This study will assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of single ascending doses (SADs) of ALXN1920 subcutaneous (SC) and of a single dose of ALXN1920 intravenous (IV) in healthy adult participants.
This is a first-in-human study in healthy adult participants. Eligible participants will be randomly assigned in a 3:1 (ALXN1920:Placebo) ratio in each of the treatment cohorts. The first 2 participants randomized to each cohort will be dosed as a sentinel pair, with 1 participant on active treatment and 1 participant on placebo. At the discretion of the Investigator, up to 3 more participants will be added at least 48 hours after the dosing of the sentinel pair, followed by dosing of the remaining participants in the cohort no earlier than 72 hours after sentinel pair dosing. The study will comprise: A Screening Period of up to 28 days; A Dosing Period (single dose through to Follow-up Visit) of approximately 28 days; A Final Follow-up period and end of study Visit is planned on Day 29. Each participant will be involved in the study for approximately 56 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
48
Clinical Trial Site
Grafton, Auckland, New Zealand
Research Site
Christchurch, New Zealand
Number of participants with Adverse events (AEs)
To assess the safety and tolerability of single ascending doses of ALXN1920.
Time frame: Up to End of study visit (Day 29)
Maximum observed concentration (Cmax)
To assess the Cmax of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Time to maximum observed concentration (tmax)
To assess the tmax of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Area under the concentration-time curve from time 0 (dosing) to the last quantifiable concentration (AUC0-t)
To assess the AUC0-t of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Area under the concentration-time curve from time 0 (dosing) to time infinity (AUCinf)
To assess the AUCinf of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Terminal elimination half-life (t½)
To assess the t½ of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Participants will receive a single dose of ALXN1920 by Intravenous (IV) infusion.
Terminal-phase elimination rate constant (λz)
To assess the λz of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Total body clearance (CL)
To assess the CL of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Apparent clearance (CL/F)
To assess the CL/F of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Volume of distribution (Vd)
To assess the Vd of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Apparent volume of distribution (Vd/F)
To assess the Vd/F of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
Renal clearance (CLR)
To assess the CLR of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
Amount of unchanged drug excreted in urine (Ae)
To assess the Ae of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
Fraction of dose excreted in urine (fe)
To assess the fe of ALXN1920 following single ascending doses of ALXN1920.
Time frame: Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
Change in complement alternative pathway (CAP) activity
To explore the Pharmacodynamic (PD) effects of single ascending doses of ALXN1920. CAP activity will be assessed using the CAP hemolytic assay.
Time frame: Day 1 (Pre-dose, 0.5, 1 and 2 hours post-dose), post-dose on Day 2, 3, 4, 5, 8, 15, 22, and 29
Change in factor H
To explore the PD effects of single ascending doses of ALXN1920. Change in factor H will be assessed using the factor H assay.
Time frame: Day 1 (Pre-dose, 0.5, 1 and 2 hours post-dose), post-dose on Day 2, 3, 4, 5, 8, 15, 22, and 29
Number of Participants With Positive Antidrug Antibodies (ADAs) to ALXN1920
To assess the immunogenicity to ALXN1920.
Time frame: Day 1 pre-dose and Day 29 post-dose
Geometric Mean Ratio (GMR) of Area Under the Curve (AUC) Values of Subcutaneous (SC) Versus Intravenous (IV) Serum Concentration of ALXN1920
To assess the absolute bioavailability of ALXN1920 SC.
Time frame: Day 29 post-dose