This is a Phase 1, randomized, double-blind, placebo-controlled, sequential, single- and multiple-ascending dose study to evaluate the safety, tolerability, pharmacokinetics (PK), and immunogenicity of intravenous (IV) infusions and a single subcutaneous (SC) injection of AK006. The study will be conducted in 4 parts: a single-ascending dose part (Part A) in healthy participants, a multiple-ascending dose part (Part B) in healthy participants with an expanded cohort (Part C) in participants with chronic spontaneous urticaria (CSU), and a single ascending dose SC injection cohort (Part D) in healthy participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
136
Intravenous infusion
Intravenous infusion
Subcutaneous
Subcutaneous
Site 601-001 Healthy Volunteer Clinical Research Unit (Part A, B and D)
Anniston, Alabama, United States
Site 601-004 (Part C)
Birmingham, Alabama, United States
Site 601-008 (Part C)
Scottsdale, Arizona, United States
Site 601-014 (Part C)
Bakersfield, California, United States
Site 601-007 (Part C)
Encino, California, United States
Site 601-015 (Part C)
Upland, California, United States
Site 601-016 (Part C)
Colorado Springs, Colorado, United States
Site 601-006 (Part C)
Overland Park, Kansas, United States
Site 601-019 (Part C)
Lexington, Kentucky, United States
Site 601-003 (Part C)
Baltimore, Maryland, United States
...and 15 more locations
Incidence and severity of adverse events (AEs)
AEs, serious AEs, and treatment emergent AEs (AE that starts after start of investigational product)
Time frame: Screening to Day 113 (Part A and D), Screening to Day 141 (Part B), and Screening to Day 197 (Part C)
Incidence of AEs of special interest
Infusion-related reactions, injection-related reactions, injection site reactions, anaphylaxis, and opportunistic infections
Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)
AEs leading to discontinuation
AEs
Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs
Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs
Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)
AK006 serum concentration at end of IV infusion
AK006 Serum concentration (ng/mL) at end of infusion
Time frame: Day 1 (Part A) and Day 29 (Part B)
AK006 area under the concentration-time curve (AUC) from time 0 to the time of last quantifiable concentration (AUC[0-last])
AK006 AUC(0-last) (ng x h/mL)
Time frame: Day 1 to Day 113 (Part A and D) and Day 29 to Day 141 (Part B)
AK006 AUC from time 0 extrapolated to infinity (AUC[0-inf])
AK006 AUC(0-inf) (ng x h/mL)
Time frame: Day 1 to Day 113 (Part A and D)
Total systemic clearance of AK006 after intravenous or subcutaneous dose (CL)
AK006 CL (L/h/kg)
Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)
Systemic steady-state volume of distribution (Vss) of AK006
AK006 Vss (mg/L)
Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)
AK006 Terminal elimination phase half-life (t1/2)
AK006 t1/2 (hours)
Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)
Predose AK006 serum concentration (Ctrough, before the next dose) (Part B)
AK006 Ctrough (ng/mL)
Time frame: Day 29 (pre-dose)
AK006 AUC(0-last) after the second dose (Part B)
AK006 AUC(0-last) (ng x h/mL)
Time frame: Day 29 to Day 141
AK006 AUC over the dosing time interval (time 0 to 28 days) (AUC[tau]) (Part B)
AK006 AUC(tau) (ng x h/mL)
Time frame: Day 1 to Day 28 with each dosing interval
AK006 serum concentrations
AK006 ng/mL
Time frame: Up to Day 141 (Part A, B, D); Up to Day 197 (Part C)
AK006 absolute bioavailability subcutaneous injection
Ratio of mean AUC(0-last) after subcutaneous injection to mean AUC(0-last) after intravenous administration adjusted for dose
Time frame: Day 1 to Day 113 (Part A and D)
AK006 PK dose proportionality (Part A, B, D)
Comparing dose-normalized Cmax and AUC (Part A, B, and D)
Time frame: Up to Day 141
AK006 PK dose stationarity (Part B)
Comparing AUCtau from last dose to AUCtau from first dose
Time frame: Up to Day 141
AK006 Anti-drug Antibodies (ADAs)
Number of participants with positive or negative AK006-ADAs
Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B) and Day 1 to Day 197 (Part C)
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