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The study design of this trial is a Dose-Block Randomized, Placebo controlled (Double-blind), Active Controlled(Open-label), Dose-escalation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HL2351 | Experimental | 1, 2, 4, 8, 12 mg/kg (SC) / Single-Dose |
|
| Placebo | Placebo Comparator | 1, 2, 4, 8, 12 mg/kg (SC) / Single-Dose |
|
| Kineret(Anakinra) | Active Comparator | 100 mg (SC) / Single-Dose |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HL2351 | Biological | Dose-escalation For 5 level dose groups A ~ E(each 1, 2, 4, 8, 12mg/kg), 10 subjects (8 for the study drug and 2 for placebo) are randomized to each dose group, and the study drug or placebo is subcutaneously administered for the relevant dose group. |
| Measure | Description | Time Frame |
|---|---|---|
| Tolerability as measured by the occurrence of Adverse Events | Adverse Events after single subcutaneous dose of HL2351 : check Day -1, 1, 2, 3, 4, 5, 7, 11, 15, 22, 29 | 29 days |
| Tolerability as measured by Physical Examination, Vital Signs and Safety Laboratory Tests | Changes from baseline in physical examination, vital signs, ECG, clinical laboratory tests (routine hematology, routine chemistry, blood coagulation and urinalysis) after single subcutaneous dose of HL2351 | 29 days |
| Tolerability as measured by the occurrence of Local Toxicity | Local Toxicity after single subcutaneous dose of HL2351 : check Day 1, 2, 4 | 4 days |
| Tolerability as measured by Cytokine Laboratory Test | Cytokine Laboratory Test after single subcutaneous dose of HL2351 : check Day 1, 2, 4 | 4 days |
| Pharmacokinetics of HL2351: Maximum plasma concentration(Cmax) | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacokinetics of HL2351: Area under plasma drug concentration-time curve [AUC(0-last), AUCinf] | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacokinetics of HL2351: Time of maximum concentration(Tmax) | To assess pharmacokinetics after single subcutaneous injection of HL2351 |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity of HL2351: Anti-drug Antibody | To assess immunogenicity after single subcutaneous injection of HL2351 | Day 1, Day 29 |
| Tolerability in comparison with Kineret(Anakinra): measured by the occurrence of Adverse Events |
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Inclusion Criteria:
A healthy adult man aged between 20 and 45 years (inclusive) at screening
Weight between 55 and 90 kg (inclusive) and the body mass index(BMI) between 18.0 and 27.0 (inclusive)
Voluntary consent to participation in this study and signature on the IRB-approved informed consent form after being explained about characteristics of this clinical study, prior to any screening test
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hyeong Ki Lee, Professor | Clinical Trial Center, Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HANDOK Inc. | Seoul | South Korea |
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| ID | Term |
|---|---|
| D056587 | Cryopyrin-Associated Periodic Syndromes |
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D056660 | Hereditary Autoinflammatory Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012873 | Skin Diseases, Genetic |
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| ID | Term |
|---|---|
| D053590 | Interleukin 1 Receptor Antagonist Protein |
| ID | Term |
|---|---|
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Kineret(Anakinra) | Biological | Active comparator(group F) is implemented in parallel with dose groups A~E in an open-label manner and 8 subjects subcutaneously administer Kineret® 100 mg. |
|
| 29 days |
| Pharmacokinetics of HL2351: Elimination half-life(T1/2) | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacokinetics of HL2351: Apparent Clearance(CL/F) | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacokinetics of HL2351: Apparent Volume of Distribution(Vz/F) | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacokinetics of HL2351: Mean Residence Time (MRT) | To assess pharmacokinetics after single subcutaneous injection of HL2351 | 29 days |
| Pharmacodynamics of HL2351: IL-6 inhibition assay | To assess the pharmacodynamic dose-response relationship after single subcutaneous injection of HL2351 IL-6 inhibition assay: AUEClast, Emax | 7 days |
To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra)
| 3 days |
| Tolerability in comparison with Kineret(Anakinra): measured by Physical Examination, Vital Signs and Safety Laboratory Tests | To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Tolerability in comparison with Kineret(Anakinra): measured by the occurrence of Local Toxicity | To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Tolerability in comparison with Kineret(Anakinra): measured by Cytokine Laboratory Test | To explore tolerability in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Maximum plasma concentration | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Area under plasma drug concentration-time curve [AUC(0-last), AUCinf] | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Time of maximum concentration(Tmax) | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Elimination half-life(T1/2) | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Apparent Clearance(CL/F) | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Apparent Volume of Distribution(Vz/F) | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacokinetics in comparison with Kineret(Anakinra): Mean Residence Time (MRT) | To explore pharmacokinetics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 3 days |
| Pharmacodynamics in comparison with Kineret(Anakinra): IL-6 inhibition assay | To explore pharmacodynamics in comparison with subcutaneous administration of a positive comparator, Kineret(Anakinra) | 1 day |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D000094482 | Chronic Inducible Urticaria |
| D000080223 | Chronic Urticaria |
| D014581 | Urticaria |
| D017445 | Skin Diseases, Vascular |
| D000096703 | Cold Urticaria |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D011506 | Proteins |
| D001685 | Biological Factors |