The primary objectives of the study are to assess the safety and tolerability of AGA2118 after single subcutaneous or intravenous administration in healthy men and postmenopausal women and to assess the safety and tolerability of AGA2118 after multiple subcutaneous administrations in men and postmenopausal women.
This is a Phase I, Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Absolute Bioavailability, Pharmacokinetics, and Pharmacodynamics of AGA2118 in Men and Postmenopausal Women. The study consists of the single ascending dose (SAD) part and the multiple ascending dose (MAD) part. In the SAD part, up to 56 healthy men and postmenopausal women will be sequentially enrolled to receive a single subcutaneous (SC) dose of AGA2118 or a single intravenous (IV) dose of AGA2118 or placebo. In the MAD part, up to 32 healthy men and postmenopausal women will be sequentially enrolled in various dose cohorts to receive multiple SC doses every 4 weeks of AGA2118 or placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
Part 1 - SAD study: SAD participants in various cohorts will receive various single dose of AGA2118 via either SC or IV. Part 2 - MAD study: MAD participants in various cohorts will receive various multiple doses of AGA2118 Q4W via SC.
Part 1 - SAD study: SAD participants in various cohorts will receive a single dose of placebo via either SC or IV. Part 2 - MAD study: MAD participants in various cohorts will receive multiple doses of placebo via SC.
Q-Pharm Pty Ltd
Brisbane, Queensland, Australia
Nucleus Network Pty Ltd.
Melbourne, Victoria, Australia
Number of participants with treatment-emergent adverse events (TEAE) in Part 1 (SAD).
An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational product (IP), whether or not considered related to the IP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IP.
Time frame: Up to 85 days
Number of participants with clinically significant changes in total calcium (albumin-adjusted) in Part 1 (SAD).
Serum calcium tested at Day 2, 4, 6, 15, 29, 85.
Time frame: Up to 85 days
Number of participants with clinically significant changes in blood pressure in Part 1 (SAD).
Systolic and diastolic blood pressure measured (mmHg) at all clinic visits (Day 1, 2, 3, 4, 5, 6, 8, 11, 15, 22, 29, 43, 57, 71, 85).
Time frame: Up to 85 days
Number of participants with clinically significant changes in heart rate in Part 1 (SAD).
Heart rate measured by electrocardiogram (ECG) on Day 1, 2, 4, 6, 15, 29, 85.
Time frame: Up to 85 days
Number of participants with clinically significant changes in QTcF in Part 1 (SAD).
QTcF (QT interval corrected for heart rate using Fridericia's formula) measured by electrocardiogram (ECG) on Day 1, 2, 4, 6, 15, 29, 43, 57, 71, 85.
Time frame: Up to 85 days
Number of participants with treatment-emergent adverse events (TEAE) in Part 2 (MAD).
An adverse event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational product (IP), whether or not considered related to the IP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of IP.
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Time frame: Up to 169 days
Number of participants with clinically significant changes in total calcium (albumin-adjusted) in Part 2 (MAD).
Serum calcium tested at Day 2, 8, 15, 29, 36, 57, 64, 85, 169.
Time frame: Up to 169 days
Number of participants with clinically significant changes in blood pressure in Part 2 (MAD).
Systolic and diastolic blood pressure measured (mmHg) at all clinic visits (Day 1, 2, 4, 6, 8, 15, 22, 29, 36, 43, 57, 58, 60, 62, 64, 71, 78, 85, 99, 113, 127, 141, 155, 169).
Time frame: Up to 169 days
Number of participants with clinically significant changes in heart rate in Part 2 (MAD).
Heart rate measured by electrocardiogram (ECG) on Day 1, 2, 4, 15, 29, 36, 57, 64, 85, 169.
Time frame: Up to day 169
Number of participants with clinically significant changes in QTcF in Part 2 (MAD).
QTcF (QT interval corrected for heart rate using Fridericia's formula) measured by electrocardiogram (ECG) on Day 1, 2, 4, 15, 29, 36, 57, 64, 85, 169.
Time frame: Up to day 169
Maximum Concentration (Cmax) of AGA2118
Maximum concentration of AGA2118 after dosing.
Time frame: Part 1 (SAD): up to day 85; Part 2 (MAD) up to day 169
Time to maximum concentration (Tmax) of AGA2118
Time to maximum concentration of AGA2118 after dosing.
Time frame: Part 1 (SAD): up to day 85; Part 2 (MAD) up to day 169
Area under the concentration time curve (AUC)
Definite integral of the curve describing the variation of AGA2118 in blood as a function of time.
Time frame: Part 1 (SAD): up to day 85; Part 2 (MAD) up to day 169
Terminal elimination half-life (t1/2)
Time it takes for maximum concentration to half of maximum concentration of AGA2118.
Time frame: Part 1 (SAD): up to day 85; Part 2 (MAD) up to day 169