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The purpose of this study is to define the dose for a Phase II study and to investigate safety and tolerability of intravenous administration of recombinant soluble human Angiotensin Converting Enzyme 2 in healthy volunteers.
APN01-1-01 is a placebo controlled double blinded Phase I study composed of a single dose, dose escalation part followed by a multiple dosage part. The first four cohorts (four individuals each) will receive 100, 200, 400 and 800 µg/kg APN01 i.v. or placebo. Cohorts 5 and 6 (three individuals each) will receive three and six i.v. APN01 administrations daily, respectively. Planned dosage of the multiple dose part will be 400 µg/kg.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| APN01 | Active Comparator | Healthy volunteers will receive APN01 |
|
| Placebo | Placebo Comparator | Physiological saline administrated i.v. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APN01 | Biological | APN01, a physiological formulation of recombinant human Angiotensin Converting Enzyme 2 administrated i.v. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability profile of APN01 when administered as a single dose / multiple dose i.v. in healthy volunteers. Measures: Blood chemistry, Hematology, Urinalysis, Adverse events, Vital signs including blood pressure, pulse, respiratory rate, ECG | 31 Days |
| Measure | Description | Time Frame |
|---|---|---|
| To obtain pharmacokinetic and pharmacodynamic data for APN01 and to investigate potential immunogenicity of APN01. Measures: Systemic rhACE2 concentration and activity, potential humoral immune response, Angiotensin II and Angiotensin 1-7 plasma levels. | 31 days |
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Inclusion Criteria:
Exclusion Criteria:
Significant hematological, renal, hepatic, metabolic, psychiatric or pulmonary diseases.
Heart disease or elevated blood pressure.
Any other significant disease that could interfere with the subject's ability to complete the protocol
History of alcohol or drug abuse
Abnormal urinalysis
Pregnant or lactating female subjects
Use of anticoagulants or antihypertensive drugs, particularly drugs interfering with the renin-angiotensin-aldosterone system, Obesity or anorexia (BMI <18 or >30)
History of malignancy, except basal cell carcinoma of the skin, Known history of human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection or positive serology testing in the study screening procedures (except indicating immunization)
Participation in a clinical trial within the last 30 days
Any of the following laboratory abnormalities:
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| Name | Affiliation | Role |
|---|---|---|
| Stephan Kraehenbuehl, Prof. Dr. | University Hospital, Basel, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Basel | Basel | 4031 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23681967 | Derived | Haschke M, Schuster M, Poglitsch M, Loibner H, Salzberg M, Bruggisser M, Penninger J, Krahenbuhl S. Pharmacokinetics and pharmacodynamics of recombinant human angiotensin-converting enzyme 2 in healthy human subjects. Clin Pharmacokinet. 2013 Sep;52(9):783-92. doi: 10.1007/s40262-013-0072-7. |
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| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D002318 | Cardiovascular Diseases |
| D007674 | Kidney Diseases |
| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Placebo | Other | Physiological saline administrated i.v. |
|
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |