This is a Phase Id, randomised, double-blind, placebo-controlled, multiple-dose, bridging study conducted at a single Phase I clinical research unit in Australia. The study is designed to evaluate the pharmacokinetics, safety, tolerability, and immunogenicity of XKH001 following repeated subcutaneous administration in healthy adult Caucasian participants, and to provide an ethnic-bridging pharmacokinetic comparison with the prior Phase I dataset in Chinese participants, required for XKH001's global development programme.
The study will consist of two cohorts of healthy adult Caucasian participants. Cohort 1 will receive XKH001 300 mg subcutaneously once every 4 weeks (Q4W) on Day 1, Day 29, and Day 57... Cohort 2 will receive XKH001 600 mg subcutaneously Q4W on Day 1, Day 29, and Day 57. Dosing will be initiated sequentially, with Cohort 1 (300 mg) dosed first, followed by Cohort 2 (600 mg). Dosing in Cohort 2 will not commence earlier than 21 days after the first participant in Cohort 1 receives the first dose and may proceed only following joint review of the available Cohort 1 safety data and unanimous agreement by the Sponsor's medical representative, the Medical Monitor, and the Principal Investigator A total of 16 healthy adult Caucasian participants will be enrolled in the study, with 8 participants per cohort. Within each cohort, participants will be randomised in a 3:1 ratio (6 active drug XKH001; 2 placebo) in a double-blind manner. Randomisation will be performed using a cohort-specific block randomisation schedule to maintain allocation concealment and treatment balance within each cohort. Enrolment will not be stratified by sex; however, at least 3 female participants will be enrolled in each cohort to ensure adequate female representation and to ensure that at least 1 female participant receives the investigational drug.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
XKH001, developed by Zhejiang Kanova Biopharmaceutical Co., Ltd., is a recombinant anti-IL-25 humanized IgG1 monoclonal antibody (mAb) composed of two identical light chains and two identical heavy chains linked by disulfide bonds. Each light chain consists of 215 amino acids, and each heavy chain consists of 455 amino acids, for a total of 1340 amino acids.
Placebo;
Q-Pharm Pty Limited (also known as Nucleus Network Brisbane)
Melbourne, Australia
Primary Outcome 1
Maximum observed serum concentration at steady state (Cmax,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 2
Minimum observed serum concentration at steady state (Cmin,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 3
Average serum concentration at steady state (Cavg,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 4
Area under the serum concentration-time curve from time zero to the last quantifiable concentration at steady state (AUC0-t,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 5
Area under the serum concentration-time curve from time zero to the theoretical infinite time at steady state (AUC0-inf,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 6
Area under the serum concentration-time curve over one dosing interval at steady state (AUCtau)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 7
Time to maximum observed serum concentration at steady state (tmax,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 8
Terminal elimination half-life at steady state (t½,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 9
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2
Mean residence time at steady state (MRTss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 10
Terminal elimination rate constant (λz,ss)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 11
Percent of extrapolated area under the curve (%AUCex)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 12
Accumulation ratio based on Cmax and AUC (Rac)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 13
Apparent clearance at steady state (CLss/F)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 14
Apparent volume of distribution at steady state (Vz,ss/F)
Time frame: Day 1, Day 29, and Day 57
Primary Outcome 15
Incidence, severity, seriousness, and relationship to study treatment of treatment-emergent adverse events (TEAEs)
Time frame: first dose administration through Day 169
Primary Outcome 16
Incidence, severity, seriousness, and relationship to study treatment of treatment-emergent serious adverse events (SAEs)
Time frame: first dose administration through Day 169
Primary Outcome 17
Incidence, severity, seriousness, and relationship to study treatment of treatment-emergent adverse drug reactions (ADRs)
Time frame: first dose administration through Day 169
Primary Outcome 18
Incidence, severity, seriousness, and relationship to study treatment of treatment-emergent suspected unexpected serious adverse reactions (SUSARs)
Time frame: first dose administration through Day 169
Primary Outcome 19
Incidence and severity of local injection-site reactions following subcutaneous administration of XKH001 or placebo
Time frame: first dose administration through Day 169
Secondary Outcome 1
Incidence of anti-drug antibodies (ADA) to XKH001, including neutralising antibody (NAb) status for confirmed ADA-positive samples
Time frame: Day 1, Day 29, and Day 57, and during follow-up visits on Day 85, Day 113, and Day 169.
Secondary Outcome 2
Prevalence of anti-drug antibodies (ADA) to XKH001, including neutralising antibody (NAb) status for confirmed ADA-positive samples
Time frame: Day 1, Day 29, and Day 57, and during follow-up visits on Day 85, Day 113, and Day 169.
Secondary Outcome 3
Characterisation of anti-drug antibodies (ADA) to XKH001, including neutralising antibody (NAb) status for confirmed ADA-positive samples
Time frame: Day 1, Day 29, and Day 57, and during follow-up visits on Day 85, Day 113, and Day 169.