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This is an international multicenter study of tolerability, pharmacokinetics and pharmacodynamics of drug product BCD-054 (CJSC BIOCAD, Russia), administrated intramuscular and subcutaneous, compared to Rebif® (Merck Serono S.p.A., Italy) and Avonex® (Biogen Idec Ltd, UK) in healthy volunteers. The study involves 2 stages - single ascending dose administration and multiple estimated therapeutic dose administration of BCD-054.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCD-054 | Experimental | Pegylated interferon beta 1a Single doses - 60 mcg, SC/IM Single doses - 120 mcg, SC/IM Single doses - 240 mcg, SC/IM Single doses - 360 mcg, SC/IM Multiple doses - 180 mcg, SC/IM |
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| Rebif | Active Comparator | interferon beta 1a 44 mcg, SC, 3 times a week for 2 weeks |
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| Avonex | Active Comparator | interferon beta 1a 30 mcg, IM, once a week for 2 weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCD-054 | Drug |
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| Rebif |
| Measure | Description | Time Frame |
|---|---|---|
| AUC (0-168); AUC (0-336); AUC (0-672); AUC (0-∞ ) of Interferon (IFN) Beta-1a | Stage 1 primary outcome measure for pharmacokinetics analysis. Area under concentration-time curve (AUC) of interferon (IFN) beta-1a from the moment of drug administration up to 168, 336, 648 hours respectively | 0 to 168 hours; 0 to 336 hours; 0 to 672 hours respectively |
| AUC(0-last); AUC (0-∞ ) BCD-054 of Interferon (IFN) Beta-1a - 180 mcg - SC, BCD-054 - 180 mcg - IM | Stage 2 primary outcome measure for pharmacokinetics analysis. Area under concentration-time curve (AUC) of interferon (IFN) beta-1a from the moment of drug administration until last quantifiable concentration | 0 to 672 hours |
| AUC (0-168); AUC (0-336); AUC (0-672);AUC (0-∞ ) of Neopterin | Stage 1 primary outcome measure for pharmacodynamics analysis. Area under concentration-time curve (AUC) of neopterin from the moment of drug administration until 168, 336, 648 hours respectively | 0 to 168 hours; 0 to 336 hours; 0 to 672 hours respectively |
| AUC(0-∞), AUC(0-last) of Neopterin | Stage 2 primary outcome measure for pharmacodynamics analysis. Area under concentration-time curve (AUC) of neopterin from the moment of drug administration until last quantifiable concentration | 0 to 672 hours |
| Adverse Event (AE) and Serious Adverse Event (SAE) Incidence | Stage 1 | 4 weeks |
| Adverse Event (AE) and Serious Adverse Event (SAE) Incidence BCD-054 - 180 mcg - SC/IM | Stage 2 BCD-054 - 180 mcg - SC/IM |
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InInclusion Criteria:
Written informed consent;
Male gender;
Age 18 - 45 years inclusive;
Body mass index (BMI) (18,5 - 24,99 kg/m2);
Healthy condition proven by the volunteer's history, global assessment and laboratory analysis results:
Absence of history of systematic alcohol and drug abuse;
Ability of the volunteer, in investigator's opinion, to follow the study protocol procedures and requirements;
Willingness of volunteers and their sexual partners of childbearing potential to use reliable contraception methods starting from 2 weeks before inclusion into the study and until 4 weeks after receiving the last dose of the investigational products. This criterion is not applicable to patients who underwent surgical sterilization. Reliable contraceptive measures include one barrier method in combination with one of the following methods: spermicides, intrauterine device or oral contraceptives used by participant's partner;
Consent to avoid alcohol intake within 24 hours before and 8 days after each administration of the test or reference drugs;
Consent to avoid grapefruit juice (or other products containing grapefruit) intake within 72 hours before and 8 days after each administration of the study or reference drugs.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ivan Sardaryan, PhD | OOO BioEk | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OOO "BioEk" | Saint Petersburg | 197342 | Russia |
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| ID | Title | Description |
|---|---|---|
| FG000 | BCD-054 (Single Doses) | Pegylated interferon beta 1a (BCD-054) Single doses - 60 mcg, IM/SC; or 120 mcg, IM/SC; or 240 mcg, IM/SC; or 360 mcg, IM/SC |
| FG001 | Rebif | interferon beta 1a (Rebif) 44 mcg, SC, 3 times a week for 2 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Drug |
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| Avonex | Drug |
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| 4 weeks |
| FG002 | Avonex | interferon beta 1a (Avonex) 30 mcg, IM, once a week for 2 weeks |
| FG003 | BCD-054 (Multiple Dose) | Pegylated interferon beta 1a (BCD-054) Multiple dose - 180 mcg, IM/SC, biweekly, 3 injections |
| COMPLETED |
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| NOT COMPLETED |
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Presented baseline measures relate to all volunteers who participated in Stage 1.
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| ID | Title | Description |
|---|---|---|
| BG000 | BCD-054 (Single Doses) | Pegylated interferon beta 1a (BCD-054) Single doses - 60 mcg, IM/SC; or 120 mcg, IM/SC; or 240 mcg, IM/SC; or 360 mcg, IM/SC |
| BG001 | Rebif | interferon beta 1a (Rebif) 44 mcg, SC, 3 times a week for 2 weeks |
| BG002 | Avonex | interferon beta 1a (Avonex) 30 mcg, IM, once a week for 2 weeks |
| BG003 | BCD-054 (Multiple Doses) | Pegylated interferon beta 1a (BCD-054) Multiple dose - 180 mcg, IM/SC, biweekly, 3 injections |
| BG004 | 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, Categorical | Count of Participants | Participants |
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| Age, Continuous | Median | Inter-Quartile Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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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 | AUC (0-168); AUC (0-336); AUC (0-672); AUC (0-∞ ) of Interferon (IFN) Beta-1a | Stage 1 primary outcome measure for pharmacokinetics analysis. Area under concentration-time curve (AUC) of interferon (IFN) beta-1a from the moment of drug administration up to 168, 336, 648 hours respectively | Posted | Median | Inter-Quartile Range | (pg/ml)*hour | 0 to 168 hours; 0 to 336 hours; 0 to 672 hours respectively |
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| Primary | AUC(0-last); AUC (0-∞ ) BCD-054 of Interferon (IFN) Beta-1a - 180 mcg - SC, BCD-054 - 180 mcg - IM | Stage 2 primary outcome measure for pharmacokinetics analysis. Area under concentration-time curve (AUC) of interferon (IFN) beta-1a from the moment of drug administration until last quantifiable concentration | Posted | Median | Inter-Quartile Range | (pg/ml)*hour | 0 to 672 hours |
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| Primary | AUC (0-168); AUC (0-336); AUC (0-672);AUC (0-∞ ) of Neopterin | Stage 1 primary outcome measure for pharmacodynamics analysis. Area under concentration-time curve (AUC) of neopterin from the moment of drug administration until 168, 336, 648 hours respectively | Posted | Median | Inter-Quartile Range | nmol/L*hour | 0 to 168 hours; 0 to 336 hours; 0 to 672 hours respectively |
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| Primary | AUC(0-∞), AUC(0-last) of Neopterin | Stage 2 primary outcome measure for pharmacodynamics analysis. Area under concentration-time curve (AUC) of neopterin from the moment of drug administration until last quantifiable concentration | Posted | Median | Inter-Quartile Range | (nmol/L)*hour | 0 to 672 hours |
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| Primary | Adverse Event (AE) and Serious Adverse Event (SAE) Incidence | Stage 1 | Posted | Number | participants | 4 weeks |
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| Primary | Adverse Event (AE) and Serious Adverse Event (SAE) Incidence BCD-054 - 180 mcg - SC/IM | Stage 2 BCD-054 - 180 mcg - SC/IM | Posted | Number | participants | 4 weeks |
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29 days after injection
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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 | BCD-054 - 60 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 60 mcg, subcutaneously | 0 | 3 | 3 | 3 | ||
| EG001 | BCD-054 - 60 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 60 mcg, intramuscular injection | 0 | 3 | 3 | 3 | ||
| EG002 | BCD-054 - 120 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 120 mcg, subcutaneously | 0 | 6 | 6 | 6 | ||
| EG003 | BCD-054 - 120 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 120 mcg, intramuscular injection | 0 | 6 | 6 | 6 | ||
| EG004 | BCD-054 - 240 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 240 mcg, subcutaneously | 0 | 3 | 3 | 3 | ||
| EG005 | BCD-054 - 240 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 240 mcg, intramuscular injection | 0 | 3 | 3 | 3 | ||
| EG006 | BCD-054 - 360 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, subcutaneously | 0 | 6 | 6 | 6 | ||
| EG007 | BCD-054 - 360 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, intramuscular injection | 0 | 3 | 3 | 3 | ||
| EG008 | Rebif | interferon beta 1a (Rebif) 44 mcg, SC, 3 times a week for 2 weeks | 0 | 6 | 6 | 6 | ||
| EG009 | Avonex | interferon beta 1a (Avonex) 30 mcg, IM, once a week for 2 weeks | 0 | 6 | 3 | 6 | ||
| EG010 | BCD-054 - 180 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 180 mcg, subcutaneously | 0 | 8 | 8 | 8 | ||
| EG011 | BCD-054 - 180 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 180 mcg, intramuscular injection | 0 | 6 | 6 | 6 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Neutropenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Monocytosis | Blood and lymphatic system disorders | Systematic Assessment |
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| Vacuolation of cytoplasm of monocytes | Blood and lymphatic system disorders | Systematic Assessment |
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| Leucopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Flu-like syndrome | General disorders | Systematic Assessment |
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| Hyperemia of injection site | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Trombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated erythrocyte sedimentation rate | Blood and lymphatic system disorders | Systematic Assessment |
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| Plasmatization of lymphocytes | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated ALT | Hepatobiliary disorders | Systematic Assessment |
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| Elevated AST | Hepatobiliary disorders | Systematic Assessment |
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| Fever | General disorders | Systematic Assessment |
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| Monocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated gamma glutamil transferrase | Hepatobiliary disorders | Systematic Assessment |
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| Lymphopenia | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated creatinine | Renal and urinary disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Biryulin Andrey | BIOCAD | +7812380 49 33 | 925 | biryulin@biocad.ru |
| ID | Term |
|---|---|
| C000657354 | sampeginterferon beta-1a |
| D000068556 | Interferon beta-1a |
| ID | Term |
|---|---|
| D016899 | Interferon-beta |
| D007370 | Interferon Type I |
| D007372 | Interferons |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011506 | Proteins |
| D001685 | Biological Factors |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| AUC (0-336) |
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| AUC (0-672) |
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| AUC (0-∞ ) |
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Pegylated interferon beta 1a (BCD-054) Single dose - 240 mcg, subcutaneously |
| OG005 | BCD-054 - 240 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 240 mcg, intramuscular injection |
| OG006 | BCD-054 - 360 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, subcutaneously |
| OG007 | BCD-054 - 360 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, intramuscular injection |
| OG008 | Rebif | interferon beta 1a (Rebif) 44 mcg, SC, 3 times a week for 2 weeks |
| OG009 | Avonex | interferon beta 1a (Avonex) 30 mcg, IM, once a week for 2 weeks |
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| OG005 | BCD-054 - 240 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 240 mcg, intramuscular injection |
| OG006 | BCD-054 - 360 mcg - SC | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, subcutaneously |
| OG007 | BCD-054 - 360 mcg - IM | Pegylated interferon beta 1a (BCD-054) Single dose - 360 mcg, intramuscular injection |
| OG008 | Rebif | interferon beta 1a (Rebif) 44 mcg, SC, 3 times a week for 2 weeks |
| OG009 | Avonex | interferon beta 1a (Avonex) 30 mcg, IM, once a week for 2 weeks |
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