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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1163-4003 | Registry Identifier | UTN (WHO) | |
| JapicCTI-142699 | Registry Identifier | JapicCTI |
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The purpose of this study is to evaluate safety, pharmacokinetics and pharmacodynamics of single subcutaneous injection of MT203 in healthy adult Japanese and Caucasian male participants.
The drug being tested in this study is called MT203 (Namilumab), which is a human immunoglobulin G1 (IgG1) mAb potently and specifically neutralizing human and macaque granulocyte macrophage colony stimulating factor (GM-CSF). This study will consist of Cohorts 1 to 3 for healthy Japanese participants and Cohort 4 for healthy Caucasian participants. Each cohort will be comprised of 8 participants, of whom 6 participants will be randomized to receive MT203 and 2 participants will be randomized to receive matched placebo.
The study population for the study will consist of 24 Japanese and 8 Caucasian healthy participants. Participants will be assigned to 4 cohorts which will remain undisclosed to the patient and study doctor during the study (unless there is an urgent medical need)::
Cohort 1:- MT203 80 mg (6 healthy Japanese participants); Matching Placebo (2 healthy Japanese participants) Cohort 2:- MT203 150 mg (6 healthy Japanese participants); Matching Placebo (2 healthy Japanese participants) Cohort 3:- MT203 300 mg (6 healthy Japanese participants); Matching Placebo (2 healthy Japanese participants) Cohort 4:- MT203 150 mg (6 healthy Caucasian participants); Matching Placebo (2 healthy Caucasian participants).
Dosing of the Caucasian participants (Cohort 4) may occur in parallel with dosing in Japanese participants (Cohorts 1 to 3). Dose escalation will occur in Japanese Cohorts, independent from Cohort 4. The dose escalation will only occur following a review of the blinded safety/tolerability data up to Day 15 from the previous cohort. All participants will receive a single dose on Day 1, admitted from Day -1 to Day 15. Participants will return to the study unit for the pharmacokinetic, pharmacodynamic and safety assessment on Days 22, 29, 43, 57, 71 and 85.
This trial will be conducted in Japan.Overall time to participate in this trial is 85 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: MT203 80 mg | Experimental | Six Japanese participants will be randomized to receive a single dose of MT203 80 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 1: MT203 80 mg matching placebo | Placebo Comparator | Six Japanese participants will be randomized to receive a single dose of MT203 80 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 2: MT203 150 mg | Experimental | Six Japanese participants will be randomized to receive a single dose of MT203 150 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 2: MT203 150 mg matching placebo | Placebo Comparator | Six Caucasian participants will be randomized to receive a single dose of MT203 150 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 3: MT203 300 mg | Experimental | Six Japanese participants will be randomized to receive a single dose of MT203 300 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MT203 80 mg or matching Placebo | Drug | MT203 80 mg or matching placebo injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAE) | Baseline up to Day 85 | |
| Number of Participants With TEAEs Related to Vital Signs | Baseline up to Day 85 | |
| Number of Participants With TEAEs Related to Body Weight | Baseline up to Day 85 | |
| Number of Participants With TEAEs Related to 12-lead Electrocardiograms (ECG) | Baseline up to Day 85 | |
| Number of Participants With TEAEs Related to Lung Functioning Monitoring | Baseline up to Day 85 | |
| Number of Participants With TEAEs Related to Hematology, Serum Chemistry and Urinalysis | Baseline up to Day 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Serum Concentration-Time Curve From Time 0 to Infinity (AUC(0-inf)) of MT203 | Predose and at multiple time points (up to 84 days) post-dose | |
| Area Under the Serum Concentration-Time Curve From Time 0 to Time 84 Days (AUC(0-84d)) of MT203 |
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Inclusion Criteria: -
Exclusion Criteria: -
11. The participant has taken or requires excluded medications, supplements or food products listed in the Excluded Medications section throughout the study.
12. The participant intends to donate sperm during the course of this study or for 18 weeks after the last dose of study medication.
13. The participant has a history of cancer. 14. Presence, suspicion or history of active tuberculosis (TB) or latent TB infection.
15. The participant has a positive test result for hepatitis B virus (HBV) surface antigen (HBsAg), hepatitis B virus antibody (HBV surface virus antibody [HBsAb]/ HBV core antibody [HBcAb]), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) antibody/antigen at screening. However, participants who are positive for HBsAb due to HBV vaccination are exempt.
16. The participant has used nicotine-containing products (including but not limited to cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 4 weeks (28 days) prior to the first dose of study medication.
17. The participant has clinically relevant decreased lung function, example, forced expiratory volume in the first second (FEV1) less than (<) 70 percent (%) of the predicted value.
18. The participant has poor peripheral venous access. 19. The participant has undergone whole blood collection of at least 200 milliliter (mL) within 4 weeks (28 days) or at least 400 mL within 12 weeks (84 days) prior to the first dose of study medication.
20. The participant has undergone whole blood collection of at least 800 mL in total within 52 weeks (364 days) prior to the first dose of study medication.
21. The participant has undergone blood component collection within 2 weeks (14 days) prior to the start of study medication administration.
22. Participant has an abnormal (clinically significant) electrocardiogram (ECG) at screening or Day 1.
23. The participant has abnormal laboratory values at screening or Day-1 that suggest a clinically significant underlying disease or participant with the following laboratory abnormalities: Alanine transaminase (ALT) and/or aspartate transaminase (AST) greater than (>) 1.5 times the upper limit of normal or neutrophil counts and/or monocyte counts < the lower limit of normal.
24. Participant who, in the opinion of the investigator, is unlikely to comply with the protocol or is unsuitable for the study with any other reason.
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| Name | Affiliation | Role |
|---|---|---|
| Senior Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kagoshima | Kagoshima-ken | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30168415 | Derived | Tanaka S, Harada S, Hiramatsu N, Nakaya R, Kawamura M. Randomized, double-blind, placebo-controlled, phase I study of the safety and pharmacokinetics of namilumab in healthy Japanese and Caucasian men . Int J Clin Pharmacol Ther. 2018 Nov;56(11):507-517. doi: 10.5414/CP203235. |
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Healthy Japanese and Caucasian participants were enrolled in the study as 1 of the 4 cohorts Japanese participants in Cohort 1(MT203 80 milligram [mg]), Cohort 2 (MT203 150 mg), Cohort 3 (MT203 300 mg) and Caucasian participants in Cohort 4 (MT203 150 mg) to receive MT203, or matching placebo.
Participant took part in the study at 1 investigative site in Japan from 25-November-2014 to 20-May-2015.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1-3: Placebo | MT203 placebo -matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| FG001 | Cohort 1: MT203 80 mg | MT203 80 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| FG002 | Cohort 2: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| FG003 | Cohort 3: MT203 300 mg | MT203 300 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| FG004 | Cohort 4: Placebo | MT203 placebo-matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
| FG005 | Cohort 4: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety analysis set (SAS) included all participants who received the study medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1-3: Placebo | MT203 placebo -matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| BG001 | Cohort 1: MT203 80 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 of Participants Reporting One or More Treatment-emergent Adverse Events (TEAE) | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug on Day 1 up to Day 85
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
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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 | Cohort 1-3: Placebo | MT203 placebo -matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Retinal detachment | Eye disorders | MedDRA (18.0) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anal fissure | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | +1-877-825-3327 | trialdisclosures@takeda.com |
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| ID | Term |
|---|---|
| C000624713 | namilumab |
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|
| Cohort 3: MT203 300 mg matching placebo | Placebo Comparator | Six Japanese participants will be randomized to receive a single dose of MT203 300 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 4: MT203 150 mg | Experimental | Six Caucasian participants will be randomized to receive a single dose of MT203 150 mg and 2 participants will be randomized to receive matched placebo subcutaneously. |
|
| Cohort 4: MT203 150 mg matching placebo | Placebo Comparator | Six Caucasian participants will be randomized to receive a single dose of MT203 150 mg and 2 participants will be randomized to receive matched placebo subcutaneously |
|
| MT203 150mg or matching Placebo | Drug | MT203 150mg or matching placebo injection |
|
|
| MT203 300 mg or matching placebo | Drug | MT203 300 mg or matching placebo injection |
|
|
| Predose and at multiple time points (up to 84 days) post-dose |
| Maximum Observed Serum Concentrations (Cmax) of MT203 | Predose and at multiple time points (up to Day 84) post-dose |
| Terminal Elimination Half-Life (T1/2) of MT203 | Predose and at multiple time points (up to 84 days) post-dose |
| Plasma Total Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) Concentration | Baseline, Hour 24, 72, 120, 168, 240, 336 hours, Day 21, 28, 42, 56, 70, 84 |
| Number of Participants With Positive Response for Anti MT203 Antibody | Baseline, Hour 168, 336, Day 42, 84 |
| Withdrawal by Subject |
|
MT203 80 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants.
| BG002 | Cohort 2: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| BG003 | Cohort 3: MT203 300 mg | MT203 300 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| BG004 | Cohort 4: Placebo | MT203 placebo-matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
| BG005 | Cohort 4: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
| BG006 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Number | participants |
|
| Smoking Classification | Number | participants |
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| Alcohol Classification | Number | participants |
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| Caffeine Classification | Number | participants |
|
| Cohort 2: MT203 150 mg |
MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| OG003 | Cohort 3: MT203 300 mg | MT203 300 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. |
| OG004 | Cohort 4: Placebo | MT203 placebo-matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
| OG005 | Cohort 4: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. |
|
|
| Primary | Number of Participants With TEAEs Related to Vital Signs | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
|
|
| Primary | Number of Participants With TEAEs Related to Body Weight | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
|
|
| Primary | Number of Participants With TEAEs Related to 12-lead Electrocardiograms (ECG) | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
|
|
| Primary | Number of Participants With TEAEs Related to Lung Functioning Monitoring | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
|
|
| Primary | Number of Participants With TEAEs Related to Hematology, Serum Chemistry and Urinalysis | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline up to Day 85 |
|
|
|
| Secondary | Area Under the Serum Concentration-Time Curve From Time 0 to Infinity (AUC(0-inf)) of MT203 | The pharmacokinetic analysis set as defined as all participants who received the study medication without any major protocol deviations, and met the minimum procedure specified in the study protocol and had evaluable pharmacokinetic data. | Posted | Mean | Standard Deviation | nanogram*day per milliliter (ng*day/mL) | Predose and at multiple time points (up to 84 days) post-dose |
|
|
|
| Secondary | Area Under the Serum Concentration-Time Curve From Time 0 to Time 84 Days (AUC(0-84d)) of MT203 | The pharmacokinetic analysis set as defined as all participants who received the study medication without any major protocol deviations, and met the minimum procedure specified in the study protocol and had evaluable pharmacokinetic data. | Posted | Mean | Standard Deviation | ng*day/mL | Predose and at multiple time points (up to 84 days) post-dose |
|
|
|
| Secondary | Maximum Observed Serum Concentrations (Cmax) of MT203 | The pharmacokinetic analysis set as defined as all participants who received the study medication without any major protocol deviations, and met the minimum procedure specified in the study protocol and had evaluable pharmacokinetic data. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/mL) | Predose and at multiple time points (up to Day 84) post-dose |
|
|
|
| Secondary | Terminal Elimination Half-Life (T1/2) of MT203 | The pharmacokinetic analysis set as defined as all participants who received the study medication without any major protocol deviations, and met the minimum procedure specified in the study protocol and had evaluable pharmacokinetic data. | Posted | Median | Full Range | day | Predose and at multiple time points (up to 84 days) post-dose |
|
|
|
| Secondary | Plasma Total Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) Concentration | The pharmacodynamic analysis set was defined as all participants who received the study medication without any major protocol deviations, and met the minimum procedure specified in the study protocol and had evaluable pharmacodynamic data. | Posted | Mean | Standard Deviation | picogram per milliliter (pg/mL) | Baseline, Hour 24, 72, 120, 168, 240, 336 hours, Day 21, 28, 42, 56, 70, 84 |
|
|
|
| Secondary | Number of Participants With Positive Response for Anti MT203 Antibody | The safety analysis set was defined as all participants who received the study medication. | Posted | Number | participants | Baseline, Hour 168, 336, Day 42, 84 |
|
|
|
| 0 |
| 6 |
| 3 |
| 6 |
| EG001 | Cohort 1: MT203 80 mg | MT203 80 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. | 0 | 6 | 3 | 6 |
| EG002 | Cohort 2: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. | 0 | 6 | 1 | 6 |
| EG003 | Cohort 3: MT203 300 mg | MT203 300 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Japanese participants. | 0 | 6 | 1 | 6 |
| EG004 | Cohort 4: Placebo | MT203 placebo-matching, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. | 0 | 2 | 1 | 2 |
| EG005 | Cohort 4: MT203 150 mg | MT203 150 mg, injection, subcutaneously, once on Day 1 in the 15 days treatment period in Caucasian participants. | 1 | 6 | 4 | 6 |
| Diarrhoea | Gastrointestinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA (18.0) | Non-systematic Assessment |
|
| Blood urine present | Investigations | MedDRA (18.0) | Non-systematic Assessment |
|
| Forced vital capacity decreased | Investigations | MedDRA (18.0) | Non-systematic Assessment |
|
| Protein urine present | Investigations | MedDRA (18.0) | Non-systematic Assessment |
|
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Non-systematic Assessment |
|
Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.
| Serum Chemistry |
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| Urinalysis |
|
| 24 Hours |
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| 72 Hours |
|
| 120 Hours |
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| 168 Hours |
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| 240 Hours |
|
| 336 Hours |
|
| 21 Days |
|
| 28 Days |
|
| 42 Days |
|
| 56 Days |
|
| 70 Days |
|
| 84 Days |
|
| 168 Hours |
|
| 336 Hours |
|
| 42 Days |
|
| 84 Days |
|