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HealthyPhase 1NCT05619536

Study of CD388 Subcutaneous Administration in Healthy Japanese Subjects

A Phase 1 study testing CD388 Injection in people with Healthy, run by Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 1 site in United States.

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 determine the safety and tolerability profile of CD388 Injection, as compared to saline placebo, when dosed by subcutaneous (SQ) administration as a single dose to healthy Japanese adult subjects. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
CD388 Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
1 siteUnited States
Study dates
18 Oct 2022to 14 Jul 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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Must be of Japanese descent with Japanese parents and grandparents, as determined by subject's verbal report.
  • Willing and able to provide written informed consent.
  • Males and females 18 to 65 years of age, inclusive.
  • A female subject must meet one of the following criteria:
  • If of childbearing potential - agrees to use a highly effective, preferably user-independent method of contraception (failure rate of <1 percent per year when used consistently and correctly) for at least 30 days prior to screening and agrees to remain on a highly effective method until 7 months after last dose of study medication, whichever is longer. Examples of highly-effective methods of contraception include: abstinence from heterosexual intercourse; hormonal contraceptives (birth control pills, injectable/implant/insertable hormonal birth control products, transdermal patch); intrauterine device (with or without hormones); or a double barrier method (e.g., condom and spermicide).
  • If a female of non-childbearing potential - should be surgically sterile (i.e., has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation/occlusion without reversal surgery) or in a menopausal state (at least 1 year without menses), as confirmed by follicle-stimulating hormone (FSH) levels (≥40 milli-International units [mIU]/milliliter [mL]).
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  • A woman of childbearing potential must have a negative highly sensitive serum pregnancy test (β-human chorionic gonadotropin) at screening and a negative urine pregnancy test on Day -1 before the first dose of study drug.
  • A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of at least 7 months after study drug administration.
  • A male subject that engages in sexual activity that has the risk of pregnancy must agree to use a double barrier method (e.g., condom and spermicide) and agree to not donate sperm during the study and for at least 7 months after the last dose of the study medication.
  • Good health and without signs or symptoms of current illness.
  • Normal clinical examination, including:
  • No physical examination findings that an Investigator determines would interfere with interpretation of study results.
  • Screening ECG without clinically significant abnormalities.
  • Creatinine clearance (CrCL) ≥80 mL/minute as calculated using the Cockcroft-Gault equation.
  • Negative urine screen for drugs of abuse and alcohol at screening and Day -1.
  • Body weight ≥50 kilograms (kg) and body mass index (BMI; calculated as weight in kg divided by height in meters [m] squared) between 18.0 and 30.0 kg/m^2, inclusive.
  • Willing to refrain from strenuous physical activity that could cause muscle aches or injury, including contact sports, at any time from screening through 30 days after any dose of study drug.
  • Subject has adequate venous access for blood collection.

Who cannot join

  • History of any hypersensitivity or allergic reaction to zanamivir or other neuraminidase inhibitors (i.e., laninamivir, oseltamivir, peramivir), or to excipients of the CD388 Injection drug formulation; or history of drug-induced exfoliative skin disorders (e.g., Stevens-Johnson syndrome [SJS], erythema multiforme, or toxic epidermal necrolysis [TEN]).
  • History of any of the following:
  • Allergies, anaphylaxis, skin rashes (foods such as milk, eggs, medications, vaccines, polyethylene glycol [PEG], etc.).
  • Chronic immune-mediated disease, positive first-degree family history of autoimmune diseases.
  • Atopic dermatitis or psoriasis.
  • Bleeding disorder.
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  • Psychiatric condition, seizures, hallucinations, anxiety, depression, or treatment for mental conditions.
  • Migraines.
  • Syncope, or vasovagal syndrome with injections or blood draws.
  • Cardiac arrhythmia considered clinically significant by the Investigator.
  • Subjects with one or more of the following laboratory abnormalities at screening as defined by the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events v2.1 (DAIDS 2017):
  • Serum creatinine, Grade ≥1 (≥1.1 × upper limit of normal [ULN]).
  • Pancreatic amylase or lipase, Grade ≥2 (≥1.5 × ULN).
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT), Grade ≥1 (≥1.25 × ULN).
  • Total bilirubin, Grade ≥1 (≥1.1 × ULN).
  • Any other toxicity Grade ≥2, except for Grade 2 elevations of triglycerides, low density lipoprotein cholesterol, and/or total cholesterol.
  • Any other laboratory abnormality considered to be clinically significant by the Investigator.
  • Note: Retesting of abnormal laboratory values that may lead to exclusion will be allowed once without prior asking approval from the Sponsor. Retesting will take place during a scheduled or unscheduled visit during screening. Subjects with a normal value at retest may be included.
  • Alcohol or drug addiction in the past 2 years.
  • Experiencing symptoms of acute illness or chronic disease within 14 days prior to clinical research unit (CRU) check-in.
  • At screening, a positive result for hepatitis B virus surface antigen, hepatitis C virus antibody, or human immunodeficiency virus (HIV) antibody.
  • A positive result at CRU check-in for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by polymerase chain reaction (PCR).
  • Unwilling to comply with local health policy effective at the time regarding coronavirus disease 2019 (COVID-19). Full COVID-19 vaccination prior to participation is strongly recommended.
  • Women who are pregnant or nursing.
  • Received any over-the-counter (OTC) medications or nutritional supplements within 7 days, or any prescription medications within 14 days or <5 half-lives prior to dosing, whichever is longest (except for hormonal contraceptives, acetaminophen, or ibuprofen).
  • Current nicotine user or has quit habitual nicotine use in the 30 days prior to screening.
  • Received any vaccines or immunoglobulins within 28 days prior to dosing (90 days in case of intravenous immunoglobulin [IVIg] or biologics, or 14 days for COVID-19 vaccine).
  • Donated blood (within 56 days of screening) or plasma (within 7 days of screening) or experienced significant blood loss or significant blood draw (blood donation or blood loss ≥500 mL) when participating in non-interventional clinical trials within 30 days prior to dosing.
  • Received a blood transfusion within 28 days prior to dosing.
  • Received any biologics within 90 days prior to dosing; or previous participation in another study (including investigational device studies) within 30 days of dosing or 5 half-lives of the study drug, whichever is longer, prior to screening (prior participation at any time in non-invasive methodology trials in which no drugs were given is acceptable).
  • Previous treatment with CD388.
  • Preplanned surgery at any time during the study.
  • The Principal Investigator (PI) considers that the volunteer should not participate in the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Altasciences Clinical Los Angeles, Inc.

    Cypress, California, 90630

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Single Ascending Dose Study to Determine the Safety, Tolerability, and Pharmacokinetics of CD388 Subcutaneous Administration in Healthy Japanese Subjects

The purpose of this study is to determine the safety and tolerability profile of CD388 Injection, as compared to saline placebo, when dosed by subcutaneous (SQ) administration as a single dose to healthy Japanese adult subjects.

Read the detailed description

This is a Phase 1, single-center, prospective, randomized, double-blind study of ascending single doses of CD388 Injection administered SQ to healthy Japanese adult subjects. The goals are to assess safety, tolerability, and pharmacokinetics (PK) of CD388.

Conditions
Healthy
Being tested
CD388 Injection, Saline placebo

What participants receive

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

  • CD388 InjectionCombination product

    CD388 liquid for injection

  • Saline placeboDrug

    Sterile normal saline for injection

Study groups in NCT05619536
Study groupRoleWhat they receive
Cohort 1Experimental9 subjects randomized in a 7:2 ratio to receive either 50 mg CD388 SQ injection or matching placebo injection
Receives: Combination Product: CD388 Injection; Drug: Saline placebo
Cohort 2Experimental9 subjects randomized in a 7:2 ratio to receive either 150 mg CD388 SQ injection or matching placebo injection
Receives: Combination Product: CD388 Injection; Drug: Saline placebo
Cohort 3Experimental9 subjects randomized in a 7:2 ratio to receive either 450 mg CD388 SQ injection or matching placebo injection
Receives: Combination Product: CD388 Injection; Drug: Saline placebo

What is being measured

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

  1. Number of Treatment-Emergent Adverse Events (TEAEs) After a Single Dose of CD388

    Number of TEAEs reported, including but not limited to adverse events (AEs) and serious adverse events (SAEs) (including systemic reactogenicity/injection site reactions and hypersensitivity reactions), and AEs leading to study drug discontinuation and/or study withdrawal, based on vital signs, electrocardiogram (ECG), and clinical laboratory test (including hematology, coagulation, serum chemistry, and urinalysis) abnormalities following a single dose of CD388.

    Measured: From Day 1 through the final study visit (Day 120 for the 50 mg dose arm; Day 165 for all others)

  2. Severity of Treatment-Emergent Adverse Events (TEAEs) After a Single Dose of CD388

    Severity of TEAEs reported, including but not limited to adverse events (AEs) and serious adverse events (SAEs) (including systemic reactogenicity/injection site reactions and hypersensitivity reactions), and AEs leading to study drug discontinuation and/or study withdrawal, based on vital signs, electrocardiogram (ECG), and clinical laboratory test (including hematology, coagulation, serum chemistry, and urinalysis) abnormalities following a single dose of CD388.

    Measured: From Day 1 through the final study visit (Day 120 for the 50 mg dose arm; Day 165 for all others)

Secondary outcomes (7)
  1. Maximum Plasma Concentration (Cmax) Following CD388 Injection Administration

    Evaluation of the maximum plasma concentration (Cmax) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  2. Time to Maximum Plasma Concentration (Tmax) Following CD388 Injection Administration

    Evaluation of the time to maximum plasma concentration (Tmax) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  3. Terminal Elimination Half-life (t½) Following CD388 Injection Administration

    Evaluation of the terminal elimination half-life (t½) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  4. Apparent Clearance (CL/F) Following CD388 Injection Administration

    Evaluation of the apparent clearance (CL/F) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  5. Apparent Volume of Distribution (VZ/F) Following CD388 Injection Administration

    Evaluation of the apparent volume of distribution (VZ/F) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  6. Area Under the Plasma Concentration-Time Curve From Time 0 to Time of Last Quantifiable Sample (AUC[0-last]) Following CD388 Injection Administration

    Evaluation of the area under the plasma concentration-time curve from time 0 to time of last quantifiable sample (AUC[0-last]) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

  7. Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC[0-∞]) Following CD388 Injection Administration

    Evaluation of the area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC[0-∞]) following subcutaneous administration of a single dose of CD388.

    Measured: At inpatient visits on Days 1, 2, 3, 4, 5, 6, 7, 9, 11, and 14; and at outpatient visits on Day 30 (±3 days), Day 45 (±3 days), Day 60 (±5 days), Day 90 (±7 days), and either Day 120 (±14 days) (Cohort 1 only) or Day 165 (±14 days) (Cohorts 2 and 3 only)

Timeline

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

  1. First posted17 Nov 2022
  2. Study start18 Oct 2022
  3. Primary completion14 Jul 2023
  4. Study completion14 Jul 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
Prevention
Allocation
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05619536
Sponsor's protocol ID
CD388.SQ.1.03
Status last verified
Jun 2024
First submitted
9 Nov 2022
Last updated
1 Oct 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CD388 Injection in people with Healthy, run by Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 1 site in United States.

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 18 inclusion and 33 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 1 Oct 2024. 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 States. 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 1 Oct 2024). 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 Treatment-Emergent Adverse Events (TEAEs) After a Single Dose of CD388 (time frame: From Day 1 through the final study visit (Day 120 for the 50 mg dose arm; Day 165 for all others)). The study lists 2 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 1 Oct 2024.

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