A Dose Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of ASP2408 Following Single Intravenous Doses in Healthy Subjects

Study Overview
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Brief Summary
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The objective of this study is to assess the safety, tolerability, and pharmacokinetics (PK) of single ascending intravenous (IV) doses of ASP2408 in non-elderly, healthy male and female subjects and to evaluate the pharmacodynamics of ASP2408.

Detailed Description
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This is single-dose escalation study composed of 8 sequential cohorts of healthy subjects receiving increasing doses of intravenously administered ASP2408 or matching placebo. Subjects will be confined in the clinic for 8 days.

Official Title
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A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Dose Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of ASP2408 Following Single Intravenous Doses in Healthy Subjects

Conditions
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Healthy Subjects, Pharmacokinetics of ASP2408

Intervention / Treatment
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* Drug: ASP2408
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject weighs at least 50 kg, and has a body mass index (BMI) of 18.0 to 32.0 kg/m2, inclusive. Results of subject's 12-lead electrocardiogram (ECG) are normal or, if abnormal, the abnormality is not clinically significant as determined by the investigator. Female subject must be at least two years postmenopausal OR surgically sterile (with documentation provided by a healthcare professional) and not pregnant or lactating. Male subject agrees to the use of male condoms until the end of study or 60 days post dose, whichever is longer. Subject is highly likely to comply with the protocol and complete the study. Exclusion Criteria: Subject has a history of any clinically significant cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, and/or other major disease or malignancy excluding adequately treated non-melanoma skin cancer. Subject has a history of severe allergic or anaphylactic reactions. Subject is a female of child-bearing potential. Subject has a history of consuming more than 14 units of alcoholic beverages per week or has a history of alcoholism or drug/chemical/ substance abuse within past 2 years (Note: one unit = 12 ounces of beer, 4 ounces of wine or 1 ounce of spirits). Subject has a positive test for alcohol or drugs of abuse. Subject has/had a symptomatic, viral, bacterial (including upper respiratory infection), or fungal (non-cutaneous) infection within 1 week prior to clinic check-in. Subject has a past history of opportunistic infection. Subject has a supine mean systolic blood pressure < 90 or > 160 mmHg and a mean diastolic blood pressure < 50 or > 90 mmHg, or mean pulse rate higher than 100 beats per min (bpm). Subject is known positive for human immunodeficiency virus (HIV) antibody. Subject has a positive TB skin test or Quantiferon Gold test or T-SPOT® test at Screening. Subject has a positive test for hepatitis C antibody, or positive test for hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody. Subject's laboratory test results: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST), are greater than 1.5 times the upper limit of normal are outside the normal limits and considered by the investigator to be clinically significant with regard to the remaining per-protocol laboratory tests. Subject received any vaccine within 60 days prior to study drug administration. Subject received any systemic immunosuppressant agent within 2 months prior to study drug administration. Subject has previously received any antibody or therapeutic biologic product prior to study drug administration. Subject received any systemic steroid within 2 months or steroid inhaler within 1 month prior to study drug administration. Subject has had treatment with prescription, non-prescription or complementary and alternative medicines (CAM) within 14 days prior to study drug administration. Subject has received an experimental agent within 30 days or five half-lives, whichever is longer, prior to study drug administration. Subject is participating in another clinical trial or has participated in another dose group of the current trial. Subject has had any significant blood loss, donated one unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to clinic admission on Day -1. Subject has a history of heavy smoking or has used tobacco-containing products and nicotine or nicotine-containing products in the past six months.

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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ASP2408 dose escalation cohort<br> | Drug: ASP2408<br>* intravenous<br>|
| Placebo Comparator: Placebo dose escalation cohort<br> | Drug: Placebo<br>* intravenous<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetic parameter of ASP2408:AUClast | Area Under the Concentration - Time curve from time 0 up to the last quantifiable concentration (AUClast) | Days 1-8, 15, 22, 29, 43, 60, 90 | 
| Pharmacokinetic parameter of ASP2408: AUCinf | Area Under the Concentration - Time curve from time 0 extrapolated to infinity (AUCinf) | Days 1 -8, 15, 22, 29, 43, 60, 90 | 
| Pharmacokinetic parameter of ASP2408:Cmax | Maximum concentration (Cmax) | Days 1-8, 15, 22, 29, 43, 60, 90 | 
| Safety assessed by adverse events, laboratory tests, immunoglobulin, 12-lead electrocardiograms (ECGs), vital signs and anti-2408 antibody formulation |  | up to 90 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Composite of pharmacokinetics of ASP2408: tmax, t1/2, Vz, CLtot | Time to attain Cmax (tmax), apparent terminal elimination half-life (t1/2), Terminal phase volume (Vz), Total Body Clearance (CLtot) | Days 1-8, 15, 22, 29, 43, 60, 90 | 
| Pharmacodynamic parameters of ASP2408: CD80 and CD86 receptor occupancy |  | Days 1-3, 5, 8, 15, 22, 29, 43, 60, 90 | 
| Total lymphocyte count |  | Days 1-3, 5, 8, 15, 22, 29, 43, 60, 90 | 
| Peripheral lymphocyte subset quantification |  | Days 1-3, 5, 8, 15, 22, 29, 43, 60, 90 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Healthy subjects, ASP2408, pharmacokinetics