacology pharmacodynamics similarity studies. This is a randomized, placebo-controlled, single-dose, parallel arm study in 72 healthy subjects assigned to one of four dose groups (low, intermediate low, intermediate high, and high) of each drug (evolocumab or alirocumab) or placebo. Evolocumab doses are 21, 35, 70, and 140 mg. Reslizumab doses are 15, 25, 50, and 100 mg . Each arm will include 8 subjects (4 male and 4 female). Subjects will be admitted for treatment on day -1 and receive a single dose of study drug or placebo on day 1. Depending on the treatment arm, subjects will remain in confinement for one week and continue follow-up through day 42, 56, or 84. Blood samples (approximately 5 mL per sample) will be collected for determination of plasma concentrations for study drug. Additional blood samples will be collected for lipid analysis and determination of low-density lipoprotein cholesterol (LDL-C) and apolipoprotein B (apoB) (5 mL per sample; pharmacodynamic measure) and exploratory proteomics analyses (5 mL per sample). Safety evaluations will include adverse event (AE) monitoring, vital sign measurements, and physical examinations. All AEs reported by the subject or observed by the investigator or clinical research unit (CRU) staff will be recorded. Any AE reported after the informed consent is signed and before study drug application will be recorded as medical history.

Official Title
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Pharmacodynamic Biomarkers to Support Biosimilar Development: Clinical Study 2: PCSK9 Inhibitors - Alirocumab and Evolocumab

Conditions
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Healthy Subjects, Pharmacokinetics, Pharmacodynamics

Intervention / Treatment
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* Biological: Evolocumab
* Biological: Evolocumab
* Biological: Evolocumab
* Biological: Evolocumab
* Biological: Alirocumab
* Biological: Alirocumab
* Biological: Alirocumab
* Biological: Alirocumab
* Biological: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject signs an institutional review board (IRB)-approved written informed consent and privacy language as per national regulations (e.g., Health Insurance Portability and Accountability Act authorization) before any study related procedures are performed. Subject is a healthy man or woman, 18 to 55 years of age, inclusive, who has a body mass index of 18.5 to 32 kg/m2, inclusive, at Screening. Subject has a LDL-C level >=100 and <=190 mg/dL inclusive, at Screening. Subject has normal medical history findings, clinical laboratory results, vital sign measurements, 12 lead electrocardiogram (ECG) results, and physical examination findings at Screening or, if abnormal, the abnormality is not considered clinically significant (as determined and documented by the investigator or designee). Subject must have a negative test result for alcohol and drugs of abuse at screening and Check-in (Day -1). Female subjects must be of non-childbearing potential or, if they are of childbearing potential, they must: 1) have been strictly abstinent for 1 month before Check in (Day -1) and agree to remain strictly abstinent for the duration of the study and for at least 1 month after the last application of study drug; OR 2) be practicing 2 highly effective methods of birth control (as determined by the investigator or designee; one of the methods must be a barrier technique) from at least 1 month before Check in (Day -1) until at least 1 month after the last application of study drug. Male subjects must agree to practice 1 highly effective method of birth control (as determined by the investigator or designee) from at least 1 month before Check in (Day-1) until at least 1 month after the last application of study drug. Subject is highly likely (as determined by the investigator) to comply with the protocol defined procedures as to complete the study. Exclusion Criteria: Subject is taking cholesterol medication (e.g. statins). Subject is anemic (i.e., with hematocrit or hemoglobin less than the lower limit of normal) or has any chronic condition(s) that may impact blood sample collection. Subject has had previous exposure to the biologic evolocumab or alirocumab. Subject has a history of asthma. Subject has a history of anaphylaxis from environmental exposures such as peanuts or bee stings. Subject has an allergic history that includes urticaria, angioedema or respiratory coughing or bronchospasm. Subject has a history of severe local reactions or generalized erythema from skin allergen testing. Subject has used any prescription or nonprescription drugs (including aspirin or NSAIDs and excluding oral contraceptives and acetaminophen) within 14 days or 5 half-lives (whichever is longer) or complementary and alternative medicines within 28 days before the first dose of study drug. Subjects are currently participating in another clinical study of an investigational drug or are have been treated with any investigational drug within 30 days or 5 half-lives (whichever is longer) of the compound. Subject has used nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff) within 6 weeks of Screening. Subject has consumed alcohol, xanthine containing products (e.g., tea, coffee, chocolate, cola), caffeine, grapefruit, or grapefruit juice within 48 hours of dosing. Subjects must refrain from ingesting these throughout the study. Subject has any underlying disease or surgical or medical condition (e.g., cancer, human immunodeficiency virus [HIV], severe hepatic or renal impairment) that could put the subject at risk or would normally prevent participation in a clinical study. This includes subjects with any underlying medical conditions that put subjects at higher risk for coronavirus disease of 2019 (COVID-19) complications; per current Center for Disease Control and Prevention (CDC) recommendations this includes: People with chronic lung disease or moderate to severe asthma People who have serious heart conditions People who are immunocompromised Many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV, and prolonged use of corticosteroids and other immune weakening medications People with severe obesity (BMI of 40 or higher) People with diabetes People with chronic kidney disease undergoing dialysis People with liver disease Subject has any signs or symptoms that are consistent with COVID-19. Per current CDC recommendations this includes subjects with the symptoms cough or shortness of breath or difficulty breathing, or at least two of the following symptoms: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat or new loss of taste/smell. In addition, the subject has any other findings suggestive of COVID-19 risk in the opinion of the investigator. Subject tests positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by a molecular diagnostic test performed prior to admission. Subject has known or suspected allergies or sensitivities to any study drug. Subject has clinical laboratory test results (hematology, serum chemistry lipid panel and comprehensive metabolic panel) at Screening that are outside the reference ranges provided by the clinical laboratory and considered clinically significant by the investigator. Subject has a positive test result at Screening for human immunodeficiency virus (HIV) 1 or 2 antibody, hepatitis C virus load, hepatitis C virus antibodies, or hepatitis B surface antigen. Subject is unable or unwilling to undergo multiple venipunctures for blood sample collection because of poor tolerability or poor venous access. Female subjects are pregnant or lactating before enrollment in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Subjects will be randomized to one of four dose groups (low, intermediate low, intermediate high, and high) of each drug (evolocumab or alirocumab) or placebo
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm A: Evolocumab low dose<br>Single dose of evolocumab 21 mg subcutaneous (SC) | Biological: Evolocumab<br>* Evolocumab 21 mg administered SC<br>|
| Experimental: Arm B: Evolocumab intermediate low dose<br>Single dose of evolocumab 35 mg SC | Biological: Evolocumab<br>* Evolocumab 35 mg administered SC<br>|
| Experimental: Arm C: Evolocumab intermediate high dose<br>Single dose of evolocumab 70 mg SC | Biological: Evolocumab<br>* Evolocumab 70 mg administered SC<br>|
| Experimental: Arm D: Evolocumab high dose<br>Single dose of evolocumab 140 mg SC | Biological: Evolocumab<br>* Evolocumab 140 mg administered SC<br>|
| Experimental: Arm E: Alirocumab low dose<br>Single dose of alirocumab 15 mg SC | Biological: Alirocumab<br>* Alirocumab 15 mg administered SC<br>|
| Experimental: Arm F: Alirocumab intermediate low dose<br>Single dose of alirocumab 25 mg SC | Biological: Alirocumab<br>* Alirocumab 25 mg administered SC<br>|
| Experimental: Arm G: Alirocumab intermediate high dose<br>Single dose of alirocumab 50 mg SC | Biological: Alirocumab<br>* Alirocumab 50 mg administered SC<br>|
| Experimental: Arm H: Alirocumab high dose<br>Single dose of alirocumab 100 mg SC | Biological: Alirocumab<br>* Alirocumab 100 mg administered SC<br>|
| Placebo Comparator: Arm I: Placebo<br>Single dose of placebo SC | Biological: Placebo<br>* Placebo administered SC<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area under effect curve (AUEC) for LDL-C for evolocumab and alirocumab | The values and variability of AUEC for LDL-C at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 
| Maximum change from baseline for LDL-C for evolocumab and alirocumab | The values and variability of maximum change from baseline for LDL-C at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUEC for Apolipoprotein B (ApoB) for evolocumab and alirocumab | The values and variability of AUEC for ApoB at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 
| Maximum change from baseline for apoB for evolocumab and alirocumab | The values and variability of maximal difference at a single time-point for ApoB at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 
| Maximum concentration (Cmax) for evolocumab and alirocumab | The values and variability of Cmax at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 
| Area under the curve (AUC) for evolocumab and alirocumab | The values and variability of AUC at low, intermediate low, intermediate high, and high doses of evolocumab and alirocumab | 42, 56, or 84 days, depending on treatment arm | 
| Pharmacodynamic model parameters (maximum effect [Emax]) for evolocumab and alirocumab | Model parameters (Emax) calculated after combining data from low, intermediate low, intermediate high, and high doses of evolocumab or alirocumab with placebo data. | 42, 56, or 84 days, depending on treatment arm | 
| Pharmacodynamic model parameters (half maximum effect concentration [EC50]) for evolocumab and alirocumab | Model parameters (EC50) calculated after combining data from low, intermediate low, intermediate high, and high doses of evolocumab or alirocumab with placebo data. | 42, 56, or 84 days, depending on treatment arm | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pharmacokinetics, Pharmacodynamics