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Rheumatoid ArthritisPhase 1NCT02800811

Safety, Tolerability, PK, PD, and Immunogenicity of Single and Multiple Ascending Intravenous Doses of FR104

A Phase 1 study testing FR104 in people with Rheumatoid Arthritis and Complication of Transplant, run by OSE Immunotherapeutics at 1 site in Belgium.

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

First-in-human, phase I, randomized, double-blind, placebo-controlled, single center study evaluating single and multiple ascending intravenous doses of FR104 in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
What is being tested?
FR104
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteBelgium
Study dates
Apr 2015to Jul 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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subjects meeting all of the following criteria are eligible to participate in this study:
  • Male or female, aged 18 to 60 years, extremes includes;
  • In good health condition [medically stable] as determined on the basis of medical history, vital signs, clinical laboratory testing, and general physical examination performed at screening; Note: a retest can be done in case of an out of range clinical laboratory test value that will determine a subject's eligibility. This retest is preferably to be done at an unscheduled visit. The result of the retest are considered for subject eligibility. If the retest is outside normal reference ranges, the subject are eligible for inclusion only if the investigator judges the abnormalities to be not clinically significant.
  • Electrocardiogram (ECG) within normal range, or showing no clinically relevant deviations, as judged by the investigator; Note: a retest can be done in case of an out of range ECG value that can determine a subject's eligibility.
  • Weighs at least 50 kg and no more than 100 kg and has a Body Mass Index (BMI) within normal range: 18.0≤BMI<30.0 kg/m2;
  • Negative urine test for selected drugs of abuse at screening;
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  • Negative alcohol breath test at screening;
  • Female subject is postmenopausal or surgically sterile (having had a hysterectomy, bilateral oophorectomy, or tubal ligation);
  • Female subject has a negative pregnancy test at screening;
  • Non-vasectomized male subjects having a female partner of childbearing potential must agree to the use of an effective method of contraception until 90 days after the last administration of study drug ;
  • Male subject has to agree not to donate sperm until 90 days after the last administration of study drug;
  • Willing to adhere to the prohibitions and restrictions specified in this protocol;
  • Informed Consent Form (ICF) signed voluntarily before any study-related procedure is performed, indicating that the subject understands the purpose of and procedures required for the study and is willing to participate in the study;
  • Subjects were to be EBV-positive as per positive IgG Epstein-Barr nuclear antigen (EBNA) test;
  • Nonsmoker or light smoker, i.e., smokes maximal 5 cigarettes (or 3 cigars or 3 pipe-full) per day, and ability and willingness to refrain from smoking during confinement and ambulant visits in the clinical research center.
  • For Part 1, Cohort B only:
  • The subject did not undergo a KLH challenge.

Who cannot join

  • Subjects meeting one or more of the following criteria are excluded from participation in this study:
  • A history of any clinically significant (as determined by the investigator) cardiac, endocrinology, hematology, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, and/or other major disease or malignancy excluding non-melanoma skin cancer;
  • A known allergy, hypersensitivity, or intolerance to the study drug, or to any of its compounds;
  • The subject has a history of severe allergic or anaphylactic reactions;
  • The subject has a history of consuming more than 21 (14 for females) units of alcoholic beverages per week or has a history of alcoholism or drug/chemical/substance abuse within past 2 years prior to screening (Note: one unit = 330 mL of beer, 110 mL of wine or 28 mL of spirits);
  • Evidence or history of any clinically significant infections within the past 3 months;
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  • History of or evidence of active or latent or inadequately treated infection with Mycobacterium tuberculosis (TB) diagnosed by a positive QuantiFERON® TB-Gold In Tube test or a positive tuberculin skin test ("Mantoux") in case of a weak positive QuantiFERON® TB-Gold In Tube test;
  • Subjects with known clinically relevant immunological disorders, or auto-immune disorders, (e.g., rheumatoid arthritis, lupus erythematosus, scleroderma, etc...);
  • Subjects with a recent infection of EBV diagnosed by a positive IgM VCA;
  • A positive hepatitis panel (including hepatitis B surface antigen [HBsAg] and anti-hepatitis C virus [HCV] antibodies [Abs]) or positive human immunodeficiency virus (HIV) antibody screens;
  • The subject has a supine systolic blood pressure (SBP) <90 or >160 mmHg and a diastolic blood pressure (DBP) <50 or >90 mmHg, or pulse rate higher than 100 bpm, either at screening (blood pressure measurements taken after subject has been resting in a supine position for a minimum of 5 minutes); Note: a retest can be done in case of an out of range vital signs value that will determine a subject's eligibility. The result of the retest are considered for subject eligibility.
  • The subject is pregnant or breastfeeding;
  • The subject has received a vaccine within 60 days prior to study drug administration;
  • The subject has received any systemic immunosuppressant agent within 6 months prior to study drug administration;
  • The subject has received any antibody or biologic medicinal product within 6 months prior to study drug administration;
  • The subject has received any systemic steroid within 2 months prior to study drug administration;
  • Use of a prohibited therapy within 14 days prior to study drug administration;
  • Receipt of any investigational drug within 30 days or ten half-lives, whichever is longer, prior to the initial study drug administration;
  • The subject is participating in another clinical trial or has participated in another dose group of the current trial;
  • Had a significant blood loss (including blood donation [>500 mL]) or having had a transfusion of any blood product within the 60 days or donated plasma within 7 days prior to the initial study drug administration;
  • A condition that, in the opinion of the investigator, could compromise the well-being of the subject or course of the study, or prevent the subject from meeting or performing any study requirements.
  • Intent to visit regions where tuberculosis and mycosis are endemic during the period of 3 months after dosing (4 months after dosing for subjects in Cohort C) , i.e., deserts areas, Eastern Europe, Central and South America, Africa except Egypt, Russia, Asia, Indonesia.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • SGS Antwerpen

    Antwerp

Other trials in Belgium

About this study

Official title: Randomized, Double-blind, Placebo-controlled, Dose-escalation Study for the Assessment of Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Single and Multiple Intravenous Doses of FR104 in Healthy Subjects

First-in-human, phase I, randomized, double-blind, placebo-controlled, single center study evaluating single and multiple ascending intravenous doses of FR104 in healthy subjects.

Read the detailed description

This study is a first-in-human, phase I, randomized, double-blind, placebo-controlled, single center study evaluating single and multiple ascending intravenous doses of FR104 in healthy subjects.

64 healthy male and female subjects are selected according to the inclusion and exclusion criteria, i.e., 50 subjects in Part 1 (SAD: 2 cohorts of 22 [Cohort A], 28 [Cohort B], respectively) and 14 subjects in Part 2 (MAD). The total duration of the study is 10 months.

All FR104 doses are administered intravenously by a slow infusion of at least 30 minutes. A staggered approach is observed within all dose levels. An interval of at least 14 days (last to first administration) is observed between all dose levels. Individual subjects on a same day of dosing are dosed at least 60 minutes apart.

Being tested
FR104, Placebo
Keywords
FR104, CD28, immunomodulation, T regulatory cell, Pegylated monovalent anti-CD28 Fab antibody
Medical subject headings
Arthritis, Rheumatoid

What participants receive

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

  • FR104Drug

    GMP FR104 is provided to the site in extractable volume vials containing FR104. Appropriate Dilutions in Ringer's lactate solution is made on site.

  • PlaceboDrug

    The placebo injection contains the vehicle. For placebo dosing, vehicle is administered in accordance with the volume of study drug administered.

Study groups in NCT02800811
Study groupRoleWhat they receive
Part 1: Cohort A, Group 1, FR104ExperimentalDose: single 0.005 mg/kg.
Receives: Drug: FR104
Part 1: Cohort A, Group 2, FR104ExperimentalDose: single 0.05 mg/kg.
Receives: Drug: FR104
Part 1: Cohort A, Group 3, FR104ExperimentalDose: single 0.2 mg/kg.
Receives: Drug: FR104
Part 1: Cohort A, Group 4, FR104ExperimentalDose: single 0.5 mg/kg.
Receives: Drug: FR104
Part 1: Cohort A, placeboPlacebo comparatorPlacebo, single administration, double blind (1/4 healthy subject in group 1, 1/4 in group 2, 2/5 in group 3 and 2/5 in group 4).
Receives: Drug: Placebo
Part 1: Cohort B, Group 7, FR104ExperimentalDose: single 0.5 mg/kg. Healthy subject naïve to KLH and that will receive a KLH challenge.
Receives: Drug: FR104
Part 1: Cohort B, Group 8, FR104ExperimentalDose: single 0.2 mg/kg. Healthy subject naïve to KLH and that will receive a KLH challenge.
Receives: Drug: FR104
Part 1: Cohort B, Group 9, FR104ExperimentalDose: single 1.5 mg/kg. Healthy subject naïve to KLH and that will receive a KLH challenge.
Receives: Drug: FR104
Part 1: Cohort B, Group 9 bis, FR104ExperimentalDose: single 0.02 mg/kg group. Healthy subject naïve to KLH and that will receive a KLH challenge.
Receives: Drug: FR104
Part 1: Cohort B, placeboPlacebo comparatorplacebo, single administration, double-blind: healthy subjects naïve to KLH and that will receive a KLH challenge (2/5 in each group of cohort B)
Receives: Drug: Placebo
Part 2: Group 10, FR104ExperimentalDose: repeat, 0.2 mg/kg. Two administrations separated by an interval of 28 days.
Receives: Drug: FR104
Part 2: Group 11, FR104ExperimentalDose: repeat, 0.5 mg/kg. Two administrations separated by an interval of 28 days.
Receives: Drug: FR104
Part 2: placeboPlacebo comparatorplacebo, repeat, double-blind: 2/5 subjects in each group of Part 2. Two administrations separated by an interval of 28 days.
Receives: Drug: Placebo

What is being measured

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

  1. Type, incidence, severity, timing, seriousness and relatedness of treatment emergent adverse events, and abnormalities in laboratory parameters in healthy volunteers of FR104 compared to placebo after single (SAD) and two IV doses (MAD).

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

Secondary outcomes (5)
  1. Area under the concentration time curve to last quantifiable concentration [AUC (0-T)] after single and two repeat iv administrations of FR104

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

  2. Terminal half-life (T1/2) of FR104 after single and two repeat iv administrations

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

  3. Durations of 100%, 50% and 20% CD28 receptor blocade after single and two repeat iv administrations of FR104

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

  4. Incidence of antidrug antibodies (ADA) and neutralizing antibodies (NAb) after single and two repeat iv administrations of FR104

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

  5. Type, incidence, severity, timing, seriousness and relatedness of abnormal cytokine levels after single and two repeat iv administrations of FR104

    During each treatment period, subjects will be housed and monitored at the study center from the day before dosing (Day-1) until Day 5. Thenafter, each subject will attend ambulatory visit at predefined days until day 113.

    Measured: 4 months

Timeline

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

  1. First posted15 Jun 2016 (estimated)
  2. Study startApr 2015
  3. Primary completionJun 2016
  4. Study completionJul 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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02800811
Sponsor's protocol ID
FR104-CT01
Other IDs
2015-000302-19, 2015
Status last verified
Jul 2016
First submitted
20 May 2016
Last updated
21 Jul 2016
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 FR104 in people with Rheumatoid Arthritis and Complication of Transplant, run by OSE Immunotherapeutics at 1 site in Belgium.

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 17 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 21 Jul 2016. 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 Belgium. 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?

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?

Type, incidence, severity, timing, seriousness and relatedness of treatment emergent adverse events, and abnormalities in laboratory parameters in healthy volunteers of FR104 compared to placebo after single (SAD) and two IV doses (MAD). (time frame: 4 months). 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 21 Jul 2016.

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