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PsoriasisPhase 1NCT03622021

A Study of AK111 in Healthy Subjects

A Phase 1 study of Psoriasis, run by Akesobio Australia Pty Ltd at 1 site in New Zealand.

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, randomized, double-blind, placebo-controlled, single dose-escalation first-in human study to evaluate the safety, tolerability, PK, PD and immunogenicity of AK111 in healthy subjects following SC administration. The study will consist of cohorts of healthy subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Psoriasis
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
1 siteNew Zealand
Study dates
14 Aug 2018to 9 Sep 2019
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

Subjects must meet all of the following inclusion criteria (as applicable) to be eligible for participation in this study.

  1. Have the ability to understand and sign a written informed consent form (ICF), which must be obtained prior to initiation of study procedures.
  2. Female or male between 18 and 55 years of age, inclusive, at screening.
  3. Must have a calculated body mass index (BMI) 19 ≤ BMI ≤ 32(inclusive) at screening, and a total body weight ≥ 50 kg for male or ≥ 45 kg for female at screening.
  4. Females of child bearing potential must have a negative pregnancy test in serum at screening and a negative serum pregnancy test on Day -1, either be of non-child bearing potential, defined as being:
  5. Postmenopausal (for at least 2 years before screening), verified by serum follicle stimulating hormone (FSH) level >40 mIU/mL at screening, or
  6. Permanently sterilized (eg, tubal occlusion, hysterectomy, bilateral salpingectomy), or
  7. Congenitally sterile
  8. Women of child-bearing potential must use one of the following methods of contraception, from screening until at least 120 days after dosing: A highly effective method with a failure rate of less than 1%:
  • Implant contraceptive (e.g. Jadelle)
  • Intra-uterine device (IUD) containing either copper or levonorgestrel (e.g. Mirena)
  • Male sterilization (vasectomy)
  • Female sterilization (e.g. by bilateral tubal ligation ('tying tubes') or hysterectomy) A method for which the failure rate is between 5% and 10% in real life use, in combination with a barrier method (male condom):
  • Injectable contraceptive (e.g. Depo Provera)
  • Oral Contraceptive Pill (combined hormonal pill or progestogen-only 'mini-pill')
  • Vaginal contraceptive ring (e.g. NuvaRing) Please note that condoms alone are not highly effective methods of contraception. Periodic abstinence, the rhythm method, and the withdrawal method are not acceptable methods of birth control.
  1. Nonsterilized male subjects who are sexually active with a female partner of childbearing potential must use an effective method of contraception as listed above from Day 1 through 120 days after receipt of the last dose of study medication. It is strongly recommended for the female partner of a male subject to also us an effective method of contraception throughout this period.
  2. Must, in the opinion of the Investigator, be in good general health based upon medical history, physical examination (including vital signs), 12-lead ECG and clinical laboratory tests must fall within the clinical laboratory's reference normal ranges unless the results have been determined by the Investigator to have no clinical significance).
  3. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures as specified in the protocol.

Exclusion Criteria Subjects who meet any of the following exclusion criteria will not be enrolled in this study.

  1. Subjects who are investigational site staff members or subjects who are Sponsor employees directly involved in the conduct of the study.
  2. Are pregnant, nursing, or planning pregnancy within 120 days following the last dose of study medication (both men and women) while enrolled in the study.
  3. Have previously participated in an investigational trial involving administration of any investigational compound within 3 months or 5 half-lives (whichever is longer) prior to the study dosing, or currently participating in another clinical study.
  4. Have a planned surgical intervention for a pretreatment condition within the duration of the trial, including the follow up period.
  5. Have used any biologic within the previous 12 months prior to the study dosing.
  6. Use of any of the following, unless agreed as non-clinically relevant by the Investigator: Prescription medication within 4 weeks prior to the study dosing; Over-the-counter medication (excluding paracetamol) within 7 days prior to the study dosing. Paracetamol use must be limited to 2 g per day and no more than 3 days usage in the 4 weeks prior to the study dosing; Vitamin therapy or dietary supplements within 7 days prior to the study dosing and for the duration of the study; Herbal supplements within 4 weeks prior to the study dosing and for the duration of the study. Medications which are known CYP P450 isoenzyme substrates/inducers/inhibitors must be excluded within 4 weeks prior to study dosing and for the duration of the study.
  7. Current acute infection or history of acute infection within 7 days prior to receipt of the study drug; additionally, aural temperature that exceeds 37.4°C at Day -1 (baseline).
  8. Have had a serious infection, define as requiring intravenous antibiotics or hospitalization within 3 months prior to screening; Have had recurrent or chronic infection, define as ≥ 3 infections requiring anti-microbials over the past 12 months prior to screening.
  9. Have a history of latent or active granulomatous infection, including histoplasmosis, candidiasis (clinically significant candidiasis or recurrent candidiasis), or coccidioidomycosis prior to screening, or a history of any other infectious disease within 4 weeks prior to screening that in the opinion of the investigator, affects the subject's ability to participate in the trial.
  10. History or complication of tuberculosis, or evidence of latent tuberculosis by QuantiFERON screening. If the QuantiFERON®-TB Gold test is indeterminate, a retest is allowed if results can be obtained. If the retest is also indeterminate, the subject will be excluded from the study. Subjects who have had household contact with a person with active TB are excluded.
  11. Positive for hepatitis B surface antigen, hepatitis C antibodies or HIV at screening.
  12. Have had a substance abuse (drug or alcohol) problem within the previous 3 years, or a positive urine drug screen at screening.
  13. History of regular alcohol consumption exceeding 14 drinks/week for females or 21 drinks/week for males (1 drink = 100 mL of wine or 360 mL of beer or 45 mL of hard liquor) within 6 months of screening.
  14. Use of tobacco or nicotine containing products (including e-cigarettes) at any time within six months before screening and for the duration of the study.
  15. Have poor venous access and are unable to donate blood.
  16. Have donated blood within 90 days prior to the study dosing.
  17. Have a history of multiple drug allergies or a known allergy or hypersensitivity to any biologic therapy at screening that is important in the opinion of the Investigator.
  18. Have a known allergy or reaction to any component of the AK111 formulation.
  19. Have a history of known demyelinating diseases such as multiple sclerosis or optic neuritis.
  20. Have a history of lymphoproliferative disease, including lymphoma, or signs suggestive of possible lymphoproliferative disease such as lymphadenopathy of unusual size or location, or clinically significant splenomegaly.
  21. Have any known malignancy or have a history of malignancy within the previous 5 years (with the exception of a non-melanoma skin cancer that has been treated with no evidence of recurrence).
  22. Have a transplanted organ (with the exception of a corneal transplant performed > 3 months prior to the study dosing).
  23. Have an implanted defibrillator or pacemaker.
  24. 12-lead ECG demonstrating QTc interval > 450 msec corrected using the Fridericia's formula (QTcF) at screening from average of three ECGs obtained (separated by approximately 1-minute intervals) after 5 minutes of supine rest.
  25. Blood pressure >140 mmHg (systolic) or > 90 mmHg (diastolic) at screening, following at least 5 minutes of supine rest. If blood pressure (BP) is >140 mmHg (systolic) or >90 mmHg (diastolic), the BP should be repeated two more times and the average of the three BP values should be used to determine the subject's eligibility.
  26. Have had a live vaccination within 12 weeks prior to the study dosing, or intend to have a live vaccination during the course of the study, or have participated in a vaccine clinical trial within 12 weeks prior to the study dosing.
  27. Have any psychiatric or serious or active medical illness which, in the opinion of the Investigator, would interfere with subject treatment, assessment, or compliance with the protocol. This would include renal, cardiac, hematological, hepatic, pulmonary (including chronic asthma), endocrine (eg, diabetes), central nervous, gastrointestinal (including but not limit to Crohn's disease, ulcerative colitis, an ulcer), vascular, metabolic (thyroid disorders, adrenal disease), or immunodeficiency disorders that are clinically significant or requiring treatment.
  28. Are believed, by the Investigator, to be inappropriate for study participation for any reason.

Trial locations and contacts

1 site in 1 country.

New Zealand1 site
  • Christchurch Clinical Studies Trust (CCST)

    Christchurch, 8140

Other trials in New Zealand

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Single Dose-Escalation First-In-Human Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AK111 in Healthy Subjects

This is a Phase 1, randomized, double-blind, placebo-controlled, single dose-escalation first-in human study to evaluate the safety, tolerability, PK, PD and immunogenicity of AK111 in healthy subjects following SC administration. The study will consist of cohorts of healthy subjects. Cohort 1, four unique subjects will be randomized to receive either active AK111 (N=3) or matching placebo (N=1). Cohorts 2, 3, 4 and 5, eight unique subjects will be randomized to receive either active AK111 (N=6) or matching placebo (N=2). Approximately 36 subjects will be treated in this study.

Conditions
Psoriasis
Being tested
AK111 or Placebo
Medical subject headings
Psoriasis

What participants receive

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

  • AK111 or PlaceboDrug

    All the subjects in each cohort will be randomized in a 3:1 ratio to receive either AK111 or Placebo.

Study groups in NCT03622021
Study groupRoleWhat they receive
AK111 30mgExperimentalSingle dose of 30mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo
AK111 75mgExperimentalSingle dose of 75mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo
AK111 150mgExperimentalSingle dose of 150mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo
AK111 300mgExperimentalSingle dose of 300mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo
AK111 450mgExperimentalSingle dose of 450mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo
AK111 600mgExperimentalSingle dose of 600mg AK111 or placebo is administered subcutaneously to healthy subjects
Receives: Drug: AK111 or Placebo

What is being measured

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

  1. Incidence of treatment emergent AE/SAEs

    Measured: From baseline through 12 weeks

Secondary outcomes (4)
  1. The endpoint for assessment of PD including the change from baseline in serum IL-17A level and serum cytokines.

    Measured: From baseline through 12 weeks

  2. Area under the concentration curve (AUC) of AK111

    Measured: From baseline through 12 weeks

  3. Maximum observed concentration (Cmax) of AK111

    Measured: From baseline through 12 weeks

  4. Number of subjects who develop detectable anti-drug antibodies (ADAs) [

    Measured: From baseline through 12 weeks

Timeline

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

  1. First posted9 Aug 2018
  2. Study start14 Aug 2018
  3. Primary completion9 Sep 2019
  4. Study completion9 Sep 2019

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03622021
Sponsor's protocol ID
AK111-101
Status last verified
Feb 2025
First submitted
27 Jul 2018
Last updated
28 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study of Psoriasis, run by Akesobio Australia Pty Ltd at 1 site in New Zealand.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 28 Feb 2025. 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 New Zealand. 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?

Incidence of treatment emergent AE/SAEs (time frame: From baseline through 12 weeks). 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 28 Feb 2025.

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