The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of ARO-MMP7 in normal healthy volunteers (NHVs) and in participants with idiopathic pulmonary fibrosis (IPF). The study will initiate with NHVs receiving single ascending doses of ARO-MMP7. Following evaluation of safety and pharmacodynamic (PD) data, participants will receive multiple doses of ARO-MMP7.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
105
ARO-MMP7 by inhalation of nebulized solution
Calculated volume of normal saline (0.9% NaCl) to match active treatment by inhalation of nebulized solution
Research Site 1
Copenhagen, Denmark
Research Site 2
Odense, Denmark
Research Site 1
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
An adverse event (AE) was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to study drug. TEAEs were defined as AEs with onset after administration of the study drug, or when a pre-existing medical condition increases in severity or frequency after study drug administration. A summary of all Serious Adverse Events (SAEs) and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Time frame: Day 1 up to Day 85
Change From Baseline to the End of Study (EOS) in Forced Expiratory Volume in One Second (FEV1)
FEV1 was measured using Spirometry.
Time frame: Baseline, EOS (up to Day 85)
Change From Baseline to the EOS in Forced Vital Capacity (FVC)
FVC was measured using Spirometry.
Time frame: Baseline, EOS (up to Day 85)
Change From Baseline to the EOS in Diffusing Capacity for Carbon Monoxide (DLCO)
DLCO measures gas diffusion from the alveoli to the blood and is impaired by alveolar filling processes, interstitial lung diseases (ILDs), and emphysema. DLCO was measured in milliliters (mL)/minute (min)/millimeters of mercury (mmHG).
Time frame: Baseline, EOS (up to Day 85)
SAD Cohorts: Maximum Observed Plasma Concentration (Cmax) of ARO-MMP7
Time frame: Pre-dose (Day 1) up to 168 hours post-dose (Day 8)
MAD Cohorts: Cmax of ARO-MMP7
Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29
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Ancona, Italy
Research Site 2
Florence, Italy
Research Site 3
Milan, Italy
Research Site 4
Milan, Italy
Research Site 5
Milan, Italy
Research Site 1
Auckland, New Zealand
Research Site 2
Christchurch, New Zealand
Research Site 2
Seoul, South Korea
...and 9 more locations
IPF Cohorts: Cmax of ARO-MMP7
Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29
SAD Cohorts: Area Under the Plasma Concentration Versus Time Curve From Zero to 24 Hours (AUC0-24) of ARO-MMP7
Time frame: Pre-dose up to 24 hours post-dose (Day 2)
MAD Cohorts: AUC0-24 of ARO-MMP7
Time frame: Pre-dose up to 24 hours post-dose on Days 1, 15, and 29
IPF Cohorts: AUC0-24 of ARO-MMP7
Time frame: Pre-dose up to 24 hours post-dose on Days 1, 15, and 29
SAD Cohorts: Time to Reach Cmax (Tmax) of ARO-MMP7
Time frame: Pre-dose (Day 1) up to 168 hours post-dose (Day 8)
MAD Cohorts: Tmax of ARO-MMP7
Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29
IPF Cohorts: Tmax of ARO-MMP7
Time frame: Pre-dose up to 6 hours post-dose on Days 1, 15, and 29
Urine PK of ARO-MMP7: Recovery of Unchanged Drug in Urine Over 0 to 24 Hours (Amount Excreted; Ae) in NHVs Enrolled in SAD Cohorts
Time frame: Pre-dose up to 24 hours post-dose on Day 1
Urine PK of ARO-MMP7: Percentage of Administered Drug Recovered in Urine Over 0 to 24 Hours (Fraction Excreted; fe) in NHVs Enrolled in SAD Cohorts
Time frame: Pre-dose up to 24 hours post-dose on Day 1
Urine PK of ARO-MMP7: Renal Clearance (CLr) in NHVs Enrolled in SAD Cohorts
Time frame: Pre-dose up to 24 hours post-dose on Day 1