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HealthyPhase 1NCT05307978

Safety and Tolerability, Pharmacokinetic, and Pharmacodynamic Study of ALXN1910 in Healthy Participants

A Phase 1 study testing ALXN1910 in people with Healthy, run by Alexion Pharmaceuticals, Inc. at 1 site in United Kingdom.

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 study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of single ascending doses (SADs) of ALXN1910 subcutaneous (SC) and SAD of ALXN1910 intravenous (IV). Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
ALXN1910
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
1 siteUnited Kingdom
Study dates
12 Apr 2022to 7 Feb 2023
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 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy participants
  • Participants of Japanese descent are defined as: First generation (born to 2 Japanese parents and 4 Japanese grandparents).
  • Participants of Japanese descent must be between 20 and 55 years of age.

Who cannot join

  • Current or recurrent disease
  • Current or relevant history of physical or psychiatric illness.
  • Any other significant disease or disorder that, in the opinion of the Investigator, may put the participant at risk.
  • History of significant allergic reaction (eg, anaphylaxis or angioedema) to any product (eg, food, pharmaceutical).
  • Female participants who are pregnant or breastfeeding.
  • Major surgery or hospitalization within 90 days prior to dosing on Day1.
  • History of exposure to asfotase alfa.
  • History of allergy or hypersensitivity to excipients of asfotase alfa or ALXN1910 (eg,sodium phosphate, sodium chloride).

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Clinical Trial Site

    Harrow, HA1 3UJ

Other trials in United Kingdom

About this study

Official title: A Phase 1, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study of Subcutaneously and Intravenously Administered ALXN1910 in Healthy Adult Participants

This is a Phase 1, randomized, double-blind, placebo-controlled study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of single ascending doses (SADs) of ALXN1910 subcutaneous (SC) and SAD of ALXN1910 intravenous (IV).

Conditions
Healthy
Being tested
ALXN1910, Placebo
Keywords
ALXN1910, Safety, Pharmacokinetics, Pharmacodynamics, Japanese Descent

What participants receive

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

  • ALXN1910Drug

    Participants will receive a single dose of ALXN1910 IV or ALXN1910 SC according to their assigned cohort.

  • PlaceboDrug

    Participants will receive Placebo IV or Placebo SC according to their assigned cohort.

Study groups in NCT05307978
Study groupRoleWhat they receive
Cohort 1ExperimentalParticipants will receive a single dose of 5 mg of ALXN1910 IV or Placebo IV.
Receives: Drug: ALXN1910; Drug: Placebo
Cohort 2ExperimentalParticipants will receive a single dose of 15 mg of ALXN1910 SC or Placebo SC.
Receives: Drug: ALXN1910; Drug: Placebo
Cohort 3ExperimentalParticipant will receive a single dose of 15 mg of ALXN1910 IV or Placebo IV.
Receives: Drug: ALXN1910; Drug: Placebo
Cohort 4ExperimentalJapanese participants will receive a single dose of 15 mg of ALXN1910 SC or Placebo SC.
Receives: Drug: ALXN1910; Drug: Placebo
Cohort 5ExperimentalParticipants will receive a single dose of 45 mg of ALXN1910 SC or Placebo SC.
Receives: Drug: ALXN1910; Drug: Placebo
Cohort 6ExperimentalParticipants will receive a single dose of 135 mg of ALXN1910 SC or Placebo SC.
Receives: Drug: ALXN1910; Drug: Placebo

What is being measured

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

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    The safety and tolerability of ALXN1910 was assessed.

    Measured: Day 1 (postdose) through Day 75

Secondary outcomes (23)
  1. Maximum Observed Serum Concentration (Cmax)

    The Cmax was assessed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  2. Time to Maximum Observed Serum Concentration (Tmax)

    The Tmax was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  3. Apparent Terminal Elimination Half Life (t1/2)

    The t1/2 was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  4. Terminal-phase Elimination Rate Constant (λz)

    The λz was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  5. AUC From Time Zero to the Last Quantifiable Concentratio (AUCt)

    The AUCt was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  6. AUC From Time Zero Extrapolated to Infinity (AUC∞)

    The AUC∞ was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  7. AUC From Time Zero to 168h (AUC0-168)

    The AUC0-168 was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  8. Percentage of AUC∞ Obtained by Extrapolation Beyond Tlast (%AUCex)

    The %AUCex was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  9. Total Body Clearance (for IV Cohorts) or Apparent Clearance (for SC Cohorts) (CL or CL/F)

    The CL or CL/F was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  10. Volume of Distribution (for IV Cohorts) or Apparent Volume of Distribution (for SC Cohorts) (Vd or Vd/F)

    The Vd or Vd/F was assed as PK parameter of single ascending doses of ALXN1910.

    Measured: Days 1 through 5 (predose and up to 96 hours postdose), postdose on Days 6, 7, 8, 15, 22, 29, 36, 43, and 75

  11. Plasma Concentration of Inorganic Pyrophosphate (PPi)

    The plasma concentrations of PPi was assesed.

    Measured: Day 1 (predose), 2, 3, 5, 8, 15, 22, 29, 36, 43, and 75

  12. Plasma Concentration of Pyridoxal (PL)

    The plasma concentrations of PL was assessed.

    Measured: Day 1 (predose), 2, 3, 5, 8, 15, 22, 29, 36, 43, and 75

  13. Plasma Concentration of Pyridoxal 5-Phosphate (PLP)

    The plasma concentrations of PLP was assessed.

    Measured: Day 1 (predose), 2, 3, 5, 8, 15, 22, 29, 36, 43, and 75

  14. Plasma Concentration of Pyridoxic Acid (PA)

    The plasma concentrations of PA was assessed.

    Measured: Day 1 (predose), 2, 3, 5, 8, 15, 22, 29, 36, 43, and 75

  15. Number of Participants With Positive Treatment-Emergent Antidrug Antibodies (ADAs)

    The ADAs of ALXN1910 was assessed as immunogenicity parameter. Treatment-emergent ADA Responses is defined as a positive result in the ADA assay post first dose, when baseline results are negative or missing.

    Measured: Day 1 (postdose) through Day 75

  16. Geometric Mean Ratio (GMR) of Area Under the Curve (AUC∞) Values of Subcutaneous (SC) Versus Intravenous (IV) Serum Concentration of ALXN1910

    The absolute bioavailability GMR AUC∞ of ALXN1910 SC was assessed.

    Measured: Up to Day 75

  17. Maximum Observed Serum Concentration (Cmax) in Japanese and Non-Japanese Participants

    Quantitative assessment of PK parameter (Cmax) was assessed between Japanese and non-Japanese participants.

    Measured: Up to Day 75

  18. AUC From Time Zero to the Last Quantifiable Concentration (AUCt) in Japanese and Non-Japanese Participants

    Quantitative assessment of PK parameter (AUCt) was assessed between Japanese and non-Japanese participants.

    Measured: Up to Day 75

  19. AUC From Time Zero Extrapolated to Infinity (AUC∞) in Japanese and Non-Japanese Participants

    Quantitative assessment of PK parameter (AUC∞) was assessed between Japanese and non-Japanese participants.

    Measured: Up to Day 75

  20. Change From Baseline in Inorganic Pyrophosphate Concentration in Japanese and Non-Japanese Participants

    Change from baseline in PD parameter Inorganic Pyrophosphate was evaluated over time for Japanese and non-Japanese participants (Cohort 2 versus Cohort 4) on active treatment.

    Measured: Day 2, 15, 22, 43, and 75

  21. Change From Baseline in Pyridoxal-5-phosphate Concentration in Japanese and Non-Japanese Participants

    Change from baseline in PD parameter Pyridoxal-5-phosphate was evaluated over time for Japanese and non-Japanese participants (Cohort 2 versus Cohort 4) on active treatment

    Measured: Day 2, 15, 22, 43, and 75

  22. Change From Baseline in Pyridoxal Concentration in Japanese and Non-Japanese Participants

    Change from baseline in PD parameter Pyridoxal was evaluated over time for Japanese and non-Japanese participants (Cohort 2 versus Cohort 4) on active treatment.

    Measured: Day 2, 15, 22, 43, and 75

  23. Change From Baseline in Pyridoxic Acid Concentration in Japanese and Non-Japanese Participants

    Change from baseline in PD parameter Pyridoxic Acid was evaluated over time for Japanese and non-Japanese participants (Cohort 2 versus Cohort 4) on active treatment.

    Measured: Day 2, 15, 22, 43, and 75

Timeline

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

  1. First posted1 Apr 2022
  2. Study start12 Apr 2022
  3. Primary completion7 Feb 2023
  4. Study completion7 Feb 2023

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05307978
Sponsor's protocol ID
ALXN1910-HV-101
Status last verified
Jan 2025
First submitted
24 Mar 2022
Last updated
27 Feb 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ALXN1910 in people with Healthy, run by Alexion Pharmaceuticals, Inc. at 1 site in United Kingdom.

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 3 inclusion and 8 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 27 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 United Kingdom. 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?

Yes. Results are posted in the registry (first posted 27 Feb 2025). 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?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) (time frame: Day 1 (postdose) through Day 75). 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 27 Feb 2025.

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