The primary purpose of this study is to characterize the pharmacokinetic profile of intravenous Aralast Fraction (Fr.) IV-1, a sterile, stable, lyophilized preparation of functionally intact human Alpha1- Proteinase Inhibitor (α1-PI). This pharmacokinetic study will be a randomized controlled clinical trial with a cross-over design. Twenty-four subjects will be enrolled into the study. Overall study duration will be approximately 6-8 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
25
Subjects meeting the eligibility criteria were randomized to receive either single dose ARALAST alpha1-proteinase inhibitor 60 mg/kg or single-dose ARALAST alpha1-proteinase inhibitor Fr. IV-1 60 mg/kg at 0.2 mL/kg/min during the first treatment period with crossover to the alternate study product during the second treatment period, with a minimum of 7 days between the two treatment periods.
Subjects meeting the eligibility criteria were randomized to receive either single dose ARALAST alpha1-proteinase inhibitor 60 mg/kg or single-dose ARALAST alpha1-proteinase inhibitor Fr. IV-1 60 mg/kg at 0.2 mL/kg/min during the first treatment period with crossover to the alternate study product during the second treatment period, with a minimum of 7 days between the two treatment periods.
Unnamed facility
Adelaide, South Australia, Australia
Unnamed facility
Woodville, South Australia, Australia
Unnamed facility
Fitzroy, Victoria, Australia
Unnamed facility
Nedlands, Western Australia, Australia
Area Under the Curve/Dose
Area under the plasma alpha1-proteinase inhibitor (α1-PI) concentration versus time curve (AUC) calculated by linear trapezoidal method per dose.
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Total Area Under the Curve Per Dose
Total area under the α1-PI concentration vs. time curve from pharmacokinetic day 0 to time infinity (AUC 0-infinity) per dose
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Systemic Clearance (CL)
Computed as dose divided by AUC 0-infinity (AUC 0-infinity was calculated as the sum of AUC from time 0 to the time of last quantifiable concentration plus a tail area correction)
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Mean Residence Time (MRT)
Computed as total area under the moment curve (AUMC) divided by total AUC
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Apparent Volume of Distribution at Steady State
Computed as weight-adjusted CL \* MRT
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Terminal Half-life
Computed from the terminal or disposition rate constant obtained from log\_e -linear fitting using the least squares deviation to the last five quantifiable concentrations above pre-infusion level.
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
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Unnamed facility
Otahuhu, Auckland, New Zealand
Unnamed facility
Christchurch, New Zealand
Unnamed facility
Hamilton, New Zealand
Maximum Plasma Concentration (Cmax)
Maximum α1-PI concentration following infusion
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Time to Maximum α1-PI Concentration Post-infusion (Tmax)
Time to reach C-max. Tmax is the number of days from infusion to maximum concentration. Samples drawn at the end of infusion are considered to be time zero.
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Incremental Recovery
Computed from Cmax (mg/ml) divided by dose per kg body weight (mg/kg).
Time frame: Pharmacokinetic evaluation: 30 minutes pre-infusion up to 35 days post-infusion
Adverse Events (AEs)
Investigators assessed severity of AEs (occurring during or after infusions) based on: MILD: Transient discomfort, does not interfere in a significant manner with participant's normal functioning level; Resolves spontaneously or may require minimal therapeutic intervention MODERATE: AE produces limited impairment of function, can require therapeutic intervention; AE produces no sequelae; SEVERE: AE results in marked impairment of function, can lead to temporary inability to resume usual life pattern; AE produces sequelae, which require prolonged therapeutic intervention
Time frame: Throughout study period (7 months)