This is a Phase I, double-blind, randomised, two-part, single-ascending dose (Part 1) and multiple-ascending dose (Part 2) study of NM-101 in healthy males and healthy females of non-childbearing potential
NM-101 is an anti-TLR2 antibody which may have clinical efficacy in Parkinson's disease patients. This Phase I study aims to assess the safety, tolerability and pharmacokinetics (PK) of single and multiple ascending doses of NM-101 in healthy males and healthy females of non-childbearing potential. A total of 56 subjects (8 per cohort) are planned to be enrolled. Subjects will be randomly assigned to recieve NM-101 or placebo in a 3:1 ratio. The study will be in 2 parts: Part 1 will consist of 3 single-dose cohorts; Part 2 will consist of 4 multiple-dose cohorts. In Part 1, sentinel dosing will be applied. In each cohort, 1 subject will be randomised to receive NM-101 and 1 subject will be randomised to receive placebo ahead of dosing in the remaining 6 subjects. The dose for Cohort 1 is 20 mg/kg NN-101. The predicted doses for Cohorts 2 and 3 are 40 mg/kg and 60 mg/kg NM-101, respectively (dependent on a blinded interim review of the safety, tolerability and PK data). Blood samples will be collected at regular intervals for PK analysis and safety from Day 1 until Day 42. In Part 2, sentinel dosing will not be applied. Each subject will receive 4 doses of NM-101 or placebo over the course of 3 months. Dosing may occur in parallel to the conduct of Part 1. The doses administered will be selected based on emerging safety, tolerability and PK data from preceding groups in Part 1. The predicted NM-101 doses are: 10 mg/kg for Cohort 4; 20 mg/kg for Cohort 5; 40 mg/kg for Cohort 6; 60 mg/kg for Cohort 7. In Cohorts 5 to 7, subjects will undergo a lumbar puncture to assess NM-101 concentrations in the cerebrospinal fluid. Blood samples will be collected at regular intervals for PK analysis and safety from Day 1 until Day 127.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
56
Quotient Sciences
Nottingham, United Kingdom
Safety of NM-101: Incidence of Treatment-Related Adverse Events by Severity
A treatment related adverse event is defined as a clinical event with plausible time relationship to NM-101 administration and that cannot be explained by concurrent disease or other drugs or chemicals
Time frame: up to 4 months
PK Parameter
maximum concentration (Cmax)
Time frame: up to 4 months
PK Parameter
time of the maximum measured concentration (Tmax)
Time frame: up to 4 months
PK Parameter
area under the concentration-time curve from time (AUC)
Time frame: up to 4 months
PK Parameter
First order rate constant associated with the terminal portion of the curve (Lambda-z)
Time frame: up to 4 months
PK Parameter
terminal elimination half life (t1/2)
Time frame: up to 4 months
PK Parameter
clearance (CL)
Time frame: up to 4 months
PK Parameter
Volume of distribution based on the terminal phase (Vz)
Time frame: up to 4 months
PK Parameter
Volume of distribution at steady state (Vss)
Time frame: up to 4 months
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Cerebrospinal Fluid (CSF) Concentrations of NM-101
Quantification of NM-101 24 h after the dose only in Cohorts 5 to 7
Time frame: Day 2 or Day 86
Immunogenicity of NM-101
Quantification of NM-101 anti-drug antibodies pre-dose and after each dose of NM 101 Quantification of NM-101 anti-drug antibodies pre-dose and after each dose of NM 101 Quantification of NM-101 anti-drug antibodies pre-dose and after each dose of NM 101
Time frame: up to 4 months