Phase 1, single center, randomized, double blind, placebo controlled SAD study assessing safety, tolerability, PK, PD, and immunogenicity of HB2198 after a single IV infusion in healthy adults. Four dose levels will be explored with sentinel participants per cohort. Approximately 32 participants (6 HB2198:2 placebo per cohort) will be followed for \~2 months, with extended follow up if B-cell counts remain suppressed.
HB2198 is a tetravalent bispecific antiCD19/CD20 antibody engineered with dual Fc domains (S239D/I332E) to enhance FcγR engagement. Cohorts (n=8 each) receive a single IV dose of HB2198 or placebo under double blind conditions; 2 sentinels (1 active, 1 placebo) are dosed ≥48 h before the remaining 6 participants. Safety/PK/PD and immunogenicity are characterized through Day 28 and to Month 2, including B-cell depletion kinetics, lymphocyte phenotyping, cytokines, quantitative immunoglobulins, and ADAs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
32
Drug: HB2198, a Tetravalent Bispecific Anti-CD19/CD20 Antibody with Dual Fc Domains administered via IV infusion on Day 1.
HB2198 Diluent: single IV infusion
Veritus Research
Bayswater, Victoria, Australia
RECRUITINGSafety and Tolerability
Incidence/severity of AEs and SAEs (CTCAE v5.0)
Time frame: Time Frame: Day 1 to Day 28; may extend to Month 2
Dose Limiting Toxicities (DLTs)
DLT's as defined within the protocol.
Time frame: Day 1 through Day 28
To characterize the pharmacokinetic (PK) profile of HB2198
Area under the concentration versus time curve (AUC)
Time frame: Day 1 to Month 2
To characterize the pharmacokinetic (PK) profile of HB2198
Maximum drug concentration (Cmax)
Time frame: Day 1 to Month 2
To characterize the pharmacokinetic (PK) profile of HB2198
Time to maximum plasma concentration (tmax)
Time frame: Day 1 to Month 2
To characterize the pharmacokinetic (PK) profile of HB2198:
Area Under the Curve to last measurable concentration (AUClast)
Time frame: Day 1 to Month 2
To evaluate the development of anti-drug antibodies (ADAs)
ADA incidence
Time frame: Day 1 to Month 2
To evaluate B-cell depletion and other pharmacodynamic changes
B-cell depletion and subsets; duration; change in total immunoglobulins; cytokines/CRP and other biomarkers.
Time frame: Day 1 to Month 2
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