In this study we will investigate how safe the new compound OMS1029 is and how well it is tolerated when it is used by healthy subjects.We also investigate how quickly and to what extent OMS1029 is absorbed, transported, and eliminated from the body…
ID
Source
Brief title
Condition
- Autoimmune disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Safety:
Adverse events (AEs), clinical laboratory, vital signs, 12-lead
electrocardiogram (ECG), telemetric monitoring, physical examination, local
tolerability, and presence of ADAs in serum
Secondary outcome
PK:
Serum OMS1029 concentrations
Serum PK parameters estimated using noncompartmental analysis, as appropriate:
Cmax, tmax, kel, t1/2, AUC0-168, AUC0t, AUC0inf, %AUCextra, CL, CL/F, Vz,
Vz/F, and F (absolute bioavailability for overlapping IV and SC dose levels)
PD:
Ex vivo lectin pathway activity level at baseline and % reduction as a function
of time
Background summary
OMS1029 is a new compound that may potentially be used for the treatment of
autoimmune diseases such as Berger*s disease. Berger's disease is an autoimmune
disease characterized by inflammation of the kidneys.
OMS1029 is an antibody which inhibits the MASP-2 protein by binding to it. An
antibody is a protein which influences the functioning of the immune system by
binding to certain cell components. By inhibiting the MASP-2 protein only a
specific part of the immune system is inhibited, while the rest of the immune
system is unaffected. Blocking MASP-2 inhibits inflammatory and blood clotting
responses to tissue injury. In this mannerOMS1029 can potentially be used to
treat autoimmune diseases that are affected by this pathway. It is expected
that the effect on MASP-2 after a single injection of OMS1029 is long-lasting
(at least one month) and therefore, monitoring will occur over a longer period
of time, for about 5 months. It was decided to prolong the study, due to a
longer than expected observed half-life of OMS1029, causing a longer period in
which OMS1029 is in the body.
Study objective
In this study we will investigate how safe the new compound OMS1029 is and how
well it is tolerated when it is used by healthy subjects.
We also investigate how quickly and to what extent OMS1029 is absorbed,
transported, and eliminated from the body. In addition, we look at the
formation of antibodies against OMS1029.
We compare the effects of OMS1029 with the effects of a placebo.
OMS1029 has not been used by humans before. It has been extensively tested in
the laboratory and on animals.
Study design
For the study it is necessary that the volunteers stay in the research center
for 1 period of 9 days (8 nights). This will be followed by 6 short visits to
the research center and a follow-up visit.
Day 1 is the day when the volunteers receive the study compound. They are
expected at the research center the day before the day of administration of the
study compound. They will leave the research center on Day 8 of the study.
They will be given 0.01, 0.03, 0.1 or 0.3 mg/kg OMS1029 or placebo as an
intravenous infusion of 30 minutes. Or 0.3 or 0.6 mg/kg OMS1029 or placebo will
be given as an injection under the skin in the left lower abdomen.
This means that 0.01, 0.03, 0.1, 0.3, 0.3 or 0.6 mg of OMS1029 will be
administered per 1 kg of body weight, so the actual dose will depend on the
body weight.
Intervention
Group 1 day 1 OMS1029 0.01 mg/kg or placebo injection once into the bloodstream
Group 2 day 1 OMS1029 0.03 mg/kg or placebo injection once into the bloodstream
Group 3 day 1 OMS1029 0.1 mg/kg or placebo injection once into the bloodstream
Group 4 day 1 OMS1029 0.3 mg/kg or placebo injection once into the bloodstream
Group 5 day 1 OMS1029 0.3 mg/kg or placebo once injection subcutaneously
Group 6 day 1 OMS1029 0.6 mg/kg or placebo once injection subcutaneously
Study burden and risks
As OMS1029 will be administered to humans for the first time in this study,
side effects of OMS1029 in humans are not known yet. OMS1029 has been studied
extensively in the laboratory and in animals. Based on the way this study
compound works, the following side effects may be associated with OMS1029:
• Hypersensitivity reactions that can be in the form of itching, difficulty
breathing, swelling, gastrointestinal symptoms, skin rash, and drop in blood
pressure. In very rare cases, the volunteer could develop immune related
adverse events and suffer a life-threatening allergic reaction. If the
volunteer does experience any such reaction, the responsible doctor should be
told immediately so that the volunteer can receive the appropriate treatment.
• Birth defects if given during pregnancy.
• Infection or worsening of existing infection by certain bacteria.
• Heart rate increase.
• Injection site reactions such as redness, bruising, soreness or pain,
intravenous infusion reactions such as chills, fever, flushing, muscle pain,
back or abdominal pain, nausea/vomiting, headache, high or low blood pressure,
fast heart rate, swelling, and shortness of breath.
Waterfront Research Center, Elliott Avenue West 201
Seattle WA 98119
US
Waterfront Research Center, Elliott Avenue West 201
Seattle WA 98119
US
Listed location countries
Age
Inclusion criteria
1. Sex: male or female.
2. Age: 18 to 60 years, inclusive, at screening.
3. Body mass index (BMI): 18.0 to 30.0 kg/m2, inclusive, at screening.
4. Weight: 50 to 110 kg, inclusive, at screening.
5. Status: healthy subjects.
6. At screening, females must not be pregnant or lactating; nonpregnancy will
be confirmed for all females by a serum pregnancy test (minimum sensitivity 25
IU/L or equivalent units of β-human chorionic gonadotropin [β-hCG]) at
screening and at admission.
7. Females are a) not of childbearing potential (ie, surgically sterilized or
postmenopausal for >1 year); OR b) women of childbearing potential (WOCBP),
and, if sexually active with a fertile male partner, must agree to use adequate
contraception (see Section 3.4.8.1) from 4 weeks prior to Day 1 until 90 days
following the final follow-up visit.
8. Males, if not documented surgically sterilized (eg, vasectomy and
azoospermia) and sexually active with WOCBP partners, must agree to use
adequate contraception (see Section 3.4.8.1) from admission (Day 1) until 90
days after the final follow-up visit. In addition, males must be willing to
refrain from sperm donation during this time.
9. All prescribed medication must have been stopped at least 14 days prior to
admission to the clinical research center. An exception is made for hormonal
contraceptives, which may be used throughout the study.
10. All over-the-counter medication, vitamin preparations and other food
supplements, or herbal medications (eg, St. John*s Wort) must have been stopped
at least 7 days prior to admission to the clinical research center. An
exception is made for paracetamol, which is allowed up to admission to the
clinical research center. Furthermore, from admission onwards, the Investigator
may permit a limited amount of paracetamol for the treatment of headache or any
other pain.
11. Ability and willingness to abstain from alcohol during confinement and from
48 hours prior to admission and each ambulant visit to the clinical research
center; and to limit alcohol use to no more than 2 units per day on average on
all other study days (1 unit of alcohol equals approximately 250 mL of beer,
100 mL of wine, or 35 mL of spirits).
12. Good physical and mental health on the basis of medical history, physical
examination, clinical laboratory, ECG, telemetric monitoring (as applicable),
and vital signs, as judged by the Investigator.
13. Competent, willing, and able to sign and understand the informed consent
and any required privacy authorization prior to the initiation of any study
procedures including a request that a subject fast for any laboratory
evaluations and comply with protocol requirements.
Exclusion criteria
1. Previous randomization in the current study.
2. Employee of ICON or the Sponsor, or their immediate family member. Immediate
family is defined as current spouse, parent, natural or legally adopted child
(including a stepchild living in the household), grandparent, or grandchild of
Omeros or ICON employee.
3. Received a complement inhibitor within 6 months of screening.
4. History of relevant drug and/or food allergies. This includes any confirmed
significant allergic reactions (anaphylaxis or angioedema) to any drug, OMS1029
excipients, or multiple drug allergies (non-active hay fever is allowed per the
Investigator*s discretion).
5. Using tobacco and nicotine containing products within 30 days prior to the
screening.
6. History of alcohol abuse or drug addiction (including soft drugs like
cannabis products) within 1 years of screening or the unwillingness to agree to
abstain from alcohol and drugs throughout the study.
7. Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines
[including ecstasy], cannabinoids, barbiturates, benzodiazepines, tricyclic
antidepressants, and alcohol) at screening and admission to the clinical
research center.
8. Average intake of more than 24 units of alcohol per week (1 unit of alcohol
equals approximately 250 mL of beer, 100 mL of wine, or 35 mL of spirits).
9. Positive screen for SARS-CoV-2 (if required by local regulation and
guidelines), hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV)
antibodies, or human immunodeficiency virus (HIV) 1 and 2 antibodies.
10. Participation in a drug study within 30 days prior to study drug
administration in the current study. Participation in 4 or more other drug
studies in the 12 months prior to study drug administration in the current
study.
11. Donation or loss of more than 450 mL of blood within 60 days prior to study
drug administration. Donation or loss of more than 1500 mL of blood (for male
subjects)/more than 1000 mL of blood (for female subjects) in the 10 months
prior to study drug administration in the current study.
12. Plasma or platelet donation within 14 days prior to Day 1.
13. History of asplenia, hyposplenism, or splenectomy.
14. History of any significant medical, hematologic, liver, autoimmune,
neurologic, or psychiatric disorder that in the opinion of the Investigator
would make the patient unsuitable for participation in the study.
15. Any known skin condition that would affect SC dosing or interpretation of
injection or infusion site reactions.
16. Any major surgery, in the opinion of the Investigator, that is planned
during the study.
17. Inability to be venipunctured and/or tolerate venous access. This includes
unsuitable veins for infusion or blood sampling.
18. Pregnancy or intent to conceive during the course of the study.
19. Inability to comply with all protocol assessments including follow-up
visits.
20. Any other sound medical, psychiatric and/or social reason as determined by
the Investigator.
21. Significant active bacterial or viral infection within the 2 weeks prior to
screening.
22. Significant and/or acute illness within 5 days prior to study drug
administration that may impact safety assessments, in the opinion of the
Investigator.
Design
Recruitment
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 | EUCTR2022-001576-33-NL |
CCMO | NL81332.056.22 |