In this study, the new drug called PPSGG (PN-1007) will be tested. Preliminary studies conducted in animals suggest PPSGG (PN-1007) might be a good treatment for reducing levels of anti-MAG antibodies in patients with anti-MAG neuropathy. This is the first research of PPSGG (PN-1007) in people and its main purpose is to test its safety and acceptability in patients. In this study it will be examined how the drug is changed by and removed from the body and checked for signs that the drug may be truly effective against anti-MAG neuropathy. PPSGG (PN-1007) will be tested at several different doses.
PPSGG (PN-1007) is intended to bind anti-MAG IgM autoantibodies, the underlying cause of anti-MAG neuropathy, in a highly selective manner, resulting in their neutralization and removal from the circulation. This allows specific targeting of anti-MAG IgM in the circulation and circumvents unspecific immunosuppression associated with current treatment strategies. This is a Phase I/IIa, First in Human (FiH), multicenter, single and multiple ascending dose escalation trial of PPSGG (PN-1007), an antibody scavenger of pathogenic anti-MAG immunoglobulin M (IgM) autoantibodies for treatment of anti-MAG neuropathy. The aim of the study is to assess the safety and tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of PPSGG (PN-1007) in a SAD and a MAD phase in an adaptive trial in anti-MAG neuropathy patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
1
Service de Neurologie Centre de Référence Neuropathies Périphériques Rares, CHU Limoges
Limoges, France
Referral centre for neuromuscular diseases and ALS, hôpital La Timone
Marseille, France
Département de Neurologie Pôle Neurosciences Centre de Référence des Neuropathies Amyloïdes Familiales et autres Neuropathies Périphériques Rares Centre Hospitalier Universitaire de Bicêtre
Paris, France
UMC Utrecht Cancer Center
Utrecht, Netherlands
Barcelona
Barcelona, Spain
Lausanne
Lausanne, Switzerland
National hospital for neurology and neurosurgery, Queen London
London, United Kingdom
Adverse Events (AEs) and Serious Adverse Events (SAEs)
All AEs will be recorded, whether considered minor or serious, drug-related or not
Time frame: 1 month
anti-drug-antibodies ADA
Potential ADAs (immunogenicity) resulting from exposure of patients to PPSGG (PN-1007) will be measured by ELISA
Time frame: 1 month in SAD
Tmax
Time of peak concentration of PPSGG (PN-1007)
Time frame: Day 1 to Day 42
Cmax
Maximum Plasma Concentration of PPSGG (PN-1007)
Time frame: Day 1 to Day 42
AUCinf
Area under the plasma concentration versus time curve from zero to infinity of PPSGG (PN-1007)
Time frame: Day 1 to Day 42
t1/2
Terminal half life of PPSGG (PN-1007)
Time frame: Day 1 to Day 42
Pharmacodynamic
Change in anti-MAG Buhlmann titer from baseline measured by ELISA
Time frame: up to Day 28
Change From Baseline in ONLS
Overall Neuropathy Limitations Scale measures limitations in the everyday activities of the upper and lower limbs
Time frame: up to Day 150 in MAD
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