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Healthy SubjectsPhase 1NCT02681861

A Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ASP6294 Administered Intravenously or Subcutaneously in Healthy Young Male and Female Subjects

A Phase 1 study testing ASP6294 Intravenous and ASP6294 Subcutaneous in people with Healthy Subjects and Pharmacokinetics of ASP6294, run by Astellas Pharma Europe B.V. 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

The purpose of this study is to evaluate the safety and tolerability of single ascending intravenous doses and single subcutaneous (sc) doses of ASP6294 in healthy young male and female 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 Subjects, Pharmacokinetics of ASP6294
What is being tested?
ASP6294 Intravenous and ASP6294 Subcutaneous
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
74 participants
Where
1 siteUnited Kingdom
Study dates
Jan 2016to Dec 2016
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Subject has a body mass index range of 18.5 - 30.0 kg/m2, inclusive, and the subject weighs at least 50 kg (at screening).
  • Female subject must either:
  • Be of non-childbearing potential: Post-menopausal (defined as at least 1 year without any menses) prior to screening, or Documented surgically sterile
  • Or, if of childbearing potential: Agree not to try to become pregnant during the study and for 120 days after final study drug administration; Must have a negative pregnancy test at screening and day -1; And, if heterosexually active, agree to consistently use 2 forms of birth control starting at screening and throughout the clinical study period and for 120 days after final study drug administration.
  • Female subject must agree not to breastfeed starting at screening and throughout the clinical study period, and for 120 days after final study drug administration.
  • Female subject must not donate ova starting at screening and throughout the clinical study period, and for 120 days after final study drug administration.
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  • Male subject and their female spouse/partner who are of childbearing potential must be using a highly effective form of birth control† in combination with a barrier method starting at screening and throughout the clinical study period and for 120 days after final study drug administration.
  • Male subject must not donate sperm starting at screening and throughout the clinical study period and for 120 days after final study drug administration.
  • Subject agrees not to participate in another interventional study during participation in the present study, defined as signing the informed consent form until completion of the last study visit.

Who cannot join

  • Female subject who has been pregnant within 6 months prior to screening assessment or breast feeding within 3 months prior to screening.
  • Subject has a known or suspected hypersensitivity to ASP6294 or any components of the formulation used.
  • Subject has been exposed to a biological drug within the last 6 months prior to screening.
  • Subject has a history of allergic or anaphylactic reaction to a biological drug.
  • Subject has been diagnosed with osteoarthritis (OA) or has a history of rapidly progressive OA.
  • Subject has any of the liver function tests (aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase, gamma glutamyl transferase, total bilirubin [TBL]) above the upper limit of normal (ULN) at day-1. In such a case, the assessment may be repeated once.
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  • Subject has any clinically significant history of allergic conditions (including drug allergies, asthma, eczema, or anaphylactic reactions, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
  • Subject has any history or evidence of any clinically significant cardiovascular, gastrointestinal, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic (including orthostatic hypotension and autonomic neuropathy), dermatologic, psychiatric, renal and/or other major disease or malignancy, as judged by the investigator.
  • Subject has/had febrile illness or symptomatic, viral, bacterial (including upper respiratory infection), or fungal (noncutaneous) infection within 1 week prior to day -1 (admission day).
  • Subject has any clinically significant abnormality following the investigator's review of the physical examination, ECG and protocol-defined clinical laboratory tests at screening or day -1.
  • Subject has a mean pulse < 40 or > 90 beats per minute; mean systolic blood pressure > 140 mmHg; mean diastolic blood pressure > 90 mmHg (vital sign measurements taken in triplicate after subject has been resting in supine position for 5 minutes; pulse will be measured automatically) at screening and day -1. If the mean blood pressure exceeds the limits above, 1 additional triplicate measurement can be taken.
  • Subject has a mean corrected QT interval using Fridericia's formula (QTcF) of > 430 ms for males and > 450 ms for females at screening and day -1. If the mean QTcF exceeds the limits above, 1 additional triplicate ECG can be taken (admission day).
  • Subject uses any prescribed or nonprescribed drugs (including vitamins, natural and herbal remedies, e.g. St. John's Wort) in the 2 weeks prior to study drug administration, except for occasional use of paracetamol (up to 2 g/day) or the use of contraceptives or hormone replacement therapy.
  • Subject has a history of smoking more than 10 cigarettes (or equivalent amount of tobacco) per day within 3 months prior to admission to the clinical unit.
  • Subject has a history of drinking more than 21 units (male subjects) or 14 units (female subjects) of alcohol per week (1 unit = 10 g pure alcohol = 250 mL of beer [5%] or 35 mL of spirits [35%] or 100 mL of wine [12%]) within 3 months prior to admission to the clinical unit or the subject tests positive for alcohol or drugs of abuse at screening or day-1 (amphetamines, barbiturates, benzodiazepines, tetrahydrocannabinoids, cocaine, and opiates).
  • Subject uses any drugs of abuse within 3 months prior to admission to the clinical unit.
  • Subject uses any inducer of metabolism (e.g., barbiturates, rifampin) in the 3 months prior to admission to the clinical unit regularly.
  • Subject has experienced significant blood loss, donated 1 unit (450 mL) of blood or more, or received a transfusion of any blood or blood products within 60 days or donated plasma within 7 days prior to clinic admission to the clinical unit.
  • Subject has a positive serology test for hepatitis B surface antigen, hepatitis A virus antibodies (immunoglobulin M), hepatitis C virus antibodies, hepatitis B core antibodies, or antibodies to human immunodeficiency virus types 1 and 2.
  • Subject participated in any clinical study or has been treated with any investigational drugs within 3 months prior to screening.
  • Subject has any condition which, in the investigator's opinion, makes the subject unsuitable for study participation, such as phobias for intravenous or subcutaneous needles/injections.
  • Subject is an employee of the Astellas Group or a contract research organization.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Site GB44001

    Harrow, HA1 3UJ

Other trials in United Kingdom

About this study

Official title: A Phase 1 Single Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ASP6294 Administered Intravenously or Subcutaneously in Healthy Young Male and Female Subjects

The purpose of this study is to evaluate the safety and tolerability of single ascending intravenous doses and single subcutaneous (sc) doses of ASP6294 in healthy young male and female subjects.

This study will also evaluate the pharmacokinetics (pk) of single ascending intravenous doses and single ascending sc doses of ASP6294; determine the effect of ASP6294 administered intravenously and sc on the serum levels of circulating total Nerve Growth Factor (NGF); explore a potential gender difference in safety, tolerability and pk of single intravenous dose and single sc doses administrations of ASP6294 as well as determine the maximum tolerated dose (MTD) of single intravenous doses and single sc doses of ASP6294.

Part 2 will also evaluate the relative bioavailability of ASP6294 when administered sc.

Read the detailed description

The study consists of two parts: Part 1 (ascending intravenous dose) and Part 2 (ascending subcutaneous dose). Subjects will participate in either Part 1 or Part 2. Subjects in Part 1 and Part 2 will have a residential period of 6 days followed by outpatient visits.

Being tested
ASP6294 Intravenous, ASP6294 Subcutaneous, Placebo Intravenous, Placebo Subcutaneous
Keywords
Pharmacodynamics, Pharmacokinetics, ASP6294, Maximum tolerated dose, Healthy subjects

What participants receive

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

  • ASP6294 IntravenousDrug

    Intravenous (IV)

  • ASP6294 SubcutaneousDrug

    Subcutaneous (SC)

  • Placebo IntravenousDrug

    Intravenous (IV)

  • Placebo SubcutaneousDrug

    Subcutaneous (SC)

Study groups in NCT02681861
Study groupRoleWhat they receive
Part 1: ASP6294 Single Ascending Intravenous DosesExperimentalA dose escalation design will be implemented. Successive cohorts of patients (8 participants/cohort) will each be started on a fixed dose of ASP6294 or Placebo intravenously. If no dose limiting toxicities are observed escalation to the next higher dose is planned approximately every 3 weeks. Within the planned dose range, a dose lower than the next planned dose may be tested, or a dose level may be repeated, depending on emerging safety, tolerability and/or other relevant data, such as available pharmacokinetic and pharmacodynamic data of previous dose levels.
Receives: Drug: ASP6294 Intravenous; Drug: Placebo Intravenous
Part 2: ASP6294 Single Ascending Subcutaneous DosesExperimentalA dose escalation design will be implemented. Successive cohorts of patients (8 participants/cohort) will each be started on a fixed dose of ASP6294 or Placebo subcutaneously. The subcutaneous cohorts may be done in parallel with part 1, using doses which have been proven to be safe and tolerable. Within the planned dose range, a dose lower than the next planned dose may be tested, or a dose level may be repeated, depending on emerging safety, tolerability and/or other relevant data, such as available pharmacokinetic and pharmacodynamic data of previous dose levels.
Receives: Drug: ASP6294 Subcutaneous; Drug: Placebo Subcutaneous

What is being measured

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

  1. Safety of ASP6294 as assessed by Nature, frequency and severity of Adverse Events (AEs)

    Measured: Up to 120 Days

  2. Safety of ASP6294 as assessed by Vital signs

    Vital signs include blood pressure, pulse and oral body temperature

    Measured: Up to 120 Days

  3. Safety of ASP6294 as assessed by Neurological examination

    Neurological Assessment will be measured on a scale for the following Neurological examinations: Gait; Coordination; Speech; Cranial Nerves; Sensations; Muscle Strength; Muscle Tone; Muscle Movement and Reflexes and will be rated as "Normal" or "Abnormal".

    Measured: Up to 120 Days

  4. Safety of ASP6294 as assessed by laboratory tests

    Laboratory tests include hematology, biochemistry and urinalysis

    Measured: Up to 120 Days

  5. Safety of ASP6294 as assessed by routine 12-lead Electrocardiogram (ECG)

    Measured: Up to 120 Days

  6. Safety of ASP6294 as assessed by continuous cardiac monitoring (Holter ECG) (part 1 only)

    ECGs are to be collected using a 12-lead ECG continuous monitoring and recording system.

    Measured: Days 1 and 2

  7. Safety of ASP6294 as assessed by Sensory assessments

    Sensory Assessment will be measured on a scale for Lower Limbs and Hands. The following categories: Touch Pressure; Pinprick; Vibration and Joint Position will be rated as Normal (=0 points), Decreased (= 1 point) or Absent (=2 points). A total score for the left and right side of lower limbs and hands will be calculated.

    Measured: Up to 120 Days

Secondary outcomes (15)
  1. Pharmacokinetics of ASP6294: AUClast

    Area under the concentration-time curve from the time of dosing to the last measurable concentration (AUClast)

    Measured: Up to 120 Days

  2. Pharmacokinetics of ASP6294: AUC168h

    Area under the concentration-time curve from the time of dosing to 168 hours postdose (AUC168h)

    Measured: Up to 120 Days

  3. Pharmacokinetics of ASP6294: AUCinf

    Area under the concentration-time curve from the time of dosing extrapolated to time infinity (AUCinf)

    Measured: Up to 120 Days

  4. Pharmacokinetics of ASP6294: Cmax

    Maximum concentration (Cmax)

    Measured: Up to 120 Days

  5. Pharmacokinetics of ASP6294: CL (part 1 only)

    Total systemic clearance after intravenous dosing (CL)

    Measured: Up to 120 Days

  6. Pharmacokinetics of ASP6294: CL/F (part 2 only)

    Apparent total systemic clearance after extravascular dosing (CL/F)

    Measured: Up to 120 Days

  7. Pharmacokinetics of ASP6294: λz

    Terminal elimination rate constant (λz)

    Measured: Up to 120 Days

  8. Pharmacokinetics of ASP6294: MRT

    Mean residence time (MRT)

    Measured: Up to 120 Days

  9. Pharmacokinetics of ASP6294: tmax

    Time of maximum concentration (tmax)

    Measured: Up to 120 Days

  10. Pharmacokinetics of ASP6294: t1/2

    Terminal elimination half-life (t1/2)

    Measured: Up to 120 Days

  11. Pharmacokinetics of ASP6294: Vss (part 1 only)

    Volume of distribution at steady state determined after intravenous dosing (Vss)

    Measured: Up to 120 Days

  12. Pharmacokinetics of ASP6294: Vz (part 1 only)

    Volume of distribution during terminal elimination phase after intravenous dosing (Vz)

    Measured: Up to 120 Days

  13. Pharmacokinetics of ASP6294: Vz/F (part 2 only)

    Apparent volume of distribution during the terminal elimination phase after extravascular dosing (Vz/F)

    Measured: Up to 120 Days

  14. Pharmacodynamics of ASP6294 Nerve growth factor (NGF) total serum concentration: Cmax

    Measured: Up to 120 Days

  15. Pharmacodynamics of ASP6294 NGF total serum concentration: tmax

    Measured: Up to 120 Days

Timeline

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

  1. First posted15 Feb 2016 (estimated)
  2. Study startJan 2016
  3. Primary completionDec 2016
  4. Study completionDec 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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02681861
Sponsor's protocol ID
6294-CL-0001
Other IDs
2014-003451-59, 2014
Status last verified
Jan 2017
First submitted
21 Jan 2016
Last updated
10 Jan 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ASP6294 Intravenous and ASP6294 Subcutaneous in people with Healthy Subjects and Pharmacokinetics of ASP6294, run by Astellas Pharma Europe B.V. 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 9 inclusion and 22 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 10 Jan 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. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Safety of ASP6294 as assessed by Nature, frequency and severity of Adverse Events (AEs) (time frame: Up to 120 Days). The study lists 7 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 10 Jan 2017.

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