To evaluate the inter- and intra-subject variability in pharmacokinetics (PK) and pharmacodynamics (PD) of study drug following a two-period repeated single dose of 2 mg delivered by subcutaneous (SC) injection in healthy volunteers.
ID
Source
Brief title
Condition
- White blood cell disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pharmacokinetics / Pharmacodynamiek and safety, adverse events, laboratory
data, vital signs, ECG and physical examination
Secondary outcome
PK: AUC0-inf, Cmax, Tmax, kel and half waardetijd.
PD: (AUC), (Tmax), (CD34+ Cmax).
Background summary
The study drug is a drug registered for treatment of a shortage of white blood
cells in order to prevent infections. It is used mostly for cancer patients to
treat the side effects of chemotherapy. The study drug is a protein which is
very similar to the human *granulocyte colony stimulating factor* (filgrastim).
It is produced with the help of bacteria which have received a gene which makes
them able to produce this protein.
Study objective
To evaluate the inter- and intra-subject variability in pharmacokinetics (PK)
and pharmacodynamics (PD) of study drug following a two-period repeated single
dose of 2 mg delivered by subcutaneous (SC) injection in healthy volunteers.
Study design
This study is a phase I, pilot, open-label, single-centre, two-period repeated
single-dose study assessing the PK and PD of study drug in healthy volunteers.
Subjects will receive a 2 mg single dose delivered by SC injection on two
separate occasions with a washout period of 6 weeks between doses.
Treatment:
Single-dose SC injection of 0.2mL (2 mg)
Procedures and assessments
Screening and follow-up: Clinical laboratory pregnancy test (females only),
full physical examination, vital signs , 12-lead electrocardiogram (ECG), and
previous and concomitant medication.
PK/PD blood sampling;
For PK of PEG-GCSF in serum: blood samples will be collected at regular
intervals in both treatment periods.
For PD of ANC in whole blood: blood samples will be collected at screening, at
admission and at regular intervals in both treatment periods.
For PD of CD34+ cell count in whole blood: blood samples will be collected at
regular intervals in both treatment periods.
Safety: recorded from the time the Informed Consent Form is signed until
completion of the follow up visit. clinical laboratory tests (including
clinical chemistry, hematology and urine tests), vital signs (including body
weight and height, systolic and diastolic blood pressure, pulse, respiratory
rate and body temperature), 12-lead electrocardiogram (ECG).
Bio-Analysis:
analysis of serum samples for PEG-GCSF using a validated Enzyme-linked
immunosorbent assay method; analysis of whole blood for ANC using a validated
haematology method, CD34+ cells using a validated flow cytometry cell sorter
method by PRA.
Intervention
Repeated single dose of 2 mg study drug delivered by 0.2mL subcutaneous (SC)
injection.
Study burden and risks
During the investigation, various assessments will be done that can be
experienced as more or less stressfull.
Blood draw, SC injections and the ECG can be experienced as stressfull in this
respect.
Thurgauerstrasse 40
Zurich 8050
CH
Thurgauerstrasse 40
Zurich 8050
CH
Listed location countries
Age
Inclusion criteria
1. Willingness and able to provide Informed Consent ;2. Gender : male or female;3. Age : 18 - 65 years, inclusive;4. Weight : minimal 60 kg;5. BMI : 19.0 - 30.0 kg/m2, inclusive [Body Mass Index (BMI) (kg/m2) <= Body weight (kg) / Height2 (m2)] ;6. Vital signs showing no clinically relevant deviations ;7. Computerised (12-lead) electrocardiogram (ECG) recording without signs of clinically relevant pathology;8. Nonsmoker or light smoker, i.e. smokes maximal 5 cigarettes per day; and ability and willingness to refrain from smoking from 24 hours prior to dosing and on Day 1 of each period, and to limit smoking from Day 2 onwards up to 5 cigarettes per day. ;9. Ability and willingness to abstain from alcohol from 48h prior to study drug administration and prior to ambulatory visits, and during the stays in the clinic until discharge;10. Willingness to use adequate (e.g. double barrier) contraception from screening until 90 days after the follow-up visit, or being surgically sterile for at least 6 months, or (for females) at least 1 year postmenopausal (amenorrhoea duration of at least 12 months);11. Females must not lactate and have a negative pregnancy test at screening and each admission;12. Differentiation of leukocytes, platelet count, haematocrit and haemoglobin results within the reference ranges ;13. All other values for haematology and for clinical chemistry tests of blood and urine within the normal range or showing no clinically relevant deviations as judged by the Medical Investigator
Exclusion criteria
1. Mental handicap;2. Any past or concurrent medical conditions potentially increasing the subject*s risks. Examples of these include medical history with evidence of clinically relevant pathology (e.g. sickle cell disease, spleen pathologies, hematologic malignancies, and pulmonary illnesses such as Acute Respiratory Distress Syndrome (ARDS), interstitial pneumonia, pulmonary oedema, pulmonary infiltrates and pulmonary fibrosis) History of relevant drug and/or food allergies;3. Hypersensitivity to Neulasta® or its constituents (sorbitol E420 and sodium acetate) and/or hypersensitivity to E. coli derived proteins and/or history of previous exposure to PEG-GCSF;4. Subjects with any infections, cough or fever within 1 week prior to study drug administration ;5. Fructose intolerance;6. First grade relatives with haematological malignancy;7. Treatment with non-topical medications (including over the counter medication, and herbal remedies such as St. John*s Wort extract) within 7 days prior to study drug administration, with the exception of hormonal contraceptives, multivitamins, vitamin C, food supplements and a limited amount of acetaminophen, which may be used throughout the study. ;8. Participation in a drug study within 12 weeks prior to study drug administration. ;9. Donation of more than 50 mL of blood within 12 weeks prior to study drug administration. Donation of more than 1.5 litres of blood (for men) / more than 1.0 litres of blood (for women) in the 10 months preceding the start of this study.;10. History of alcohol abuse or drug addiction (including soft drugs like cannabis products);11. Regular intake of more than 24 units of alcohol per week (one unit of alcohol equals approximately 250 mL of beer, 100 mL of wine or 35 mL of spirits);12. Positive drug screen (opiates, methadone, cocaine, amphetamines, cannabinoids, barbiturates, benzodiazepines, tricyclic antidepressants and alcohol);13. Positive screen on Hepatitis B surface antigen (HBsAg), anti-Hepatitis C virus antibodies (HCV), or anti-human immunodeficiency virus 1/2 antibodies (HIV)
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2012-003956-36-NL |
CCMO | NL42144.056.12 |