Pharmacokinetic Study of Ravulizumab Administered Subcutaneously With Recombinant Human Hyaluronidase PH20 (rHuPH20) in Healthy Adult Volunteers

Study Overview
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Brief Summary
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The main objectives of this study were to estimate the absolute bioavailability of ravulizumab/rHuPH20 subcutaneous (SC) and to assess the safety and tolerability of ravulizumab/rHuPH20 SC.

Official Title
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A Partially Randomized, Sequential Cohort, Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Subcutaneous Ravulizumab Coadministered With rHuPH20 in Healthy Adult Volunteers

Conditions
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Healthy

Intervention / Treatment
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* Drug: Ravulizumab
* Drug: rHuPH20


Participation Criteria
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Eligibility Criteria
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Key Inclusion Criteria: Body weight between 60 and 90 kilogram (kg), inclusive, and body mass index within the range 18 through 29.9 kg/square meter, inclusive. Negative serum pregnancy test at screening and Day -1 Male participants and females of childbearing potential must be using highly effective contraception consisting of 2 forms of birth control (at least 1 of which must be a barrier method) while on treatment and for up to 8 months after last dose of study drug. QT interval corrected using the Fridericia's formula (QTcF) ≤450 milliseconds (msec) for male participants and ≤470 msec for female participants at screening and prior to dosing on Day 1. Documented vaccination with meningococcal conjugate vaccine (MCV4) at least 56 days and not more than 2 years, 4 months prior to dosing. Vaccination with serogroup B meningococcal vaccine at least 56 days prior to dosing on Day 1, with a booster administered at least 28 days prior to dosing on Day 1, with at least 28 days between the first and second injections. Key Exclusion Criteria: Current or recurrent disease (for example, cardiovascular, hematological, neurological, endocrine, immunological, rheumatological, renal, hepatic or gastrointestinal or other conditions) that or could affect clinical assessments or clinical laboratory evaluations. Current or relevant history of physical or psychiatric illness that are not stable or may require a change in treatment, use of prohibited therapies during the study or make the participant unlikely to fully comply with the requirements of the study or complete the study, or any condition that presents undue risk from the investigational product or study procedures. Any other significant disease or disorder which, in the opinion of the Investigator, may put the participant at risk. Documented history of allergy to penicillin or cephalosporin. History of significant allergic reaction (for example, anaphylaxis or angioedema) to any product (for example, food, pharmaceutical). Use of prescription medications (excluding oral contraceptives) within 14 days prior to dosing on Day 1, except with prior approval of the Sponsor. Regular use of nonprescription, over-the-counter medications, including herbal remedies and supplements, within 14 days prior to dosing on Day 1. Multivitamins, paracetamol (acetaminophen) ≤2 grams (g) per day, and topical skin products without significant systemic absorption are allowed. Positive urine drug toxicology screen at screening or on Day -1. Alcohol consumption within 48 hours prior to study drug administration or positive alcohol breath test on Day -1. Donation of plasma within 7 days prior to dosing on Day 1. Donation or loss (excluding volume drawn at screening) of more than 50 milliliters (mL) of blood within 30 days prior to dosing or more than 499 mL of blood within 56 days prior to dosing on Day 1. Female participants who are breastfeeding. Participants who are in intimate and prolonged contact with (defined as living under the same roof or providing personal care to) people younger than 2 years of age or older than 65 years of age, or who are either immunocompromised or have one of the following underlying medical conditions: anatomic or functional asplenia (including sickle cell disease); congenital complement, properdin, factor D, or primary antibody deficiencies; acquired complement deficiencies (for example, those receiving eculizumab); or human immunodeficiency virus (HIV). Participants who are one of the following: Professionals exposed to environments of greater risk for meningococcal disease Research, industrial, and clinical laboratory personnel who are routinely exposed to N meningitidis Military personnel during recruit training Daycare center workers Those living on a college or university campus Those who plan to travel during the course of the study to or have travelled to endemic areas for meningococcal meningitis (for example, India, Sub-Saharan Africa, pilgrimage to Saudi Arabia for Hajj) within 6 months prior to dosing Immunization with a live-attenuated vaccine 28 days prior to dosing on Day 1 or planned vaccination during the course of the study (except for the vaccination planned by the study protocol). Immunization with inactivated or recombinant influenza vaccine is permitted. Prior exposure to ravulizumab or eculizumab. Major surgery or hospitalization within 90 days prior to dosing on Day 1. History of allergy or hypersensitivity to excipients of ravulizumab (for example, polysorbate 80), rHuPH20, or other hyaluronidases. Currently smokes >10 cigarettes daily (former smokers may be permitted to enroll at the Investigator's discretion) and is unwilling to refrain from smoking while a resident in the clinical research unit or comply with the smoking restrictions. History of illicit drug abuse, history of significant alcohol abuse within 1 year prior to the screening visit, or clinical evidence of substance and/or alcohol abuse within the 2 years before screening.

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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort 1<br>Participants received a single dose of ravulizumab SC 400 (milligrams) mg . | Drug: Ravulizumab<br>* Solution for infusion or injection, as applicable<br>* Other names: ALXN1210;|
| Experimental: Cohort 2<br>Participants received a single dose of ravulizumab SC 500 mg/rHuPH20 10000 units. | Drug: Ravulizumab<br>* Solution for infusion or injection, as applicable<br>* Other names: ALXN1210;Drug: rHuPH20<br>* Solution for infusion<br>* Other names: Recombinant human hyaluronidase PH20;|
| Experimental: Cohort 3<br>Participants received a single dose of ravulizumab SC 1000 mg/rHuPH20 20000 units. | Drug: Ravulizumab<br>* Solution for infusion or injection, as applicable<br>* Other names: ALXN1210;Drug: rHuPH20<br>* Solution for infusion<br>* Other names: Recombinant human hyaluronidase PH20;|
| Experimental: Cohort 4<br>Participants received a single dose of ravulizumab SC 2000 mg/rHuPH20 40000 units. | Drug: Ravulizumab<br>* Solution for infusion or injection, as applicable<br>* Other names: ALXN1210;Drug: rHuPH20<br>* Solution for infusion<br>* Other names: Recombinant human hyaluronidase PH20;|
| Experimental: Cohort 5<br>Participants received a single dose of ravulizumab intravenously (IV) 400 mg. | Drug: Ravulizumab<br>* Solution for infusion or injection, as applicable<br>* Other names: ALXN1210;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Absolute Bioavailability Of Ravulizumab SC/rHuPH20 |  | Day 1 (after first dose) to Day 200 | 
| Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) |  | Day 1 (after first dose) to Day 200 (including safety follow up) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Relative Bioavailability Of Ravulizumab SC/rHuPH20 Compared With Ravulizumab SC |  | Day 1 (after first dose) to Day 200 | 
| Maximum Percent Change From Baseline (PCFB) In Serum Levels Of Total Complement Component 5 (C5) Concentrations |  | Baseline, Up to Day 200 | 
| Maximum PCFB In Serum Levels Of Free C5 Concentrations |  | Baseline, Up to Day 200 | 
| Maximum PCFB In Ex Vivo Chicken Red Blood Cell (cRBC) Hemolysis Activity |  | Baseline, Up to Day 200 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ALXN1210, Pharmacokinetic, Pharmacodynamic, Safety, Immunogenicity, Ravulizumab, rHuPH20