Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study is the first time that K1-70 will be administered to humans. The principal aim of this study is to obtain safety and tolerability data when K1-70 is administered as an IM injection or as an IV infusion to subjects with Graves' disease.
Current therapy for Graves' disease includes treatment with anti-thyroid drugs, destruction of the thyroid using radioiodine, or total surgical thyroidectomy. Beta-blockers and calcium antagonists may be used to control some of the symptoms of hyperthyroidism.
K1-70 is a thyroid stimulating hormone receptor antagonist that may provide new in vivo diagnostic and therapeutic tools for the management of patients with Graves' disease, patients with thyroid cancer and patients who would benefit from controlling receptor activity.
Graves' disease is one of the most common overt autoimmune disorders. Patients with Graves' disease have thyroid over activity and hyperthyroidism. Symptoms of hyperthyroidism include goitre, fatigue, heat intolerance, sweating, weight loss despite good appetite, shakiness, inappropriate anxiety, palpitations of the heart, shortness of breath, tetchiness and agitation, poor sleep, thirst, nausea and increased frequency of defaecation.
The rationale of this study is to obtain safety and tolerability data when K1-70 is administered as an intramuscular injection or as an IV infusion to subjects with Graves' disease.
This information, together with the pharmacokinetic data, will help establish the doses and dosage regimen suitable for repeat administration to patients.
This is an open-label study. The expected duration of each subject's participation in the study is approximately 18 weeks (including a screening period of up to 4 weeks).
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single dose | Experimental | The intervention is K1-70 intramuscular or K1-70 intravenous. This is a single, ascending, intramuscular or intravenous dose, sequential group study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| K1-70 intramuscular or K1-70 intravenous | Drug | Each subject will receive one dose of K1-70 by IM injection or one dose of K1-70 by IV infusion on the morning of Day 1. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability will be measured using vital signs, ECG, blood samples for haematology, coagulation, clinical biochemistry and hormone panel, urinalysis, eye examinations, physical examinations and examination of injection or infusion site. | Safety and tolerability testing consists of vital signs, ECG, blood samples for haematology, coagulation, clinical biochemistry and hormone panel, urine samples for urinalysis, eye examinations, physical examinations and examination of injection or infusion site. All clinically significant results and the number of treatment related adverse events will be reported. | Over a period of 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The concentration of K1-70 drug in the blood will be measured over time. | The terminal elimination rate constant will be calculated and reported | Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. |
| Measure | Description | Time Frame |
|---|---|---|
| Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points | TSH levels will be reported against baseline TRAb over time. | Over a period of 18 weeks |
| Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points |
Main Inclusion Criteria:
Main Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Dave Singh, Professor | Medicines Evaluation Unit, Manchester, UK | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Liverpool University Hospital Clinical Research Unit | Liverpool | L7 8XP | United Kingdom | |||
| Medicines Evaluation Unit |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20550534 | Background | Evans M, Sanders J, Tagami T, Sanders P, Young S, Roberts E, Wilmot J, Hu X, Kabelis K, Clark J, Holl S, Richards T, Collyer A, Furmaniak J, Smith BR. Monoclonal autoantibodies to the TSH receptor, one with stimulating activity and one with blocking activity, obtained from the same blood sample. Clin Endocrinol (Oxf). 2010 Sep;73(3):404-12. doi: 10.1111/j.1365-2265.2010.03831.x. Epub 2010 Jun 9. | |
| 21247981 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006111 | Graves Disease |
| ID | Term |
|---|---|
| D005094 | Exophthalmos |
| D009916 | Orbital Diseases |
| D005128 | Eye Diseases |
| D006042 | Goiter |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The terminal elimination half life will be calculated and reported
| Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. | Time of the maximum observed plasma concentration will be calculated and reported | Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. | Maximum observed plasma concentration will be calculated and reported | Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. | Area under the plasma concentration time curve to the last quantified concentration will be calculated and reported | Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. | Area under the plasma concentration time curve from time zero to infinity will be calculated and reported | Over a period of 18 weeks |
| The concentration of K1-70 drug in the blood will be measured over time. | Percentage of area under the plasma concentration time curve that is extrapolated will be calculated and reported | Over a period of 18 weeks |
| The antidrug antibodies will be measured to evaluate the immunogenic potential of K1-70 in Graves' disease patients | The level of antidrug antibodies present in the patient serum will be measured over time and reported. | Over a period of 18 weeks |
| The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time | TSH levels will be measured and reported over time. | Over a period of 18 weeks |
| The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time | Free T3 levels will be measured and reported over time. | Over a period of 18 weeks |
| The effect of a single IM dose or single IV dose of K1-70 on thyroid activity in subjects with Graves' will be measured over time | Free T4 levels will be measured and reported over time. | Over a period of 18 weeks |
Free T3 levels will be reported against baseline TRAb over time. |
| Over a period of 18 weeks |
| Exploratory Objective: Thyroid hormones will be measured over time and their correlation to baseline TSH receptor autoantibody (TRAb) levels will be reported at different time points | Free T4 levels will be reported against baseline TRAb over time. | Over a period of 18 weeks |
| Exploratory Objective: The potential effect of K1-70 on Graves' ophthalmopathy will be measured by eye examinations using the Clinical Activity Score (CAS) system. | All clinically significant results and the number of treatment related adverse events will be reported. | Over a period of 18 weeks |
| Manchester |
| M23 9QZ |
| United Kingdom |
| Background |
| Sanders P, Young S, Sanders J, Kabelis K, Baker S, Sullivan A, Evans M, Clark J, Wilmot J, Hu X, Roberts E, Powell M, Nunez Miguel R, Furmaniak J, Rees Smith B. Crystal structure of the TSH receptor (TSHR) bound to a blocking-type TSHR autoantibody. J Mol Endocrinol. 2011 Feb 15;46(2):81-99. doi: 10.1530/JME-10-0127. Print 2011 Apr. |
| 26000124 | Background | Furmaniak J, Sanders J, Young S, Kabelis K, Sanders P, Evans M, Clark J, Wilmot J, Rees Smith B. In vivo effects of a human thyroid-stimulating monoclonal autoantibody (M22) and a human thyroid-blocking autoantibody (K1-70). Auto Immun Highlights. 2011 Sep 14;3(1):19-25. doi: 10.1007/s13317-011-0025-9. eCollection 2012 Apr. |
| D013959 |
| Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D006980 | Hyperthyroidism |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |