The purpose of this study is to evaluate the safety, immunogenicity and pharmacokinetics of RPH-104 after single intravenous and subcutaneous administration to healthy volunteers at different doses
This clinical study is a single-center, simple-blind, randomized, comparative phase I clinical study conducted in 3 parallel cohorts: In cohort A, a simple blind design is proposed with a single intravenous administration of the study drug at 3 increasing doses (N = 30, 10 volunteers per dose group): 80 mg, 160 mg, 320 mg In cohort B, a simple blind design is proposed with a single subcutaneous administration of the study drug (80 mg/mL; 320 mg) compared to placebo (N = 20, 10 volunteers per drug and placebo group) In cohort C, a simple blind design is proposed with a single subcutaneous administration of the study drug in two dosages (40 mg/mL and 80 mg/mL) in one dose (80 mg) to confirm the equivalence of these dosages (N = 80, 40 volunteers in each group) The study will include the following periods: 1. Screening period: days -6 to -1 (before randomization and inclusion in the study) 2. Randomization: day 0 3. Main study period:days 1 to 50 (± 1) The main period includes a single hospitalization of volunteers for at least 24 hours, as well as 9 outpatient visits in cohort A and 14 outpatient visits in cohorts B and C. It includes procedures related to the administration of the study drug, monitoring the study participant, and taking blood samples to measure the concentration of goflikicept, as well as a safety and immunogenicity panel 4. Safety monitoring period: days 51 - 61 (± 3). On day 61, a phone call will be made to collect information about safety In order to monitor safety during the main sudy period, the following procedures will be carried out: * In Cohort A, vital signs vital signs will be measured before drug administration and 15 min, 1 h, 2 h, 4 h, 12 h and 24 h after drug administration on days 3-50; physical examination will be performed on days 2, 6, 16, 30, 40, 50; electrocardiography (ECG) on days 3, 23, 50 day; assessment of hypersensitivity reactions to the drug in 2 h, 12 h, 24 h after the start of drug administration and on day 3; clinical blood test, biochemical blood test on 3, 6, 16, 23, 50 day; coagulogram on 3, 16, 50 day; general urinalysis on 6, 16, 23, 50 day. * In Cohort B and C, vital signs vital signs will be measured before drug administration and in 2 h, 12 h and 24 h after drug administration on days 3-50; physical examination will be performed on days 2, 6, 16, 30, 40, 50; ECG on days 5, 23, 50 day; assessment of hypersensitivity reactions to the drug in 2 h, 12 h, 24 h after the start of drug administration and on day 3; clinical blood test, biochemical blood test on 5, 9, 16, 30, 50 day; coagulogram on 5, 16, 50 day; general urinalysis on 5, 16, 30, 50 day * Women with preserved reproductive potential will additionally undergo blood analysis for hCG during screening, followed by a urine pregnancy test the day before the administration of RPH-104 (Day 0) and on Day 50 To assess the pharmacokinetics of RPH-104, volunteers will undergo periodic blood sampling (at a total of 18 points during the study for cohort A, and at 18 points for cohorts B and C) * In cohort A, blood samples for the evaluation of RPH-104 pharmacokinetics will be taken before the infusion of RPH-104 on Day 1 (\< 60 min before infusion ) and in 30 min, 1 h (immediately after the end of the infusion), 1 h and 30 min, 2 h, 4 h, 8 h, 12 h, 24 h, 48 h, 72 h, 120 h, 192 h, 360 h, 528 h, 696 h, 936 h and 1176 h after the first administration of the drug (since the start of infusion) * In cohort B and C, blood samples for the evaluation of RPH-104 pharmacokinetics will be taken before the infusion of RPH-104 on Day 1 (\< 60 min before infusion ) and in 4 h, 12 h, 24 h, 48 h, 72 h, 84 h, 96 h, 108 h, 144 h,120 h, 192 h, 264 h, 360 h, 528 h, 696 h, 936 h and 1176 h after the first administration of the drug (since the start of infusion) To assess the immunogenicity of RPH-104, volunteers will undergo periodic blood sampling to determine the concentration of binding and neutralizing antibodies (at a total of 5 points in the study in all cohorts) * In cohort A, blood sampling for immunogenicity testing is performed before the drug is administered (≤60 min before administration) and then in 360 h (day 16) (± 120 min), 696 h (day 30) (±24 h), 936 h (day 40) (±24 h), 1176 h (day 50) (±24 h) after administration of the drug. When binding antibodies are detected, their neutralizing activity (NAT) will additionally be determined * In cohort B and C, blood sampling for immunogenicity testing is performed before the drug is administered (≤60 min before administration) and then in 360 h (day 16) (± 120 min), 696 h (day 30) (±24 h), 936 h (day 40) (±24 h), 1176 h (day 50) (±24 h) after administration of the drug. When binding antibodies are detected, their neutralizing activity (NAT) will additionally be determined
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
130
solution for intravenous injection, 40 mg/mL
solution for intravenous injection, 40 mg/mL
solution for intravenous injection, 40 mg/mL
Llc "Research Lab"
Moscow, Russia
The area under the plasma drug concentration-time curve (AUC) of RPH-104 from the moment of administration to infinity after a single injection of RPH-104
The area under the plasma drug concentration-time curve (AUC) of RPH-104 from the moment of administration to infinity after a single injection of RPH-104 (AUC(0-∞))
Time frame: Up to day 61 ± 3
The maximum concentration of RPH-104 in the blood serum after a single injection of RPH-104
The maximum concentration of RPH-104 in the blood serum after a single injection of RPH-104 (Cmax).
Time frame: Up to day 61 ± 3
Percentage of volunteers (%) with AEs and SAEs
Percentage of volunteers (%) with AEs and SAEs
Time frame: Up to day 61 ± 3
Percentage of volunteers (%) with AEs ≥ Grade 3 according to CTCAE 5.0
Percentage of volunteers (%) with AEs ≥ Grade 3 according to CTCAE 5.0
Time frame: Up to day 61 ± 3
Percentage of volunteers (%) with ADRs and serious ADRs
Percentage of volunteers (%) with ADRs and serious ADRs
Time frame: Up to day 61 ± 3
Percentage of volunteers (%) with ADRs ≥ Grade 3 according to CTCAE 5.0
Percentage of volunteers (%) with ADRs ≥ Grade 3 according to CTCAE 5.0
Time frame: Up to day 61 ± 3
Percentage of volunteers (%), who prematurely discontinued participation in the study due to AE/SAE and ADR/serious ADR
Percentage of volunteers (%), who prematurely discontinued participation in the study due to AE/SAE and ADR/serious ADR
Time frame: Up to day 61 ± 3
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solution for subcutaneous injection, 80 mg/mL
solution for subcutaneous injection, 40 mg/mL
solution for subcutaneous injection, 80 mg/mL
0.9% Sodium Chloride solution for Injection
Percentage of volunteers (%) with AEs of special interest
AEs of special interests include allergic and anaphylactic reactions, injection site reactions, infections, increased blood lipid levels, increased liver enzyme levels, drug-induced liver injury, neutropenia
Time frame: Up to day 61 ± 3
Percentage of volunteers (%), who developed binding antibodies to RPH-104
Percentage of volunteers (%), who developed binding antibodies to RPH-104
Time frame: Up to day 61 ± 3
Percentage of volunteers (%), who developed neutralizing antibodies to RPH-104
Percentage of volunteers (%), who developed neutralizing antibodies to RPH-104
Time frame: Up to day 61 ± 3
The area under the plasma drug concentration-time curve (AUC) of RPH-104 from the moment of administration to the last time point of sampling
The area under the plasma drug concentration-time curve (AUC) of RPH-104 from the moment of administration to the last time point of sampling (AUC(0-1176))
Time frame: Up to day 50 ± 1
The time to reach the maximum concentration of RPH-104 after a single injection
The time to reach the maximum concentration of RPH-104 after a single injection (Tmax)
Time frame: Up to day 50 ± 1
Apparent total clearance of RPH-104 after a single administration
Apparent total clearance of RPH-104 after a single administration (Cl/F)
Time frame: Up to day 50 ± 1
The half-life of RPH-104 after a single administration
The half-life of RPH-104 after a single administration (T1/2)
Time frame: Up to day 50 ± 1
The apparent volume of distribution of RPH-104 after a single administration
The apparent volume of distribution of RPH-104 after a single administration (Vd/F)
Time frame: Up to day 50 ± 1
The elimination constant of RPH-104 after a single administration
The elimination constant of RPH-104 after a single administration (λz)
Time frame: Up to day 50 ± 1