This double-blinded, placebo-controlled, single ascending dose (SAD) study is designed to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity in healthy subjects of a single dose of AV-380. AV-380 is an immunoglobulin (Ig) G1 monoclonal antibody (mAb) intended to bind circulating human growth differentiation factor 15 (GDF-15), a cytokine involved in cancer-induced cachexia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
51
Biotrial Inc.
Newark, New Jersey, United States
Assessment of adverse events (AEs) and treatment emergent adverse events (TEAEs)
Time frame: Through study completion, an average of 60 days
Injection site safety and tolerability assessment
Site injection tolerability will be assessed by the Investigator using a 4-level score (none, mild, moderate, severe) after IV infusion and SC injection.
Time frame: Visit Day 1
Clinical laboratory measurements - Hematology - hemoglobin
Hemoglobin (g/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Hematology - hematocrit
Hematocrit (%)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Hematology - erythrocytes
Erythrocytes
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Hematology - white blood cell count
White blood cell count with differential (neutrophils, basophils, eosinophils, lymphocytes, monocytes and platelets) (X10(3)/UL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - sodium
Sodium (mmol/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - potassium
Potassium (mmol/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - calcium
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Calcium (mg/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - chloride
Chloride (mmol/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - CO2
CO2 (mmol/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - blood urea nitrogen
Blood urea nitrogen (mg/dl)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - creatinine
creatinine (mg/dL), glucose, total proteins, triglycerides, total cholesterol, AST, ALT, gamma-glutamyltransferase, creatinine phosphokinase, albumin, alkaline phosphatase, and total bilirubin
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - glucose
Glucose (mg/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - total proteins
Total proteins (g/dL), triglycerides, total cholesterol, AST, ALT, gamma-glutamyltransferase, creatinine phosphokinase, albumin, alkaline phosphatase, and total bilirubin
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - triglycerides
Triglycerides (mg/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - total cholesterol
Total cholesterol (mg/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - AST
AST (U/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - ALT
ALT (U/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - Gamma-glutamyltransferase
Gamma-glutamyltransferase (U/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - Creatinine phosphokinase
Creatinine phosphokinase (mg/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - albumin
Albumin (g/dL)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - alkaline phosphatase
Alkaline phosphatase (U/L)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Blood chemistry - total bilirubin
Total bilirubin (mg/dl)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Coagulation - partial thromboplastin time
Activated partial thromboplastin time (secs)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Coagulation - prothrombin time
Prothrombin time (sec)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Coagulation - International normalized ratio
International normalized ratio
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Hormonology
Measured parameters: Hormonology (TSH, FSH (for post-menopausal women); β-HCG (for women of childbearing potential))
Time frame: Visits Day 1 through Day 90
Clinical laboratory measurements - Hormonology - TSH
TSH (mIU/mL)
Time frame: Visits Day 1 through Day 90
Clinical laboratory measurements - Hormonology - FSH
FSH (mIU/mL)
Time frame: Visits Day 1 through Day 90
Clinical laboratory measurements - Urinalysis - pH
pH
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - protein
Protein (negative/positive)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - glucose
Glucose (negative/positive)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - leukocytes
Leukocytes (negative/positive)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - nitrites
Nitrites (negative/positive)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - ketones
Ketones (negative/positive)
Time frame: Visits Day 1 through Day 60
Clinical laboratory measurements - Urinalysis - blood
Blood (negative/positive)
Time frame: Visits Day 1 through Day 60
Vital signs measurements - Blood pressure
Supine and standing systolic and diastolic blood pressure (mmHg)
Time frame: Visits Day 1 through Day 90
Vital signs measurements - Heart rate
Heart rate (beats/min)
Time frame: Visits Day 1 through Day 90
Vital signs measurements - Body temperature
Body temperature (degrees Celsius)
Time frame: Visits Day 1 through Day 90
Vital signs measurements - Respiratory rate
Respiratory rate (breaths/min)
Time frame: Visits Day 1 through Day 90
Electrocardiogram (ECG) measurements - Mean heart rate
ECG mean heart rate (beats/min)
Time frame: Visits Day 1 through Day 90
Electrocardiogram (ECG) measurements - PR interval
PR interval, aggregate (msec)
Time frame: Visits Day 1 through Day 90
Electrocardiogram (ECG) measurements - QRS axis
QRS axis (deg)
Time frame: Visits Day 1 through Day 90
Electrocardiogram (ECG) measurements - QTcF interval
QTcF interval, aggregate (msec)
Time frame: Visits Day 1 through Day 90
Serum PK of single dose AV-380 via intravenous infusion and subcutaneous injection
Cmax (maximum observed serum concentration)
Time frame: Visits Day 1 through D90
Serum PK of single dose AV-380 via intravenous infusion and subcutaneous injection
Tmax (time to reach maximum serum concentration)
Time frame: Visits Day 1 through Day 90
To correlate the serum level of GDF-15 with the dose and serum level of AV-380
Emax (maximum effect observed)
Time frame: Visits Day 1 through Day 90
To correlate the serum level of GDF-15 with the dose and serum level of AV-380
AUEC (area under the effect-time curve)
Time frame: Visits Day 1 through Day 90
To correlate the serum level of GDF-15 with the dose and serum level of AV-380
TEmax (time to reach maximum effect)
Time frame: Visits Day 1 through Day 90
AV-380 immunogenicity in healthy subjects - anti-AV-380 antibodies (human anti-human antibodies [HAHA]) levels in serum.
HAHA levels
Time frame: Visits Day 1 through Day 180
AV-380 immunogenicity in healthy subjects - Monocyte chemoattractant protein 1 (MCP-1) levels in serum.
Serum MCP-1 levels will be measured.
Time frame: Visits Day 1 and Day 2