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Immune Mediated Inflammatory DiseasesPhase 1NCT05003089

A Trial to Learn How BAY1834845 and BAY1830839 Affect Inflammation When Taken by Mouth Twice a Day for 7 Days in a Row in Healthy Male Participants

A Phase 1 study testing BAY1834845, BAY1830839 and Prednisolone in people with Immune Mediated Inflammatory Diseases, run by Bayer at 1 site in Netherlands.

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 immune system helps protect the body from diseases. But, sometimes the immune system can be too sensitive and overreact to very small allergens, like dust and pet dander. This can cause skin conditions like dermatitis and eczema. Read more about this study

Who is it for?
Ages 18 to 55 years, men onlyHealthy volunteers can take part
Conditions the study is for
Immune Mediated Inflammatory Diseases
What is being tested?
BAY1834845, BAY1830839 and Prednisolone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
51 participants
Where
1 siteNetherlands
Study dates
28 Jun 2021to 20 Jan 2022
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
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participant must be 18 to 55 years of age inclusive, at the time of signing the informed consent.
  • Overtly healthy as determined by medical evaluation including medical and surgical history, physical examination, laboratory tests, ECG and vital signs.
  • Participant has Fitzpatrick skin phototypes I (very fair), II (fair), or III (darker white skin).
  • Body weight must be above 50 kg and body mass index (BMI) above or equal 18.5 and lower or equal 28 kg/m2 at the screening visit.
  • Male.

Who cannot join

  • Medical disorder, condition or history of such that would impair the participant's ability to take part in or complete this study in the opinion of the investigator
  • A history of relevant diseases of vital organs, of the central nervous system including neuropsychiatric illness or other organs, previous syncope or autoimmune disease such as multiple sclerosis, inflammatory bowel disease, rheumatoid arthritis or other immune-inflammatory diseases.
  • Unintended weight loss or gain of at least 5 kg in 4 weeks at screening.
  • Any serious concomitant illness that anticipates the need of systemic medication interfering with the study medication.
  • A history of trauma with likely damage to the spleen, surgery to spleen or congenital abnormalities of the spleen.
  • Hemorrhagic diathesis (easy bruising, epistaxis, gastro-intestinal bleeding).
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  • History of known pulmonary embolism or known anti-phospholipid syndrome.
  • Previous participation in a systemic (i.v./inhalative) lipopolysaccharide (LPS) challenge trial within one year before start of treatment.
  • Diseases for which it can be assumed that the absorption, distribution, metabolism, elimination and effects of the study intervention(s) will not be normal (cholecystectomy permitted).
  • Any infection requiring hospitalization, systemic antimicrobial therapy within 60 days, or as otherwise judged to be an opportunistic infection or clinically significant by the investigator, within the past 6 months prior to treatment period.
  • Any active or ongoing chronic infectious disease including periodontitis with the exception of common viral or fungal skin infections such as plantar warts or athlete's foot.
  • Febrile illness within 30 days before the start of the first study intervention.
  • Medical history of sepsis, tuberculosis, increased frequency of infections, immunodeficiency diseases, with recent febrile diseases and anamnestic and/or laboratory signs of an impaired immune status or latent infections (hepatitis B, hepatitis C, and human immunodeficiency virus [HIV]).
  • History of COVID-19 within 6 months prior to treatment period or in case of clinically relevant sequela of former COVID-19 (such as fatigue or exercise dyspnea)
  • Contact with SARS-CoV-2- positive or COVID-19 patient within the last 2 weeks prior to SARS-CoV-2 viral PCR test (at visit 2).
  • History of major surgery within 8 weeks prior to treatment period or scheduled (elective) surgery, planned hospitalization and surgical dental treatment within study and 4 weeks after final follow-up.
  • History of or acute atopic dermatitis with active eczematous lesions, bronchial asthma or allergic rhino-conjunctivitis symptomatic during screening period.
  • History of other concomitant skin conditions (chronic inflammatory dermatoses) that would interfere with the evaluation of the effect of the study medication on contact dermatitis.
  • History of hypersensitivity to any of the components of the study interventions.
  • History of malignant tumors (except treated basal cell carcinoma).
  • Any clinical contraindications to treatment with steroids, such as uncontrolled hypertension, chronic liver disease (Child-Pugh scores B or C), latent diabetes mellitus, history of gastrointestinal bleeding.
  • Use of topical and systemic drugs (prescription or over-the-counter [OTC]) within 30 days or within 5 half-lives (whichever is longer) before start of treatment.
  • Use of other investigational drugs within 30 days or within 5 halflives (whichever is longer) of the investigational product before screening.
  • Receipt of live or attenuated vaccine (with the exception of adenovirus-vectored SARS-CoV-2 vaccinations) 90 days before start of treatment.
  • Vaccination completion (completion of 2nd vaccination shot if applicable) against SARS-CoV-2 or influenza vaccinations less than 15 days prior to first study drug administration. (Vaccines with a single-dose scheme: Receipt of vaccination < 29 days before the planned first administration of the study intervention).
  • Phototherapy and extensive sun/ ultraviolet (UV) exposure within 4 weeks prior screening and throughout study.
  • Clinically relevant findings in the ECG, blood pressure and pulse rate, which in the opinion of the investigator(s), may put the participant at risk because of his participation in the trial
  • Clinically relevant findings in the physical examination, especially skin abnormalities in the application area.
  • Clinically relevant deviations of the laboratory parameters from reference ranges at screening, ALT>1.1 x ULN, AST>1.2 x ULN, total bilirubin > ULN, CRP>5 mg/L (above ULN or clinical or laboratory signs of infection) or other clinically relevant laboratory abnormalities.
  • Whole blood or red blood cell donation, or any blood loss > 500 mL within 3 months prior to screening or donation of plasma within 14 days prior to screening.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Center for Human Drug Research

    Leiden, 2333 CL

Other trials in Netherlands

About this study

Official title: A Randomized, Controlled, Partial-blind, Parallel-group Study Evaluating the Effect of Oral Administration of BAY 1834845 and BAY 1830839 Twice Daily for 7 Consecutive Days on Local and Systemic IRAK4 Pathway-related Challenges in Healthy Male Participants

The immune system helps protect the body from diseases. But, sometimes the immune system can be too sensitive and overreact to very small allergens, like dust and pet dander. This can cause skin conditions like dermatitis and eczema. People with these skin conditions have inflammation that can cause dry, red, and itchy skin. These symptoms often "flare up", meaning that the symptoms come back after being gone for some time.

Researchers are looking for a different way to treat people who have skin conditions caused by an overreaction of the immune system. Before a treatment is available to all patients, researchers study it in trials to better understand its safety and how well it works.

Read more

In this trial, the researchers will learn more about how BAY1834845 and BAY1830839 work and how safe they are in healthy male participants.

The trial will include about 72 healthy male participants who are between the ages of 18 and 55.

The researchers will use a computer program to randomly choose the treatment each participant will take. This will help make sure the treatments are chosen fairly. Researchers do this so that comparing the results of the treatments is accurate as possible. The participants will be randomly put into 1 of 4 groups. The participants will take their trial treatment 2 times a day for 7 days in a row.

  • Group 1: BAY1834845 as tablets by mouth
  • Group 2: BAY1830839 as tablets by mouth
  • Group 3: A placebo as tablets by mouth
  • Group 4: Prednisolone as tablets by mouth A placebo looks like a treatment but does not have any medicine in it. Prednisolone is a steroid treatment that is already available for doctors to prescribe to people with skin conditions caused by an overreaction of the immune system.

All the participants will also receive imiquimod applied as a cream to their back. All participants will also receive lipopolysaccharide as an intravenous infusion. Imiquimod and lipopolysaccharide will be used to cause irritation and inflammation of the skin and in the blood. The researchers want to see if treatment with BAY1834845 and BAY1830939 can then help reduce these symptoms of irritation and inflammation.

In this trial, the researchers will look at:

  • the change in the amount of blood flow in the participants after imiquimod
  • the change in how red the participants' skin is after imiquimod
  • the change in the amount of inflammation applying the participants have after receiving lipopolysaccharide infusion
Being tested
BAY1834845, BAY1830839, Prednisolone, Placebo

What participants receive

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

  • BAY1834845Drug

    Tablet, oral.

  • BAY1830839Drug

    Tablet, oral.

  • PrednisoloneDrug

    Tablet, oral.

  • PlaceboDrug

    Tablet, oral.

Study groups in NCT05003089
Study groupRoleWhat they receive
BAY1834845 armExperimentalBAY1834845 will be administered twice daily for 7 consecutive days (Days 1 - 7).
Receives: Drug: BAY1834845
BAY1830839 armExperimentalBAY1830839 will be administered twice daily for 7 consecutive days (Days 1 - 7).
Receives: Drug: BAY1830839
Prednisolone armActive comparatorPrednisolone will be administered twice daily for 7 consecutive days (Days 1 - 7).
Receives: Drug: Prednisolone
Placebo armPlacebo comparatorPlacebo will be administered twice daily for 7 consecutive days (Days 1 - 7).
Receives: Drug: Placebo

What is being measured

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

  1. Average change of perfusion/basal flow

    The change from baseline will be averaged over the changes at 24 hour / 48 hour / 72 hour assessments

    Measured: Pre-challenge and at 24 hour / 48 hour / 72 hour after start of skin challenge

  2. Average change of erythema score

    The change from baseline will be averaged over the changes at 24 hour / 48 hour / 72 hour assessments. Erythema score will be measured by Antera 3D camera.

    Measured: Pre-challenge and at 24 hour / 48 hour / 72 hour after start of skin challenge

  3. Average change in TNF-α

    Measured: From pre-challenge up to 6 hour after the systemic challenge

  4. Average change in IL-6

    Measured: From pre-challenge up to 6 hour after the systemic challenge

Secondary outcomes (13)
  1. Change of perfusion/basal flow

    Measured: Pre-challenge and at 24 hour / 48 hour / 72 hour after start of skin challenge

  2. Change of erythema score

    Erythema score will be measured by Antera 3D camera.

    Measured: Pre-challenge and at 24 hour / 48 hour / 72 hour after start of skin challenge

  3. Average change of Clinician Erythema Assessment (CEA) score

    Clinician Erythema Assessment (CEA) scale:

    0 - Clear skin with no signs of erythema; 1 - Almost clear, slight redness; 2 - Mild erythema, defined redness; 3 - Moderate erythema, marked redness; 4 - Severe erythema, fiery redness.

    Measured: Pre-challenge and at 24 hour / 48 hour / 72 hour after first administration of skin challenge

  4. Changes in cytokines cells of skin suction blisters

    Skin suction blisters will be induced on the tape stripping and/or treated skin areas, allowing the collection of blister exudate for cytokine cell analysis.

    Measured: From baseline up to 72 hour after first administration of skin challenge

  5. Changes in immune cells of skin suction blisters

    Skin suction blisters will be induced on the tape stripping and/or treated skin areas, allowing the collection of blister exudate for immune cell analysis.

    Measured: From baseline up to 72 hour after first administration of skin challenge

  6. Changes in immune cells of blood samples

    Measured: From pre-challenge up to 24 hour after systemic challenge

  7. Changes in C-reactive protein (CRP) of blood samples

    Measured: From pre-challenge up to 24 hour after systemic challenge

  8. Changes in Procalcitonin (PCT) of blood samples

    Measured: From pre-challenge up to 24 hour after systemic challenge

  9. Changes in other inflammation markers of blood samples

    Measured: From pre-challenge up to 24 hour after systemic challenge

  10. Changes in temperature

    Measured: From pre-challenge to 0.5 hour / 1 hour / 2 hour / 4 hour / 6 hour and 8 hour after systemic challenge

  11. Changes in pulse rate

    Measured: From pre-challenge to 0.5 hour / 1 hour / 2 hour / 4 hour / 6 hour and 8 hour after systemic challenge

  12. Changes in systolic blood pressure

    Measured: From pre-challenge to 0.5 hour / 1 hour / 2 hour / 4 hour / 6 hour and 8 hour after systemic challenge

  13. Changes in diastolic blood pressure

    Measured: From pre-challenge to 0.5 hour / 1 hour / 2 hour / 4 hour / 6 hour and 8 hour after systemic challenge

Timeline

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

  1. First posted12 Aug 2021
  2. Study start28 Jun 2021
  3. Primary completion16 Dec 2021
  4. Study completion20 Jan 2022

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
51 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05003089
Sponsor's protocol ID
21329
Other IDs
2020-003138-18
Status last verified
Dec 2022
First submitted
16 Jul 2021
Last updated
16 Dec 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BAY1834845, BAY1830839 and Prednisolone in people with Immune Mediated Inflammatory Diseases, run by Bayer at 1 site in Netherlands.

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 5 inclusion and 30 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 16 Dec 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 Netherlands. 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?

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?

Average change of perfusion/basal flow (time frame: Pre-challenge and at 24 hour / 48 hour / 72 hour after start of skin challenge). The study lists 4 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 16 Dec 2022.

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