This is a Phase 1, First-in-Human study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD) and immunogenicity of PYC-003 in healthy adult participants and adult participants with confirmed PKD1 mutation-associated Autosomal Dominant Polycystic Kidney Disease (ADPKD) There are 4 parts in this study, i.e. Part A, Part B, Part C and Part D.
Part A (SAD - Healthy) will be conducted as a randomized, double-blind, placebo-controlled, SAD study to assess the safety, tolerability, PK, PD, and immunogenicity of PYC-003 in healthy adult participants. The anticipated number of participants across 5 Part A (SAD - Healthy) cohorts is approximately 40 participants. On Day 1, each participant will receive the investigational product (IP; ie, PYC-003 or placebo), as a single intravenous (IV) infusion. Part B (SAD - ADPKD) will be conducted as an open-label single ascending dose (SAD) study to assess the safety, tolerability, PK, PD, and immunogenicity of PYC-003 in adult participants with confirmed PKD1 mutation-associated ADPKD. The anticipated number of participants across 5 Part B (SAD - ADPKD) cohorts is approximately 30 participants. On Day 1, each participant will receive PYC-003 as a single IV infusion. Part C (MAD-ADPKD) will be conducted as an open label multiple ascending dose (MAD) study to assess the safety, tolerability, PK, PD, and immunogenicity of PYC-003 in adult participants with confirmed PKD1 mutation-associated ADPKD. The anticipated number of participants across 4 Part C (MAD - ADPKD) cohorts is approximately 48-96 participants. Each participant will receive PYC-003 as an IV infusion either once every 6 weeks for 13 weeks or once every 8 weeks for 17 weeks. Part D will be an extension study for participants that complete Part C where participants will continue receiving doses for up to 96 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
166
A peptide-phosphorodiamidate morpholino oligonucleotide conjugate administered as a single intravenous infusion
South Coast Renal, Brockway House, Level 1, Suite 8, 82-86 Queen Street,
Southport, Gold Coast, Australia
RECRUITINGConcord Repatriation General Hospital
Concord, New South Wales, Australia
[Part A, B, C and D] Number of participants experiencing treatment emergent adverse events (AE) as assessed by CTCAE V5.0
The incidence, severity, and relatedness of treatment emergent adverse events and treatment-emergent Serious Adverse Events will be recorded An AE is any event, side-effect, or other untoward medical occurrence that occurs in conjunction with the use of a medicinal product in humans, whether or not considered to have a causal relationship to this treatment. An AE can, therefore, be any unfavourable and unintended sign (that could include a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in vital signs (body temperature)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in vital signs (systolic and diastolic blood pressure)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in vital signs (pulse rate)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in vital signs (respiratory rate)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in 12-lead ECG (QT Interval)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in 12-lead ECG (QRS Duration)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in 12-lead ECG (QTcF Interval)
Time frame: Up to 98 weeks
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Liverpool Hospital, Clinic G-Reception 133, Level 1, Clinical Building, Burnside Drive
Liverpool, New South Wales, Australia
RECRUITINGScientia Clinical Research
Randwick, New South Wales, Australia
RECRUITINGSydney Adventist Hospital
Wahroonga, New South Wales, Australia
RECRUITINGWestmead Hospital, Clinical Research Unit, Level 6, B Wing/Building, Hawkesbury Road
Westmead, New South Wales, Australia
RECRUITINGMater Hospital Brisbane
South Brisbane, Queensland, Australia
RECRUITINGSt Vincent's Hospital Melbourne
Fitzroy, Victoria, Australia
RECRUITINGSunshine Hospital, Western Centre for Health Research and Education, Level 3, 176-190 Furlong Road
Saint Albans, Victoria, Australia
RECRUITINGLinear Clinical Research
Joondalup, Western Australia, Australia
RECRUITING...and 2 more locations
[Part A, B, C and D] Changes from baseline in 12-lead ECG (PR Interval)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in 12-lead ECG (Heart Rate)
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in physical examination findings
Complete physical examinations include general appearance, head, ears, eyes, nose, throat, dentition, thyroid, chest (heart, lungs), abdomen, skin, neurological, extremities, back, neck, musculoskeletal, and lymph nodes. Abbreviated physical examinations will be symptom directed.
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in hepatic clinical chemistry parameters (ALT, AST, ALP and GGT)
ALT (Alanine Transaminase), AST (Aspartate Transaminase) ALP (Alkaline Phosphatase) and GGT (Gamma-glutamyl transferase) will be tested
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in standard renal clinical chemistry parameters (eGFR)
estimated Glomerular filtration rate (eGFR) will be calculated via the CKD EPI 2021 calculation
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in serum potassium, serum magnesium, and serum sodium
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in serum cystatin C
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in serum and urine creatinine
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in serum and urine osmolality
Time frame: Up to 98 weeks
[Part A, B, C and D] Changes from baseline in urine magnesium and urine potassium
Time frame: Up to 98 weeks
[Part A, B, C and D] Peak plasma concentration (Cmax) of PYC003
Time frame: Up to 98 weeks
[Part A, B, C and D] Time to maximum observed plasma drug concentration (Tmax) of PYC003
Time frame: Up to 98 weeks
[Part A, B and C] Area under the plasma concentration-time curve, from time zero to 24 hours post dose of PYC-003 (AUC0-24)
Time frame: Up to 36 weeks
[Part A, B and C] Area under the plasma concentration-time curve, from time zero to the last time point with measurable analyte concentration after PYC-003 dose (AUC0-last)
Time frame: Up to 36 weeks
[Part A, B and C] Area under the plasma concentration-time curve, from time zero extrapolated to infinity (AUC0-inf)
Time frame: Up to 36 weeks
[Part A, B and C] The percentage of the AUC that was extrapolated beyond the last observed data point (AUC%extrap)
Time frame: Up to 36 weeks
[Part A, B and C] Apparent half life of PYC-003 (T1/2)
Time frame: Up to 36 weeks
[Part A, B and C] Apparent elimination constant (Kel) of PYC-003
Time frame: Up to 36 weeks
[Part A, B and C] Apparent clearance (CL) of PYC-003
Time frame: Up to 36 weeks
[Part A, B and C] Apparent volume of distribution (Vz) of PYC-003
Time frame: Up to 36 weeks