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Complement-mediated DisordersPhase 1NCT05937581

First-In-Human Study To Evaluate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Escalating Single And Multiple Doses Of CSL040 In Healthy Subjects

A Phase 1 study testing CSL040 in people with Complement-mediated Disorders, run by CSL Behring 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

First-In-Human Study To Evaluate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Escalating Single And Multiple Doses Of CSL040 In Healthy Subjects Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Complement-mediated Disorders
What is being tested?
CSL040
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
62 participants
Where
1 siteAustralia
Study dates
28 Sep 2023to 4 Dec 2025
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 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 1.Male or female 18 to 64 years of age, inclusive, at Screening
  • 2.Body weight in the range of greater than or equal to (≥) 50 kg and less than or equal to (≤) 100 kilogram (kg) , with a body mass index of ≥ 18 kilogram per meter square (kg/m2) and ≤ 30 kg/m2, at Screening
  • 3.Judged as healthy by an Investigator after completion of a comprehensive clinical assessment
  • 4.Capable of providing written informed consent and willing and able to adhere to all protocol requirements
  • 5.Can understand the nature, scope, and possible consequences of the study and able to comply with study procedures, restrictions, and requirements
  • 6. Able to provide proof of adequate vaccination (as determined by the Investigator) against meningococcal disease, including vaccination against meningococcal serogroup B and meningococcal serogroups A, C, W, and Y OR be willing to receive additional vaccinations against these serogroups per the Australian Immunisation Handbook
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  • 7.Continuous nonsmoker who has not used nicotine- and tobacco-containing products for at least 30 days prior to the first dosing based on urine cotinine testing at Screening and Day-1
  • 8.Able to provide proof of adequate vaccination (as determined by the Investigator) against Haemophilus influenzae type b, Pneumococcus OR be willing to receive additional vaccinations against these pathogens with the first dose at least 21 days before the first dose of CSL040
  • 9.Able to provide proof of adequate vaccination (as determined by the Investigator) against Severe Acute Respiratory Syndrome Coronavirus 2 (SARS_CoV-2) OR be willing to receive additional vaccination(s) to achieve adequate vaccination status at least 14 days before the first dose of CSL040. If there is proof of a recent SARS-CoV-2 infection (as determined by the Investigator) within 90 days of the first dose of CSL040, the requirement for a vaccination will follow the current local clinical practice

Who cannot join

  • 1.Any individual at high risk of exposure to Neisseria meningitidis, including, but not limited to, health care workers, doctors, nurses, students working in a clinical setting, laboratory workers with exposure to N. meningitidis, individuals residing in a dormitory setting (eg, military workers), and childcare workers
  • 2. Vaccination with any live replication-competent vaccine 90 days before Day 1 or planned vaccination with the same within 90 days after the last administration of CSL040
  • 3.A positive test result for any of the following: hepatitis B screening, hepatitis C virus antibody, or human immunodeficiency virus-1/2 antibody
  • 4.History concerning for a N. meningitidis infection
  • 5.History of allergy or intolerance to Penicillin V, as well as to potential backup medications including azithromycin, ciprofloxacin, and ceftriaxone
  • 6.History of unexplained, recurrent infection, life-threatening infection, or history that suggests any immunodeficiency (functional immunodeficiency), including asplenia / functional asplenia
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  • 7.Infection requiring treatment with systemic antibiotics (IV and / or oral administration for more than 3 days) within the last 90 days prior to dosing
  • 8.Clinical evidence of current active serious infection, including any localized infection, or any infection which makes participation in this study unacceptably high risk
  • 9.Blood pressure or pulse rate measurements outside the normal range for the subject's age and assessed as clinically significant
  • 10.Known history of severe hypersensitivity reactions or suspected hypersensitivity to CSL040 or any excipients including polysorbate 80, monoclonal antibodies, or any documented history of a severe allergic reaction (in the opinion of the Investigator), angioedema, or anaphylaxis to food or any other drugs.
  • 11.Subject has any condition that may compromise their safety or compliance, impede successful conduct of the study, interfere with interpretation of the results or would otherwise render the subject unsuitable for participation in the study
  • 12.A positive test result for drugs of abuse (including alcohol) and cotinine at Screening and / or Day -1.
  • 13.Weekly alcohol intake of > 10 units for females and > 14 units for males during the 3 months before Day -1.
  • 14.Any values above the upper limit of normal (ULN) for alanine aminotransaminase (ALT) or aspartate aminotransaminase (AST), or bilirubin test result
  • 15.Use of prescription or over-the-counter medication, herbal and dietary supplements, and vitamins and minerals (except any vaccinations or other medications required/permitted as per protocol) within the 21 days before first administration of investigational product
  • 16.Female subject of childbearing potential or fertile male subject who are neither using nor willing to use a highly effective method of contraception
  • 17.Pregnant, lactating, or breastfeeding
  • 18.Donation or loss of more than 500 milliLiter (mL) of blood within 3 months, or donation of plasma within 7 days, before admission to the unit or plans to donate blood or plasma and for 5 half-lives of the last dose of CSL040 or until the end of the study, whichever is longer
  • 19.Any planned surgical procedures during the study period
  • 20.Participation in any other investigational product study in which receipt of an investigational product occurred within 5 half-lives or 28 days (whichever is longer) before dosing of investigational product, or participation in more than 4 clinical studies involving administration of an investigational product within the last 12 months before Screening
  • 21.Subject who met all eligibility criteria but was not needed (ie, alternate subjects). Alternate subjects are eligible to participate in subsequent cohorts
  • 22. Prior dosing with CSL040

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Nucleus Network Pty Ltd

    Herston, Queensland, 4006

Other trials in Australia

About this study

Official title: A Phase 1, Double-Blind (Sponsor-Unblinded), Placebo-Controlled, Dose Escalation Study To Evaluate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Single And Multiple Doses Of CSL040 In Healthy Adult Subjects

First-In-Human Study To Evaluate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Escalating Single And Multiple Doses Of CSL040 In Healthy Subjects

Being tested
CSL040, Placebo
Keywords
Complement

What participants receive

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

  • CSL040Drug

    IV Administration

  • PlaceboDrug

    0.9% w/v NaCI, IV Administration

Study groups in NCT05937581
Study groupRoleWhat they receive
Part A [Single ascending dose (SAD)]: CSL040 (minimum dose)ExperimentalSingle Intravenous (IV) Administration
Receives: Drug: CSL040
Part A (SAD): CSL040 (lower dose)ExperimentalSingle IV Administration
Receives: Drug: CSL040
Part A (SAD): CSL040 (low dose)ExperimentalSingle IV Administration
Receives: Drug: CSL040
Part A (SAD): CSL040 (medium dose)ExperimentalSingle IV Administration
Receives: Drug: CSL040
Part A (SAD): CSL040 (medium-high dose)ExperimentalSingle IV Administration
Receives: Drug: CSL040
Part A (SAD): CSL040 (maximum dose)ExperimentalSingle IV Administration
Receives: Drug: CSL040
Part A (SAD): PlaceboPlacebo comparatorSingle IV Administration
Receives: Drug: Placebo
Part B [Multiple ascending dose (MAD)]: CSL040 (minimum dose)ExperimentalIV Administration not to exceed 5 doses over 14 days
Receives: Drug: CSL040
Part B (MAD): CSL040 (medium dose)ExperimentalIV Administration not to exceed 5 doses over 14 days
Receives: Drug: CSL040
Part B (MAD): CSL040 (high dose)ExperimentalIV Administration not to exceed 5 doses over 14 days
Receives: Drug: CSL040
Part B (MAD): PlaceboPlacebo comparatorIV Administration not to exceed 5 doses over 14 days
Receives: 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), adverse events of special interests (AESIs), and serious adverse events (SAEs)

    Measured: Part A (SAD): Up to 105 days; Part B (MAD): Up to 174 days

  2. Percentages of participants with TEAEs, AESIs, and SAEs

    Measured: Part A (SAD): Up to 105 days; Part B (MAD): Up to 174 days

  3. The Number of Clinically Significant Changes from Baseline in Clinical Laboratory Tests Reported as AE

    Clinical laboratory tests include hematology, biochemistry, coagulation, and urinalysis collected during the study. The investigator determines if the changes in laboratory test results are clinically significant.

    Measured: Baseline and up to 69 days

  4. Number of participants with vital signs out of normal range

    Blood pressure (systolic and diastolic), pulse rate, respiratory rate and tympanic temperature will be assessed.

    Measured: Baseline and up to 69 days

  5. Change from Baseline in corrected QT interval using Fridericia's formula (QTcF) values of triplicate electrocardiograms

    Measured: Baseline and up to 69 days

  6. Absolute values of QTcF on electrocardiograms

    Measured: Baseline and up to 69 days

  7. Number of participants with abnormal electrocardiogram findings

    Measured: Baseline and up to 69 days

Secondary outcomes (21)
  1. Part A (SAD): Maximum concentration (Cmax)

    Measured: Up to 56 days

  2. Part A (SAD): Time to reach maximum concentration (Tmax)

    Measured: Up to 56 days

  3. Part A (SAD): Time to Area under the concentration-time curve from time 0 to the last measurable concentration (AUC0-last)

    Measured: Up to 56 days

  4. Part A (SAD): Area under the concentration-time curve from time 0 to infinity (AUC0-infinity)

    Measured: Up to 56 days

  5. Part A (SAD): Total systemic clearance (CL)

    Measured: Up to 56 days

  6. Part A (SAD): Volume of distribution (V)

    Measured: Up to 56 days

  7. Part A (SAD): Terminal elimination half-life (T1/2)

    Measured: Up to 56 days

  8. Part B (MAD): Maximum concentration (Cmax)

    Measured: Up to 69 days

  9. Part B (MAD): Time to reach maximum concentration (Tmax)

    Measured: Up to 69 days

  10. Part B (MAD): Time to Area under the concentration-time curve in 1 dosing interval (AUCtau)

    Measured: Up to 69 days

  11. Part B (MAD): Accumulation index (accumulation ratio determined by the ratio of steady state AUCtau to single dose AUCtau)

    Measured: Up to 69 days

  12. Part B (MAD): Lowest concentration prior to dosing (Ctrough)

    Measured: Up to 69 days

  13. Part B (MAD): Total systemic clearance (CL)

    Measured: Up to 69 days

  14. Part B (MAD): Volume of distribution at steady state (Vss)

    Measured: Up to 69 days

  15. Part A (SAD) and Part B (MAD): Percent change from Baseline in pharmacodynamic (PD) parameters

    Levels of Wieslab ex vivo pathway activity for classical, lectin and alternative complement pathways, CH50 (hemolysis of sheep erythrocytes) and ApH50 (hemolysis of rabbit erythrocytes) will be measured and for each PD parameter presented as percent change from baseline over time profiles.

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  16. Part A (SAD) and Part B (MAD): Maximum percent change from Baseline (Emax) in PD parameters

    Levels of Wieslab ex vivo pathway activity for classical, lectin and alternative complement pathways, CH50 and ApH50 will be measured and for each PD parameter the maximum percent change from Baseline (Emax) will be determined.

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  17. Part A (SAD) and Part B (MAD): Time to maximum percent change from Baseline (TEmax) in PD parameters

    Levels of Wieslab ex vivo pathway activity for classical, lectin and alternative complement pathways, CH50 and ApH50 will be measured and for each PD parameter the Time to maximum percent change from Baseline (TEmax) will be determined.

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  18. Part A (SAD) and Part B (MAD): Time below Baseline in PD parameters

    Levels of Wieslab ex vivo pathway activity for classical, lectin and alternative complement pathways, CH50 and ApH50 will be measured and for each PD parameter the Time below Baseline will be determined.

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  19. Part A (SAD) and Part B (MAD): AUC below Baseline in PD parameters

    Levels of Wieslab ex vivo pathway activity for classical, lectin and alternative complement pathways, CH50 and ApH50 will be measured and for each PD parameter the AUC below Baseline will be determined.

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  20. Part A (SAD) and Part B (MAD): Number of serum samples with Positive antidrug antibodies (ADAs) binding to CSL040

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

  21. Part A (SAD) and Part B (MAD): Number of participants with presence of treatment-emergent ADAs

    Measured: Up to 56 days (Part A) and up to 69 days (Part B)

Timeline

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

  1. First posted10 Jul 2023
  2. Study start28 Sep 2023
  3. Primary completion4 Dec 2025
  4. Study completion4 Dec 2025

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05937581
Sponsor's protocol ID
CSL040_1001
Status last verified
Jan 2026
First submitted
18 May 2023
Last updated
3 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CSL040 in people with Complement-mediated Disorders, run by CSL Behring 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 9 inclusion and 22 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 3 Feb 2026. 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. 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?

Number of participants with treatment emergent adverse events (TEAEs), adverse events of special interests (AESIs), and serious adverse events (SAEs) (time frame: Part A (SAD): Up to 105 days; Part B (MAD): Up to 174 days). The study lists 7 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 3 Feb 2026.

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