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Reticulocyte CountPhase 1NCT02731469

Study of Pharmacokinetics, Pharmacodynamics, Safety of BCD-131 Compared to Mircera and Aranesp in Healthy Volunteers

A Phase 1 study testing BCD-131, Mircera® and Aranesp® in people with Reticulocyte Count, run by Biocad.

Completed

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

Official record
Search all trials

Trial summary

BCD-131-1 is an Open-Label Clinical Study of the Pharmacokinetics, Pharmacodynamics, Tolerability, Safety and Immunogenicity of Single Ascending Doses of BCD-131 in Healthy Volunteers Read more about this study

Who is it for?
Ages 18 to 45 years, men onlyHealthy volunteers can take part
Conditions the study is for
Reticulocyte Count
What is being tested?
BCD-131, Mircera® and Aranesp®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
No sites listed yet
Study dates
15 Jun 2016to Mar 2017
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 45 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Signing of the Informed Consent Form;
  • Male sex;
  • Age of 18 to 45 years, inclusive;
  • BMI within normal limits (18.5-24.9 kg/m2);
  • Healthy patients, which is proved by their medical history, physical examination and laboratory findings:
  • No clinically significant abnormalities of circulatory, respiratory, nervous, hematopoietic, endocrine and digestive systems, liver and kidneys in the past medical history and at screening;
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  • No history of cardiovascular disorders or thyroid disorders;
  • No history of hematologic disorders, including but not limited to any type of anemia, myelodysplastic syndrome, blood cancers, hemolytic syndrome, hemoglobinopathies, coagulopathies;
  • CBC results within normal limits, including:
  • Hemoglobin within 132-173 g/L;
  • Hematocrit (based on CBC results) within 39-49%;
  • Platelet count within 150-400*109/L;
  • Absolute reticulocyte count within 30.4-93.5 * 109/L;
  • Blood biochemistry and urinalysis results within normal limits;
  • Serum ferritin within 20-250 µg/L;
  • Serum endogenous erythropoietin within 4.3-29.0 MIU/mL;
  • Hemodynamic parameters within normal limits: systolic blood pressure within 100-139 mmHg; diastolic blood pressure within 60-90 mmHg; heart rate within 50-90 bpm;
  • No history of chronic infections (tuberculosis) or chronic inflammation;
  • No hepatitis B or C, HIV, or syphilis;
  • No acute infections within 4 weeks prior to inclusion in the study;
  • No psychiatric disorders and other conditions (including depression) that can interfere with the volunteer's ability to follow the study protocol;
  • Well-being (in the volunteer's opinion) within 30 days prior to inclusion in the study;
  • No history of or current (at baseline) alcohol or drug abuse;
  • Ability of the volunteer, in the investigator's opinion, to follow the study protocol procedures;
  • Willingness of volunteers and their sexual partners with preserved reproductive potential to use reliable contraception within 2 weeks before inclusion in the study and up to 7 weeks after the injection of the test product. This criterion is not applicable to subjects who underwent surgical sterilization. Reliable methods of contraception include one barrier method in combination with one of the following methods: spermicides, intrauterine device/oral contraceptives (for sexual partners).
  • Willingness of volunteers to avoid alcohol intake within 24 hours before and 8 days after each injection of the test drug;

Who cannot join

  • History of treatment with erythropoietins or any other ESAs;
  • Acute bleeding, blood/plasma donation or blood transfusion within 2 months before inclusion in the study;
  • History of chronic bleeding;
  • Standard laboratory and instrumental findings outside normal limits at screening;
  • History of allergies (anaphylactic shock or multiple drug allergy syndrome);
  • Known allergy or intolerance to any components of the investigational product;
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  • Major surgery within 30 days prior to screening, or surgery being scheduled for any time during the study;
  • Impossibility to install a venous catheter for blood sampling (e.g. because of skin disorders at the sites of venipuncture);
  • Diseases or other conditions that can interfere with the pharmacokinetics of the investigational drug (e.g. chronic liver, kidney, blood, circulatory system, lung or neuroendocrine diseases, including diabetes mellitus and others);
  • History of fever of 40 °C or more;
  • History of elevated hepatic transaminases (above 2.5xULN);
  • Episodes of thrombosis and/or thromboembolia in past medical history (myocardial infarction, stroke, transient ischemic attacks, deep vein thrombosis, pulmonary embolism within 6 months prior to inclusion in the study) as well as an increased risk of deep vein thrombosis;
  • History of epileptic attacks or seizures;
  • History or current (at screening) depression, suicidal thoughts/ attempts;
  • Regular oral or parenteral use of any medications including over-the-counter drugs, vitamins and nutritional additives within 2 weeks before a scheduled injection of the test drug;
  • Use of drugs, including OTC products, that significantly affect the hemodynamics, hepatic function, etc. (barbiturates, omeprazole, cimetidine, etc.) within 30 days before a scheduled injection of the test drug;
  • Vaccination within 4 weeks before a scheduled injection of the test drug;
  • Smoking more than 10 cigarettes per day;
  • Consumption of more than 10 portions of alcohol per week (one portion equals to 0.5 L of beer, 200 mL of wine or 50 mL of ethanol) or a history of alcohol, drug or medication abuse;
  • Participation in other clinical studies within 1 month before screening or simultaneous participation in another clinical study;
  • Previous participation in this study.

About this study

Official title: Clinical Study of the Pharmacokinetics, Pharmacodynamics, Tolerability, Safety and Immunogenicity of BCD-131 Compared to Mircera and Aranesp in Healthy Volunteers

BCD-131-1 is an Open-Label Clinical Study of the Pharmacokinetics, Pharmacodynamics, Tolerability, Safety and Immunogenicity of Single Ascending Doses of BCD-131 in Healthy Volunteers

Read the detailed description

BCD-131 is novel drug product of pegylated darbepoetin alfa.

Clinical trial BCD-131-1 will be conducted in two stages:

Stage I is an open-label, non-randomized clinical study of pharmacokinetics, pharmacodynamics, tolerability, safety and immunogenicity of BCD-131 given to healthy volunteers at ascending doses (Phase 1, a traditional "3+3" design).

Also, the PK and PD parameters of the closest analogues of BCD-131 (Mircera and Aranesp) given as subcutaneous injections at therapeutic doses will be evaluated.

Stage II aims to further evaluate pharmacokinetics, pharmacodynamics and safety of subcutaneous and intravenous injections of BCD-131 at a dose which ensures PD effects similar to those of the closest analogues (Mircera, Aranesp) given as subcutaneous injections at therapeutic doses.

Being tested
BCD-131, Mircera®, Aranesp®

What participants receive

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

  • BCD-131Biological

    Also called pegylated darbepoetin alfa

  • Mircera®Biological

    Also called Methoxy polyethylene glycol-epoetin beta

  • Aranesp®Biological

    Also called darbepoetin alfa

Study groups in NCT02731469
Study groupRoleWhat they receive
BCD-131, 0.05 mcg/kg subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in a dose 0.05 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 0.15 mcg/kg subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in a dose 0.15 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 0.40 mcg/kg subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in a dose 0.40 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 1.05 mcg/kg subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in a dose 1.05 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 1.70 mcg/kg SCExperimentalHealthy volunteers will receive BCD-131 in a dose 1.70 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 2.25 mcg/kg SCExperimentalHealthy volunteers will receive BCD-131 in a dose 2.25 mcg/kg subcutaneously
Receives: Biological: BCD-131
BCD-131, 4.45 mcg/kg subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in a dose 4.45 mcg/kg subcutaneously
Receives: Biological: BCD-131
Mircera®, 1.20 mcg/kg subcutaneouslyActive comparatorHealthy volunteers will receive Mircera in a dose 1.20 mcg/kg subcutaneously
Receives: Biological: Mircera®
Aranesp®, 0.45 mcg/kg subcutaneouslyActive comparatorHealthy volunteers will receive BCD-131 in a dose 0.45 mcg/kg subcutaneously
Receives: Biological: Aranesp®
BCD-131, optimal dose, intravenouslyExperimentalHealthy volunteers will receive BCD-131 in optimal dose determined on first stage of clinical trial intravenously
Receives: Biological: BCD-131
BCD-131, optimal dose, subcutaneouslyExperimentalHealthy volunteers will receive BCD-131 in optimal dose determined on first stage of clinical trial subcutaneously
Receives: Biological: BCD-131

What is being measured

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

  1. AUC (0-1176 Hours)

    Area under curve (AUC) "concentration - time" from 0 hours to 1176 hours and to infinity

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 h post dose

Secondary outcomes (15)
  1. Cmax

    Maximal concentration of drug in blood after single injection

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 hours post-dose

  2. Tmax

    Time from 9 hours to time of maximal concentration of drug in blood after single injection

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 hours post-dose

  3. T1/2

    Half-life of drug in blood after single injection. In the coрort BCD-131 0,15 mcg/kg due to the absence of a linear terminal elimination phase in volunteers, the calculation of T1 / 2 was not possible

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 hours post-dose

  4. Kel

    Elimination rate constant of drug in blood after single injection. In the cohort BCD-131 0,15 mcg/kg due to the absence of a linear terminal elimination phase in volunteers, the calculation of Kel was not possible

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 hours post-dose

  5. Clearance of BCD-131

    Clearance of BCD-131 in blood after single injection

    Measured: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 hours post-dose

  6. AUEC (0-1176 Hours) - Reticulocytes

    Area under effect curve (AUEC) "absolute reticulocyte count - time" from 0 to 1176 hours post-dose after single injection of study drug

    Measured: 0, 24 h, 48 h; 72 h; 96 h; 120 h; 168 h; 216 h; 288 h; 336 h, 504 h; 672 h; 840 h; 1008 h; 1176 h post-dose

  7. AUEC (0-1176 Hours) - Hemoglobin

    Area under effect curve (AUEC) "hemoglobin - time" from 0 to 1176 hours post-dose after single injection of study drug

    Measured: 0, 24 h, 48 h; 72 h; 96 h; 120 h; 168 h; 216 h; 288 h; 336 h, 504 h; 672 h; 840 h; 1008 h; 1176 h post-dose

  8. AC-Emax - Reticulocytes

    Absolute maximum of reticulocyte count (AC-Emax - reticulocytes) after single injection of study drug

    Measured: 0, 24 h, 48 h; 72 h; 96 h; 120 h; 168 h; 216 h; 288 h; 336 h, 504 h; 672 h; 840 h; 1008 h; 1176 h post-dose

  9. AC-Emax - Hemoglobin

    Absolute maximum of hemoglobin (AC-Emax - hemoglobin) after single injection of study drug

    Measured: 0, 24 h, 48 h; 72 h; 96 h; 120 h; 168 h; 216 h; 288 h; 336 h, 504 h; 672 h; 840 h; 1008 h; 1176 h post-dose

  10. Intensity of Pain After Subcutaneous Injection According to Visual Analog Scale

    visual analog scale Minimum value - 0, Maximum value -10, Higher scores mean worse outcome

    Measured: intraoperative

  11. Number of Participants With Adverse Events and Serious Adverse Events

    Total incidence of adverse events (AE)/ serious adverse events (SAE)

    Measured: from the first administartion of the drug up to the end of follow up period (28 days after the last dose of the drug)

  12. Number of Participants With Local Reactions

    Incidence of administration site reactions

    Measured: from the first administartion of the drug up to the end of follow up period (28 days after the last dose of the drug)

  13. Number of Participants With AE/SAE 3-4 Grade CTCAE

    Incidence of Grade 3-4 AEs and SAEs.

    Measured: from the first administartion of the drug up to the end of follow up period (28 days after the last dose of the drug)

  14. Number of Participants With Early Withdrawal Due to AE

    Frequency of early withdrawals due to AEs and SAEs

    Measured: from the first administartion of the drug up to the end of follow up period (28 days after the last dose of the drug)

  15. Number of Participants With Binding Antibodies to BCD-131

    Incidence of Binding antibodies to BCD-131 on Day 50 after a single injection of BCD-131

    Measured: 0, day 50 post-dose

Timeline

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

  1. First posted7 Apr 2016 (estimated)
  2. Study start15 Jun 2016
  3. Primary completionMar 2017
  4. Study completionMar 2017

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02731469
Sponsor's protocol ID
BCD-131-1
Status last verified
Oct 2018
First submitted
3 Apr 2016
Last updated
1 Jul 2019
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BCD-131, Mircera® and Aranesp® in people with Reticulocyte Count, run by Biocad.

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 26 inclusion and 21 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 1 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

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 1 Jul 2019). 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?

AUC (0-1176 Hours) (time frame: 0, 15 min, 30 min; 60 min; 2 h, 4 h; 8 h, 24 h, 48 h, 72 h, 96 h, 120 h, 168 h, 216 h, 288 h, 336 h, 504 h, 672 h, 840 h, 1008 h, 1176 h post dose). 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 1 Jul 2019.

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