This is a Phase 1, First-in-human, double-blinded, placebo-controlled study which aims to investigate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and the immunogenicity of KN056 in healthy participants.
KN056 is a biological innovative drug developed as a treatment for type 2 diabetes. It is a recombinant human Fc-fused GLP-1 variant protein. GLP-1 can activate the intracellular pathway to cause the elevation of cAMP, thereby promoting insulin secretion and inhibiting glucagon secretion. The study will involve a single ascending (increasing) dose (SAD) study and will enroll up to 46 healthy participants across 7 dosing groups. Cohort 1 - 0.1mg (2 participants, both receiving KN056 separated by at least 1 day) Cohort 2 - 0.3mg (4 participants, dosed as 2 +2, separated by a safety observation of at least 3 days) Cohort 3 - 1.0mg (6 participants receiving KN056 + 2 receiving placebo) Cohort 4 - 3.0mg (6 participants receiving KN056 + 2 receiving placebo) Cohort 5 - 6.0mg (6 participants receiving KN056 + 2 receiving placebo) Cohort 6 - 12.0mg (6 participants receiving KN056 + 2 receiving placebo) Cohort 7 - 18.0mg (6 participants receiving KN056 + 2 receiving placebo) In Cohort 3 to 6; the first 2 subjects will be as sentries, and will be injected with KN056 or placebo randomly: at least 3 days after 2 sentries' administration, the remaining 6 participants will be randomized to receive KN056 or placebo in a 5:1 ratio. Additional dose group: the number and randomization of Cohort 7 participants are identical to those in Cohort 3 to Cohort 6. The dose will be given as a subcutaneous (SC) injection into the abdomen.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
46
The participants will receive assigned single dose of KN056 on Day 1
The participants will receive assigned single dose of KN056 on Day 1
The participants will receive assigned single dose of KN056 or placebo on Day 1
Alexandra Cole
Christchurch, Christchurch, New Zealand
Number of treatment-emergent adverse events (TEAEs) and treatment related (TRAEs). TEAEs will be measured as per the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0.
Time frame: Up to 45 days
Severity of TEAEs and treatment related TEAEs. TEAEs will be measured as per the Common Terminology Criteria for (CTCAE) v5.0
Time frame: Up to 45 days
Number of participants with abnormal clinically significant laboratory results.
Clinical laboratory includes hematology, biochemistry, lipase, calcitonin, thyroid function, Abdominal and thyroid B-ultrasonography, and urinalysis.
Time frame: Up to 45 days
Number of participants with abnormal clinically significant vital signs.
Vital signs include Includes blood pressure (systolic and diastolic), respiration, temperature and pulse.
Time frame: Up to 45 days
Number of participants with abnormal clinically significant electrocardiogram (ECG)
12-lead ECG will be performed.
Time frame: Up to 45 days
To evaluate the pharmacokinetic parameters of KN056. Pharmacokinetic parameters will be estimated using non-compartment model analysis with Phoenix WinNolin 8.0
Parameters: AUC0-last, AUC0-inf, MRT, Tmax, Cmax or above and T1/2, CL/F, Vz/F and so on.
Time frame: Day 1, Day 7, Day 14, Day 21, Day 28, Day 42
Immunogenicity of KN056
The immunogenicity of KN056 will be evaluated by detection of ADA, and ADA titer and NAb will be detected in ADA positive samples
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The participants will receive assigned single dose of KN056 or placebo on Day 1
The participants will receive assigned single dose of KN056 or placebo on Day 1
The participants will receive assigned single dose of KN056 or placebo on Day 1
The participants will receive assigned single dose of KN056 or placebo on Day 1
Time frame: Up to 45 days
The efficacy of KN056 by analyzing fasting blood glucose
Time frame: Up to 45 days
The efficacy of KN056 through Oral Glucose Tolerance test (OGTT)
Time frame: Up to 45 days
The efficacy of KN056 by analyzing HbA1c (Glycosylated hemoglobin) changes
Time frame: Up to 45 days