This is a Phase 1, first-in-human, randomized, double-blind, placebo-controlled, single ascending dose, sequential group study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of PB2452 with and without ticagrelor pretreatment when administered to healthy male and female subjects. Up to 6 dose levels will be evaluated. This study will have up to 10 cohorts and up to a total of approximately 76 subjects with either 4 or 8 healthy young subjects in Cohorts 1 through 9 or approximately 16 older subjects in Cohort 10. The starting dose of PB2452 will be 100 mg and the planned doses for subsequent cohorts are 300, 1000, 3000, 9000, and 18000 mg.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
64
30 minute - 12 hour infusion
30 minute - 12 hour infusion
Ticagrelor 180 mg + 90 mg BID for 5 doses prior to MEDI2452 (PB2452) or Placebo
Ticagrelor 180 mg + 90 mg BID for 5 doses prior to MEDI2452 (PB2452) or Placebo and Ticagerlor 180 mg 24 hours following MEDI2452 (PB2452) or Placebo
PPD
Austin, Texas, United States
Number of Participants With Adverse Events (AEs)
An AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related.
Time frame: Day -3 (Cohorts 4 through 10) or Day -1 (Cohorts 1 through 3) until Day 28
Number of Participants With Clinically Significant Laboratory Abnormalities
Number of participants with clinically significant abnormal laboratory findings for hematology, coagulation, serum chemistry, urinalysis and drug tests.
Time frame: 30 Day - Starting day of dosing
Change in Diastolic Blood Pressure
Diastolic blood pressure measurements were measured at specific time points.
Time frame: Days 1, 2, 3, 4, 7 and 28
Change in Systolic Blood Pressure
Systolic blood pressure measurements were measured at specific time points.
Time frame: Days 1, 2, 3, 4, 7 and 28
Change In Oral Body Temperature
Body temperature measurements were measured at specific time points.
Time frame: Days 1, 2, 3, 4, 7 and 28
Change In Respiratory Rate
Respiratory rate measurements were measured at specific time points.
Time frame: Days 1, 2, 3, 4, 7 and 28
Change In Heart Rate
Heart rate measurements were measured at specific time points.
Time frame: Days 1, 2, 3, 4, 7 and 28
Incidence of Clinically Significant 12-Lead Electrocardiogram (ECG) Findings
Number of participants per cohort with clinically significant ECG findings.
Time frame: 60 days - Starting up to 28 days prior to dosing
Incidence of Clinically Significant Cardiac Telemetry Findings
Number of participants per cohort with clinically significant cardiac telemetry findings.
Time frame: 3 Days - Starting 1 day prior to dosing up to 2 days after dosing
Participants Experiencing Anti-drug Antibodies (ADAs)
Incidence of Immunogenicity.
Time frame: Day -3, Day -1, Day 7, and Day 28
Maximal Percent of Baseline Platelet Aggregation (PA(Max)) in Cohorts 4-6
Effectiveness Of Single Ascending Doses Of PB2452. IPA \[maximum (max)\] induced by 20 µM adenosine diphosphate (ADP) at each assessment point.
Time frame: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.
Final Extent Percent of Baseline Platelet Aggregation in Cohorts 4-6
Effectiveness Of Single Ascending Doses Of PB2452. IPA \[final extent\] induced by 20 µM adenosine diphosphate (ADP) at each assessment point.
Time frame: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.
Maximal Actual Platelet Aggregation (APA(Max)) (Cohorts 4-6)
Effectiveness Of Single Ascending Doses Of PB2452 - Inhibition of maximal platelet aggregation.
Time frame: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose (Cohorts 8 and 9 Only).
Time to Maximum Platelet Aggregation (TPA(Max)) (Cohorts 4-6)
Effectiveness Of Single Ascending Doses Of PB2452 - Time to IPAmax.
Time frame: Before dosing and at 0.5, 1, 2, 3, 6, 12, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose.
Maximal Percent of Baseline Platelet Aggregation (PA(Max)) (Cohorts 7-10)
Effectiveness Of Single Ascending Doses Of PB2452 - IPA (max) induced by 20 µM ADP at each assessment point.
Time frame: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.
Final Extent Percent of Baseline Platelet Aggregation (Cohorts 7-10)
Effectiveness Of Single Ascending Doses Of PB2452 - IPA (max) induced by 20 µM ADP at each assessment point.
Time frame: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.
Maximal Actual Platelet Aggregation (APA(Max)) (Cohorts 7-10)
Effectiveness Of Single Ascending Doses Of PB2452 - Inhibition of maximal platelet aggregation.
Time frame: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose
Time to Maximum Platelet Aggregation (TPA(Max))(Cohorts 7-10)
Effectiveness Of Single Ascending Doses Of PB2452 - Time to IPAmax
Time frame: Before dosing and at 5 min, 0.25, 0.5, 1, 2, 3, 6, 8, 10, 12, 16, 20, 24, and 48 hours after PB2452 infusion and 5th ticagrelor dose. And at 1, 2, 6, and 12 hours after the Day 2 post-MEDI2452 (PB2452) 6th ticagrelor dose.
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