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HealthyPhase 1NCT03492385

Study to Evaluate the Safety, Tolerability, PK, and PD of PB2452 in Healthy Volunteers

A Phase 1 study testing PB2452 Infusion, Ticagrelor Oral Tablet - Pre-Treatment and Ticagrelor Oral Tablet - Pre-Treatment and Post-Treatment in people with Healthy, run by SFJ Pharmaceuticals, Inc. at 1 site 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

This is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled, single ascending dose, sequential group study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of PB2452 with and without ticagrelor pretreatment when administered to healthy male and female subjects. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
PB2452 Infusion, Ticagrelor Oral Tablet - Pre-Treatment and Ticagrelor Oral Tablet - Pre-Treatment and Post-Treatment
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteUnited States
Study dates
3 Apr 2018to 18 Sep 2018
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

  • The subject is male or female between 18 and 50 years of age, inclusive.
  • The subject has a body mass index between 18 and 35 kg/m2 and a weight of ≥50 kg but ≤120 kg, inclusive, at screening.
  • The subject is considered by the investigator to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12 lead ECG results, and physical examination findings at screening.
  • Specific inclusionary laboratory values at screening and check-in require the following:
  • Aspartate transaminase (AST), alanine transaminase (ALT), total serum bilirubin and alkaline phosphatase levels within the normal range as defined by the clinical laboratory
  • White blood cell (WBC) count, platelet count and hemoglobin level within the normal range as defined by the clinical laboratory
Show all 11Show fewer
  • Thyroid stimulating hormone (TSH) level within the normal range as defined by the clinical laboratory at screening
  • Prothrombin time (PT) and partial thromboplastin time (PTT) level within the normal range as defined by the clinical laboratory
  • Female subjects of childbearing potential must not be pregnant, lactating, or planning to become pregnant before 3 months after the last dose of study drug, and have a negative serum pregnancy test at screening and check-in. Female subjects of childbearing potential must use 2 effective methods of birth control (ie, oral, implantable, patch, or injectable contraceptives in combination with a condom, hormone-containing intrauterine device that has been in place for at least 2 months prior to screening in combination with a condom, double-barrier method [ie, condoms, sponge, diaphragm, or cervical cap with spermicidal gels or cream], or vasectomy for male subjects or male partners of female subjects) from 30 days before study drug administration through the end of the study. Women are considered not to be of childbearing potential if they have fulfilled one of the following criteria: documentation of irreversible surgical sterilization (ie, hysterectomy, or bilateral oophorectomy [not tubal ligation]), or postmenopausal (defined as amenorrhea for 12 consecutive months following cessation of all exogenous hormonal treatments, and documented plasma follicle-stimulating hormone level >40 IU/mL or amenorrhea for 24 consecutive months). Male subjects with partners of childbearing potential must agree to use appropriate and effective measures of contraception (eg, condom plus diaphragm with spermicide; condom plus spermicide) during the study and for 30 days after the last dose of study drug, and to refrain from donating sperm for at least 7 days prior to the first dose of study drug until at least 90 days following the last dose of study drug.
  • The subject agrees to comply with all protocol requirements.
  • The subject is able to provide written informed consent.

Who cannot join

  • History of any clinically significant acute or chronic disease or medical disorder.
  • History or presence of gastrointestinal, hepatic (with the exception of Gilbert's syndrome), or renal disease or renal insufficiency (ie, estimated glomerular filtration rate <60 ml/min/1.73m2), or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study drug or any planned surgical procedure that will occur during the study (from screening through the Day 28 follow up visit).
  • Any clinically significant abnormal findings in physical examination, vital signs, laboratory assessments, and ECG parameters identified during screening or check-in.
  • Any history of arterial or venous thrombosis, including any of the following:
  • History of transient ischemic attack, cardiovascular accident, stroke (ischemic or hemorrhagic), unstable angina, myocardial infarction, or peripheral arterial disease
Show all 31Show fewer
  • History of deep venous thrombosis, pulmonary embolus, thrombophlebitis, or cavernous malformations
  • Any increased risk of bleeding, including the following:
  • Recent history (within 30 days preceding the first dose of study drug) of gastrointestinal bleeding
  • Any history of severe head trauma, intracranial hemorrhage, intracranial neoplasm, arteriovenous malformation, aneurysm, or proliferative retinopathy
  • Any history of intracranial, intraocular, retroperitoneal, or spinal bleeding
  • Any recent (within 30 days preceding the first dose of study drug) major trauma
  • History of hemorrhagic disorders that may increase the risk of bleeding (eg, hemophilia, von Willebrand's disease)
  • Receiving chronic treatment with nonsteroidal anti-inflammatory drugs (including aspirin [greater than 100 mg daily]), anticoagulants, or other antiplatelet agents that cannot be discontinued (including clopidogrel, prasugrel, ticlopidine, dipyridamole, or cilostazol).
  • Have taken, within 30 days of screening, any oral or parenteral anticoagulant, including low molecular-weight heparin
  • Have taken non-steroidal anti-inflammatory medications, including aspirin, within 14 days of screening
  • The subject has a positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies at screening.
  • Any ongoing or recent (ie, during the screening period) minor medical complaints that may interfere with the interpretation of the study data or are considered unlikely to comply with study procedures, restrictions, and requirements as judged by the investigator.
  • Concomitant oral or IV therapy with strong CYP3A inhibitors, CYP3A substrates with narrow therapeutic indices, or strong CYP3A inducers, which cannot be stopped within at least 5 half-lives, but not shorter than 10 days, before randomization (a list of examples can be found in Section 6.2).
  • Any prescription (excluding hormonal birth control) or over the counter medications (except paracetamol [up to 2 g per day]), including herbal or nutritional supplements, within 14 days before the first dose of study drug.
  • The subject has consumed grapefruit or grapefruit juice, Seville orange or Seville orange containing products (eg, marmalade), or alcohol-, or xanthine containing products within 48 hours before dosing with study drug.
  • The subject is participating in any other study or is taking part in a non medication study which, in the opinion of the investigator, would interfere with the outcome of the study.
  • The subject has received another new chemical entity (defined as a compound which has not been approved for marketing) or any marketed or investigational biologic agent within 30 days of the first administration of study drug in this study. The period of exclusion begins 30 days after the final dose or 5 half-lives of the experimental medication has elapsed, whichever is longer.
  • The subject has involvement with any PhaseBio or study site employee or their close relatives (eg, spouse, parents, siblings, or children whether biological or legally adopted).
  • The subject has previously received MEDI2452 (PB2452).
  • The subject is a smoker or has used nicotine or nicotine containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers) within 3 months before the first dose of study drug.
  • The subject has a known or suspected history of drug abuse (including alcohol) or has a positive test result for drugs of abuse, alcohol, or cotinine (nicotine level above 300 ng/mL) at screening or check-in.
  • The subject has been involved in strenuous activity or contact sports within 24 hours before the first dose of study drug and while confined in the clinical site.
  • The subject has donated blood or plasma within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to the first dose of study drug.
  • The subject has a history of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to ticagrelor, any biologic therapeutic agent, or any significant food allergy that could preclude a standard diet in the clinical site.
  • Concern for the inability of the subject to comply with study procedures and/or follow up, or, in the opinion of the investigator, the subject is not suitable for entry into the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MEDI2452 (PB2452) With and Without Ticagrelor Pretreatment in Healthy Volunteers

This is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled, single ascending dose, sequential group study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of PB2452 with and without ticagrelor pretreatment when administered to healthy male and female subjects.

Up to 6 dose levels will be evaluated. This study will have up to 10 cohorts and up to a total of approximately 76 subjects with either 4 or 8 healthy young subjects in Cohorts 1 through 9 or approximately 16 older subjects in Cohort 10. The starting dose of PB2452 will be 100 mg and the planned doses for subsequent cohorts are 300, 1000, 3000, 9000, and 18000 mg.

Conditions
Healthy
Being tested
PB2452 Infusion, Placebo - Sodium Chloride, Ticagrelor Oral Tablet - Pre-Treatment, Ticagrelor Oral Tablet - Pre-Treatment and Post-Treatment

What participants receive

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

  • PB2452 InfusionDrug

    30 minute - 12 hour infusion

  • Placebo - Sodium ChlorideDrug

    30 minute - 12 hour infusion

  • Ticagrelor Oral Tablet - Pre-TreatmentDrug

    Ticagrelor 180 mg + 90 mg BID for 5 doses prior to MEDI2452 (PB2452) or Placebo

  • Ticagrelor Oral Tablet - Pre-Treatment and Post-TreatmentDrug

    Ticagrelor 180 mg + 90 mg BID for 5 doses prior to MEDI2452 (PB2452) or Placebo and Ticagerlor 180 mg 24 hours following MEDI2452 (PB2452) or Placebo

Study groups in NCT03492385
Study groupRoleWhat they receive
1: 100 mg PB2452 or Placebo (no Ticagrelor)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride
2: 300 mg PB2452 or Placebo (no Ticagrelor)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride
3: 1000 mg PB2452 or Placebo (no Ticagrelor)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride
4: 1000 mg PB2452 or Placebo (Ticagrelor Pre-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride With Ticagrelor Oral Tablet: 180 mg+90 mg BID for a total of 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride
5: 3000 mg PB2452 or Placebo (Ticagrelor Pre-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for a total of 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment
6: 9000 mg PB2452 or Placebo (Ticagrelor Pre-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for a total of 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment
7: 18000 mg PB2452 or Placebo (Ticagrelor Pre-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for a total of 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment
8: Dose TBD mg PB2452 or Placebo (Ticagrelor Pre-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment
9: Dose TBD mg PB2452 or Placebo (Ticagrelor Pre and Post-Trx)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for 5 doses and 180 mg 24 hours post-dose
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment and Post-Treatment
10: Dose TBD mg PB2452 or Placebo (Ticagrelor Pre-Txt)ExperimentalPB2452 Infusion or Placebo - Sodium Chloride with Ticagrelor Oral Tablet: 180 mg+90 mg BID for 5 doses
Receives: Drug: PB2452 Infusion; Drug: Placebo - Sodium Chloride; Drug: Ticagrelor Oral Tablet - Pre-Treatment

What is being measured

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

  1. Number of Participants With Adverse Events (AEs)

    An AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related.

    Measured: Day -3 (Cohorts 4 through 10) or Day -1 (Cohorts 1 through 3) until Day 28

  2. Number of Participants With Clinically Significant Laboratory Abnormalities

    Number of participants with clinically significant abnormal laboratory findings for hematology, coagulation, serum chemistry, urinalysis and drug tests.

    Measured: 30 Day - Starting day of dosing

  3. Change in Diastolic Blood Pressure

    Diastolic blood pressure measurements were measured at specific time points.

    Measured: Days 1, 2, 3, 4, 7 and 28

  4. Change in Systolic Blood Pressure

    Systolic blood pressure measurements were measured at specific time points.

    Measured: Days 1, 2, 3, 4, 7 and 28

  5. Change In Oral Body Temperature

    Body temperature measurements were measured at specific time points.

    Measured: Days 1, 2, 3, 4, 7 and 28

  6. Change In Respiratory Rate

    Respiratory rate measurements were measured at specific time points.

    Measured: Days 1, 2, 3, 4, 7 and 28

  7. Change In Heart Rate

    Heart rate measurements were measured at specific time points.

    Measured: Days 1, 2, 3, 4, 7 and 28

  8. Incidence of Clinically Significant 12-Lead Electrocardiogram (ECG) Findings

    Number of participants per cohort with clinically significant ECG findings.

    Measured: 60 days - Starting up to 28 days prior to dosing

  9. Incidence of Clinically Significant Cardiac Telemetry Findings

    Number of participants per cohort with clinically significant cardiac telemetry findings.

    Measured: 3 Days - Starting 1 day prior to dosing up to 2 days after dosing

  10. Participants Experiencing Anti-drug Antibodies (ADAs)

    Incidence of Immunogenicity.

    Measured: Day -3, Day -1, Day 7, and Day 28

  11. Maximal Percent of Baseline Platelet Aggregation (PA(Max)) in Cohorts 4-6

    Effectiveness Of Single Ascending Doses Of PB2452. IPA [maximum (max)] induced by 20 µM adenosine diphosphate (ADP) at each assessment point.

    Measured: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.

  12. Final Extent Percent of Baseline Platelet Aggregation in Cohorts 4-6

    Effectiveness Of Single Ascending Doses Of PB2452. IPA [final extent] induced by 20 µM adenosine diphosphate (ADP) at each assessment point.

    Measured: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.

  13. Maximal Actual Platelet Aggregation (APA(Max)) (Cohorts 4-6)

    Effectiveness Of Single Ascending Doses Of PB2452 - Inhibition of maximal platelet aggregation.

    Measured: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose (Cohorts 8 and 9 Only).

  14. Time to Maximum Platelet Aggregation (TPA(Max)) (Cohorts 4-6)

    Effectiveness Of Single Ascending Doses Of PB2452 - Time to IPAmax.

    Measured: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.

  15. Maximal Percent of Baseline Platelet Aggregation (PA(Max)) (Cohorts 7-10)

    Effectiveness Of Single Ascending Doses Of PB2452 - IPA (max) induced by 20 µM ADP at each assessment point.

    Measured: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.

  16. Final Extent Percent of Baseline Platelet Aggregation (Cohorts 7-10)

    Effectiveness Of Single Ascending Doses Of PB2452 - IPA (max) induced by 20 µM ADP at each assessment point.

    Measured: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.

  17. Maximal Actual Platelet Aggregation (APA(Max)) (Cohorts 7-10)

    Effectiveness Of Single Ascending Doses Of PB2452 - Inhibition of maximal platelet aggregation.

    Measured: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose

  18. Time to Maximum Platelet Aggregation (TPA(Max))(Cohorts 7-10)

    Effectiveness Of Single Ascending Doses Of PB2452 - Time to IPAmax

    Measured: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.

Timeline

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

  1. First posted10 Apr 2018
  2. Study start3 Apr 2018
  3. Primary completion18 Sep 2018
  4. Study completion18 Sep 2018

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03492385
Sponsor's protocol ID
PB2452-PT-CL-0001
Status last verified
Aug 2024
First submitted
2 Apr 2018
Last updated
4 Nov 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bhatt DL, Pollack CV, Weitz JI, Jennings LK, Xu S, Arnold SE, Umstead BR, Mays MC, Lee JS. Antibody-Based Ticagrelor Reversal Agent in Healthy Volunteers. N Engl J Med. 2019 May 9;380(19):1825-1833. doi: 10.1056/NEJMoa1901778. Epub 2019 Mar 17.

    PubMed 30883047

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PB2452 Infusion, Ticagrelor Oral Tablet - Pre-Treatment and Ticagrelor Oral Tablet - Pre-Treatment and Post-Treatment in people with Healthy, run by SFJ Pharmaceuticals, Inc. at 1 site 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 11 inclusion and 31 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 4 Nov 2024. 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 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 4 Nov 2024). 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 Adverse Events (AEs) (time frame: Day -3 (Cohorts 4 through 10) or Day -1 (Cohorts 1 through 3) until Day 28). The study lists 18 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 NCT03492385, which also lists 1 linked publication.

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 4 Nov 2024.

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