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Healthy AdultsPhase 1NCT02388347

A Study to Assess the Safety of MEDI7836 in Healthy Adults.

A Phase 1 study testing MEDI7836 Dose 1, MEDI7836 Dose 2 and MEDI7836 Dose 3 in people with Healthy Adults, run by MedImmune LLC at 1 site in United Kingdom.

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

To assess the safety of a single ascending dose of MEDI7836 in healthy adult male subjects and healthy adult female subjects of non-childbearing potential. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Adults
What is being tested?
MEDI7836 Dose 1, MEDI7836 Dose 2 and MEDI7836 Dose 3
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
79 participants
Where
1 siteUnited Kingdom
Study dates
Mar 2015to Apr 2016
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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Vital signs, ECG, and laboratory parameters within normal range at screening and Day -1
  • Negative alcohol and drug screen at screening and Day -1
  • Able and willing to comply with the requirements of the protocol
  • Females subjects must have been surgically sterilised or be postmenopausal
  • Nonsterilised males who are sexually active with a female partner of childbearing potential or a female partner who has been surgically sterilised by bilateral tubal ligation must use a condom with spermicide with their partner from screening until the end of the study follow-up period

Who cannot join

  • Concurrent enrolment in another clinical study where the subject is receiving an investigational product
  • Individuals who are legally institutionalised
  • Receipt of any marketed or investigational biologic agent within 4 months
  • Receipt of any investigational non-biologic agent within 3 months or 5 half-lives prior to screening, whichever is longer
  • Use of any medication (prescription or over the counter, including herbal remedies) within 14 days or 5 half-lives of Day 1,
  • Known history of allergy or reaction to any component of the investigational product formulation
Show all 24Show fewer
  • History of anaphylaxis following any biologic therapy
  • History of chronic alcohol or drug abuse within 12 months prior to screening,
  • Presence of a positive drug or alcohol screen at screening and Day -1.
  • Current smoker, or history of smoking within 6 months of screening
  • Pregnant or breastfeeding women
  • Any active medical or psychiatric condition or other reason which, in the opinion of the investigator or medical monitor, may compromise the safety of the subject in the study or interfere with evaluation of the investigational product or reduce the subject's ability to participate in the study
  • Any clinically relevant abnormal findings in physical examination, ECG, vital signs, haematology, clinical chemistry or urinalysis during screening or Day -1,
  • History of any known primary immunodeficiency disorder or use of immunosuppressive medication within 12 months of screening
  • History of a clinically significant infection requiring antibiotics or antiviral medication from 30 days prior to screening, up to and including Day 1
  • Diagnosis of a helminth parasitic infection within 6 months prior to screening that has not been treated with, or has failed to respond to, standard of care therapy
  • History of cancer, except for basal cell carcinoma or in situ carcinoma of the cervix treated with apparent success with curative therapy ≥ 12 months prior to screening or other malignancies treated with apparent success with curative therapy ≥ 5 years prior to screening
  • Positive tuberculosis (TB) test (Quantiferon-TB Gold) at screening or TB requiring treatment within the 12 months prior to the screening visit
  • Positive hepatitis B surface antigen, hepatitis B anti-core antibody, or hepatitis C virus antibody serology at screening.
  • Subjects with a history of hepatitis B vaccination without history of hepatitis B are allowed to enter the study.
  • A positive human immunodeficiency virus test at screening or subject taking antiretroviral medications, as determined by medical history and/or subject's verbal report
  • Evidence of active liver disease, including jaundice or aspartate transaminase (AST), alanine transaminase (ALT), or alkaline phosphatase greater than twice the upper limit of normal (ULN)
  • Major surgery within 8 weeks prior to screening, or planed in-patient surgery or hospitalisation during the study period
  • Receipt of live attenuated vaccines 30 days prior to the date of screening Where participation in the study would result in donation of blood or blood products in excess of 500 mL within an 8-week period

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Research Site

    London

Other trials in United Kingdom

About this study

Official title: A Phase 1a, Randomised, Placebo-controlled, Single-ascending Dose Study to Evaluate the Safety and Tolerability of MEDI7836 in Healthy Adults

To assess the safety of a single ascending dose of MEDI7836 in healthy adult male subjects and healthy adult female subjects of non-childbearing potential.

Read the detailed description

This is a Phase 1a, randomised, blinded (the investigator and subject will be blinded to treatment assignment and sponsor will be unblinded to treatment assignment), placebo-controlled study to evaluate the safety of single-ascending SC doses of MEDI7836 in healthy adult males subjects and healthy adult female subjects of non-childbearing potential. The study will be conducted at a single site in the United Kingdom (UK). Four dosing cohorts of MEDI7836 or placebo are planned for this study for a total of 32 subjects (24 subjects receiving MEDI7836, 8 subjects receiving placebo).

Conditions
Healthy Adults
Being tested
Placebo SC, MEDI7836 Dose 1, MEDI7836 Dose 2, MEDI7836 Dose 3, MEDI7836 Dose 4

What participants receive

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

  • Placebo SCDrug

    Participants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1.

  • MEDI7836 Dose 1Biological

    Participants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1.

  • MEDI7836 Dose 2Biological

    Participants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1.

  • MEDI7836 Dose 3Biological

    Participants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1.

  • MEDI7836 Dose 4Biological

    Participants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1.

Study groups in NCT02388347
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1.
Receives: Drug: Placebo SC
MEDI7836 Dose 1ExperimentalParticipants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1.
Receives: Biological: MEDI7836 Dose 1
MEDI7836 Dose 2ExperimentalParticipants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1.
Receives: Biological: MEDI7836 Dose 2
MEDI7836 Dose 3ExperimentalParticipants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1.
Receives: Biological: MEDI7836 Dose 3
MEDI7836 Dose 4ExperimentalParticipants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1.
Receives: Biological: MEDI7836 Dose 4

What is being measured

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

  1. Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    Any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening situation (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received MEDI7836. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pretreatment state.

    Measured: From Study Drug Administration to 281 Days Postdose

  2. Number of Participants With Injection Site Reactions

    Participants were evaluated for manifestations of injection site reactions.

    Measured: From Study Drug Administration to 281 Days Postdose

  3. Number of Participants With Clinical Laboratory Abnormalities Reported as Treatment-Emergent Adverse Events

    An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent adverse events between first dose of study drug and Day 281 after the last dose that were absent before treatment or that worsened relative to pre-treatment state. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed.

    Measured: From Study Drug Administration to 281 Days Postdose

  4. Number of Participants With Vital Signs and Physical Examination Abnormalities Reported as Treatment-Emergent Adverse Events

    Vital sign parameters included blood pressure, temperature, pulse rate, respiratory rate and weight. Physical examination included assessment of general appearance, weight, head, ears, eyes, nose, throat, neck, skin, cardiovascular system, respiratory system, abdominal system, and nervous system. Criteria for abnormal physical findings was based on investigator's discretion. TEAEs were present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug until Day 281 after the last dose of study drug.

    Measured: From Study Drug Administration to 281 Days Postdose

  5. Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events

    AEs observed in participants with clinically significant ECG abnormalities were assessed. ECG parameters included heart rate, RR, PR, QRS, QT and QTc intervals. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: From Study Drug Administration to 281 Days Postdose

Secondary outcomes (8)
  1. Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity]) of MEDI7836

    Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 extrapolated to infinity (AUC0-inf).

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  2. Area Under the Concentration-Time Curve From Zero to Last Observation (AUC [0-t]) of MEDI7836

    Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 to the last quantifiable data point (AUC0-t).

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  3. Maximum Observed Serum Concentration (Cmax) of MEDI7836

    The Cmax is the maximum observed serum concentration of study drug.

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  4. Apparent Systemic Clearance (CL/F) of MEDI7836

    Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body.

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  5. Terminal Phase Elimination Half Life (T1/2) of MEDI7836

    Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum.

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  6. Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI7836

    The Tmax is defined as actual sampling time to reach maximum observed MEDI7836 concentration.

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  7. Apparent Terminal-Phase Volume of Distribution (Vz/F) of MEDI7836

    The apparent volume of distribution of MEDI7836 after a single dose, calculated according to the equation: Vz/F = Apparent total clearance (CL/F) / terminal phase rate constant (λz).

    Measured: Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose

  8. Percentage of Participants Positive for Anti-Drug Antibodies to MEDI7836

    A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study.

    Measured: Predose on Day 1 to 281 days Postdose

Timeline

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

  1. First posted17 Mar 2015 (estimated)
  2. Study startMar 2015
  3. Primary completionJan 2016
  4. Study completionApr 2016

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
Double blind
Who is masked
Participant, Investigator
Enrolment
79 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02388347
Sponsor's protocol ID
D5450C00001
Status last verified
Apr 2017
First submitted
9 Mar 2015
Last updated
16 May 2017
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MEDI7836 Dose 1, MEDI7836 Dose 2 and MEDI7836 Dose 3 in people with Healthy Adults, run by MedImmune LLC at 1 site in United Kingdom.

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 5 inclusion and 24 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 16 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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. Some participants in this study may receive a placebo. 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 12 Apr 2017). 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?

Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) (time frame: From Study Drug Administration to 281 Days Postdose). 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?
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 16 May 2017.

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