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Study of CD388 Intramuscular or Subcutaneous Administration in Healthy Subjects

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05285137
Recruitment Status : Recruiting
First Posted : March 17, 2022
Last Update Posted : June 29, 2022
Sponsor:
Collaborator:
Janssen Pharmaceuticals
Information provided by (Responsible Party):
Cidara Therapeutics Inc.

Brief Summary:
The purpose of this first-in-human study is to determine the safety and tolerability profile of CD388 Injection, as compared to saline placebo, when administered as a single dose to healthy adult subjects by injection either in the muscle or under the skin.

Condition or disease Intervention/treatment Phase
Healthy Combination Product: CD388 Injection Drug: Saline placebo Phase 1

Detailed Description:
A Phase 1, single-center, prospective, randomized, double-blind, single-dose and repeat single-dose, dose-escalation study to determine the safety, tolerability, and pharmacokinetics of CD388 Injection, as compared to saline placebo, when dosed either by intramuscular (IM) or subcutaneous (SQ) administration to healthy adult subjects.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 66 participants
Allocation: Randomized
Intervention Model: Sequential Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: A Phase 1, Randomized, Double-Blind, Single-Dose and Repeat Single-Dose, Dose-Escalation Study to Determine the Safety, Tolerability, and Pharmacokinetics of CD388 Intramuscular or Subcutaneous Administration in Healthy Subjects
Actual Study Start Date : March 14, 2022
Estimated Primary Completion Date : March 22, 2023
Estimated Study Completion Date : March 22, 2023

Arm Intervention/treatment
Experimental: Cohort 1A (sentinel)
Low dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of 50 mg CD388 or placebo, administered by IM injection
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 1A (main)
Low dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of 50 mg CD388 or placebo, administered by IM injection
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 1B (sentinel)
Low dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of 50 mg CD388 or placebo, administered by SQ injection
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 1B (main)
Low dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of 50 mg CD388 or placebo, administered by SQ injection
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 2A (sentinel)
Middle dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of 150 mg CD388 or placebo, administered by IM injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 2A (main)
Middle dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of 150 mg CD388 or placebo, administered by IM injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 2B (sentinel)
Middle dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of 150 mg CD388 or placebo, administered by SQ injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 2B (main)
Middle dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of 150 mg CD388 or placebo, administered by SQ injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 3A (sentinel)
High dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of CD388 (dose to be determined [TBD] based on observed safety and tolerability but no more than 3-fold the middle dose level) or placebo, administered by IM injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 3A (main)
High dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of CD388 (dose TBD based on observed safety and tolerability but no more than 3-fold the middle dose level) or placebo, administered by IM injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 3B (sentinel)
High dose level: 2 subjects randomized at a ratio of 1:1 to receive a single dose of CD388 (dose TBD based on observed safety and tolerability but no more than 3-fold the middle dose level) or placebo, administered by SQ injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo

Experimental: Cohort 3B (main)
High dose level: 9 subjects randomized at a ratio of 7:2 to receive a single dose of CD388 (dose TBD based on observed safety and tolerability but no more than 3-fold the middle dose level) or placebo, administered by SQ injection, followed by another single dose of the same treatment (CD388 or placebo) administered by the same route 3 months or 5 effective half-lives, whichever is longer, after the first dose
Combination Product: CD388 Injection
CD388 Injection

Drug: Saline placebo
Saline placebo




Primary Outcome Measures :
  1. Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs) after a Single Dose of CD388 [ Time Frame: Day 1 through Day 120 (outpatient visit OV4) ]
    Number of subjects with incidences of TEAEs, including but not limited to adverse events (AEs) and serious adverse events (SAEs) (including systemic reactogenicity/injection site reactions and hypersensitivity reactions) based on vital signs, electrocardiogram (ECG), and clinical laboratory test (hematology, coagulation, serum chemistry, and urinalysis) abnormalities following a single dose of CD388


Secondary Outcome Measures :
  1. Peak Plasma Concentration (Cmax) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of maximum plasma concentration (Cmax) following a single dose of CD388 and following a repeated single dose of CD388.

  2. Time to Maximum Plasma Concentration (Tmax) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of time to maximum plasma concentration (Tmax) following a single dose of CD388 and following a repeated single dose of CD388.

  3. Terminal Elimination Half-life (t½) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of terminal elimination half-life (t½) following a single dose of CD388 and following a repeated single dose of CD388.

  4. Apparent Clearance (CL/F) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of apparent clearance (CL/F) following a single dose of CD388 and following a repeated single dose of CD388.

  5. Apparent Volume of Distribution (VZ/F) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of apparent volume of distribution (VZ/F) following a single dose of CD388 and following a repeated single dose of CD388.

  6. Area Under the Plasma Concentration-Time Curve from Time 0 to Time of Last Quantifiable Sample (AUC[0-t]) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of area under the plasma concentration-time curve from time 0 to time of last quantifiable sample (AUC[0-t]) following a single dose of CD388 and following a repeated single dose of CD388.

  7. Area Under the Plasma Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUC[0-∞]) Following CD388 Injection Administration [ Time Frame: Day 1; Days 2, 3, 4, 5, 6, 7, 9, 11, 14, 21, and 30; and at outpatient visits OV1 (Day 45 ±3 days), OV2 (Day 60 ±5 days), OV3 (Day 90 ±7 days), and OV4 (Day 120 ±14 days); the same time frame applies to both the single and repeated doses of CD388 ]
    Evaluation of area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC[0-∞]) following a single dose of CD388 and following a repeated single dose of CD388.

  8. Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs) after a Repeated Single Dose of CD388 [ Time Frame: Day 1 through Day 120 (Outpatient Visit 4) ]
    Number of subjects with incidences of TEAEs, including but not limited to adverse events (AEs) and serious adverse events (SAEs) (including systemic reactogenicity/injection site reactions and hypersensitivity reactions) based on vital signs, ECG, and clinical laboratory test (hematology, coagulation, serum chemistry, and urinalysis) abnormalities following a repeated single dose of CD388



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Willing and able to provide written informed consent.
  2. Males and females 18 to 65 years of age, inclusive.
  3. A female subject must meet one of the following criteria:

    1. If of childbearing potential - agrees to use a highly effective, preferably user-independent method of contraception (failure rate of <1 percent per year when used consistently and correctly) for at least 30 days prior to screening and agrees to remain on a highly effective method until 3 months or 5 effective half-lives after last dose of study medication, whichever is longer. Examples of highly-effective methods of contraception include: abstinence from heterosexual intercourse; hormonal contraceptives (birth control pills, injectable/implant/insertable hormonal birth control products, transdermal patch); intrauterine device (with or without hormones); or a double barrier method (e.g., condom and spermicide).
    2. If a female of non-childbearing potential - should be surgically sterile (i.e., has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation/occlusion) or in a menopausal state (at least 1 year without menses), as confirmed by follicle-stimulating hormone (FSH) levels (≥40 milli-International units [mIU]/milliliter [mL]).
  4. A woman of childbearing potential must have a negative highly sensitive serum pregnancy test (β-human chorionic gonadotropin) at screening and a negative urine pregnancy test on Day -1 before the first dose of study drug.
  5. A male subject that engages in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g., condom and spermicide) and agree to not donate sperm during the study and for at least 3 months or 5 effective half-lives after the last dose of the study medication, whichever is longer.
  6. Good health and without signs or symptoms of current illness.
  7. Normal clinical examination, including:

    1. No physical examination findings that an Investigator determines would interfere with interpretation of study results.
    2. Screening ECG without clinically significant abnormalities.
    3. Creatinine clearance (CrCL) ≥80 mL/minute as calculated using the Cockcroft-Gault equation.
    4. Negative urine screen for drugs of abuse and alcohol at screening and Day -1.
  8. Body mass index (BMI; weight in kilograms [kg] divided by height in meters [m] squared) between 18.0 and 32.0 kg/m^2, inclusive.
  9. Willing to refrain from strenuous physical activity that could cause muscle aches or injury, including contact sports, at any time from screening through 30 days after any dose of study drug.
  10. Subject has adequate venous access for blood collection.

Exclusion Criteria:

  1. History of any hypersensitivity or allergic reaction to zanamivir or other neuraminidase inhibitors (i.e., laninamivir, oseltamivir, peramivir), or to excipients of the CD388 Injection drug formulation; or history of drug-induced exfoliative skin disorders (e.g., Stevens-Johnson syndrome [SJS], erythema multiforme, or toxic epidermal necrolysis [TEN]).
  2. History of any of the following:

    1. Allergies, anaphylaxis, skin rashes (foods such as milk, eggs, medications, vaccines, polyethylene glycol [PEG], etc.).
    2. Chronic immune-mediated disease, positive first-degree family history of autoimmune diseases.
    3. Atopic dermatitis or psoriasis.
    4. Bleeding disorder.
    5. Psychiatric condition, seizures, hallucinations, anxiety, depression, or treatment for mental conditions.
    6. Migraines.
    7. Syncope, or vasovagal syndrome with injections or blood draws.
    8. Cardiac arrhythmia.
  3. Subjects with one or more of the following laboratory abnormalities at screening as defined by the DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events v2.1 (DAIDS 2017):

    1. Serum creatinine, Grade ≥1 (≥1.1 × upper limit of normal [ULN])
    2. Pancreatic amylase or lipase, Grade ≥2 (≥1.5 × ULN)
    3. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT), Grade ≥1 (≥1.25 × ULN)
    4. Total bilirubin, Grade ≥1 (≥1.1 × ULN)
    5. Any other toxicity Grade ≥2, except for Grade 2 elevations of triglycerides, low density lipoprotein cholesterol, and/or total cholesterol.
    6. Any other laboratory abnormality considered to be clinically significant by the Investigator.

    Note: Retesting of abnormal laboratory values that may lead to exclusion will be allowed once without prior asking approval from the Sponsor. Retesting will take place during a scheduled or unscheduled visit during screening. Subjects with a normal value at retest may be included.

  4. Alcohol or drug addiction in the past 2 years.
  5. Experiencing symptoms of acute illness or chronic disease within 14 days prior to check-in to the clinical research unit (CRU).
  6. At screening, a positive result for hepatitis B virus surface antigen, hepatitis C virus antibody, or human immunodeficiency virus (HIV) antibody.
  7. A positive result at screening or CRU check-in for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by polymerase chain reaction (PCR).
  8. Unwilling to comply with local health policy effective at the time regarding coronavirus disease 2019 (COVID-19).*
  9. Women who are pregnant or nursing.
  10. Received any over-the-counter (OTC) medications or nutritional supplements within 7 days, or any prescription medications within 14 days or <5 half-lives prior to dosing.
  11. Current nicotine user or has quit habitual nicotine use in the 30 days prior to screening.
  12. Received any vaccines or immunoglobulins within 28 days prior to dosing (90 days in case of intravenous immunoglobulin [IVIg] or biologics, or 14 days for COVID-19 vaccine).**
  13. Donated blood (within 56 days of screening) or plasma (within 7 days of screening) or experienced significant blood loss or significant blood draw when participating in non-interventional clinical trials within 60 days prior to dosing.
  14. Received a blood transfusion within 28 days prior to dosing.
  15. Received any biologics within 90 days prior to dosing. Previous participation in another study within 30 days or 5 half-lives of the study drug, whichever is longer, prior to screening; prior participation at any time in non-invasive methodology trials in which no drugs were given is acceptable.
  16. The PI considers that the volunteer should not participate in the study.

(*) Full COVID-19 vaccination prior to participation is strongly recommended.

(**) In the event a subject chooses to receive one of the two 2-dose approved or emergency-use-authorized COVID 19 vaccines (Comirnaty® [Pfizer], Spikevax™ [Moderna]) in the interval between two CRU stays (Cohort 2A/2B or Cohort 3A/3B), flexibility in timing of the second CRU stay should be applied, to allow appropriate receipt of the second vaccine dosage or booster (based on the respective vaccine label) + 14 days, to minimize risk of confounding findings/observations.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05285137


Contacts
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Contact: Head of Clinical Operations 858-888-7868 clinicaltrialinfo@cidara.com

Locations
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United States, Kansas
Altasciences Clinical Kansas, Inc. Recruiting
Overland Park, Kansas, United States, 66212
Sponsors and Collaborators
Cidara Therapeutics Inc.
Janssen Pharmaceuticals
Investigators
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Study Director: Ozlem Equils, MD Cidara Therapeutics Inc.
Principal Investigator: Debra J Kelsh, MD Altasciences Clinical Kansas, Inc.
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Responsible Party: Cidara Therapeutics Inc.
ClinicalTrials.gov Identifier: NCT05285137    
Other Study ID Numbers: CD388.IM.SQ.1.01
First Posted: March 17, 2022    Key Record Dates
Last Update Posted: June 29, 2022
Last Verified: June 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No