This study will evaluate the safety, tolerability, and pharmacokinetics (PK) of ART5803 following IVIG administration in healthy participants to investigate the potential interactions between ART5803 and IVIG
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is one of the most common causes of autoimmune encephalitis. The disease is caused by the development of autoantibodies against the amino (N)-terminal domain (NTD) of the NMDAR subunit 1 (NR1) that bind and cross link the receptors, leading to receptor internalization and loss of function. Arialys has developed a monovalent (one-armed) antibody, ART5803, that binds to the NTD of the NMDAR NR1 subunit without causing NMDAR inhibition, activation, or receptor internalization, while simultaneously blocking the ability of the pathogenic anti-NMDAR autoantibodies to bind to the receptor. In treating anti-NMDAR encephalitis, intravenous immunoglobulin (IVIG) is commonly administered in conjunction with corticosteroids. Consequently, it is anticipated that IVIG may be administered to the target population prior to ART5803. IVIG has a long half-life and competitive binding of IVIG to the neonatal fragment crystallization receptor (FcRn) may result in FcRn saturation. This can potentially lead to increased clearance and/or impaired tissue distribution of ART5803 and decrease the cerebrospinal fluid (CSF) exposure to ART5803 through competition on FcRn at the blood-brain barrier (BBB).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
A monovalent (one-armed) antibody, that binds to the NTD of the NMDAR NR1 subunit without causing NMDAR inhibition, activation, or receptor internalization, while simultaneously blocking the ability of the pathogenic anti-NMDAR autoantibodies to bind to the receptor.
Administered as background treatment prior to the investigational product
Nucleus Network Pty Ltd
Melbourne, Victoria, Australia
Safety will be assessed by the incidence and severity of treatment-emergent adverse events (TEAEs)
ART5803 safety, as measured by the number of treatment emergent adverse events
Time frame: 13 Weeks
Safety will be assessed by clinically significant changes in physical and neurological examination findings
ART5803 safety, will be assessed by clinically significant changes in physical and neurological examination findings
Time frame: 13 Weeks
Safety by assessed by clinically significant changes in vital signs
ART5803 safety, will be assessed by clinically significant changes in vital signs including systolic and diastolic blood pressure, pulse rate, respiration rate, and body temperature
Time frame: 13 Weeks
Safety by assessed by clinically significant changes in clinical laboratory outcomes
ART5803 safety, will be assessed by clinically significant changes in clinical laboratory outcomes including clinical chemistry, hematology, coagulation, and urinalysis
Time frame: 13 Weeks
Safety by assessed by clinically significant changes in 12-lead ECG findings
ART5803 safety, will be assessed by clinically significant changes 12-lead ECG findings
Time frame: 13 Weeks
Safety by assessed by clinically significant changes in concomitant medications
ART5803 safety, will be assessed by clinically significant changes in concomitant medications
Time frame: 13 Weeks
Safety by assessed by clinically significant changes in presence of anti-drug antibodies (ADAs)
ART5803 safety, will be assessed by clinically significant changes in presence of anti-drug antibodies (ADAs)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 13 Weeks
Safety will be assessed by incidence of dose-limiting toxicity (DLTs)
ART5803 safety, will be assessed by incidence of dose-limiting toxicity (DLTs)
Time frame: 13 Weeks
Safety will be assessed by change in suicidal tendency measured by Columbia-Suicide Severity Rating Scale (C-SSRS)
ART5803 safety, will be assessed by change in suicidal tendency as measured by the incidence of positive responses (Yes) to Item 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by maximum concentration (Cmax)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by last time point with measurable concentration (Clast)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by minimum concentration (Cmin)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by time at which Cmax is observed (tmax)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by time at which Clast is observed (tlast)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by area under the curve from time 0 to the last measurable concentration (AUC0-t)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by area under the curve from time 0 extrapolated to infinity (AUC0-∞)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by the half-life (t½)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by the volume of distribution (Vd)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To characterize and compare the PK profile of single IV dose of ART5803 following prior doses of IVIG as measured by by clearance (CL)
Time frame: 13 Weeks
To assess the pharmacokinetics (PK) of single IV dose of ART5803 following prior doses of IVIG
To asses the CSF/serum ratio of ART5803 at multiple time points
Time frame: 13 Weeks
To assess the immunogenicity of a single IV dose of ART5803 following prior doses of IVIG
To assess the incidence of anti-drug antibodies (ADAs) in serum from a single IV dose of ART5803 following prior doses of IVIG
Time frame: 13 Weeks