A Study of Subcutaneous Gefurulimab Using Prefilled Syringe Versus Autoinjector in Healthy Adult Participants

Phase
Recruitment status
Participants
Lead sponsor
Alexion Pharmaceuticals, Inc.
Start date
Number of sites

Summary
This study will evaluate the pharmacokinetics (PK), pharmacodynamics (PD), safety, immunogenicity, and device performance of gefurulimab.
Short title
A Study of Subcutaneous Gefurulimab Using Prefilled Syringe Versus Autoinjector in Healthy Adult Participants
Official title
A Phase 1, Open-label, Randomized, Parallel-group Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, Immunogenicity, and Device Performance of ALXN1720 (Gefurulimab) Administered Subcutaneously Using Prefilled Syringe Versus Autoinjector in Adult Healthy Participants

Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Randomisation ratio
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Alexion Pharmaceuticals, Inc.
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Single masking
Masking description
This is an open-label study. To avoid potential bias and maintain the data integrity, the analysis and reporting performed before database lock for Primary Analysis, ie, dry run/blinded data review for Primary Analysis, will be based on blinded data in which the treatment information is based on a dummy randomization schedule.
Masked roles
Outcome assessors
Sources for study design

  1. Area under the serum concentration-time curve from time zero to the last measurable concentration (AUClast)

    Timeframe: Day 1 up to early discontinuation or Day 92

    The AUClast exposure in healthy participants following a single SC dose of 600 mg gefurulimab by AI comparable to the PK exposure using the PFS-SD will be assessed.

  2. Area under the serum concentration-time curve from time zero to time infinity (AUCinf)

    Timeframe: Day 1 up to early discontinuation or Day 92

    The AUClinf exposure in healthy participants following a single SC dose of 600 mg gefurulimab by AI comparable to the PK exposure using the PFS-SD will be assessed.

  3. Maximum (peak) concentration observed after study intervention administration (Cmax)

    Timeframe: Day 1 up to early discontinuation or Day 92

    The Cmax exposure in healthy participants following a single SC dose of 600 mg gefurulimab by AI comparable to the PK exposure using the PFS-SD will be assessed.

  1. Time to maximum observed serum concentration (tmax)

    Timeframe: Day 1 to Day 92

    The tmax of gefurulimab SC in healthy participants across devices, and injection sites will be assessed.

  2. Terminal elimination half-life (t½)

    Timeframe: Day 1 to Day 92

    The t½ of gefurulimab SC in healthy participants across devices, and injection sites will be assessed.

  3. Apparent total body clearance of the study intervention from serum (CL/F)

    Timeframe: Day 1 to Day 92

    The CL/F of gefurulimab SC in healthy participants across devices, and injection sites will be assessed.

  4. Apparent volume of distribution (Vd/F)

    Timeframe: Day 1 to Day 92

    The Vd/F of gefurulimab SC in healthy participants across devices, and injection sites will be assessed.

  5. Serum free C5 (complement component 5) concentrations

    Timeframe: Day 1 to Day 92

    The serum free C5 concentrations of gefurulimab SC in healthy participants across devices and injection sites will be assessed.

  6. Number of subjects with TEAEs (treatment-emergent adverse event) and TESAEs (treatment-emergent serious adverse event)

    Timeframe: From Admission (Day-1) to Day 92

    The safety and tolerability of gefurulimab SC in healthy participants across devices and injection sites will be evaluated.

  7. Incidence of antidrug antibody (ADA) to gefurulimab category of immune-response and titer

    Timeframe: Day 1, Day 92

    The immunogenicity of gefurulimab SC administered with either PFS-SD or AI in healthy participants will be assessed.

  8. Number of reported outcome of attempted full-dose administration via AI (autoinjector) or PFS-SD (prefilled syringe with needle safety device)

    Timeframe: Day 1

    The performance of the AI and PFS-SD in the administration of gefurulimab SC in healthy participants will be assessed.

  9. Number of reported device deficiencies/complaints and associated device investigations

    Timeframe: Day 1

    The performance of the AI and PFS-SD in the administration of gefurulimab SC in healthy participants will be assessed.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
65 Years
Healthy volunteers
Yes

  1. Participants must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
  2. Body weight within ≥ 50 to < 110 kg and body mass index (BMI) within the range 18.5 to 30 kg/m2 (inclusive)
  3. Participants who are healthy as determined by medical evaluation with no clinically significant or relevant abnormalities as determined by medical history, physical examination, vital signs, 12-lead ECG, and clinical laboratory evaluation.
  4. QT interval corrected using Fridericia's formula (QTcF) ≤ 450 msec for male participants and ≤ 460 msec for female participants at Screening and prior to dosing on Day 1.
  5. Documented vaccination against meningococcal infection from serogroups A, C, W, and Y and serogroup B.
  6. Male and female participants should adhere to study-specific contraceptive methods.

  1. History of any Neisseria meningitidis infection.
  2. History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders.
  3. Abnormal blood pressure as determined by the Investigator.
  4. History of latent or active TB (Tuberculosis) or exposure to endemic areas.
  5. Allergy to monoclonal antibodies.
  6. Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe posttreatment hypersensitivity reactions.
  7. Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
  8. Current or chronic history of liver disease.
  9. Known hepatic or biliary abnormalities.
  10. Active systemic bacterial, viral, or fungal infection within 14 days prior to dosing.
  11. History of allergy or intolerance to penicillin or cephalosporin.
  12. History of clinically significant allergic reaction (eg, anaphylaxis or angioedema) to any product.
  13. Live vaccine(s) within 1 month prior to Screening or plans to receive such vaccines during the study.
  14. Evidence of human immunodeficiency virus (HIV) infection (positive HIV type 1 or type 2 antibody).
  15. Evidence of hepatitis B infection (positive hepatitis B surface antigen [HBsAg] or positive total hepatitis B core antibody [HBcAb] with negative surface antibody [anti-HBs]), or hepatitis C viral infection (positive HCV RNA).
  16. Female participants who have a positive pregnancy test at Screening or Admission.
  17. Positive prestudy drug/alcohol screen; positive result may be repeated once.
Sources for eligibility

  • Research SiteToronto, Canada
  • Research SiteLaval, Canada
Sources for sites

Related records

Drugs (1)

Collaborators (1)

Lead sponsors (1)