The goal of this study type: PK clinical trial is to evaluate the safety, tolerability, and pharmacokinetics/ pharmacodynamics of PEG-MetHuG-CSF (P2203) in Healthy Volunteers. Primary objective: ‧ To evaluate the safety and tolerability of P2203 Secondary objectives: ‧ To characterize the pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of P2203 Approximately 30 healthy volunteers will be enrolled. Subjects will be screened within 28 days before study dosing. Eligible subjects will be sequentially enrolled into 2 escalating-dose cohorts (Cohort 1 and 2) to receive a single dose of P2203 at a pre-determined specific dose or to re-ceive a single dose of 6 mg pegfilgrastim (Neulasta).
Subjects will be sequentially enrolled into the following inter-subject dose escalation cohorts: * Cohort 1 (6 subjects): single dose of P2203 at 2 mg * Cohort 2 (24 subjects): subjects in Cohort 2 will be randomized in a 1:1 ratio to receive a single dose of 6 mg P2203 (Cohort 2a, 12 sub-jects) or a single dose of 6 mg pegfilgrastim (Cohort 2b, 12 subjects). In Cohort 1, the first two subjects will be the sentinel subjects treated with staggered dosing. The 1st sentinel subject of Cohort 1 will be dosed at least 96 hours prior to the 2nd sentinel subject. The 2nd sentinel subject will receive P2203 when the Criteria for Dosing Suspension or Termination in a Given Dose Cohort (Section 3.5) is not met at least during the first 96 hours following administration of P2203 of the 1st sentinel subject. The remaining subject in Cohort 1 will receive P2203 when the Criteria for Dosing Suspension or Termination in a Given Dose Cohort is not met at least during the first 96 hours following administration of P2203 of the 2nd sentinel subject. In Cohort 2a, the first three subjects will be the sentinel subjects treated with staggered dosing. The rule and time interval for the stagger dosing in the sentinel subjects in Cohort 2a are the same as those in Cohort 1. In Cohort 2, subjects will be randomized in a 1:1 ratio to receive a single dose of 6 mg P2203 (Cohort 2a, 12 subjects) or a single dose of 6 mg pegfilgrastim (Cohort 2b, 12 subjects).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Single dose of PEG-MetHuG-CSF will be given SC injection at 2 mg in Cohort 1 and 6 mg in Cohort 2
Single dose of Neulasta will be given SC injection at 6 mg in Cohort 2b.
Mackay Memorial Hospital, Taipei, Taiwan
Taipei, Taiwan, Taiwan
To evaluate the safety and tolerability of P2203 injection.
The safety and tolerability of P2203 injection are evaluated by the occurrence of the adverse events, serious adverse events, and the abnormal clinical laboratory data, ECG changes, physical examination findings, and lab examinations.
Time frame: from day 1 to day 36
To determine the maximum tolerated dose of P2203
The maximum tolerated dose is defined as the highest tolerated dose level without the occurrence of predetermined unacceptable safety scenario during the 28-day safety monitoring period. Unacceptable safety scenario includes: * ≥ 1 of 6 subjects in Cohort 1 or ≥ 1 of 12 subjects in Cohort 2a experiences SAE(s) which is at least possibly related to P2203; * ≥ 2 of 6 subjects in Cohort 1 or ≥ 2 of 12 subjects in Cohort 2a have severe (Grade 3 or higher as per CTCAE) non-serious adverse events which is at least possibly related to P2203; * ≥ 2 of 6 subjects in Cohort 1 or ≥ 2 of 12 subjects in Cohort 2a have a drug related QTc pro-longation defined as QTcF \> 500 ms, or an increase of QTcF \> 60 ms above baseline on the 12-lead electrocardiogram (ECG), confirmed (persistent for \> 5 minutes) on repeated 12-lead ECGs; * The occurrence of significant safety events that may pose a risk to subjects as judged by the SRC review; any adverse event(s) leading to subject withdrawal must be judged b
Time frame: from Day 1 to Day 29
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