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Healthy Adult SubjectsPhase 1NCT04629131

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TNM002 in Healthy Adults

A Phase 1 study testing TNM002 Dosage 1 (10 μg/kg), TNM002 Dosage 2 (35 μg/kg) and TNM002 Dosage 3 (100 μg/kg) in people with Healthy Adult Subjects, run by Zhuhai Trinomab Pharmaceutical Co., Ltd. at 1 site in Australia.

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 purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics properties of TNM002 following a single intramuscular dose in healthy adult subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Adult Subjects
What is being tested?
TNM002 Dosage 1 (10 μg/kg), TNM002 Dosage 2 (35 μg/kg) and TNM002 Dosage 3 (100 μg/kg)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteAustralia
Study dates
25 Nov 2020to 13 Aug 2021
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

Who may be able to join

  • Each subject must meet the following criteria to be enrolled in this study:
  • Healthy male or female, 18-55 years of age (both inclusive);
  • Able to give signed written informed consent form;
  • Able to well communicate with investigators as well as understand and adhere to the requirements of this study.
  • Body mass index (BMI, weight [kg]/height [m]2) within 18.0-32.0 kg/m2 (both inclusive);
  • Blood Pressure (BP) and 12-lead ECG showing no clinically significant abnormalities at the discretion of the Principal Investigator during screening;
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  • Subjects having no clinically significant abnormality on physical examination, clinical laboratory tests, liver function or kidney function as determined by Principal Investigator (PI);
  • Females must be either under surgical sterile (i.e. had a bilateral tubal ligation, hysterectomy, or bilateral oophorectomy at least 6 months before the first dose of study drug) or under postmenopausal for at least 1 year before the first dose of study drug or agree to use an acceptable method of contraception from screening until 90 days after last study drug administration. Males who are sexually active and who are partners of women of childbearing potential must agree to use effective contraception from screening until 90 days after last drug administration.
  • acceptable method of contraception
  • Use of intrauterine device
  • Use of oral, injected or implanted hormonal methods of contraception
  • Concomitant use of barrier contraception method
  • Surgical contraception methods (e.g., vasectomy, salpingectomy, hysterectomy, etc.)

Who cannot join

  • Subjects who meet any of the following criteria will be excluded from the study:
  • History or evidence of severe drug or excipient allergy, or hypersensitivity to other therapeutic mAbs;
  • History or evidence of autoimmune disease or possible immunodeficiency state, including positive screening test for HIV;
  • History or evidence of chronic hepatitis, including positive screening test for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody;
  • History or evidence of tetanus infection, or exposure to tetanus vaccine within 6 months prior to the fist drug administration;
  • Exposure to any live attenuated vaccine within 4 weeks prior to the fist drug administration;
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  • Exposure to any inactivated vaccine within 2 weeks prior to the fist drug administration;
  • History or evidence of any other acute or chronic disease that, in the opinion of the investigator, may have interfered with the evaluation of the safety or immunogenicity of the drug or compromised the safety of the subject; for example, a clinically relevant history of respiratory, thyroid, gastrointestinal, renal, hepatic, hematological, lymphatic, oncologic, cardiovascular, psychiatric, neurological, musculoskeletal, genitourinary, infective, inflammatory, immunological, dermatological, or connective tissue disease
  • Subjects with surgery (except for minor outpatient surgery) within past 3 months prior to screening, or planned surgery during study;
  • Subjects with intolerance or insufficient venous access to permit regular venepuncture;
  • Known or suspected history of drug abuse within the past 5 years or with positive urine drug test at the screening;
  • Donated blood >400 mL or significant blood loss equivalent to 400 mL or received blood transfusion within 3months of screening; or donated blood >200 mL or significant blood loss equivalent to 200 mL within 1 month prior to the screening;
  • Participation in any other clinical studies with chemical or biological drugs or device within 4 weeks or 5 times the half-life of the specific drug/biologics (whichever is longer), prior to the first drug administration;
  • Use of any other drug, including over-the-counter medications, herb medicines within 14 days prior to the first drug administration (except for contraceptive medication in WOCBP, or concomitant medications that are considered necessary for the subject's welfare and unlikely to interfere with the study);
  • Receipt of an Ig or blood product within 90 days prior to the first drug administration;
  • Receipt of immunosuppressive medications, other than inhaled or topical immunosuppressant drugs, within 45 days prior to the first drug administration;
  • Habitual use of nicotine products or smoking within 3 months (more than 5 cigarettes per day) prior to screening or unwilling to refrain from nicotine products during study participation;
  • History of significant alcohol abuse within 6 months of screening or any indication of regular use of more than 14 units of alcohol per week (1 Unit=360 mL of beer or 45 mL of alcohol 40% or 150 mL of wine) or taking a product containing alcohol 2 days prior to dosing, or having a positive alcohol breath test during the screen period.;
  • Malignancy within 5 years of screening visit (except basal cell skin carcinoma);
  • Subject who is considered unsuitable for participating in the study in the opinion of investigator;
  • Nursing mothers or pregnant women.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Scientia Clinical Research

    Sydney, New South Wales, 2031

Other trials in Australia

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Dose-Escalation Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Following Intramuscular Administration of a Single Dose of TNM002 in Healthy Subjects

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics properties of TNM002 following a single intramuscular dose in healthy adult subjects.

Read the detailed description

The study a randomized, double-blinded, placebo-controlled, dose-escalation phase I trial. A total of 32 healthy adult subjects will be enrolled into 4 cohorts sequentially. Each participant will receive a single IM dose of TNM002 or placebo according to the cohort in which they were enrolled. After injection (Day 1), participants remain in the study site for observation up to 5 days. Following completion of the safety assessments and sampling for PK/PD analyses on Day 4, participants will be discharged from the study site. On Day 8, 15, 29, 43, 64 and 85, participants will return for safety assessments.

Being tested
TNM002 Dosage 1 (10 μg/kg), Placebo, TNM002 Dosage 2 (35 μg/kg), TNM002 Dosage 3 (100 μg/kg), TNM002 Dosage 4 (250 μg/kg)

What participants receive

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

  • TNM002 Dosage 1 (10 μg/kg)Biological

    TNM002 (human monoclonal antibody against tetanus toxin), 10 μg/kg, Intramuscular injection, given once.

  • PlaceboBiological

    placebo to match TNM002 Dosage 1, given once

  • TNM002 Dosage 2 (35 μg/kg)Biological

    TNM002 (human monoclonal antibody against tetanus toxin), 35 μg/kg, Intramuscular injection, given once

  • PlaceboBiological

    placebo to match TNM002 Dosage 2, given once

  • TNM002 Dosage 3 (100 μg/kg)Biological

    TNM002 (human monoclonal antibody against tetanus toxin), 100 μg/kg, Intramuscular injection, given once

  • PlaceboBiological

    placebo to match TNM002 Dosage 3, given once

  • TNM002 Dosage 4 (250 μg/kg)Biological

    TNM002 (human monoclonal antibody against tetanus toxin), 250 μg/kg, Intramuscular injection, given once

  • PlaceboBiological

    placebo to match TNM002 Dosage 4, given once

Study groups in NCT04629131
Study groupRoleWhat they receive
Cohort 1 TNM002 10 μg/kg/PlaceboExperimentalSentinel dosing will be conducted for Cohort 1. Two participants will be dosed (1 with TNM002, 1 with placebo) at least 72 hours prior to subsequent dosing. The remaining participants will only be dosed if no significant safety signals are identified in the sentinel participants. In total, eight subjects will be randomly assigned to receive either TNM002 or placebo at a 3:1 ratio (i.e. 6 subjects receive TNM002 and 2 with placebo).
Receives: Biological: TNM002 Dosage 1 (10 μg/kg); Biological: Placebo
Cohort 2 TNM002 35 μg/kg/PlaceboExperimentalEight subjects will be randomly assigned to receive either TNM002 or placebo at a 3:1 ratio (i.e. 6 subjects receive TNM002 and 2 with placebo).
Receives: Biological: TNM002 Dosage 2 (35 μg/kg); Biological: Placebo
Cohort 3 TNM002 100 μg/kg/PlaceboExperimentalEight subjects will be randomly assigned to receive either TNM002 or placebo at a 3:1 ratio (i.e. 6 subjects receive TNM002 and 2 with placebo).
Receives: Biological: TNM002 Dosage 3 (100 μg/kg); Biological: Placebo
Cohort 4 TNM002 250 μg/kg/PlaceboExperimentalEight subjects will be randomly assigned to receive either TNM002 or placebo at a 3:1 ratio (i.e. 6 subjects receive TNM002 and 2 with placebo).
Receives: Biological: TNM002 Dosage 4 (250 μg/kg); Biological: Placebo

What is being measured

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

  1. Incidence and severity of adverse events

    The investigator will assess the intensity for each AE reported during the study based on the investigator's clinical judgment. Adverse events will be recorded according to CTCAE V5.0.

    Measured: Up to 105 days post dosing

  2. Clinically significant abnormality in physical examinations

    clinically significant abnormality in general condition, skin, eyes/ears/nose/mouth/throat, neck/thyroid, chest/lungs, heart, vascular system, lymph nodes, abdomen, extremities, nervous systems/reflexes, musculoskeletal, spine

    Measured: Up to 105 days post dosing

  3. Change in RR intervals (msec)

    Measured using a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  4. Change in PR intervals (msec)

    Measured using a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  5. Change in QRS duration (msec)

    Measured using a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  6. Change in QT intervals (msec)

    Calculated using measurements by a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  7. Change in QTcB intervals (msec)

    Calculated using measurements by a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  8. Change in QTcF intervals (msec)

    Calculated using measurements by a 12 Lead Electrocardiogram

    Measured: Up to 105 days post dosing

  9. Change in Semi recumbent blood pressure (mmHg)

    Measured: Up to 105 days post dosing

  10. Change in pulse rate (bpm)

    Measured: Up to 105 days post dosing

  11. Change in body temperature (celsius)

    Measured: Up to 105 days post dosing

  12. Change in Hematocrit (ratio)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  13. Change in Haemoglobin (g/L)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  14. Change in Mean corpuscular hemoglobin (pg)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  15. Change in Mean corpuscular hemoglobin concentration (g/L)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  16. Change in Mean corpuscular volume (fL)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  17. Change in Platelet count (cells x 10^9/L))

    Measured by hematology test

    Measured: Up to 105 days post dosing

  18. Change in Red blood cell count (cells x 10^12/L)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  19. Change in White blood cell count (cells x 10^9/L)

    Measured by hematology test

    Measured: Up to 105 days post dosing

  20. Change in differential leukocyte count (cells x 10^9/L)

    Including eosinophils, monocytes, lymphocytes, basophils, and neutrophils, Measured by hematology test

    Measured: Up to 105 days post dosing

  21. Change in Serum Alanine Aminotransferase (ALT) (U/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  22. Change in Serum Albumin (g/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  23. Change in Serum Alkaline Phosphatase (ALP) (U/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  24. Change in Serum Aspartate Aminotransferase (AST) (U/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  25. Change in Serum Total Bilirubin (umol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  26. Change in Serum Blood urea nitrogen (BUN) (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  27. Change in Serum Calcium (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  28. Change in Serum Chloride (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  29. Change in Serum Cholesterol (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  30. Change in Serum Creatinine (umol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  31. Change in Serum Creatine Kinase (U/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  32. Change in Serum Glucose (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  33. Change in Serum Lactate Dehydrogenase (U/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  34. Change in Serum Phosphorus (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  35. Change in Serum Potassium (mmol/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  36. Change in Serum Total protein (g/L)

    measured by serum chemistry

    Measured: Up to 105 days post dosing

  37. Change in Urine Bilirubin (U-BIL)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  38. Change in Urine Glucose (GLU) (mg/dL)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  39. Change in Urine erythrocytes (U-RBC)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  40. Change in Urinary leukocyte (U-LEU)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  41. Change in Urine nitrites (U-NIT)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  42. Change in Urine protein (U-PRO)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  43. Change in Urine specific gravity (U-SG)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  44. Change in Urine urobilinogen (URO)

    measured by Urinalysis

    Measured: Up to 105 days post dosing

  45. Change in Prothrombin time (sec)

    measured by Blood Coagulation test

    Measured: Up to 105 days post dosing

  46. Change in Activated partial thromboplastin time (APTT)(sec)

    measured by Blood Coagulation test

    Measured: Up to 105 days post dosing

  47. Change in fibrinogen (g/L)

    measured by Blood Coagulation test

    Measured: Up to 105 days post dosing

  48. Change in international normalized ratio (INR)

    measured by Blood Coagulation test

    Measured: Up to 105 days post dosing

Secondary outcomes (12)
  1. Anti-TNM002 antibodies

    The numbers of subjects who developed anti-TNM002 antibodies

    Measured: Up to 105 days post dosing

  2. Anti-TNM002 antibodies

    The percentages of subjects who developed anti-TNM002 antibodies

    Measured: Up to 105 days post dosing

  3. Maximum observed plasma concentration (Cmax)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  4. Time of maximum plasma concentration (Tmax)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  5. Terminal half-life (T1/2)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  6. Area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-last)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  7. Area under the plasma concentration-time curve from time-zero extrapolated to infinite time (AUC0-inf)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  8. Apparent oral clearance (CL/F)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  9. Apparent volume of distribution (Vz/F)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  10. Mean retention time (MRT)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  11. Lambda z - the reciprocal of elimination rate constant

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

  12. The ratio of area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-last) extrapolated to AUC0-inf over AUC0-inf (% AUCex)

    Estimated by non-compartmental analysis (NCA) with WinNonlin Version 7. 0 or above

    Measured: Up to 105 days post dosing

Timeline

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

  1. First posted16 Nov 2020
  2. Study start25 Nov 2020
  3. Primary completion13 Aug 2021
  4. Study completion13 Aug 2021

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
Double blind
Who is masked
Participant, Investigator
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04629131
Sponsor's protocol ID
TNM002-P1-AU01
Status last verified
Nov 2022
First submitted
5 Nov 2020
Last updated
7 Nov 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in these articles, after deidentification (text, tables, figures, and appendices)

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TNM002 Dosage 1 (10 μg/kg), TNM002 Dosage 2 (35 μg/kg) and TNM002 Dosage 3 (100 μg/kg) in people with Healthy Adult Subjects, run by Zhuhai Trinomab Pharmaceutical Co., Ltd. at 1 site in Australia.

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 13 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 7 Nov 2022. 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 Australia. 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 adverse events (time frame: Up to 105 days post dosing). The study lists 48 primary outcomes in all. 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 7 Nov 2022; AzTrials last refreshed its copy on 9 Nov 2026.

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