A Phase 1, single dose study with 4 cohorts of ascending doses and an optional Japanese cohort designed to evaluate the safety, pharmacokinetics, and pharmacodynamics of MEDI5884 in healthy volunteers
This is a first time in human, phase 1, randomized, blinded, placebo-controlled study to evaluate the safety, pharmacokinetics and pharmacodynamics of single ascending subcutaneous doses of MEDI5884 in healthy volunteers (age 18-55). The study consists of 4 cohorts of increasing doses (8 subjects each) and an optional Japanese American cohort (24 subjects) for a total of 56 healthy subjects. The decision whether or not to dose escalate will be based upon data review by the Dose Escalation Committee. Subjects will be randomized 3:1 to MEDI5884 or placebo. Following screening, the study consists of a 3 day inpatient stay and follow up visits. The number of follow up visits depend on the cohort assigned.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
64
Participants will receive single dose of placebo matched MEDI5884 injection SC on Day 1
Participants will receive single dose MEDI5884 Dose 1 injection SC on Day 1.
Participants will receive single dose MEDI5884 Dose 2 injection SC on Day 1
Research Site
Glendale, California, United States
Number of subjects with adverse events as a measure of safety and tolerability of MEDI5884
Treatment emergent adverse events (TEAEs) and serious adverse events (TESAEs)
Time frame: Baseline until last follow-up visit, assessed up to 90 days post dose depending on cohort.
Number of subjects with adverse events as a measure of safety and tolerability of MEDI5884
12 lead electrocardiogram (ECG) including RR (The time between corresponding points on 2 consecutive R waves on ECG), PR (ECG interval measured from the onset of the P wave to the onset of the QRS complex) , QRS (ECG interval measured from the onset of the QRS complex to the J point) , QT (ECG interval measured from the onset of the QRS complex to the end of the T wave), and QTc (QT interval corrected for heart rate) intervals
Time frame: Baseline until last follow-up visit, assessed up to 90 days post dose depending on cohort.
Number of subjects with adverse events as a measure of safety and tolerability of MEDI5884
Vital signs (systolic and diastolic blood pressure, pulse rate, temperature, and respiratory rates)
Time frame: Baseline until last follow-up visit, assessed up to 90 days post dose depending on cohort.
Number of subjects with adverse events as a measure of safety and tolerability of MEDI5884
Clinical laboratory assessments (serum chemistry, hematology, and urinalysis)
Time frame: Baseline until last follow-up visit, assessed up to 90 days post dose depending on cohort.
HDL-Cholesterol over time
HDL-Cholesterol over time
Time frame: Baseline until last follow-up visit, assessed up to 90 days post dose depending on cohort.
Lipoprotein particle size
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Participants will receive single dose MEDI5884 Dose 3 injection SC on Day 1
Participants will receive single dose MEDI5884 Dose 4 injection SC on Day 1
Lipoprotein particle size
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Lipoprotein particle number
Lipoprotein particle number
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Levels of total cholesterol
Levels of total cholesterol
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Non-HDL-Cholesterol
Non-HDL-Cholesterol
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Low-density lipoprotein cholesterol (direct and Friedewald equation)
Low-density lipoprotein cholesterol (direct and Friedewald equation)
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Very low-density lipoprotein cholesterol
Very low-density lipoprotein cholesterol
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Triglycerides
Triglycerides
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Apolipoprotein B
Apolipoprotein B
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
Apolipoprotein A1
Apolipoprotein A1
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing
MEDI5884 serum concentration: maximum observed concentration
MEDI5884 serum concentration: maximum observed concentration
Time frame: Post dose on Days 1, 2, 3, 7, 14, 21, 28, 45 (cohorts 2-4 and Japanese American), 60 (cohorts 3, 4 and Japanese American), 75 (cohort 4), and 90 (cohort 4)
MEDI5884 serum concentration: time to maximum observed concentration
MEDI5884 serum concentration: time to maximum observed concentration
Time frame: Post dose on Days 1, 2, 3, 7, 14, 21, 28, 45 (cohorts 2-4 and Japanese American), 60 (cohorts 3, 4 and Japanese American), 75 (cohort 4), and 90 (cohort 4)
MEDI5884 serum concentration: area under the concentration time curve
MEDI5884 serum concentration: area under the concentration time curve
Time frame: Post dose on Days 1, 2, 3, 7, 14, 21, 28, 45 (cohorts 2-4 and Japanese American), 60 (cohorts 3, 4 and Japanese American), 75 (cohort 4), and 90 (cohort 4)
MEDI5884 serum concentration: terminal half-life
MEDI5884 serum concentration: terminal half-life
Time frame: Post dose on Days 1, 2, 3, 7, 14, 21, 28, 45 (cohorts 2-4 and Japanese American), 60 (cohorts 3, 4 and Japanese American), 75 (cohort 4), and 90 (cohort 4)
Anti-drug antibody
Anti-drug antibody
Time frame: Cohort 1: 28 days post dosing, Cohort 2: 45 days post dosing , Cohort 3: 60 days post dosing, Cohort 4: 90 days posting dosing, Optional Japanese American cohort: 60 days posting dosing