Phase 1 randomized, double-blind, placebo-controlled single ascending dose (SAD) and multiple ascending dose (MAD) first-in-human study in healthy subjects. Safety and tolerability assessments will be conducted, and blood samples will be taken pre-dose and at several time points post-dose for pharmacokinetic (PK) and pharmacodynamics (PD) analysis.
In the SAD segment of the study, up to 4 ascending cohorts of 8 healthy subjects each will receive a single dose of study drug (AV-001 or placebo) in a sequential ascending manner. Planned doses may be adapted depending on emergent safety, tolerability and available PK data. Screening evaluations will occur from Day -28 to Day -2. Eligible subjects will be admitted to the clinical unit on Day -2. On Day 1, subjects will be randomized to AV-001 (6 subjects) or placebo (2 subjects) and receive a single dose of study drug. Subjects will be discharged on Day 2 after all post dose assessments have been completed and if there are no medical reasons for a longer stay in the clinical unit. An end of study visit will be conducted 7 to 10 days after Day 1 or at early termination. An initial sentinel group consisting of 1 subject receiving AV-001 and 1 subject receiving placebo will proceed for each cohort prior to treatment of the remainder of the cohort. After study drug administration to the sentinel group and an appropriate safety interval (at least 24 hours and per the discretion of the Principal Investigator (PI)), the remaining 5 subjects will receive a single dose of AV-001 and 1 subject will receive placebo administered in the same manner. PK blood samples will be collected at 15 time points relative to study drug dosing on Day 1. PD blood samples for will be collected at 6 time points on Day 1. In the MAD segment of the study, up to 2 ascending cohorts of 8 subjects each will receive once daily doses of study drug (AV-001 or placebo) for at least 7 days in a sequential ascending manner. Planned doses may be adapted and will be determined by the safety, tolerability and PK data from the SAD part of the study. Screening evaluations will occur from Day -28 to Day -2. Eligible subjects will be admitted to the clinical unit on Day -2. On Day 1, subjects will be randomized to AV-001 (6 subjects) or placebo (2 subjects). Subjects will receive once-daily doses of study drug from Day 1 through Day 7. Subjects will be discharged on Day 8 after all post dose assessments have been completed and if there are no medical reasons for a longer stay in the clinical unit. An end of study visit will be conducted 7 to 10 days after Day 7 or at early termination. PK blood samples will be collected at 15 time points relative to study drug dosing on Day 1 and Day 7 in addition to predose levels on Days 2 to 6. PD blood samples for will be collected at 6 time points on Day 1 and Day 7.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
48
Medpace Clinical Pharmacology Unit
Cincinnati, Ohio, United States
Participants experiencing drug-related adverse events
Number of drug-related adverse events as determined by abnormal clinical laboratory tests, vitals signs, continuous blood pressure monitoring and collection (systolic, diastolic, pulse pressure, heart rate and mean arterial pressure), physical exam and ECG parameters
Time frame: 8 days following a single intravenous dose (SAD) or 8 days following 7 consecutive daily intravenous doses (MAD)
Cmax: Maximum plasma AV-001 concentration
Maximum plasma AV-001 concentration
Time frame: 1 day following a single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
Tmax: Time of maximum plasma AV-001 concentration
Time of maximum plasma AV-001 concentration
Time frame: 1 day following a single intravenous dose (SAD); 8 days ollowing 7 consecutive daily intravenous doses (MAD)
AUClast: AUC from predose (time 0) to the time of the last quantifiable concentration
AUC from predose (time 0) to the time of the last quantifiable concentration
Time frame: 1 day following a single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
AUCinf: AUC from predose (time 0) extrapolated to infinite time
AUC from predose (time 0) extrapolated to infinite time
Time frame: 1 day following a single intravenous dose (SAD); 1 day following first daily intravenous dose (MAD)
AUCtau: AUC over the dose interval time
AUC over the dose interval time
Time frame: 8 days following 7 consecutive daily intravenous doses (MAD)
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λz: The terminal elimination rate
The terminal elimination rate
Time frame: 1 day following a single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
T½: Terminal elimination half-life
Terminal elimination half-life
Time frame: 1 day following a single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
CL: Total body clearance
Total body clearance
Time frame: 1 day following single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
Vz: Apparent volume of distribution
Apparent volume of distribution
Time frame: 1 day following a single intravenous dose (SAD); 8 days following 7 consecutive daily intravenous doses (MAD)
Ctau: Trough plasma concentration
Trough plasma concentration
Time frame: 6 days (day 2 through day 6 of daily intravenous doses) (MAD)
Rac(AUCtau), Rac(Cmax), Rac(Ctau): Accumulation ratios assessment
Accumulation ratios assessment
Time frame: 8 days following 7 consecutive daily intravenous doses (MAD)
LM: Time-invariance ratio calculation
Time-invariance ratio calculation
Time frame: 8 days following 7 consecutive daily intravenous doses (MAD)