This is a Phase 1, randomized, double-blinded, placebo controlled, dose escalation study of HH-120 in healthy adult volunteers. HH-120 is a novel inhalable biologic being developed for COVID-19 treatment. The study aims to evaluate the safety, tolerability and pharmacokinetic profile of HH-120 administered by aerosol inhalation after single and multiple ascending doses.
Approximately 48 participants will be sequentially enrolled into either 1 of 3 SAD cohorts (n=8 per cohort), or 1 of 3 MAD cohorts (n= 8 per cohort). An adaptive dose escalation schedule will be employed for both SAD and MAD parts of the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
52
Dose level 1 of HH-120
Dose level 2 of HH-120
Dose level 3 of HH-120
Nucleus Network
Brisbane, Queensland, Australia
Number of participants with treatment emergent adverse events (TEAEs)
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Severity of treatment emergent adverse events (TEAEs)as assessed by CTCAE v5.0
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Duration of treatment emergent adverse events (TEAEs)
An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE that started on or after the first study treatment or that worsened after the first study treatment will be regarded as TEAEs.
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Number of participants with serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Severity of serious adverse events (SAEs) as assessed by CTCAE v5.0
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Placebo to match
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Duration of serious adverse events (SAEs)
A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Number of participants with abnormal clinically significant physical examination findings
Complete and symptom directed physical examination will be performed
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Number of participants with abnormal clinically significant electrocardiogram (ECG)
Single resting 12- lead ECGs will be collected
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Number of participants with clinically significant change in vital signs from baseline
Vital signs include heart rate, blood pressure, respiratory rate and tympanic temperature
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Changes in the spirometry score from Baseline
Measured by Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) after dosing
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Number of participants with abnormal clinically significant clinical laboratory parameters
Clinical laboratory test include hematology, coagulation, biochemistry and urinalysis
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Cmax in SAD and MAD
Maximum observed HH-120 concentration
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Tmax in SAD and MAD
Time to the maximum observed HH-120 concentration
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
t1/2 in SAD and MAD part
Terminal elimination half life calculated as ln (2)/λz
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
AUC0-last
Area under the plasma concentration-time curve from time zero (from the start of inhalation time) to the last time point with measurable analyte concentration
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
AUC0-inf
AUC from time zero (from the start of inhalation time) extrapolated to infinity
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
%AUCextrap
The percentage of the AUC that has been extrapolated beyond the last observed data point
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Kel or λz
Apparent terminal elimination rate constant, calculated by linear regression of the terminal linear portion of the log concentration vs time curve
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
CL/F
Apparent total body clearance
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
Vz/F in SAD
Apparent volume of distribution during the terminal phase
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)
CL/Fss in MAD
Apparent total plasma clearance at steady state
Time frame: Day 1-Day 22
Vz/Fss in MAD
Apparent terminal volume of distribution at steady state
Time frame: Day1- Day 22
Accumulation ratio (RA)
AUC0-24 hours on Day 7/AUC0-24 hours on Day 1
Time frame: Day 1- Day 7
Immunogenicity of HH-120
To determine the presence and levels of anti-drug antibody (ADA).
Time frame: Day 1- Day 15 (SAD) or Day 22 (MAD)