This is a randomized, placebo controlled and double-blinded study to evaluate the pharmacokinetics (PK), pharmacodynamics (PD) and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects.
This is a randomized, placebo-controlled and double-blinded study to evaluate the PK, PD and safety of a single dose (1 mg/kg) of emapalumab in adult healthy Japanese subjects, performed in Japan. The subjects, 8 in total, will be randomized to receive either emapalumab or matching placebo in a 3:1 ratio (emapalumab: placebo).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
8
P-One Clinic
Tokyo, Japan
The Maximum Observed Concentration of Emapalumab
The maximum observed concentration of emapalumab (Cmax)
Time frame: Day 1 preinfusion, 1hr, 2hrs, 4hrs, 8hrs, 10hrs post dose, day 2, 3, 5, 8, week 2, 4, 6, 8, 10, 12, study completion week 14 or Withdrawal
The Time at Which the Maximum Concentration of Emapalumab is Observed
The time at which the maximum concentration of emapalumab is observed (Tmax)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Concentration of Emapalumab at End of Infusion
Concentration of emapalumab at end of infusion (CEnd of inf))
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Area Under the Plasma Concentration-time Curve
Area under the plasma concentration-time curve from emapalumab injection to time of last measurable concentration (AUClast)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Area Under the Concentration-time Curve Extrapolated to Infinity
Area under the plasma concentration-time curve from emapalumab injection extrapolated to infinity (AUCinf)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Emapalumab Elimination Half-life
Emapalumab elimination half-life (t1/2)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
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Apparent Total Body Clearance of Emapalumab From Plasma
Apparent total body clearance of emapalumab from plasma (CL)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Steady State Volume of Distribution
Apparent volume of distribution at steady state (Vss)
Time frame: Day 1 preinfusion, 1hr, 2 hrs, 4hrs, 8hrs, 10hrs, Day 2, 3, 5, 8, Week 2, 4, 6, 8, 10, 12, study completion week 14 or at Withdrawal
Overall Summary of Adverse Events
Total number of reported adverse events
Time frame: Continuously from start of emapalumab infusion up to 14 weeks
Change in Levels of Aspartate Aminotransferase
Change from baseline in levels of Aspartate aminotransferase (AST)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Alanine Aminotransferase
Change from baseline in levels of Alanine aminotransferase (ALT)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Direct Bilirubin
Change from baseline in levels of Direct Bilirubin
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Total Bilirubin
Change from baseline in levels of Total Bilirubin
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Uric Acid
Change from baseline in levels of Uric acid
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Alkaline Phosphatase
Change from baseline in levels of Alkaline phosphatase
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Total Protein
Change from baseline in levels of Total protein
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Albumin
Change from baseline in levels of Albumin
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Prothrombin Time/International Normalized Ratio
Change from baseline in levels of Prothrombin Time/International Normalized Ratio (PTINR)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Fibrinogen
Change from baseline in levels of Fibrinogen
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Complement C3
Change from baseline in levels of Complement C3
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Creatinine
Change from baseline in levels of Creatinine
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of C-reactive Protein
Change from baseline in levels of C-reactive protein (CRP)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Sodium
Change from baseline in levels of Sodium
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Potassium
Change from baseline in levels of Potassium
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Calcium
Change from baseline in levels of Calcium
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Glucose
Change from baseline in levels of Glucose
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of HDL
Change from baseline in levels of HDL
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of LDL
Change from baseline in levels of LDL
Time frame: Baselilne, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of BUN/Urea Haematology
Change from baseline in levels of BUN/Urea haematology
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Hemoglobin
Change from baseline in levels of Hemoglobin
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Hematocrit
Change from baseline in levels of Hematocrit
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Platelet Count
Change from baseline in levels of Platelet count
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Neutrophils
Change from baseline in levels of Neutrophils
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Red Blood Cells
Change from baseline in levels of Red blood cells
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Immunoglobulin Levels
Change from baseline in levels of Immunoglobulin levels (IgG)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Change in Levels of Coagulation Profile
Change from baseline in Activated Partial Thromboplastin Clotting Time (APTT)
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Presence of Anti-drug Antibodies and Neutralizing Antibodies
Presence of anti-drug antibodies (ADA) and neutralizing antibodies (nAb)
Time frame: From Day 1 to Week 14
Change in Levels of Complement C4
Change from baseline in levels of Complement C4
Time frame: Baseline, Days 1,2,3,5,8, Weeks 2,4,6,10, and Study Completion Visit (Week 14)
Presence of Neutralizing Antibodies
Presence of neutralizing antibodies (nAb)
Time frame: From Day 1 to Week 14