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To assess the safety of a single ascending dose of MEDI7836 in healthy adult male subjects and healthy adult female subjects of non-childbearing potential.
This is a Phase 1a, randomised, blinded (the investigator and subject will be blinded to treatment assignment and sponsor will be unblinded to treatment assignment), placebo-controlled study to evaluate the safety of single-ascending SC doses of MEDI7836 in healthy adult males subjects and healthy adult female subjects of non-childbearing potential. The study will be conducted at a single site in the United Kingdom (UK). Four dosing cohorts of MEDI7836 or placebo are planned for this study for a total of 32 subjects (24 subjects receiving MEDI7836, 8 subjects receiving placebo).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Participants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
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| MEDI7836 Dose 1 | Experimental | Participants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1. |
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| MEDI7836 Dose 2 | Experimental | Participants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1. |
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| MEDI7836 Dose 3 | Experimental | Participants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1. |
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| MEDI7836 Dose 4 | Experimental | Participants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo SC | Drug | Participants will receive a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | Any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening situation (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received MEDI7836. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pretreatment state. | From Study Drug Administration to 281 Days Postdose |
| Number of Participants With Injection Site Reactions | Participants were evaluated for manifestations of injection site reactions. | From Study Drug Administration to 281 Days Postdose |
| Number of Participants With Clinical Laboratory Abnormalities Reported as Treatment-Emergent Adverse Events | An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent adverse events between first dose of study drug and Day 281 after the last dose that were absent before treatment or that worsened relative to pre-treatment state. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed. | From Study Drug Administration to 281 Days Postdose |
| Number of Participants With Vital Signs and Physical Examination Abnormalities Reported as Treatment-Emergent Adverse Events | Vital sign parameters included blood pressure, temperature, pulse rate, respiratory rate and weight. Physical examination included assessment of general appearance, weight, head, ears, eyes, nose, throat, neck, skin, cardiovascular system, respiratory system, abdominal system, and nervous system. Criteria for abnormal physical findings was based on investigator's discretion. TEAEs were present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug until Day 281 after the last dose of study drug. |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity]) of MEDI7836 | Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 extrapolated to infinity (AUC0-inf). | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Annelize Koch, MD | Parexel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | London | United Kingdom |
A total of 79 participants were screened. Of these, 32 participants were randomized and treated in the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
| FG001 | MEDI7836 Dose 1 | Participants received a single-dose of MEDI7836 Dose 1 subcutaneous (SC) injection on Day 1. |
| FG002 | MEDI7836 Dose 2 | Participants received a single-dose of MEDI7836 Dose 2 subcutaneous (SC) injection on Day 1. |
| FG003 | MEDI7836 Dose 3 | Participants received a single-dose of MEDI7836 Dose 3 subcutaneous (SC) injection on Day 1. |
| FG004 | MEDI7836 Dose 4 | Participants received a single-dose of MEDI7836 Dose 4 subcutaneous (SC) injection on Day 1. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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As Treated Population included all randomized participants and treated with MEDI7836 or placebo.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
| BG001 | MEDI7836 Dose 1 | Participants received a single-dose of MEDI7836 Dose 1 subcutaneous (SC) injection on Day 1. |
| 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, 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 With Treatment- Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs) | Any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening situation (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect in the offspring of a participant who received MEDI7836. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pretreatment state. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. | Posted | Number | Participant | From Study Drug Administration to 281 Days Postdose |
|
From Study Drug Administration to 281 Days Postdose
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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 | Placebo | Participants received a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Rene van der Merwe | MedImmune LLC | information.center@astrazeneca.com |
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| MEDI7836 Dose 1 | Biological | Participants will receive a single-dose of MEDI7836 Dose 1 SC injection on Day 1. |
|
| MEDI7836 Dose 2 | Biological | Participants will receive a single-dose of MEDI7836 Dose 2 SC injection on Day 1. |
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| MEDI7836 Dose 3 | Biological | Participants will receive a single-dose of MEDI7836 Dose 3 SC injection on Day 1. |
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| MEDI7836 Dose 4 | Biological | Participants will receive a single-dose of MEDI7836 Dose 4 SC injection on Day 1. |
|
| From Study Drug Administration to 281 Days Postdose |
| Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events | AEs observed in participants with clinically significant ECG abnormalities were assessed. ECG parameters included heart rate, RR, PR, QRS, QT and QTc intervals. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pre-treatment state. | From Study Drug Administration to 281 Days Postdose |
| Area Under the Concentration-Time Curve From Zero to Last Observation (AUC [0-t]) of MEDI7836 |
Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 to the last quantifiable data point (AUC0-t). |
| Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Maximum Observed Serum Concentration (Cmax) of MEDI7836 | The Cmax is the maximum observed serum concentration of study drug. | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Apparent Systemic Clearance (CL/F) of MEDI7836 | Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body. | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Terminal Phase Elimination Half Life (T1/2) of MEDI7836 | Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum. | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI7836 | The Tmax is defined as actual sampling time to reach maximum observed MEDI7836 concentration. | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Apparent Terminal-Phase Volume of Distribution (Vz/F) of MEDI7836 | The apparent volume of distribution of MEDI7836 after a single dose, calculated according to the equation: Vz/F = Apparent total clearance (CL/F) / terminal phase rate constant (λz). | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
| Percentage of Participants Positive for Anti-Drug Antibodies to MEDI7836 | A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study. | Predose on Day 1 to 281 days Postdose |
| BG002 | MEDI7836 Dose 2 | Participants received a single-dose of MEDI7836 Dose 2 subcutaneous (SC) injection on Day 1. |
| BG003 | MEDI7836 Dose 3 | Participants received a single-dose of MEDI7836 Dose 3 subcutaneous (SC) injection on Day 1. |
| BG004 | MEDI7836 Dose 4 | Participants received a single-dose of MEDI7836 Dose 4 subcutaneous (SC) injection on Day 1. |
| BG005 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG000 | Placebo | Participants received a single-dose of Placebo subcutaneous (SC) injection on Day 1. |
| OG001 | MEDI7836 Dose 1 | Participants received a single-dose of MEDI7836 Dose 1 subcutaneous (SC) injection on Day 1. |
| OG002 | MEDI7836 Dose 2 | Participants received a single-dose of MEDI7836 Dose 2 subcutaneous (SC) injection on Day 1. |
| OG003 | MEDI7836 Dose 3 | Participants received a single-dose of MEDI7836 Dose 3 subcutaneous (SC) injection on Day 1. |
| OG004 | MEDI7836 Dose 4 | Participants received a single-dose of MEDI7836 Dose 4 subcutaneous (SC) injection on Day 1. |
|
|
| Primary | Number of Participants With Injection Site Reactions | Participants were evaluated for manifestations of injection site reactions. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. | Posted | Number | Participant | From Study Drug Administration to 281 Days Postdose |
|
|
|
| Primary | Number of Participants With Clinical Laboratory Abnormalities Reported as Treatment-Emergent Adverse Events | An abnormal laboratory finding which required an action or intervention by the investigator, or a finding judged by the investigator to represent a change beyond the range of normal physiologic fluctuation were reported as an adverse event. Treatment-emergent adverse events between first dose of study drug and Day 281 after the last dose that were absent before treatment or that worsened relative to pre-treatment state. Laboratory evaluations (haematology, serum chemistry and urinalysis) of blood and urine samples were performed. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. | Posted | Number | Participant | From Study Drug Administration to 281 Days Postdose |
|
|
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| Primary | Number of Participants With Vital Signs and Physical Examination Abnormalities Reported as Treatment-Emergent Adverse Events | Vital sign parameters included blood pressure, temperature, pulse rate, respiratory rate and weight. Physical examination included assessment of general appearance, weight, head, ears, eyes, nose, throat, neck, skin, cardiovascular system, respiratory system, abdominal system, and nervous system. Criteria for abnormal physical findings was based on investigator's discretion. TEAEs were present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug until Day 281 after the last dose of study drug. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. | Posted | Number | Participant | From Study Drug Administration to 281 Days Postdose |
|
|
|
| Primary | Number of Participants With Electrocardiogram (ECG) Abnormalities Reported as Treatment-Emergent Adverse Events | AEs observed in participants with clinically significant ECG abnormalities were assessed. ECG parameters included heart rate, RR, PR, QRS, QT and QTc intervals. Treatment-emergent adverse events between administration of investigational product and Day 281 that were absent before treatment or that worsened relative to pre-treatment state. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. | Posted | Number | Participant | From Study Drug Administration to 281 Days Postdose |
|
|
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| Secondary | Area Under the Concentration-Time Curve From Zero to Infinity (AUC [0-infinity]) of MEDI7836 | Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 extrapolated to infinity (AUC0-inf). | Pharmacokinetic (PK) Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | Day*microgram per milliliter | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
|
|
|
| Secondary | Area Under the Concentration-Time Curve From Zero to Last Observation (AUC [0-t]) of MEDI7836 | Area under the concentration-time curve of the MEDI7836 in serum over the time interval from 0 to the last quantifiable data point (AUC0-t). | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | day*mcg/mL | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
|
|
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| Secondary | Maximum Observed Serum Concentration (Cmax) of MEDI7836 | The Cmax is the maximum observed serum concentration of study drug. | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | microgram per milliliter (mcg/mL) | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
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|
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| Secondary | Apparent Systemic Clearance (CL/F) of MEDI7836 | Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body. | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | milliliter per day (mL/day) | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
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|
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| Secondary | Terminal Phase Elimination Half Life (T1/2) of MEDI7836 | Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum. | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | day | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
|
|
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| Secondary | Time to Reach Maximum Observed Serum Concentration (Tmax) of MEDI7836 | The Tmax is defined as actual sampling time to reach maximum observed MEDI7836 concentration. | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Median | Full Range | day | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
|
|
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| Secondary | Apparent Terminal-Phase Volume of Distribution (Vz/F) of MEDI7836 | The apparent volume of distribution of MEDI7836 after a single dose, calculated according to the equation: Vz/F = Apparent total clearance (CL/F) / terminal phase rate constant (λz). | PK Population included all participants who received MEDI7836 had detectable postdose MEDI7836 serum concentrations. | Posted | Mean | Standard Deviation | mL | Predose on Day 1 and on Days 2, 3, 4, 6, 8, 10, 15, 29, 43, 57, 85, 113, 169, 225 and 281 Postdose |
|
|
|
| Secondary | Percentage of Participants Positive for Anti-Drug Antibodies to MEDI7836 | A participant was considered ADA-positive across the study if they had a positive reading at any time point during the study. | As Treated Population included all randomized participants and treated with MEDI7836 or placebo. Here, "n" is number of participants analysed at given time point. | Posted | Number | Percentage of participant | Predose on Day 1 to 281 days Postdose |
|
|
|
| 0 |
| 8 |
| 6 |
| 8 |
| EG001 | MEDI7836 Dose 1 | Participants received a single-dose of MEDI7836 Dose 1 subcutaneous (SC) injection on Day 1. | 0 | 6 | 4 | 6 |
| EG002 | MEDI7836 Dose 2 | Participants received a single-dose of MEDI7836 Dose 2 subcutaneous (SC) injection on Day 1. | 0 | 6 | 6 | 6 |
| EG003 | MEDI7836 Dose 3 | Participants received a single-dose of MEDI7836 Dose 3 subcutaneous (SC) injection on Day 1. | 0 | 6 | 5 | 6 |
| EG004 | MEDI7836 Dose 4 | Participants received a single-dose of MEDI7836 Dose 4 subcutaneous (SC) injection on Day 1. | 0 | 6 | 6 | 6 |
| Vomiting | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Injection site reaction | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Seasonal allergy | Immune system disorders | MedDRA 19.0 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
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| Laceration | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
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| Transaminases increased | Investigations | MedDRA 19.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Aspartate aminotransferase increased |
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| Transaminases increased |
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| Post-Baseline Day 281 (n=8,6,5,6,6) |
|