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The Objectives of this study is to evaluate the safety, pharmacokinetics and pharmacodynamics of single dose of N-Rephasin® SAL200 in healthy male subjects.
The purposes of this study are to evaluate the pharmacokinetics, and pharmacodynamics and safety of an experimental intravenous medication, N-Rephasin® SAL200 in healthy male. Participants will include 36 male volunteers. Participants will be grouped according to dosage of N-Rephasin® SAL200 including placebo (0 mg/kg). Study procedures include: check of vital signs, reporting any experienced side effects, physical examination including assessment of the cardiovascular system, and blood sample collection for monitoring of pharmacokinetics, pharmacodynamics and antibody production etc. Participants will be involved in study related procedures for up to 50 days after injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| N-Rephasin® SAL200 | Experimental | N-Rephasin® SAL200, 0.1 mg/kg, 0.3 mg/kg, 1 mg/kg, 3 mg/kg, 10 mg/kg |
|
| INT200-Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| N-Rephasin® SAL200 | Biological | continuous intravenous infusion over 60 minutes |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the Safety of N-Rephasin® SAL200 in Healthy Human Volunteers | Up to 50 days after administration |
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| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Parameters After Single IV Administration of N-Rephasin® SAL200 [Effective t1/2 (h)] | 0, 4, 8, 12, 16, 20, 24 hours post-dose | |
| Pharmacodynamics Evaluation of N-Rephasin® SAL200 : Mean Concentration of Bactericidal Activity After Single Dose of N-Rephsin® SAL200 IV Administration |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| In Jin Jang, M.D., Ph. D. | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 110-744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15979390 | Result | Loessner MJ. Bacteriophage endolysins--current state of research and applications. Curr Opin Microbiol. 2005 Aug;8(4):480-7. doi: 10.1016/j.mib.2005.06.002. | |
| 18824123 | Result | Fischetti VA. Bacteriophage lysins as effective antibacterials. Curr Opin Microbiol. 2008 Oct;11(5):393-400. doi: 10.1016/j.mib.2008.09.012. Epub 2008 Oct 14. |
| Label | URL |
|---|---|
| FDA, Guidance for Industry, Estimating the Maximum Safe Starting Dose inInitial Clinical Trials for Therapeutics in Adult Healthy Volunteers, 2005. | View source |
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57 subjects were screened and 36 subjects met the eligibility criteria.
Enrollment have completed in a single center (Seoul National University Hospital) from Nov. 2013 and the completion date is Feb. 2014.
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| ID | Title | Description |
|---|---|---|
| FG000 | INT200-Placebo | Placebo INT200-Placebo: Formulation buffer for continuous intravenous infusion over 60 minutes |
| FG001 | N-Rephasin® SAL200, 0.1mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| INT200-Placebo |
| Other |
Formulation buffer for continuous intravenous infusion over 60 minutes |
|
| up to 2hours |
| Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [Cmax (µg/ml)] | Day 1 to 2 |
| Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [Cmax/D (µg/ml/mg)] | Day 1 to 2 |
| Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [AUC Last (µg*h/ml)] | Day 1 to 2 |
| 11739958 | Result | Loeffler JM, Nelson D, Fischetti VA. Rapid killing of Streptococcus pneumoniae with a bacteriophage cell wall hydrolase. Science. 2001 Dec 7;294(5549):2170-2. doi: 10.1126/science.1066869. |
| 14576095 | Result | Wu JA, Kusuma C, Mond JJ, Kokai-Kun JF. Lysostaphin disrupts Staphylococcus aureus and Staphylococcus epidermidis biofilms on artificial surfaces. Antimicrob Agents Chemother. 2003 Nov;47(11):3407-14. doi: 10.1128/AAC.47.11.3407-3414.2003. |
| 12808158 | Result | Schellekens H. Immunogenicity of therapeutic proteins. Nephrol Dial Transplant. 2003 Jul;18(7):1257-9. doi: 10.1093/ndt/gfg164. No abstract available. |
| 28348152 | Derived | Jun SY, Jang IJ, Yoon S, Jang K, Yu KS, Cho JY, Seong MW, Jung GM, Yoon SJ, Kang SH. Pharmacokinetics and Tolerance of the Phage Endolysin-Based Candidate Drug SAL200 after a Single Intravenous Administration among Healthy Volunteers. Antimicrob Agents Chemother. 2017 May 24;61(6):e02629-16. doi: 10.1128/AAC.02629-16. Print 2017 Jun. |
| FG002 | N-Rephasin® SAL200, 0.3 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| FG003 | N-Rephasin® SAL200, 1 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| FG004 | N-Rephasin® SAL200, 3 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| FG005 | N-Rephasin® SAL200, 10 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| COMPLETED |
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| NOT COMPLETED |
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one subject in the 1 mg/kg dose group was 171.3 cm in height and weighed 81 kg at the screening, indicating that this subject was not within the range of ideal body weight (51.3-77.0 kg) for the subject's height, but the subject was enrolled in the study. The investigators judged that that subject was not at increased risk of adverse events in comparison with other subjects. Subject completed the remaining study procedures as scheduled in the study protocol without showing adverse events.
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| ID | Title | Description |
|---|---|---|
| BG000 | N-Rephasin® SAL200 0.1(mg/kg) | N-Rephasin® SAL200, 0.1 mg/kg N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| BG001 | N-Rephasin® SAL200 0.3(mg/kg) | N-Rephasin® SAL200, 0.3 mg/kg N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| BG002 | N-Rephasin® SAL200 1(mg/kg) | N-Rephasin® SAL200, 1 mg/kg N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| BG003 | N-Rephasin® SAL200 3(mg/kg) | N-Rephasin® SAL200, 3 mg/kg N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| BG004 | N-Rephasin® SAL200 10(mg/kg) | N-Rephasin® SAL200, 10 mg/kg N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes |
| BG005 | INT200-Placebo | Placebo INT200-Placebo: Formulation buffer for continuous intravenous infusion over 60 minutes |
| BG006 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Mean | Full Range | Years |
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| Sex/Gender, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Body weight | Mean | Full Range | kg |
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| Height | Mean | Full Range | cm |
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| 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 | Evaluation of the Safety of N-Rephasin® SAL200 in Healthy Human Volunteers | Posted | Count of Participants | Participants | Up to 50 days after administration |
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| Other Pre-specified | Pharmacokinetic Parameters After Single IV Administration of N-Rephasin® SAL200 [Effective t1/2 (h)] | Posted | Mean | Standard Deviation | h | 0, 4, 8, 12, 16, 20, 24 hours post-dose |
| ||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Pharmacodynamics Evaluation of N-Rephasin® SAL200 : Mean Concentration of Bactericidal Activity After Single Dose of N-Rephsin® SAL200 IV Administration | Posted | Mean | Standard Deviation | μg/mL | up to 2hours |
| ||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [Cmax (µg/ml)] | Posted | Mean | Standard Deviation | µg/ml | Day 1 to 2 |
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| Other Pre-specified | Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [Cmax/D (µg/ml/mg)] | Posted | Mean | Standard Deviation | µg/ml/mg | Day 1 to 2 |
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| Other Pre-specified | Pharmacokinetic Evaluation of N-Rephasin® SAL200 at the Administered Doses by Analysis of Concentration of N-Rephasin® SAL200 in Serum [AUC Last (µg*h/ml)] | Posted | Mean | Standard Deviation | µg*h/ml | Day 1 to 2 |
|
Up to 50 Days ± 7 Days
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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 | INT200-Placebo | Placebo INT200-Placebo: Formulation buffer for continuous intravenous infusion over 60 minutes | 0 | 9 | 0 | 9 | 1 | 9 |
| EG001 | N-Rephasin® SAL200, 0.1mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes | 0 | 3 | 0 | 3 | 0 | 3 |
| EG002 | N-Rephasin® SAL200, 0.3 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes | 0 | 6 | 0 | 6 | 2 | 6 |
| EG003 | N-Rephasin® SAL200, 1 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes | 0 | 6 | 0 | 6 | 1 | 6 |
| EG004 | N-Rephasin® SAL200, 3 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes | 0 | 6 | 0 | 6 | 2 | 6 |
| EG005 | N-Rephasin® SAL200, 10 mg/kg | N-Rephasin® SAL200: continuous intravenous infusion over 60 minutes | 0 | 6 | 0 | 6 | 6 | 6 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | General disorders | MedDRA (16.0) | Systematic Assessment | General disorders and administration site conditions |
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| Fever | General disorders | MedDRA (16.0) | Systematic Assessment | General disorders and administration site conditions |
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| Rigors | General disorders | MedDRA (16.0) | Systematic Assessment | General disorders and administration site conditions |
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| Coughing | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Pharyngitis | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Rhinitis | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA (16.0) | Systematic Assessment |
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| Bilirubinaemia | Hepatobiliary disorders | MedDRA (16.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jun SooYoun, Ph.D. / Executive Director/ Principal researcher | Organization:Institute of iNtRON Biotechnology | +82-31-739-5332 | jsy@intron.co.kr |
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