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HealthyPhase 1NCT01583530

Study of Belimumab Administered Subcutaneously to Healthy Subjects

A Phase 1 study testing Single Dose Group: Belimumab IV 240 mg, Single Dose Group: Belimumab SC 2 x 120 mg and Single Dose Group: Belimumab SC 1 x 240 mg in people with Healthy, run by Human Genome Sciences Inc. at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to measure the amount of belimumab in the blood when given as an injection under the skin (subcutaneously; SC) and to evaluate the safety and tolerability of multiple injections under the skin in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Single Dose Group: Belimumab IV 240 mg, Single Dose Group: Belimumab SC 2 x 120 mg and Single Dose Group: Belimumab SC 1 x 240 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
4 sitesUnited States
Study dates
Feb 2011to Sep 2011
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy subjects defined as no clinically relevant abnormalities identified by a detailed medical history, full physical exam, 12-lead electrocardiogram (ECG), and clinical laboratory tests.
  • Body weight between 45 to 120 kg (99 to 264 lbs).
  • Must agree to use effective contraception throughout the study and for 14 weeks after administration of belimumab.
  • Have the ability to understand the requirements of the study, provide written informed consent, and comply with the study protocol procedures.

Who cannot join

  • Pregnant or nursing.
  • Test positive for drugs or alcohol or have had a drug or alcohol dependence within the past year.
  • Have used any prescription medicines within the past 30 days or herbal/botanical supplements within the past 7 days or anticipate use during the study. May use prescription contraceptives, hormone replacement therapy, and over-the-counter medicines such as antihistamines or nutritional support such as vitamins, minerals, or amino acids.
  • Have received a live vaccine within the past 30 days or anticipate receipt of a live vaccine during the study and within 4 months after last injection of belimumab.
  • Have a history of an allergic or anaphylactic reaction to drugs, food, or insect bite or sting requiring medical intervention.
  • Have a history of allergic reaction to contrast agents or biological medicines.
Show all 9Show fewer
  • Have participated in a clinical trial and received an experimental medicine within the past 60 days.
  • Have received treatment with a B cell targeted therapy at any time.
  • Have required management of an infection within the past 14 days.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Study site

    Dallas, Texas

  • Study site

    Daytona Beach, Florida

  • Study site

    Evansville, Indiana

  • Study site

    Madison, Wisconsin

Other trials in United States

About this study

Official title: A Randomized, Parallel-Group, Open-Label Study to Evaluate the Absolute Bioavailability, Pharmacokinetics, Tolerability and Safety of a High Concentration Formulation of Belimumab (HGS1006), a Fully Human Monoclonal Anti-BLyS Antibody, Administered Subcutaneously to Healthy Subjects

The purpose of this study is to measure the amount of belimumab in the blood when given as an injection under the skin (subcutaneously; SC) and to evaluate the safety and tolerability of multiple injections under the skin in healthy subjects.

Read the detailed description

This study is designed to evaluate the absolute bioavailability, pharmacokinetics, tolerability, and safety of a single dose (groups 1-4) or multiple doses (groups 5-6) of belimumab administered subcutaneously (SC) to healthy subjects.

Conditions
Healthy
Being tested
Single Dose Group: Belimumab IV 240 mg, Single Dose Group: Belimumab SC 2 x 120 mg, Single Dose Group: Belimumab SC 1 x 240 mg, Single Dose Group: Belimumab SC 1 x 200 mg, Multiple Dose Group: Belimumab SC 2 x 120 mg weekly
Keywords
Belimumab, Injections, Subcutaneous, Drug Administration Routes, Injections, Lupus Erythematosus, Systemic, Lupus, SLE, Systemic Lupus Erythematosus, Antibodies, Autoimmune Disease, Biological Therapy, Immune System Diseases, Pharmacokinetics, Biological Availability
Medical subject headings
Lupus Erythematosus, Systemic, Autoimmune Diseases, Immune System Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Single Dose Group: Belimumab IV 240 mgBiological

    Also called BENLYSTA™

    Belimumab IV 240 mg administered on Day 0

  • Single Dose Group: Belimumab SC 2 x 120 mgBiological

    Also called BENLYSTA™

    Belimumab SC 120 mg x 2 injections (equal to 240 mg) administered immediately one after the other on Day 0

  • Single Dose Group: Belimumab SC 1 x 240 mgBiological

    Also called BENLYSTA™

    Belimumab SC 240 mg x 1 injection on Day 0

  • Single Dose Group: Belimumab SC 1 x 200 mgBiological

    Also called BENLYSTA™

    Belimumab SC 200 mg x 1 injection on Day 0

  • Multiple Dose Group: Belimumab SC 2 x 120 mg weeklyBiological

    Also called BENLYSTA™

    Belimumab 120 mg x 2 injections (equal to 240 mg) administered immediately one after the other on Days 0, 7, 14, and 21

  • Multiple Dose Group: Belimumab SC 1 x 200 mg weeklyBiological

    Also called BENLYSTA™

    Belimumab 200 mg x 1 injection administered on Days 0, 7, 14, and 21

Study groups in NCT01583530
Study groupRoleWhat they receive
Belimumab IV 240 mgActive comparatorNot described
Receives: Biological: Single Dose Group: Belimumab IV 240 mg
Belimumab SC 2 x 120 mgExperimentalNot described
Receives: Biological: Single Dose Group: Belimumab SC 2 x 120 mg
Belimumab SC 1 x 240 mgExperimentalNot described
Receives: Biological: Single Dose Group: Belimumab SC 1 x 240 mg
Belimumab SC 1 x 200 mgExperimentalNot described
Receives: Biological: Single Dose Group: Belimumab SC 1 x 200 mg
Belimumab SC 2 x 120 mg weeklyExperimentalNot described
Receives: Biological: Multiple Dose Group: Belimumab SC 2 x 120 mg weekly
Belimumab SC 1 x 200 mg weeklyExperimentalNot described
Receives: Biological: Multiple Dose Group: Belimumab SC 1 x 200 mg weekly

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Reach Maximum Serum Drug Concentration (Tmax) Following a Single Dose of Belimumab Given as Intravenous Infusion (IV) or Subcutaneous Injection (SC)

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70

  2. Maximum Serum Drug Concentration (Cmax) Following a Single Dose of Belimumab Given as IV or SC

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70

  3. Area Under the Serum Drug Concentration-time Curve From Time 0 to Infinite Time (AUC0-∞) Following a Single Dose of Belimumab Given as IV or SC

    AUC (0-∞) = Area under the serum drug concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-last) plus C (last)/λz. C (last) is the last measurable concentration. λz was determined by linear regression (r2 ≥ 0.8) with uniform weighting of all data in the terminal linear portion of the log-transformed drug concentration-time profile.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70

  4. Terminal Elimination Half-life (t1/2,Term) Following a Single Dose of Belimumab Given as IV or SC

    Terminal elimination half-life is the time measured for the serum drug concentration of belimumab to decrease by one half.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70

  5. Absolute Bioavailability of a Single Dose of Belimumab Given as IV or SC

    Bioavailability (F) is a measurement of the rate and extent to which a drug reaches the systemic circulation. The bioavailability of belimumab administered by IV is compared to the bioavailability of belimumab administered via single-SC injection.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70

Secondary outcomes (6)
  1. Time to Reach Maximum Serum Drug Concentration (Tmax) Following Weekly (x 4) SC Injections of Belimumab

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 22, 23, 24, 25, 26, 27, 28, 31, 35, 42, 49, 63, 77, 91, and 119

  2. Maximum Serum Drug Concentration (Cmax) Following Weekly (x 4) SC Injections of Belimumab

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 22, 23, 24, 25, 26, 27, 28, 31, 35, 42, 49, 63, 77, 91, and 119

  3. Area Under the Serum Drug Concentration-time Curve From Time 0 to Infinite Time (AUC0-∞) Following Weekly (x 4) SC Injections of Belimumab

    AUC (0-∞) = Area under the serum drug concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-last) plus C (last)/λz. C (last) is the last measurable concentration. λz was determined by linear regression (r2 ≥ 0.8) with uniform weighting of all data in the terminal linear portion of the log-transformed drug concentration-time profile.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 22, 23, 24, 25, 26, 27, 28, 31, 35, 42, 49, 63, 77, 91, and 119

  4. Terminal Elimination Half-life (t1/2,Term) Following Weekly (x 4) SC Injections of Belimumab

    Terminal elimination half-life is the time measured for the serum drug concentration of belimumab to decrease by one half.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 22, 23, 24, 25, 26, 27, 28, 31, 35, 42, 49, 63, 77, 91, and 119

  5. Absolute Bioavailability of Weekly (x 4) SC Injections of Belimumab

    Bioavailability (F) is a measurement of the rate and extent to which a drug reaches the systemic circulation. The bioavailability following weekly (x 4) SC injections of belimumab was calculated by comparing the bioavailability of belimumab administered IV to the bioavailability of belimumab administered via 4 weekly SC injections.

    Measured: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 22, 23, 24, 25, 26, 27, 28, 31, 35, 42, 49, 63, 77, 91, and 119

  6. Number of Participants Who Experienced Adverse Events

    Includes AEs reported in participants from the first dose of belimumab throughout the study through Day 70/Exit (single dose groups) or Day 119/Exit (multiple dose groups).

    Measured: Up to Day 119

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2012 (estimated)
  2. Study startFeb 2011
  3. Primary completionSep 2011
  4. Study completionSep 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01583530
Sponsor's protocol ID
HGS1006-C1105
Status last verified
Aug 2013
First submitted
20 Apr 2012
Last updated
7 Aug 2013
Data monitoring committee
No

Publications

  • Gupta SV, Fanget MC, MacLauchlin C, Clausen VA, Li J, Cloutier D, Shen L, Robbie GJ, Mogalian E. Clinical and Preclinical Single-Dose Pharmacokinetics of VIR-2218, an RNAi Therapeutic Targeting HBV Infection. Drugs R D. 2021 Dec;21(4):455-465. doi: 10.1007/s40268-021-00369-w. Epub 2021 Nov 6.

    PubMed 34741731
  • Zhou X, Lee TI, Zhu M, Ma P. Prediction of Belimumab Pharmacokinetics in Chinese Pediatric Patients with Systemic Lupus Erythematosus. Drugs R D. 2021 Dec;21(4):407-417. doi: 10.1007/s40268-021-00363-2. Epub 2021 Oct 9.

    PubMed 34628605

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Single Dose Group: Belimumab IV 240 mg, Single Dose Group: Belimumab SC 2 x 120 mg and Single Dose Group: Belimumab SC 1 x 240 mg in people with Healthy, run by Human Genome Sciences Inc. at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Reach Maximum Serum Drug Concentration (Tmax) Following a Single Dose of Belimumab Given as Intravenous Infusion (IV) or Subcutaneous Injection (SC) (time frame: Pre-dose, Post-dose on Days 0, 1, 2, 3, 4, 5, 6, 7, 10, 14, 21, 28, 42, 56, and 70). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01583530, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2013.

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