This study will induce disuse atrophy through unilateral immobilization of the thigh and lower leg in healthy male volunteers to evaluate the PD of a single subcutaneous dose of GYM329 prior to or after unilateral thigh and lower leg immobilization. Healthy male volunteers will receive either GYM329 or placebo by subcutaneous injection at two time points, before and after 2 weeks of unilateral thigh and lower leg immobilization, in an investigator- and subject-blinded, randomized, placebo-controlled, parallel-group design. At enrollment, all subjects will be randomized in a 1:2 ratio to either the pre-immobilization active drug group receiving a single subcutaneous dose of GYM329 before unilateral thigh and lower leg immobilization (Group A) or the pre-immobilization placebo group receiving a single subcutaneous dose of placebo before unilateral thigh and lower leg immobilization (Group B). On Day 15, subjects assigned to Group B and who completed the muscle strength assessment at Day15 will be further randomized in a 1:1 ratio to either the post-immobilization active drug group (Group B-1) or the post-immobilization placebo group (Group B-2). Group A will receive GYM329 on Day 1 and placebo on Day 15. Group B will receive placebo on Day 1. Subsequently, Group B-1 will receive GYM329 on Day 15 and Group B-2 will receive placebo on Day 15. Muscle strength will be measured at pre-immobilization of unilateral thigh and lower leg, post-immobilization of unilateral thigh and lower leg (Day 15), Day 29, and Day 43. Subjects will be observed for 252 days after the second study treatment administration (266 days after the first study treatment administration).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
30
QPS Netherlands B.V.
Groningen, Netherlands
Thigh muscle strength score
Percent change in thigh muscle strength score from Day 1 to Day 15 and Day 15 to Day 29 (Thigh muscle strength score: peak isometric knee extension torque and peak isokinetic knee extension torque at 90°/s and 180°/s)
Time frame: 28 days
Safety; Adverse event monitoring
Incidence and severity of adverse events
Time frame: 45 weeks
Safety; Laboratory tests
Incidence of laboratory abnormalities, based on clinical laboratory tests
Time frame: 45 weeks
Safety; Vital signs
Abnormality in vital signs
Time frame: 45 weeks
Safety; Electrocardiogram (ECG)
Abnormality in Electrocardiograms (ECGs)
Time frame: 45 weeks
Pharmacokinetics; Serum GYM329 concentrations
Serum GYM329 concentrations over time
Time frame: 45 weeks
Pharmacokinetics; Cmax
Cmax of GYM329
Time frame: 45 weeks
Pharmacokinetics; Tmax
Tmax of GYM329
Time frame: 45 weeks
Pharmacokinetics; AUC
AUC of GYM329
Time frame: 45 weeks
Pharmacokinetics; T1/2
T1/2 of GYM329
Time frame: 45 weeks
Immunogenicity
Incidence of serum anti-GYM329 antibodies
Time frame: 45 weeks
Pharmacodynamics; Muscle volume
Changes in thigh muscle volume over time
Time frame: 45 weeks
Pharmacodynamics; Total and free latent myostatin, mature myostatin
Changes in total and free latent myostatin, mature myostatin over time
Time frame: 45 weeks
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