The investigational product PF 06252616, a humanized anti myostatin monoclonal antibody that neutralizes myostatin (GDF8) is in development for the treatment of Limb Girdle Muscular Dystrophy 2I (LGMD2I) to preserve and/or improve muscle function. This study will provide the clinical assessment of the safety, tolerability, Pharmacokinetics and Pharmacodynamics of PF 06252616 following repeat IV doses in ambulatory adults with LGMD2I.
This study is a Phase 1b/2, open-label multiple ascending dose escalation study to evaluate the safety, tolerability, efficacy, PK and PD of PF 06252616 in ambulatory adults with LGMD2I. The study design is intended to determine the optimal safe and pharmacologically active dose of PF 06252616 in LGMD2I while providing an opportunity for all subjects to receive active drug for a rare and disabling disorder. The study will be conducted in three periods: Lead-In, Treatment and Follow-up periods. The Lead-In and Follow-up periods will each be 16 weeks to allow an assessment of the change of various outcome measures of this period of time and comparison of change in function before, during and after treatment. The Treatment period will be 32 weeks. Three cohorts of participants will be enrolled and receive escalating doses of PF 06252616. The first cohort will have the option to crossover to the highest dose.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
19
Hugo W. Moser Research Institute at Kennedy Krieger, Inc.
Baltimore, Maryland, United States
Incidence of Dose Limiting or Intolerability Treatment Related Adverse Events
Adverse events include subject-reported symptoms as well as clinically-significant changes in laboratory testing, vital signs, and suicide screening (based on the Columbia Suicide Severity Rating Scale).
Time frame: Baseline through 64 weeks
Maximum Observed Serum Concentration at Steady State (Cmax, ss) of GDF-8
The concentration of myostatin (GDF-8) was measured in serum 2 hours after dose administration at two visits (Day 337 and Day 393 for Cohort 1; Day 113 and 169 for Cohorts 2 and 3)where drug concentration had reached steady state. The highest concentration from these two time points was averaged for each cohort.
Time frame: Day 337 and Day 393 for Cohort 1; Day 113 and 169 for Cohorts 2 and 3
Minimum Observed Serum Trough Concentration at Steady State (Ctrough,ss) of GDF-8
The concentration of myostatin (GDF-8) was measured in serum prior to dose administration at two time points (Day 337 and Day 393 for Cohort 1; Day 113 and 169 for Cohorts 2 and 3) where drug concentration had reached steady state. The lowest concentration from these two time points was averaged for each cohort.
Time frame: Day 337 and Day 393 for Cohort 1; Day 113 and 169 for Cohorts 2 and 3
Maximum Observed Serum Concentration (Cmax) of PF-06252616
The peak concentration of study drug (PF-06252616) was measured in serum following dose administration at two time points (Day 113 and Day 169) where drug concentration had reached steady state. The higher concentration from these two time points was averaged for each cohort.
Time frame: Day 113 and Day 169
Minimum Observed Serum Trough Concentration (Ctrough) of PF-06252616
The peak concentration of study drug (PF-06252616) was measured in serum prior to dose administration at two time points (Day 113 and Day 169) where drug concentration had reached steady state. The lower concentration from these two time points was averaged for each cohort.
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Time frame: Day 113 and Day 169
Immunogenicity: Incidence of Anti-drug Antibody
Blood samples were tested for the presence of anti-drug antibodies prior to the initiation of study drug, at dose escalation (Cohort 1 only), and at 3 separate time points after the last dose was given.
Time frame: Baseline through 96 weeks
Mean Change From Baseline in 10 Meter Walk/Run Time in Seconds
Subjects are asked to run or walk as quickly as possible for 10 meters from a standing position. The total time to traverse 10 meters is recorded in seconds.
Time frame: Baseline through 32 weeks
Mean Change From Baseline of Forced Vital Capacity in Liters
The total forced vital capacity was measured using a bedside spirometer. The best of 3 trials was recorded.
Time frame: Baseline through 32 weeks
Mean Change From Baseline in 2MWD in Meters
Average change in distance (in meters) walked in 2 minutes.
Time frame: Baseline through 32 weeks
Mean Change From Baseline in TUG in Seconds
The timed-up-and-go test (TUG) is the total time it takes the subject to rise from a seated position, walk to a marker 3 meters away, return to the chair, and sit.
Time frame: Baseline through 32 weeks
Mean Change From Baseline in Muscle Strength as Measured by Modified MRC Scale
Twenty-two muscle groups were measured on a modified MRC scale ranging from 1 through 12. The total scores from all 22 muscle groups were added to generate a summary score ranging from 12 to 264 with higher scores signifying greater strength. The change in summary score was calculated over the first 32 weeks of treatment.
Time frame: Baseline through 32 weeks