A Study of Nipocalimab With Co-administration of Etanercept or Hydroxychloroquine in Healthy Participants

Study Overview
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Brief Summary
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The primary purpose of this study is to assess the effect of nipocalimab on the pharmacokinetic (PK) of etanercept (Part 1); and to assess the effect of hydroxychloroquine (HCQ) on total serum immunoglobin G (IgG) reduction by nipocalimab (Part 2) in healthy participants.

Official Title
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A Phase 1, Open-Label Study to Investigate Drug-Drug Interaction (DDI) Potential of Nipocalimab With Coadministration of Etanercept or Hydroxychloroquine in Healthy Participants

Conditions
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Healthy

Intervention / Treatment
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* Drug: Nipocalimab
* Drug: Etanercept
* Drug: Hydroxychloroquine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy based on physical examination, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at screening. If there are any abnormalities, they must be consistent with the underlying illness in the study population or considered not clinically relevant and this determination must be recorded in the participant's source documents and initialed by the investigator Healthy on the basis of clinical laboratory tests performed at screening (including immunoglobulin [Ig]G) and at admission to the study site. If the results of the serum chemistry panel, liver panel, hematology, or urinalysis are outside the normal reference ranges, the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study. This determination must be recorded in the participant's source documents and initialed by the investigator Good venous access in both arms Participants must have heart rate of at least 50 beats per minute Participant is considered eligible according to the following tuberculosis (TB) screening criteria (for Part 1 only): a) have no history of latent or active TB before screening; b) have no signs or symptoms suggestive of active TB upon medical history and/or physical examination; c) have had no recent close contact with a person with active TB; d) have a negative QuantiFERON-TB test result within 28 days prior to the administration of study intervention Part 1: Body mass index (BMI) greater than or equal to (>=) 18.0 to less than or equal to (<=) 30.0 kilogram (kg)/meter (m)^2 (inclusive), and body weight >= 50 to <= 110.0 kg (inclusive) at the screening visit and on Day -1; Part 2: BMI >= 18.0 to <= 30.0 kg/m^2 (inclusive), and body weight >= 61.5 to <= 110.0 kg (inclusive) at the screening visit and on Day -1 A female participant must have a negative serum (beta-human chorionic gonadotropin) test at screening and a urine pregnancy test at Day -1 prior to administration of study intervention It is recommended that participants are up to date on age-appropriate vaccinations prior to screening per routine local medical guidelines. For study participants who received locally-approved (and including emergency use-authorized) coronavirus disease 2019 (COVID-19) vaccines recently prior to study entry, applicable local vaccine labeling, guidelines, and standards of care for participants receiving immune-targeted therapy should be followed when determining an appropriate interval between vaccination and study enrollment Exclusion Criteria: Has a history of liver or renal insufficiency; cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances Has a history of retinal and macular disease (only for Part 2) Has shown a previous severe immediate hypersensitivity reaction response, including anaphylaxis, to therapeutic proteins (example, monoclonal antibody [mAbs]) Has serum albumin levels < 30 grams/Liter (g/L) at screening and Day -1 Has a history of myocardial infarction, unstable ischemic heart disease, or stroke within 12 weeks prior to screening

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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: Part 1 is a single-sequence, 2-period study and Part 2 is a randomized, 2-cohort (Cohort 1 and Cohort 2), parallel study.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Part 1: Etanercept and Nipocalimab<br>Participants will receive a single subcutaneous (SC) dose of etanercept on Day 1 in Period 1 followed by single intravenous (IV) infusion of nipocalimab on Day 29, SC administration of etanercept followed by an IV infusion of nipocalimab on Day 43 and then a single dose of nipocalimab IV infusion on Day 57 in Period 2 of Part 1. There will be a wash-out period of 28 days between Day 1 of Period 1 and Day 29 of Period 2 in Part 1. | Drug: Nipocalimab<br>* Nipocalimab will be administered as an IV infusion.<br>* Other names: JNJ-80202135, M281;Drug: Etanercept<br>* Etanercept will be administered subcutaneously.<br>|
| Experimental: Part 2 (Cohort 1): Nipocalimab<br>Participants will receive a single IV infusion of nipocalimab on Day 1 in Cohort 1 of Part 2. | Drug: Nipocalimab<br>* Nipocalimab will be administered as an IV infusion.<br>* Other names: JNJ-80202135, M281;|
| Experimental: Part 2 (Cohort 2): Nipocalimab and Hydroxychloroquine (HCQ)<br>Participants will receive a single oral dose of HCQ film-coated tablets once daily from Day 1 to Day 22 and a single IV infusion of nipocalimab on Day 8 in Cohort 2 of Part 2. | Drug: Nipocalimab<br>* Nipocalimab will be administered as an IV infusion.<br>* Other names: JNJ-80202135, M281;Drug: Hydroxychloroquine<br>* HCQ will be administered orally.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Part 1: Serum Etanercept Concentration | Serum etanercept concentration will be reported. | Up to Day 99 | 
| Part 1: Ratio of Area Under the Concentration-time Curve (AUCR) of Etanercept | AUCR is defined as the ratio of area under the concentration-time curve. | Up to Day 99 | 
| Part 1: Area Under the Concentration-time Curve of Etanercept from Time Zero to Time of Last Observed Quantifiable Concentration (AUC [0-Last]) | AUC (0-last) is defined as area under the concentration-time curve of etanercept from time zero to time of last observed quantifiable concentration. | Up to Day 99 | 
| Part 1: Area Under the Concentration-time Curve of Etanercept from Time Zero to Infinite time (AUC [0-Infinity]) | AUC (0-Infinity) is defined as area under the concentration-time curve of etanercept from time zero to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z) where AUC (0-last) is area under the concentration-time curve of etanercept from time zero to time of last observed quantifiable concentration and C(last) is the last observed quantifiable concentration, and lambda(z) is apparent terminal elimination rate constant. | Up to Day 99 | 
| Part 1: Maximum Observed Concentration (Cmax) of Etanercept | Cmax is defined as maximum observed concentration of etanercept. | Up to Day 99 | 
| Part 1: Ratio of Maximum Observed Concentration (CmaxR) of Etanercept | CmaxR is defined as ratio of maximum observed concentration of etanercept. | Up to Day 99 | 
| Part 1: Time to Reach the Last Observed Measurable Analyte Concentration (Tlast) of Etanercept | Tlast is defined as time to reach the last observed measurable analyte concentration of etanercept. | Up to Day 99 | 
| Part 1: Time to Reach the Maximum Observed Concentration (Tmax) of Etanercept | Tmax is defined as time to reach the maximum observed concentration of etanercept. | Up to Day 99 | 
| Part 1: Elimination Half-life (t1/2) of Etanercept | t1/2 is defined as elimination half-life associated with the terminal slope lambda(z) of the semilogarithmic drug concentration-time curve, calculated as 0.693/ lambda(z). | Up to Day 99 | 
| Part 1: Total Apparent Clearance (CL/F) of Etanercept | CL/F is total apparent clearance of etanercept following subcutaneous (SC) administration, calculated as dose/AUC (0-infinity). | Up to Day 99 | 
| Part 1: Apparent Volume of Distribution (Vdz/F) of Etanercept | Vdz/F is defined as apparent volume of distribution based on the terminal phase after an SC dose, calculated as dose/lambda(z)*AUC(0-infinity). | Up to Day 99 | 
| Part 2: Change from Baseline in Total Serum Immunoglobulin (Ig) Levels | Change from baseline in total serum Ig levels (serum IgG and IgG subtypes) through Day 50 will be reported. | Baseline up to Day 50 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Part 1: Number of Participants with Adverse Events (AEs) | An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. | Up to 4 months | 
| Part 1: Number of Participants with Abnormalities in Physical Examinations | Number of participants with abnormalities in physical examinations (full and brief) will be reported. Full physical examinations will include a review of the following body systems: general appearance; thorough skin and oral mucosa evaluation; eyes, ears, nose, and throat; cardiovascular; respiratory; abdomen; peripheral pulsation; lymph nodes; neurologic; musculoskeletal; head, neck, and thyroid. A brief physical examination includes review of the following body systems: general appearance, thorough skin (including site of the injection) and oral mucosa, abdomen, respiratory, cardiovascular, any abnormalities noted on previous examinations. | Up to 4 months | 
| Part 1: Number of Participants with Abnormalities in Vital Sign Measurements | Number of participants with abnormalities in vital sign measurements (body temperature [temporal artery measurement], pulse/heart rate, respiratory rate, blood pressure) will be reported. | Up to 4 months | 
| Part 1: Number of Participants with Abnormalities in Clinical Laboratory Tests | Number of participants with abnormalities in clinical laboratory tests (serum chemistry, liver panel, hematology, and urinalysis) will be reported. | Up to 4 months | 
| Parts 1 and 2: Serum Nipocalimab Concentrations | Serum nipocalimab concentrations will be reported. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Part 1: AUCR of Nipocalimab | AUCR is defined as the ratio of area under the concentration-time curve. | Up to Day 99 | 
| Parts 1 and 2: AUC (0-Last) of Nipocalimab | AUC (0-last) is defined as area under the concentration-time curve of nipocalimab from time zero to time of last observed quantifiable concentration. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: AUC (0-Infinity) of Nipocalimab | AUC (0-Infinity) is defined as area under the concentration-time curve of nipocalimab from time zero to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z) where AUC (0-last) is area under the concentration-time curve of nipocalimab from time zero to time of last observed quantifiable concentration and C(last) is the last observed quantifiable concentration, and lambda(z) is apparent terminal elimination rate constant. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: Cmax of Nipocalimab | Cmax is defined as maximum observed concentration of nipocalimab. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Part 1: CmaxR of Nipocalimab | CmaxR is defined as ratio of maximum observed concentration of nipocalimab. | Up to Day 99 | 
| Parts 1 and 2: Tlast of Nipocalimab | Tlast is defined as time to reach the last observed measurable analyte concentration of nipocalimab. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: Tmax of Nipocalimab | Tmax is defined as time to reach the maximum observed concentration of nipocalimab. | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: t1/2 of Nipocalimab | t1/2 is defined as elimination half-life associated with the terminal slope lambda(z) of the semilogarithmic drug concentration-time curve, calculated as 0.693/ lambda(z). | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: Total Systemic Clearance of Nipocalimab (CL) | CL is defined as total systemic clearance of nipocalimab following an intravenous (IV) administration, calculated as dose/AUC (0-infinity). | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Parts 1 and 2: Volume of Distribution (Vdz) of Nipocalimab | Vdz is defined as volume of distribution, based on the terminal phase after an IV dose, calculated as dose/lambda(z)*AUC (0-infinity). | Up to Day 99 (Part 1); up to Day 50 (Part 2) | 
| Part 1: Number of Participants with Antibodies to Nipocalimab | Number of participants with antibodies to nipocalimab will be reported. | Up to Day 99 | 
| Part 2: Serum Lipid and Albumin Levels | Participants serum lipid and albumin levels will be reported. | Up to Day 50 | 
| Part 2: Number of Participants with Receptor Occupancy (RO) Levels of Nipocalimab | Number of Participants with RO levels (example, neonatal Fc receptor [FcRn] RO in circulating monocytes) of nipocalimab will be reported. | Up to Day 50 |