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Rare DiseasesPhase 1NCT04765553

A Study to Evaluate Emapalumab in Japanese Healthy Volunteers.

A Phase 1 study testing NI-0501 and Saline in people with Rare Diseases, run by Swedish Orphan Biovitrum at 1 site in Japan.

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 randomized, placebo controlled and double-blinded study to evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects. Read more about this study

Who is it for?
Ages 20 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Rare Diseases
What is being tested?
NI-0501 and Saline
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
8 participants
Where
1 siteJapan
Study dates
14 Jan 2021to 25 Jul 2021
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 20 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy Japanese (male and female) subjects between 20 and 50 years (inclusive).
  • Body weight greater than 45 kg (female) or 50 kg (male) and a body mass index (BMI) >18 kg/m2 and < 30 kg/m2 (BMI= weight (kg) / height (m)²)
  • Vital signs in the following range:
  • Axillary body temperature: 35.2 - 37.5℃
  • Heart rate (after at least 3 minutes of rest, measured in the supine position): 40-100 bpm
  • BP < 140/80, mean of 3 readings after 15 minutes rest
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  • Haemoglobin level equal or above 11 g/dL in females and 13 g/dL in males.
  • Subject having C-reactive protein (CRP) levels within the normal range (local laboratory range).
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant having agreed to use highly effective methods of contraception during dosing and for 6 months after receiving IMP.
  • Highly effective contraception methods include:
  • Total abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
  • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
  • Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient, otherwise highly effective methods to be applied.
  • Use of oral (estrogen and progesterone) hormonal method of contraception, or placement of an intrauterine device (IUD) or intrauterine system (IUS)
  • In case of use of oral contraception women should have been stable on the same brand (or generic equivalent) for a minimum of 3 months before taking study treatment.
  • Women are considered post-menopausal and not of child bearing potential if they have had 12 months of natural (spontaneous) amenorrhea with an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms) or have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks ago.
  • Signed informed consent.

Who cannot join

  • Any clinically significant abnormality in the results of the safety laboratory tests. Subjects presenting a minor deviation from laboratory ranges could be enrolled if the investigator judge it to be non-clinically significant
  • Any clinically significant abnormality on the screening electrocardiogram (ECG), as judged by the investigator
  • History or clinical evidence of any disease and/or existence of any surgical or medical condition that might interfere with the absorption, distribution, metabolism or excretion of the study drugs
  • Actual presence or occurrence of any bacterial, viral, parasitic or fungal infection within the 4 weeks preceding IMP infusion
  • Positive results from serology examination for Hepatitis B surface antigen (HBsAg), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), syphilis (TP-antigen and RPR) or pregnancy
  • Positive stool test for Shigella or salmonella infection.
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  • Positive results from Sars-CoV-2 screening within 96 hours prior to randomization
  • History or clinical evidence suggestive of active or latent tuberculosis at screening. (i.e. test positive to the interferon gamma (IFNγ)-release assay)
  • History or presence of any severe allergic reactions
  • History of hypersensitivity or allergy to any component of emapalumab and/or valaciclovir hydrochloride
  • History or presence of any malignancy
  • History or presence of drug or alcohol abuse
  • Subject with a smoking history within the last 6 months prior to the time of screening
  • Immunization with a live vaccine within 6 weeks prior to receiving IMP and 12 weeks after IMP infusion
  • Experience of collected blood corresponding to any of the following
  • Component blood donation within 2 weeks before the screening test and within 2 weeks before the first study drug administration
  • Collection of 200 mL or more of blood (blood donation, etc.) from 4 weeks before the screening test until admission
  • Male subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 12weeks before the screening test until admission.
  • Female subject who has experience of collection of 400 mL or more of blood (blood donation, etc.) from 16weeks before the screening test until admission.
  • Usage of any prescription drugs within 2 weeks or over-the-counter medication including herbal supplements (with the exception of multi-vitamins) within 1 week before IMP administration without prior approval from the investigator
  • Positive pregnancy test at screening or Day -1
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect the subject's full participation in the study or compliance with the protocol
  • Enrollment in another concurrent clinical interventional study, or intake of another IMP, within four months or 5 half-lives (of the other IMP) prior to inclusion in this study

Trial locations and contacts

1 site in 1 country.

Japan1 site
  • P-One Clinic

    Tokyo

Other trials in Japan

About this study

Official title: A Randomized, Double-blinded, Placebo-controlled, Single Center, Phase I Study to Evaluate Pharmacokinetics, Pharmacodynamics and Safety of Emapalumab After a Single Intravenous Dose in Japanese Healthy Volunteers.

This is a randomized, placebo controlled and double-blinded study to evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects.

Read the detailed description

This is a randomized, placebo-controlled and double-blinded study to evaluate the PK, PD and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects, performed in Japan. The subjects, 8 in total, will be randomized to receive either emapalumab or matching placebo in a 3:1 ratio (emapalumab: placebo).

Conditions
Rare Diseases
Being tested
NI-0501, Saline
Medical subject headings
Rare Diseases

What participants receive

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

  • NI-0501Drug

    Also called Gamifant

    emapalumab single i.v infusion (1 mg/kg)

  • SalineDrug

    Also called Placebo

    Saline single i.v infusion

Study groups in NCT04765553
Study groupRoleWhat they receive
emapalumabActive comparatoremapalumab i.v infusion
Receives: Drug: NI-0501
PlaceboPlacebo comparatorSaline i.v. infusion
Receives: Drug: Saline

What is being measured

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

  1. The Maximum Observed Concentration of Emapalumab

    The maximum observed concentration of emapalumab (Cmax)

    Measured: Day 1 preinfusion, 1hr, 2hrs, 4hrs, 8hrs, 10hrs post dose, day 2, 3, 5, 8, week 2, 4, 6, 8, 10, 12, study completion week 14 or Withdrawal

  2. The Time at Which the Maximum Concentration of Emapalumab is Observed

    The time at which the maximum concentration of emapalumab is observed (Tmax)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  3. Concentration of Emapalumab at End of Infusion

    Concentration of emapalumab at end of infusion (CEnd of inf))

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  4. Area Under the Plasma Concentration-time Curve

    Area under the plasma concentration-time curve from emapalumab injection to time of last measurable concentration (AUClast)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  5. Area Under the Concentration-time Curve Extrapolated to Infinity

    Area under the plasma concentration-time curve from emapalumab injection extrapolated to infinity (AUCinf)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  6. Emapalumab Elimination Half-life

    Emapalumab elimination half-life (t1/2)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  7. Apparent Total Body Clearance of Emapalumab From Plasma

    Apparent total body clearance of emapalumab from plasma (CL)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

  8. Steady State Volume of Distribution

    Apparent volume of distribution at steady state (Vss)

    Measured: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal

Secondary outcomes (31)
  1. Overall Summary of Adverse Events

    Total number of reported adverse events

    Measured: Continuously from start of emapalumab infusion up to 14 weeks

  2. Change in Levels of Aspartate Aminotransferase

    Change from baseline in levels of Aspartate aminotransferase (AST)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  3. Change in Levels of Alanine Aminotransferase

    Change from baseline in levels of Alanine aminotransferase (ALT)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  4. Change in Levels of Direct Bilirubin

    Change from baseline in levels of Direct Bilirubin

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  5. Change in Levels of Total Bilirubin

    Change from baseline in levels of Total Bilirubin

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  6. Change in Levels of Uric Acid

    Change from baseline in levels of Uric acid

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  7. Change in Levels of Alkaline Phosphatase

    Change from baseline in levels of Alkaline phosphatase

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  8. Change in Levels of Total Protein

    Change from baseline in levels of Total protein

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  9. Change in Levels of Albumin

    Change from baseline in levels of Albumin

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  10. Change in Levels of Prothrombin Time/International Normalized Ratio

    Change from baseline in levels of Prothrombin Time/International Normalized Ratio (PTINR)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  11. Change in Levels of Fibrinogen

    Change from baseline in levels of Fibrinogen

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  12. Change in Levels of Complement C3

    Change from baseline in levels of Complement C3

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  13. Change in Levels of Creatinine

    Change from baseline in levels of Creatinine

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  14. Change in Levels of C-reactive Protein

    Change from baseline in levels of C-reactive protein (CRP)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  15. Change in Levels of Sodium

    Change from baseline in levels of Sodium

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  16. Change in Levels of Potassium

    Change from baseline in levels of Potassium

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  17. Change in Levels of Calcium

    Change from baseline in levels of Calcium

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  18. Change in Levels of Glucose

    Change from baseline in levels of Glucose

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  19. Change in Levels of HDL

    Change from baseline in levels of HDL

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  20. Change in Levels of LDL

    Change from baseline in levels of LDL

    Measured: Baselilne, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  21. Change in Levels of BUN/Urea Haematology

    Change from baseline in levels of BUN/Urea haematology

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  22. Change in Levels of Hemoglobin

    Change from baseline in levels of Hemoglobin

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  23. Change in Levels of Hematocrit

    Change from baseline in levels of Hematocrit

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  24. Change in Levels of Platelet Count

    Change from baseline in levels of Platelet count

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  25. Change in Levels of Neutrophils

    Change from baseline in levels of Neutrophils

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  26. Change in Levels of Red Blood Cells

    Change from baseline in levels of Red blood cells

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  27. Change in Levels of Immunoglobulin Levels

    Change from baseline in levels of Immunoglobulin levels (IgG)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  28. Change in Levels of Coagulation Profile

    Change from baseline in Activated Partial Thromboplastin Clotting Time (APTT)

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  29. Presence of Anti-drug Antibodies and Neutralizing Antibodies

    Presence of anti-drug antibodies (ADA) and neutralizing antibodies (nAb)

    Measured: From Day 1 to Week 14

  30. Change in Levels of Complement C4

    Change from baseline in levels of Complement C4

    Measured: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)

  31. Presence of Neutralizing Antibodies

    Presence of neutralizing antibodies (nAb)

    Measured: From Day 1 to Week 14

Timeline

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

  1. First posted21 Feb 2021
  2. Study start14 Jan 2021
  3. Primary completion25 Jun 2021
  4. Study completion25 Jul 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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Care provider
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04765553
Sponsor's protocol ID
Sobi.emapalumab-102
Status last verified
Nov 2023
First submitted
18 Jan 2021
Last updated
30 Nov 2023
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 testing NI-0501 and Saline in people with Rare Diseases, run by Swedish Orphan Biovitrum at 1 site in Japan.

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 23 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 30 Nov 2023. 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 Japan. 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?

Yes. Results are posted in the registry (first posted 24 Nov 2023). 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?

The Maximum Observed Concentration of Emapalumab (time frame: Day 1 preinfusion, 1hr, 2hrs, 4hrs, 8hrs, 10hrs post dose, day 2, 3, 5, 8, week 2, 4, 6, 8, 10, 12, study completion week 14 or Withdrawal). The study lists 8 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 30 Nov 2023.

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