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The primary objective of this study is to establish the safety profile and maximum tolerated dose (MTD) of AB103 given as a single intravenous (IV) infusion in healthy volunteers.
After consent and establishing eligibility for the study, each subject received a single IV infusion of escalating doses of AB103 (7.5, 37.5, 150, 450 μg/kg in 5 subjects at each dose) or placebo (n=5). Screening blood chemistry, hematology, coagulation, urinalysis, vital signs, and electrocardiogram (ECG) were used to assure medical fitness to participate in the study. These measures were repeated during and after treatment with AB103 to monitor for adverse events (AEs). ECG and pulse oximetry was monitored continuously starting 15 minutes before the infusion and for 2 hours after each infusion. Vital signs (sitting blood pressure, temperature, heart rate, respiratory rate, and pulse oximetry) and ECG measurements were recorded every 15 minutes for the first two hours starting from the beginning of the infusion and then approximately 24 hours later. Blood chemistry, hematology, coagulation, and urinalysis, were repeated one day and one week after infusions. AEs either observed by the investigator or reported spontaneously by the subjects were recorded at each study visit. Subjects kept a 7-day diary starting on the day of infusion to record any AEs. The primary basis on which escalation was based was dose limiting toxicities (DLTs) defined as the emergence of one or more selected AEs that reached a threshold which justified stopping the trial. After safety monitoring committee review of safety data, progression to the next cohort was to occur as follows:
Subjects in Cohorts #1 to #3 had a blood sample (40 milliliters, mL) drawn pre-infusion, 24 hours after the infusion (Day 2), and a final sample at the Day 6-8 clinic visit (total of 120 mL) for leukocyte phenotyping by flow cytometry. Subjects in Cohort #4 had a blood sample (40 mL) drawn pre-infusion, 1 hour after the infusion, and a final sample at the Day 6-8 clinic visit (total of 120 mL) for leukocyte phenotyping by flow cytometry.
For the pharmacokinetic (PK) analysis, blood was collected at the mid-point of the infusion and 1, 2, 5, 10, 20, 30, and 60 minutes and approximately 24 hours post-infusion, and plasma was isolated for quantitation of AB103 peptide concentrations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AB103 7.5 µg/kg | Experimental | AB103 7.5 µg/kg administered as a single IV infusion |
|
| AB103 37.5 µg/kg | Experimental | AB103 37.5 µg/kg administered as a single IV infusion |
|
| AB103 150 µg/kg | Experimental | AB103 150 µg/kg administered as a single IV infusion |
|
| AB103 450 µg/kg | Experimental | AB103 450 µg/kg administered as a single IV infusion |
|
| Placebo | Placebo Comparator | Normal saline (0.9% sodium chloride) administered as a single IV infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AB103 | Drug | Single intravenous infusion at doses of 7.5 µg/kg, 37.5 µg/kg, 150 µg/kg, or 450 µg/kg administered over approximately 10 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number Adverse Events (AEs) | An AE is any untoward medical occurrence in a subject administered study drug and that does not necessarily have a causal relationship with the study drug. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with the use of the study drug, whether or not considered related to the study drug. | 2 weeks |
| Number of Serious Adverse Events (SAEs) | A serious adverse event (SAE) is an AE occurring during any study phase and at any dose of the study drug (AB103 or placebo) that fulfills one or more of the following criteria:
| 2 weeks |
| Number of Dose-limiting Toxicities (DLTs) | DLTs were defined as the emergence of one or more selected AEs that reached a threshold that may justify stopping the trial. | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration-time Curve (AUC) | Area under the plasma concentration-time curve (AUC) from time zero to infinity following a single dose of study drug, obtained via noncompartmental methods. It is an integrated measure of study drug plasma exposure. | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alan Cross, MD | University of Maryland, College Park | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Maryland School of Medicine | Baltimore | Maryland | 21201 | United States |
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One consented and screened subject found to be eligible was not randomized into the study because the target number of subjects had already been achieved.
Subjects were recruited at the University of Maryland School of Medicine starting 7 September 2010. The study concluded 10 April 2011.
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| ID | Title | Description |
|---|---|---|
| FG000 | AB103 7.5 µg/kg | AB103 7.5 µg/kg single IV infusion |
| FG001 | AB103 37.5 µg/kg | AB103 37.5 µg/kg single IV infusion |
| FG002 | AB103 150 µg/kg | AB103 150 µg/kg single IV infusion |
| FG003 | AB103 450 µg/kg | AB103 450 µg/kg single IV infusion |
| FG004 | Placebo | Normal saline (0.9% sodium chloride) single IV infusion |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | AB103 7.5 µg/kg | AB103 7.5 µg/kg administered as a single IV infusion |
| BG001 | AB103 37.5 µg/kg | AB103 37.5 µg/kg administered as a single IV infusion |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number Adverse Events (AEs) | An AE is any untoward medical occurrence in a subject administered study drug and that does not necessarily have a causal relationship with the study drug. An AE could therefore be any unfavorable and unintended sign (including abnormal laboratory findings), symptom, or disease temporally associated with the use of the study drug, whether or not considered related to the study drug. | The analysis population consisted of all subjects who received a dose of study drug. | Posted | Number | adverse events | 2 weeks |
|
2 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AB103 7.5 µg/kg | AB103 7.5 µg/kg administered as a single IV infusion | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lacrimation increased | Eye disorders | MedDRA (12.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Wayne M Dankner, MD, Chief Medical Officer | AtoxBio, Ltd. | 1 919-219-6377 | wayned@atoxbio.com |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| C000597133 | AB103 |
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| Placebo | Drug | Single intravenous infusion of normal saline (0.9% sodium chloride) administered over approximately 10 minutes |
|
| Cmax | Maximum plasma concentration | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
| Apparent Terminal Plasma Half-life (T1/2) | Apparent terminal plasma half-life (T1/2) is the amount of time for plasma concentrations to decline by 50%. | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
| Clearance (CL) | Clearance (CL) is the volume of plasma completely cleared of drug per unit of time. | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
| BG002 | AB103 150 µg/kg | AB103 150 µg/kg administered as a single IV infusion |
| BG003 | AB103 450 µg/kg | AB103 450 µg/kg administered as a single IV infusion |
| BG004 | Placebo | Normal saline (0.9% sodium chloride) administered as a single IV infusion |
| BG005 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
Each subject received a single IV infusion of AB103 37.5 µg/kg
| OG002 | AB103 150 µg/kg | Each subject received a single IV infusion of 150 µg/kg |
| OG003 | AB103 450 µg/kg | Each subject received a single IV infusion of 450 µg/kg |
| OG004 | Placebo | Each subject received a single IV infusion of normal saline (0.9% sodium chloride) |
|
|
| Primary | Number of Serious Adverse Events (SAEs) | A serious adverse event (SAE) is an AE occurring during any study phase and at any dose of the study drug (AB103 or placebo) that fulfills one or more of the following criteria:
| The analysis population consisted of all subjects receiving a dose of study drug. | Posted | Number | serious adverse events | 2 weeks |
|
|
|
| Primary | Number of Dose-limiting Toxicities (DLTs) | DLTs were defined as the emergence of one or more selected AEs that reached a threshold that may justify stopping the trial. | Posted | Number | DLTs | 2 weeks |
|
|
|
| Secondary | Area Under the Plasma Concentration-time Curve (AUC) | Area under the plasma concentration-time curve (AUC) from time zero to infinity following a single dose of study drug, obtained via noncompartmental methods. It is an integrated measure of study drug plasma exposure. | AUC could not be determined in the AB103 7.5 µg/kg group and the placebo group because of the number of plasma concentration results that were undetectable. | Posted | Median | Full Range | ng*min/mL | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
|
|
|
| Secondary | Cmax | Maximum plasma concentration | Cmax is not available (applicable) to placebo patients (no detectable plasma concentrations). | Posted | Median | Full Range | ng/mL | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
|
|
|
| Secondary | Apparent Terminal Plasma Half-life (T1/2) | Apparent terminal plasma half-life (T1/2) is the amount of time for plasma concentrations to decline by 50%. | This outcome measure could not be determined in the 7.5 µg/kg dose group because of the frequency of undetectable plasma concentrations. It was not determined for placebo subjects (undetectable plasma concentrations). | Posted | Median | Full Range | hours (h) | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
|
|
|
| Secondary | Clearance (CL) | Clearance (CL) is the volume of plasma completely cleared of drug per unit of time. | Clearance was not determined in the 7.5 µg/kg dose group because of the frequency of undetectable AB103 plasma concentrations. Clearance was not determined in the placebo group (undetectable plasma concentrations). | Posted | Median | Full Range | mL/min/kg | Whole blood was collected pre-dose; at the mid-point of the infusion; at 1, 2, 5, 10, 20, 30, and 60 minutes post-infusion; and at approximately 24 hours post-infusion for the measurement of AB103 plasma concentrations. |
|
|
|
| 5 |
| 0 |
| 5 |
| 1 |
| 5 |
| EG001 | AB103 37.5 µg/kg | AB103 37.5 µg/kg administered as a single IV infusion | 0 | 5 | 0 | 5 | 1 | 5 |
| EG002 | AB103 150 µg/kg | AB103 150 µg/kg administered as a single IV infusion | 0 | 5 | 0 | 5 | 1 | 5 |
| EG003 | AB103 450 µg/kg | AB103 450 µg/kg administered as a single IV infusion | 0 | 5 | 0 | 5 | 2 | 5 |
| EG004 | Placebo | Normal saline (0.9% sodium chloride) administered as a single IV infusion | 0 | 5 | 0 | 5 | 2 | 5 |
| Abdominal pain | Gastrointestinal disorders | MedDRA (12.0) | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA (12.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (12.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (12.0) | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (12.0) | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA (12.0) | Systematic Assessment |
|
| Rash papular | Skin and subcutaneous tissue disorders | MedDRA (12.0) | Systematic Assessment |
|
| Pruritis | Skin and subcutaneous tissue disorders | MedDRA (12.0) | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (12.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (12.0) | Systematic Assessment |
|
| Pyuria | Renal and urinary disorders | MedDRA (12.0) | Systematic Assessment |
|
| Pruritis genital | Reproductive system and breast disorders | MedDRA (12.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Systematic Assessment |
|
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |