BFI-751 is being developed by BioFactura Australia Pty Ltd as a biosimilar drug to Stelara® (EU licenced and US licenced) (ustekinumab) is a prescription biologic medicine used to treat people with Crohn's disease, Ulcerative Colitis, plaque psoriasis and psoriatic arthritis. Stelara® is an immune suppressant that reduces the effects of inflammatory proteins within the body. This is the first time BFI-751 will be given to humans. The primary purpose of this study is to compare the pharmacokinetics (the study of what the body does to the drug, referring to the movement of any drug going into, through, and out of the body) by checking to see if the blood levels of 751-BFI are comparable with US-Stelara® and EU-Stelara® following a single injection under the skin. The secondary purposes of this study are: * to assess the safety of BFI-751, * study how well the healthy volunteers tolerate it and * to also assess the immune response to it in healthy volunteers.
This is a two centre, bioequivalence, randomized, double-blind, 3 parallel group Phase 1 study of BFI-751 compared with EU-Stelara ® and US-Stelara ® in healthy adult volunteers. Within 28 days of screening, eligible participants will commence a confinement period on Day -1. The participants will receive a 45mg dose of either BFI-751, Stelara-US ® or Stelara-EU® in a blinded manner on Day 1 and will remain in the clinic until Day 2. Participants will then return to the clinic as outpatients on Days 3, 5, 8, 11, 15, 22, 29, 36, 43,57, 71 and 85 for safety assessments. A total of up to 228 eligible participants will be enrolled and randomised in a 1:1:1 ratio (BFI-751: EU-Stelara ® : US-Stelara ® ).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
216
Single use vial, solution
Pre-filled syringe, solution
Pre-filled syringe, solution
Nucleus Network
Brisbane, Queensland, Australia
CMAX
Adelaide, South Australia, Australia
NZCR
Grafton, Auckland, New Zealand
Bioequivalence- Cmax
Compare Maximum observed concentration (Cmax) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence-Tmax
Compare Time to Cmax (Tmax) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence - Area under the concentration-time curve from time zero to the last measurable concentration (AUC0-tlast)
Compare Area under the concentration-time curve from time zero to the last measurable concentration (AUC0-tlast) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence - Total AUC after extrapolation from time t to time infinity (AUC0-inf)
Compare Total AUC after extrapolation from time t to time infinity (AUC0-inf) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
BioEquivalence - Elimination rate constant (Kel)
Compare Elimination rate constant (Kel) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence - Apparent terminal elimination half-life (t1/2)
Compare Apparent terminal elimination half-life (t1/2) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence - Volume of distribution (Vz)
Compare Volume of distribution (Vz) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Bioequivalence - Apparent clearance (CL)
Compare Apparent clearance (CL) of BFI-751 with EU-Stelara and US-Stelara following a single 45 mg SC injection
Time frame: From Baseline to Day 85
Safety and tolerability - Incidence, type and severity of Adverse Events
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Incidence, type and severity of Adverse Events
Time frame: From Baseline to Day 85
Safety and tolerability - Changes from baseline in clinical laboratory results (haematology, serum chemistry, coagulation, and urinalysis)
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in clinical laboratory results (haematology, serum chemistry, coagulation, and urinalysis)
Time frame: From Baseline to Day 85
Changes from baseline in vital signs parameter - systolic and diastolic blood pressure in mmHg
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in vital signs parameter - systolic and diastolic blood pressure in mmHg
Time frame: From Baseline to Day 85
Changes from baseline in vital signs parameter - heart rate in beats per minute
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in vital signs parameter - heart rate in beats per minute
Time frame: From Baseline to Day 85
Changes from baseline in vital signs parameter - respiratory rate in breaths per minute
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in vital signs parameter - respiratory rate in breaths per minute
Time frame: From Baseline to Day 85
Changes from baseline in vital signs parameter - body temperature in degrees Celsius
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The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in vital signs parameter - respiratory rate in breaths per minute
Time frame: From Baseline to Day 85
Changes from baseline in physical examination findings - height in centimeters
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in physical examination findings - height in centimeters. Weight and height will be combined to report BMI in kg/m\^2.
Time frame: From Baseline to Day 85
Changes from baseline in physical examination findings - weight in kilograms
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Changes from baseline in physical examination findings - weight in centimeters. Weight and height will be combined to report BMI in kg/m\^2.
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) Ventricular HR
Measured by assessment of Ventricular HR as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) PR Interval
Measured by assessment of PR interval as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) RR interval
Measured by assessment of RR interval as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QRS duration
Measured by assessment of QRS duration as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QT interval
Measured by assessment of QT interval as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QTcF
Measured by assessment of QTcF as normal, not having a clinically significant abnormality or having a clinically significant abnormality
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: general appearance
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: head
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: ears
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: eyes
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: nose and throat
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: neck (including thyroid and lymph nodes)
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: respiratory
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: cardiovascular
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: gastrointestinal
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: renal
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: neurological condition
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: musculoskeletal system
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: skin
Time frame: From Baseline to Day 85
Occurence of any clinical significant (CS) physical examination findings
Measured by assessment of the following system: any other focused assessments suggested by the presence of specific symptoms.
Time frame: From Baseline to Day 85
Safety and Tolerability - Incidence, type and severity of injection site reactions.
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Incidence, type and severity of injection site reactions.
Time frame: From Baseline to Day 85
Immunogenicity - incidence of antidrug antibody (ADA)
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Incidence of antidrug antibody (ADA) and/or neutralising antibody (nAb) against 751-BFI, US- and EU-STELARA®, including titres for ADA.
Time frame: From Baseline to Day 85
Immunogenicity - incidence of neutralising antibody (nAb)
The secondary objective of the study is to investigate the safety, tolerability and immunogenicity of BFI-751, EU-Stelara and US-Stelara including Incidence of neutralising antibody (nAb) against 751-BFI, US- and EU-STELARA®.
Time frame: From Baseline to Day 85