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Healthy VolunteersPhase 1NCT03969849

Study to Assess the Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Effects of a Single Dose of REGN5713-5714-5715 in Healthy Adult Participants

A Phase 1 study testing REGN5713-5714-5715 in people with Healthy Volunteers and Birch Pollen Allergy, run by Regeneron Pharmaceuticals at 3 sites 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

The primary objective of the study is to evaluate the safety and tolerability of REGN5713-5714-5715 in healthy adult participants. The secondary objectives of the study are: In Part A and Part B: To characterize the concentration time profile of single doses of REGN5713-5714-5715 in healthy adults To assess the… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers, Birch Pollen Allergy
What is being tested?
REGN5713-5714-5715
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
96 participants
Where
3 sitesBelgium
Study dates
3 Jun 2019to 27 Mar 2020
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

  • Participant is judged by the investigator to be in good health based on medical history, physical examination, vital sign measurements, and ECG performed prior to study drug dosing
  • Participant is in good health based on laboratory safety testing obtained at the screening prior to study drug dosing
  • Part B: Has a medical history of birch tree pollen-triggered allergic rhinitis (AR) symptoms with or without conjunctivitis (for at least 2 seasons) based on participant's recall
  • Part B: Has positive skin prick test (SPT) with birch tree pollen extract (mean wheal diameter ≥5 mm greater than a negative control) in screening period

Who cannot join

  • History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, or neurological disease, as assessed by the investigator that may confound the results of the study or pose an additional risk to the participant by study participation
  • Has any physical examination findings and/or history of any illness that, in the opinion of the study investigator, might confound the results of the study or pose an additional risk to the participant by study participation
  • Participation in any clinical research study evaluating another investigational drug or therapy within 90 days or at least 5 half-lives (whichever is longer) for an investigational biologic drug, or at least 28 days for other investigational products, or within 6 months for immunotherapy prior to the screening visit of the current trial
  • Pregnant or breastfeeding women
  • Part B: Receipt of study drug REGN5713-5714-5715 in Part A
  • Part B: Significant rhinitis or sinusitis outside of the birch pollen season or due to daily contact with other allergens causing symptoms, that is expected to coincide with the study NAC assessments as assessed by the investigator
Show all 9Show fewer
  • Part B: A clinical history of asthma requiring chronic medication such as regular, inhaled corticosteroids for >6 months per year
  • Part B: History of birch allergy immunotherapy (SCIT, sublingual immunotherapy, or oral immunotherapy) in the 5 years prior to screening
  • NOTE: Other protocol defined inclusion/exclusion criteria apply.

Trial locations and contacts

3 sites in 1 country.

Belgium3 sites
  • Regeneron Study Site

    Antwerp

  • Regeneron Study Site

    Ghent

  • Regeneron Study Site

    Leuven

Other trials in Belgium

About this study

Official title: A Two-Part, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Effects of a Single Dose of REGN5713-5714-5715 in Healthy Adult Subjects

The primary objective of the study is to evaluate the safety and tolerability of REGN5713-5714-5715 in healthy adult participants.

The secondary objectives of the study are:

Read more

In Part A and Part B:

  • To characterize the concentration time profile of single doses of REGN5713-5714-5715 in healthy adults
  • To assess the immunogenicity of single dose of REGN5713-5714-5715.

In Part B:

  • To assess the inhibition of allergic symptoms as measured by total nasal symptom score (TNSS) provoked by a birch allergen nasal allergen challenge (NAC) in birch-sensitized allergic subjects after a single subcutaneous (SC) dose of REGN5713-5714-5715
  • To assess the skin test reactivity provoked by a skin prick test (SPT) with serial birch allergen titration after a single SC dose of REGN5713-5714-5715.
Being tested
REGN5713-5714-5715, Matching placebo

What participants receive

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

  • REGN5713-5714-5715Drug

    Part A: Cohort 1 - 3: Single sequential ascending subcutaneous (SC) dose Part A: Cohort 4: Single intravenous (IV) dose Part B: Single SC dose

  • Matching placeboDrug

    Part A: Cohort 1 - 3: Single sequential ascending subcutaneous (SC) dose Part A: Cohort 4: Single intravenous (IV) dose Part B: Single SC dose

Study groups in NCT03969849
Study groupRoleWhat they receive
Part A: Cohort 1ExperimentalPart A: Cohort 1 randomized 3:1 will receive REGN5713-5714-5715 or matching placebo
Receives: Drug: REGN5713-5714-5715; Drug: Matching placebo
Part A: Cohort 2ExperimentalPart A: Cohort 2 randomized 3:1 will receive REGN5713-5714-5715 or matching placebo
Receives: Drug: REGN5713-5714-5715; Drug: Matching placebo
Part A: Cohort 3ExperimentalPart A: Cohort 3 randomized 3:1 will receive REGN5713-5714-5715 or matching placebo
Receives: Drug: REGN5713-5714-5715; Drug: Matching placebo
Part A: Cohort 4ExperimentalPart A: Cohort 4 randomized 3:1 will receive REGN5713-5714-5715 or matching placebo
Receives: Drug: REGN5713-5714-5715; Drug: Matching placebo
Part BExperimentalPart B: Randomized 1:1 will receive REGN5713-5714-5715 or matching placebo in Healthy Participants with birch pollen allergy
Receives: Drug: REGN5713-5714-5715; Drug: Matching placebo

What is being measured

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

  1. Incidence and severity of treatment-emergent adverse events (TEAEs)

    Measured: Up to 16 Weeks

  2. The number of participants with abnormal adverse events (AEs)

    Measured: Up to 16 Weeks

  3. The number of participants with abnormal vital signs

    Vital signs include blood pressure, heart rate, body temperature, and respiratory rate

    Measured: Up to 16 Weeks

  4. The number of participants with abnormal 12-lead electrocardiograms (ECGs)

    Measured: Up to 16 Weeks

  5. The number or participants with abnormal physical examinations

    The limited physical examination will include assessment of heart, lungs, abdomen, peripheral pulses, and skin

    Measured: Up to 16 Weeks

  6. The number of abnormal laboratory examination

    Hematology, chemistry, urinalysis and pregnancy testing samples will be analyzed

    Measured: Up to 16 Weeks

  7. Part B only - The number of participants with abnormal lung function using spirometry - forced vital capacity (FVC) litres (L)

    Spirometry will be measured only in participants with a history of asthma prior to the NAC procedure. FVC is the total amount of air exhaled during the forced expiratory volume (FEV) test

    Measured: Up to 16 Weeks

  8. Part B only - The number of participants with abnormal lung function using spirometry - forced expiratory volume in 1 second (FEV1)

    Spirometry will be measured only in participants with a history of asthma prior to the NAC procedure. FEV in 1 second (FEV1) must be ≥80% predicted to perform the NAC. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation

    Measured: Up to 16 Weeks

  9. Part B only - The number of participants with abnormal lung function using spirometry - FEV1/FVC (%)

    Spirometry will be measured only in participants with a history of asthma prior to the NAC procedure. FEV1 must be ≥80% predicted to perform the NAC.

    Measured: Up to 16 Weeks

  10. Part B only - The number of participants with abnormal lung function using spirometry - peak expiratory flow (PEF) Litre/second (L/s)

    Spirometry will be measured only in participants with a history of asthma prior to the NAC procedure. PEF is the maximum speed of expiration.

    Measured: Up to 16 Weeks

  11. Part B only - The number of participants with abnormal lung function using spirometry - forced expiratory flow 25 to 75 (L/s)

    Spirometry will be measured only in participants with a history of asthma prior to the NAC procedure. Forced expiratory flow during the mid (25 - 75%) portion of the FVC.

    Measured: Up to 16 Weeks

  12. Part B only - The number of participants with poorly controlled asthma using asthma control test (ACT)

    Performed prior to every NAC procedure in all participants. A multiple-choice questionnaire for patients with asthma, each choice is assigned a score 1-5. There are 5 questions to answer. The total score is calculated, ranging between 5 and 25. Lower scores indicate worse asthma control. Participants must have ACT ≥20 before undergoing the NAC.

    Measured: Up to 16 Weeks

Secondary outcomes (10)
  1. Total concentration of REGN5713 in serum over time

    Measured: Up to 16 Weeks

  2. Total concentration of REGN5714 in serum over time

    Measured: Up to 16 Weeks

  3. Total concentration of REGN5715 in serum over time

    Measured: Up to 16 Weeks

  4. Immunogenicity as measured by anti-drug antibodies (ADA) to REGN5713

    Measured: Up to 16 Weeks

  5. Immunogenicity as measured by ADA to REGN5714

    Measured: Up to 16 Weeks

  6. Immunogenicity as measured by ADA to REGN5715

    Measured: Up to 16 Weeks

  7. Change in area under the curve (AUC) for TNSS (0 to 1 hour post-peak TNSS) in response to a nasal allergen challenge (NAC) from the pretreatment baseline TNSS AUC (0 to 1 hour post-peak TNSS) for REGN5713-5714-5715 as compared to placebo

    Measured: At day 8, 29 and 57

  8. Percent change in AUC for TNSS (0 to 1 hour post-peak TNSS) in response to a NAC from the pretreatment baseline TNSS AUC (0 to 1 hour post-peak TNSS) for REGN5713-5714-5715 as compared to placebo

    Measured: At day 8, 29 and 57

  9. Change in mean wheal diameters of the skin prick test with serial birch allergen titration from the pretreatment baseline for REGN5713-5714-5715 as compared to placebo

    Measured: At day 8, 29 and 57

  10. Percent change in mean wheal diameters of the skin prick test with serial birch allergen titration from the pretreatment baseline for REGN5713-5714-5715 as compared to placebo

    Measured: At day 8, 29 and 57

Timeline

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

  1. First posted31 May 2019
  2. Study start3 Jun 2019
  3. Primary completion27 Mar 2020
  4. Study completion27 Mar 2020

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
96 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03969849
Sponsor's protocol ID
R5713-5714-5715-HV-1857
Other IDs
2018-004681-34, 2018
Status last verified
Apr 2020
First submitted
28 May 2019
Last updated
28 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All individual participant data (IPD) that underlie publicly available results will be considered for sharing

Publications

  • Gevaert P, De Craemer J, De Ruyck N, Rottey S, de Hoon J, Hellings PW, Volckaert B, Lesneuck K, Orengo JM, Atanasio A, Kamal MA, Abdallah H, Kamat V, Dingman R, DeVeaux M, Ramesh D, Perlee L, Wang CQ, Weinreich DM, Herman G, Yancopoulos GD, O'Brien MP. Novel antibody cocktail targeting Bet v 1 rapidly and sustainably treats birch allergy symptoms in a phase 1 study. J Allergy Clin Immunol. 2022 Jan;149(1):189-199. doi: 10.1016/j.jaci.2021.05.039. Epub 2021 Jun 11.

    PubMed 34126156

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing REGN5713-5714-5715 in people with Healthy Volunteers and Birch Pollen Allergy, run by Regeneron Pharmaceuticals at 3 sites 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 4 inclusion and 9 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 28 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites 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. 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 and severity of treatment-emergent adverse events (TEAEs) (time frame: Up to 16 Weeks). The study lists 12 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 NCT03969849, 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 28 Apr 2020.

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