Clinical trial NCT02881853: Safety, Tolerability, and Bioavailability of Subcutaneously Administered XmAb®7195
Official title: Safety, Tolerability, and Bioavailability of Subcutaneously Administered XmAb®7195
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Healthy Volunteers
Atopic Disease
Keywords: healthy
atopic
Lead sponsor: Xencor, Inc.
Sponsor class: INDUSTRY
Collaborators: name: ICON Early Phase Services, LLC
First posted: 2016-08-29
Enrollment: 57
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: BASIC_SCIENCE

Brief summary: This is a Phase 1b, combined multiple dose subcutaneous (SC) bioavailability (BA) and multiple ascending dose (MAD) study evaluating safety, tolerability and BA of SC XmAb7195 in healthy subjects and in subjects with atopic disease.

Detailed description: The study will be divided into 2 parts. Part A will be an open-label, parallel group, BA study evaluating 4 once-weekly doses of IV XmAb7195 or SC XmAb7195 in healthy subjects. Each of 5 treatment groups will consist of 6 subjects. Part B will commence following the completion of Part A and will be a randomized, double-blind, placebo-controlled, MAD study evaluating 4 once weekly doses of SC XmAb7195 in healthy subjects and/or subjects with atopic disease. Each treatment group will consist of 8 subjects randomized 3:1 to XmAb7195:placebo Subjects in both parts of the study will be followed for at least 28 days after their last dose.

Eligibility criteria: Inclusion Criteria:

All Subjects:

* Male or female between 18 to 60 years of age (inclusive at the time of screening).
* Total body weight 50.0 to 100.0 kg, and body mass index (BMI) 19.0 to 35.0 kg/m2 (inclusive, at screening).
* Women can be of either childbearing or non-childbearing potential.
* Must be healthy with no clinically significant abnormality identified on medical or laboratory evaluation and no history of any clinically significant disorder, condition, or disease that would pose a risk to subject or interfere with the study evaluation, procedures, or completion as assessed by the Investigator.

Subjects with Atopic Disease Only (Part B):

* Allergen skin test reactivity of ≥ 5 mm wheal greater than saline control to any 2 of the following 5 allergens: D. pteronyssinus, D. farina, ragweed, Virginia live oak, and mountain cedar within 21 days prior to dosing.
* Sufficient clinical control of subject's atopic disease such that, in the opinion of the Investigator, the subject is unlikely to require substantial changes in therapy medication for the duration of the trial and unlikely to require the addition of an exclusionary medication

Exclusion Criteria:

* Subjects who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases, or disorders that would pose a significant risk to subject's safety or significantly interfere with the study evaluation, procedures, or completion as assessed by the Investigator.
* Subjects with platelet count \< 150 k/uL at screening or at the time of initial admission.
* Subjects with peak expiratory flow rate \< 400 L/min for males and \< 350 L/min for females.
* Subjects with conditions associated with high risk of bleeding such as: past history of intracranial or gastrointestinal bleeding, hemorrhagic condition including hereditary or acquired bleeding, or coagulation disorder.
* Subjects with history of any clinically significant cardiovascular event such as: myocardial infarction, acute coronary syndrome, stroke, pulmonary embolism, and/or deep venous thrombosis.
* Subjects who do not agree to use medically acceptable methods of contraception (as defined in the protocol).
* Subjects who are pregnant or breast feeding, or planning to become pregnant within 30 days of last dose of XmAb7195.
* Subjects who have used prescription drugs within 28 days prior to randomization with the following exceptions for Part B subjects with atopic disease:

  1. Intranasal corticosteroids for allergic symptoms if the dose has been stable for 14 days prior to randomization.
  2. Inhaled short acting beta agonist (SABA) therapy for bronchospasm if dosing has been stable for 14 days prior to randomization.
  3. No other prescription drugs are allowed unless agreed as not clinically relevant by the Investigator and Sponsor.
* Subjects who have had an asthma exacerbation requiring hospitalization within the 1 year prior to randomization or having required oral corticosteroids within the 6 months prior to randomization.
* Subjects with poorly controlled asthma defined as SABA \> 6 times/day on any day within the 4 weeks prior to randomization.
* Subjects who have used any of the following medications within the 3 months prior to randomization: oral or inhaled corticosteroids, long acting beta agonists (LABAs), leukotriene receptor antagonists (LTRAs), or any other asthma controller medication (occasional SABA use is allowed).

Primary outcomes:
measure: Bioavailability of SC XmAb7195 after 4 once-weekly doses as measured by the ratio of dose-normalized SC XmAb7195 area under the concentration-time curve (AUC) to dose-normalized IV XmAb7195 AUC.
timeFrame: Date of randomization up to Day 50
Secondary outcomes:
measure: Cmax, Maximum observed serum concentration
timeFrame: Date of randomization up to Day 50
measure: Time at which Cmax was observed [Tmax]
timeFrame: Date of randomization up to Day 50
measure: Area Under the Curve (AUC)
timeFrame: Date of randomization up to Day 50
measure: Terminal elimination half-life [t1/2]
timeFrame: Date of randomization up to Day 50
measure: Total body or systemic clearance [CL]
timeFrame: Date of randomization up to Day 50
measure: Apparent volume of distribution at steady state [Vss]
timeFrame: Date of randomization up to Day 50
measure: Immunogenicity of SC XmAb7195 and IV XmAb7195 as measured by incidence of development of anti-XmAb7195 antibody after 4 once-weekly doses
timeFrame: Date of randomization up to Day 50
Other outcomes:
Locations:
city: San Antonio
country: United States
facility: ICON Early Phase Services, LLC
state: Texas
Study officials:
affiliation: ICON Early Phase Services, LLC
name: Emanuel P DeNoia, MD
role: PRINCIPAL_INVESTIGATOR
References: