This Phase 1/2A, randomized, double-blind study will evaluate the safety, tolerability, and pharmacokinetics (PK) of HT31-1 (hCitH3-mAb) in healthy adult volunteers and in patients with mild-to-moderate acute respiratory distress syndrome (ARDS) due to an infectious source. The current trial (Part A) focuses on single ascending doses (SAD) in healthy volunteers to characterize the safety profile, PK parameters, and immunogenicity of HT31-1. Emerging data from this phase will inform dose selection for the subsequent Part B study in ARDS patients and help establish the recommended Phase 2 dose (RP2D). Additionally, exploratory pharmacodynamic and biomarker assessments will be performed to evaluate target engagement and potential early biological activity.
HT31-1 injection is a first-in-class humanized monoclonal antibody that neutralizes citrullinated histone H3 (CitH3), a critical damage-associated molecular pattern (DAMP) driving neutrophil extracellular trap (NETosis-induced endothelial injury, microvascular thrombosis, and hyper-inflammation in sepsis and ARDS. HT31-1 addresses the underlying pathophysiology of sepsis/ARDS without impacting the innate immune defense function, thus provide a potentially safe and effective means to treat ARDS. Design: Randomized, double-blind, placebo-controlled, single ascending dose (SAD) study. Cohort size: 8 participants per cohort (6 assigned to HT31-1 and 2 assigned to placebo). Randomization: 3:1 ratio (HT31-1: placebo). Blinding: HT31-1 and placebo will be provided as identical, indistinguishable investigational products supplied by the Investigational Pharmacy. Both participants and all study site personnel (including investigators, study staff, and safety assessors) will remain blinded to treatment allocation. Randomization codes will be maintained by an independent statistician or designated unblinded party and will not be disclosed until database lock unless required for subject safety. Population: Approximately 24 healthy adult volunteers. Dosing: A single intravenous infusion of HT31-1 per cohort at ascending dose levels of 1 mg/kg, 5 mg/kg, and 20 mg/kg. Dose escalation will proceed in a sentinel dosing format with interim safety reviews between cohorts. Each cohort will enroll 8 participants (6 HT31-1, 2 placebo). A total of up to 24 participants will be enrolled in Part A. No additional expansion cohort is planned.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
24
HT-1 is a humanized monoclonal antibody developed by HTIC, Inc as a treatment for Acute Respiratory Distress Syndrome (ARDS) Due to an Infectious Source
Saline is as placebo control
Virginia Commonwealth University (VCU Health)
Richmond, Virginia, United States
NOT_YET_RECRUITINGVirginia Commonwealth University (VCU Health)
Richmond, Virginia, United States
RECRUITINGIncidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
The number and percentage of participants experiencing treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) following administration of HT31-1.
Time frame: 0-28 days
Assess dose-limiting toxicities (DLTs)
Number and percentage of participants experiencing DLTs at each dose level.
Time frame: 0-28 days
Maximum observed concentration (Cmax)
Maximum observed plasma concentration (Cmax) of HT31-1 following single intravenous administration.
Time frame: From pre-dose through Day 28 post-dose
Time to maximum concentration (Tmax)
Time to reach the maximum observed plasma concentration (Tmax) of HT31-1 following single intravenous administration.
Time frame: From pre-dose through Day 28 post-dose
Area under the curve (AUC)
Area under the plasma concentration-time curve from time zero to the last quantifiable concentration (AUC0-t )and from time zero extrapolated to infinity (AUC0-∞) of HT31-1 following single intravenous administration.
Time frame: From pre-dose through Day 28 post-dose
Half-life (t1/2)
Time for serum concentration to decrease by half in the terminal phase.
Time frame: From pre-dose through Day 28 post-dose
Clearance (CL)
Volume of plasma cleared of drug per unit time (mL/hr or L/day).
Time frame: From pre-dose through Day 28 post-dose
Volume of distribution (Vd)
Volume of distribution (Vd) of HT31-1 following single intravenous administration.
Time frame: From pre-dose through Day 28 post-dose
Assess preliminary pharmacodynamic (PD) effects
Measurable changes in circulating CitH3 levels following either HT31-1 or placebo administration.
Time frame: From pre-dose through Day 28 post-dose
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