Assessment of CR8020, a Monoclonal Antibody Against Influenza A Viruses
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Purpose
The purpose of this study is to assess in healthy subjects the safety, tolerability, pharmacokinetics and immunogenicity of single escalating doses of CR8020, a monoclonal antibody against influenza A viruses.
| Condition | Intervention | Phase |
|---|---|---|
|
Influenza |
Biological: 2 mg/kg CR8020 Biological: 5 mg/kg CR8020 Biological: 15 mg/kg CR8020 Biological: 30 mg/kg CR8020 Biological: 50 mg/kg CR8020 Biological: Placebo |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase I, Randomized, Double-Blind, Placebo-Controlled Study in Healthy Subjects to Assess the Safety, Tolerability, Pharmacokinetics, and Immunogenicity of CR8020, a Monoclonal Antibody Against Influenza A Viruses, Following Single-Dose Intravenous Administration |
- Adverse events and changes in laboratory parameters and vital signs as measures of safety and tolerability of single escalating doses of CR8020 [ Time Frame: From baseline to 98 days post-dose ] [ Designated as safety issue: Yes ]
- Assessment of pharmacokinetics of single escalating doses of CR8020 [ Time Frame: From baseline to 98 days post-dose ] [ Designated as safety issue: No ]Pharmacokinetic parameters include area under the serum concentration-time curve from zero to the time of the last measurable concentration (AUC0-t), area under the serum concentration-time curve from zero to infinity (AUC0-inf), maximum concentration (Cmax), time of Cmax (tmax), systemic clearance (CL), terminal elimination half life (t1/2), etc.
- Assessment of antibodies binding to CR8020 as a measure of immunogenicity of single escalating doses of CR8020 [ Time Frame: From baseline to 98 days post-dose ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Cohort 1 - CR8020
2 mg/kg CR8020
|
Biological: 2 mg/kg CR8020
administered as a single 2-hour intravenous infusion
|
|
Placebo Comparator: Cohort 1 - Placebo
5% dextrose in water
|
Biological: Placebo
administered as a single 2-hour intravenous infusion
|
|
Experimental: Cohort 2 - CR8020
5 mg/kg CR8020
|
Biological: 5 mg/kg CR8020
administered as a single 2-hour intravenous infusion
|
|
Placebo Comparator: Cohort 2 - Placebo
5% dextrose in water
|
Biological: Placebo
administered as a single 2-hour intravenous infusion
|
|
Experimental: Cohort 3 - CR8020
15 mg/kg CR8020
|
Biological: 15 mg/kg CR8020
administered as a single 2-hour intravenous infusion
|
|
Placebo Comparator: Cohort 3 - Placebo
5% dextrose in water
|
Biological: Placebo
administered as a single 2-hour intravenous infusion
|
|
Experimental: Cohort 4 - CR8020
30 mg/kg CR8020
|
Biological: 30 mg/kg CR8020
administered as a single 2-hour intravenous infusion
|
|
Placebo Comparator: Cohort 4 - Placebo
5% dextrose in water
|
Biological: Placebo
administered as a single 2-hour intravenous infusion
|
|
Experimental: Cohort 5 - CR8020
50 mg/kg CR8020
|
Biological: 50 mg/kg CR8020
administered as a single 2-hour intravenous infusion
|
|
Placebo Comparator: Cohort 5 - Placebo
5% dextrose in water
|
Biological: Placebo
administered as a single 2-hour intravenous infusion
|
Detailed Description:
This randomized, double-blind, placebo-controlled dose escalation study will enroll up to 5 cohorts of healthy subjects. Eight subjects will be enrolled in each cohort and will receive a single 2-hour intravenous infusion of CR8020 (6 subjects) or placebo (2 subjects) on Day 1. Subjects will be dosed in pairs of two. Once all subjects in a cohort have completed Study Day 8, the preliminary safety data will be reviewed. Provided that no safety issues are identified, dose escalation to the subsequent cohort may be permitted.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Adult male and female subjects aged 18 to 50 years.
- Body mass index between 18 and 30, body weight between 50 and 100 kg.
- Has acceptable blood pressure and heart rate parameters within the normal limits.
- Healthy as determined by pre-study medical history, physical examination, and 12 lead electrocardiogram.
- All routine safety labs must be within protocol-specified normal limits.
- Able and willing to give written informed consent.
- Has the ability to complete the follow-up period of 98 days.
- Subjects must agree to abstain from alcohol intake 24 hours before administration of study drug, during the inpatient period and 24 hours prior to all other outpatient clinic visits.
- Subjects must agree to not use over the counter medications and herbal medication, within 14 days prior to study drug administration through the final follow-up visit.
Female subjects must:
- Be surgically sterile, or
- If heterosexually active, use two effective methods of birth control, or
- Confirm male partner sterilization, or
- Not be heterosexually active
- Females must have a negative urine pregnancy test at both screening and baseline.
- If a man who is able to father a child and sexually active with a female of childbearing potential, he must agree to use a double barrier method of birth control and to not donate sperm during the study.
Exclusion Criteria:
- Acute illness at the time of entry into the study.
- Temperature >99.5°F (37.3°C) at randomization.
- Presence of a significant infection or known inflammatory process.
- Presence of acute gastrointestinal symptoms.
- A diagnosis of influenza infection or any constellation of clinical symptoms consistent with influenza infection.
- Received any live virus or bacterial vaccinations within 3 months prior to screening or are expected to receive any live virus or bacterial vaccinations during the study.
- Received inactivated influenza vaccines within 2 weeks of Study Day 1 or are expected to receive an inactivated influenza vaccine during the study.
- Any chronic condition requiring prescription or over-the-counter medicine, with the exception of vitamins.
- Chronic administration of immunosuppressants or other immune modifying drugs within 6 months before administration of the investigational product.
- Antibiotic therapy within 7 days before Study Day 1.
- History and/or presence of any clinically significant disease or disorder such as cardiovascular, pulmonary, renal, hepatic, neurological, gastrointestinal and psychiatric/mental disease/disorders.
- Previous medical history that may compromise the safety of the subject in the study.
- Positive serology for the human immunodeficiency virus (HIV) 1 or 2 antibody, hepatitis C virus antibody or hepatitis B surface antigen.
- History of a previous severe allergic reaction with generalized urticaria, angioedema, or anaphylaxis.
- Known or suspected hypersensitivity to any CR8020 excipients.
- A history of alcohol or drug abuse within the past 2 years.
- Positive urine test for illicit drugs.
- Subjects who report current tobacco use of more than 10 cigarettes or 2 cigars per day.
- Receipt of any other investigational product within 1 month or 5 half-lives before administration of the study investigational product.
- Participation in any clinical study involving receipt of investigational product, blood or blood products, or donation of blood throughout the duration of the study.
- Received antibody or biologic therapy.
- Subjects who have donated and/or received any blood or blood products within 3 months before administration of the study investigational product or planned donation/receipt throughout the course of the study.
- Subjects who cannot communicate reliably with the investigator.
- Subjects who in the opinion of the investigator, may complicate or compromise the study, or the well-being of the subject.
- Employee at the clinic, or spouse/relative of the investigator or employees.
- Has experienced an anaphylactic reaction to latex.
- Have currently or a past history of thrombocytopenia or bleeding abnormality.
- Is unable or unwilling to undergo multiple venipunctures.
Contacts and Locations| United States, Kansas | |
| Quintiles Early Clinical Development | Recruiting |
| Overland Park, Kansas, United States, 66211 | |
| Contact: Quintiles Overland Park Volunteer Recruitment 913-894-5533 | |
| Principal Investigator: | David R Mathews, MD | Quintiles |
More Information
No publications provided
| Responsible Party: | Crucell Holland BV |
| ClinicalTrials.gov Identifier: | NCT01756950 History of Changes |
| Other Study ID Numbers: | FLU-M8-A001, DMID Protocol 12-0085 |
| Study First Received: | December 15, 2012 |
| Last Updated: | January 4, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Crucell Holland BV:
|
Influenza Virus Monoclonal |
Antibody Immunization Treatment |
Additional relevant MeSH terms:
|
Influenza, Human Orthomyxoviridae Infections RNA Virus Infections Virus Diseases Respiratory Tract Infections Respiratory Tract Diseases |
Antibodies Antibodies, Monoclonal Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 13, 2013