Anticalin® proteins are engineered human proteins that are able to bind specific target molecules. The Anticalin PRS-080#022-DP to be investigated in this study is directed against hepcidin and is intended for the treatment of anemia of chronic disease. This pilot Phase 2a study shall investigate the safety, pharmacokinetics and pharmacodynamics of repeated administrations of PRS-080#022-DP in anemic stage 5 chronic kidney disease (CKD) patients undergoing hemodialysis.
This is a multi-center, randomized, double-blind, placebo-controlled, multiple ascending dose, pilot Phase 2a study in anemic stage 5 chronic kidney disease patients requiring hemodialysis. Eligible patients will undergo screening assessments and PRS-080#22-DP will be administered by intravenous infusion. The study will consist of 2 dose cohorts of 4 mg/kg and 8 mg/kg body weight with 6 patients in each cohort. Using a standard 4+2 design, 4 patients in each cohort will be randomized to PRS-080#022-DP and 2 patients in each cohort will be randomized to placebo. The decision to escalate the dose will be based on an interim analysis of clinical and laboratory safety as well on a comparison with pharmacokinetic data. Safety and tolerability, pharmacokinetics, pharmacodynamics as well as potential immunogenicity will be investigated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
11
Biological/Vaccine: PRS-080#022-DP Hepcidin antagonism to mobilize iron and to treat anemia
Placebo Comparator
University Hospital Brno
Brno, Czechia
HDS - Klaudian's Hospital
Mladá Boleslav, Czechia
Institute of Clinical and Experimental Medicine (ICEM)
Prague, Czechia
VFN Strahov
Prague, Czechia
Number of patients with adverse events
Composite measure including signs and symptoms, changes from baseline heart rate and blood pressure, ECG, body temperature, respiratory rate clinical chemistry and hematology
Time frame: 112 days
Cmax
Measuring the maximum concentration of PRS-080#022 in the blood
Time frame: 112 days
Effects of PRS-080#022 on serum iron
Changes in total serum iron concentration compared to baseline
Time frame: 56 days
Effects of PRS-080#022 on ferritin
Changes in serum ferritin concentration compared to baseline
Time frame: 56 days
Effects of PRS-080#022 on transferrin saturation
Changes in serum transferrin saturation compared to baseline
Time frame: 56 days
Effect of PRS-080#022 on hepcidin concentrations in plasma
Changes in hepcidin concentration compared to baseline
Time frame: 56 days
Number of patients developing anti-drug antibodies
Number of patients with antibodies against PRS-080#022 at day 28 compared to baseline
Time frame: 112 days
Effects on red blood cell Hb concentration
Changes in Hb concentration compared to baseline
Time frame: 56 days
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MZV DaVita
Düsseldorf, Germany
Technical University Munich
Munich, Germany
ctrough
Measuring the concentration of PRS-080#022 before the drug application
Time frame: 112 days
tmax
Evaluation of the time for PRS-080#022 to reach maximum concentration
Time frame: 112 days
Elimination of PRS-080#022
Evaluation of Terminal rate constant and terminal half-life (t½ ) after the very last administration of PRS-080 in plasma
Time frame: 112 days