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This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming.
This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming. Cohorts of subjects in the SEL-110 only arms of the study will be given a single, ascending intravenous dose of SEL-110 and then monitored for safety and rapamycin levels (pharmacokinetics) over 30 days. Cohorts of subjects in the SEL-212 arms of the study will be given a single, ascending intravenous dose of SEL-110 with a fixed dose of SEL-037 and then monitored for safety, rapamycin levels, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days. One additional control group with receive a single intravenous infusion of SEL-037 at a fixed dose and then monitored for safety, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SEL-110 | Experimental | Single intravenous dose of SEL-110 |
|
| SEL-212 | Experimental | Single intravenous dose of SEL-110 plus SEL-037 (pegsiticase) |
|
| SEL-037 | Experimental | Single intravenous dose of SEL-037 (pegsiticase) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SEL-110 | Drug |
| ||
| SEL-212 |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability as assessed by frequency of drug related adverse events, graded by severity | To assess the safety and tolerability of a single infusion of SEL-110, SEL-212 or SEL-037 as assessed by frequency of drug related adverse events, graded by severity | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of SEL-110 (AUC) | Measurement of the pharmacokinetics of SEL-110 over 30 days by area under the blood concentration versus time curve (AUC) | 30 days |
| Pharmacokinetics of SEL-037 (AUC) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baptist Health Center for Clinical Research | Little Rock | Arkansas | 72205 | United States | ||
| Miami Research Associates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35022448 | Derived | Sands E, Kivitz A, DeHaan W, Leung SS, Johnston L, Kishimoto TK. Tolerogenic nanoparticles mitigate the formation of anti-drug antibodies against pegylated uricase in patients with hyperuricemia. Nat Commun. 2022 Jan 12;13(1):272. doi: 10.1038/s41467-021-27945-7. |
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|
| SEL-037 | Biological |
|
Measurement of the pharmacokinetics of SEL-037 over 30 days by area under the serum concentration versus time curve (AUC)
| 30 days |
| Pharmacodynamics of SEL-037 (blood uric acid levels) | Pharmacodynamics of SEL-037 by measurement of blood uric acid levels over 30 days | 30 days |
| Immunogenicity of SEL-037 (measurement of anti-drug antibody levels) | Immunogenicity of SEL-037 by measurement of anti-drug antibody levels over 30 days | 30 days |
| Miami |
| Florida |
| 33143 |
| United States |
| Orlando Clinical Research Center, Inc. | Orlando | Florida | 32809 | United States |
| SNBL Clinical Pharmacology Center Inc. | Baltimore | Maryland | 21201 | United States |
| Davita Clinical Research | Minneapolis | Minnesota | 55404 | United States |
| Altoona Center for Clincal Research | Duncansville | Pennsylvania | 16635 | United States |
| ID | Term |
|---|---|
| D006073 | Gout |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D000070657 | Crystal Arthropathies |
| D012216 | Rheumatic Diseases |
| D011686 | Purine-Pyrimidine Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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