This is a Phase 1 first-in-human (FIH) study evaluating single and multiple dose administration of AL-034 in healthy adult participants. The aim is to examine the safety (including pharmacodynamic \[PD\] biomarker assessments), tolerability, and pharmacokinetics (PK) of increasing single ascending doses (SADs) (Part 1) and multiple ascending doses (MADs) (Part 2) of AL-034. The potential food effect will be investigated in healthy adult participants at one or optionally 2 single dose level(s).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
42
Auckland Clinical Studies, Ltd.
Auckland, New Zealand
Part 1: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants With AEs by Severity
Severity of AEs will be graded according to the Division of Acquired Immune Deficiency Syndrome (DAIDS) Toxicity Grading Scale as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); Grade 4 (potentially life-threatening); and Grade 5 (death related to the AE).
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants With AEs by Severity
Severity of AEs will be graded according to the Division of AIDS (DAIDS) Toxicity Grading Scale as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); Grade 4 (potentially life-threatening); and Grade 5 (death related to the AE).
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Clinically Significant Changes in Physical Examination
Number of participants with clinically significant changes in the physical examination (including height, body weight measurement, and skin examination) will be reported.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Clinically Significant Changes in Physical Examination
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Number of participants with clinically significant changes in the physical examination (including height, body weight measurement, and skin examination) will be reported.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Vital Sign Abnormalities
Number of participants with vital signs abnormalities (vital signs includes body temperature, pulse rate, respiratory rate, oxygen saturation \[SaO2\] and blood pressure) will be reported.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Vital Sign Abnormalities
Number of participants with vital signs abnormalities (vital signs includes body temperature, pulse rate, respiratory rate, oxygen saturation \[SaO2\] and blood pressure) will be reported.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Laboratory Abnormalities
Number of participants with clinical laboratory abnormalities (serum chemistry, hematology, and coagulation) will be reported.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Laboratory Abnormalities
Number of participants with clinical laboratory abnormalities (serum chemistry, hematology, and coagulation) will be reported.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Holter Monitoring Abnormalities
Number of participants with Holter monitoring abnormalities (related to heart's activity such as rate and rhythm) will be reported.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Holter Monitoring Abnormalities
Number of participants with Holter monitoring abnormalities (related to heart's activity such as rate and rhythm) will be reported.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Electrocardiogram (ECG) Abnormalities
Number of participants with electrocardiogram (ECG) abnormalities will be reported.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Electrocardiogram (ECG) Abnormalities
Number of participants with electrocardiogram (ECG) abnormalities will be reported.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Cytokine Release Syndrome (CRS)
Number of participants with CRS will be reported. CRS is defined as a disorder characterized by nausea, headache, tachycardia, hypotension, rash, and/or shortness of breath.
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Cytokine Release Syndrome (CRS)
Number of participants with CRS will be reported. CRS is defined as a disorder characterized by nausea, headache, tachycardia, hypotension, rash, and/or shortness of breath.
Time frame: Approximately up to 12 weeks
Part 1: Number of Participants with Cytokine Release Syndrome (CRS) by Severity
Severity of CRS will be graded according to DAIDS as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); and Grade 4 (potentially life-threatening).
Time frame: Approximately up to 9 weeks
Part 2: Number of Participants with Cytokine Release Syndrome (CRS) by Severity
Severity of CRS will be graded according to DAIDS as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); and Grade 4 (potentially life-threatening).
Time frame: Approximately up to 12 weeks
Part 1: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Single Dose Administration in Fasted State
The Cmax is the maximum observed concentration of AL-034 in plasma following single ascending dose (SAD) administration.
Time frame: Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose
Part 2: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Repeated Dose Administration
The Cmax is the maximum observed concentration of AL-034 in plasma following multiple ascending dose (MAD) administration.
Time frame: Days 1, 22, and 29: predose, and 0.5, 1, 2, and 12 hours postdose
Part 1: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Single Dose Administration in Fasted State
AUC is the area under the plasma concentration time curve of AL-034 in plasma following SAD administration.
Time frame: Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose
Part 2: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Repeated Dose Administration
AUC is the area under the plasma concentration time curve of AL-034 in plasma following MAD administration.
Time frame: Days 1, 22, and 29: predose, and 0.5, 1, 2, and 12 hours postdose
Part 1: AL-034 Concentration in Urine Following a Single Dose Administration
Concentration in urine of AL-034 following a single dose administration will be determined.
Time frame: Day 1: 0 to 6, 6 to 12, and 12 to 24 hours postdose
Part 2: AL-034 Concentration in Urine Following Repeated Dose Administration
Concentration in urine of AL-034 following MAD administration will be determined.
Time frame: Day 1: 0 to 6, 6 to 12, and 12 to 24 hours postdose
Part 1: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Single Dose Administration in Fed State
The Cmax is the maximum observed concentration of AL-034 in plasma following SAD administration.
Time frame: Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose
Part 2: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Single Dose Administration in Fed State
AUC is the area under the plasma concentration time curve of AL-034 in plasma following SAD administration.
Time frame: Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose