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ANX005 well tolerated at doses studied; study discontinued and initiated in patient population
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This is a single-center, randomized, double-blind, placebo-controlled, ascending, single-infusion, sequential group study. Single, ascending doses will be administered to approximately 64 subjects, with an option for 1 additional multi-dose cohort in approximately 8 subjects. The primary objective is to evaluate the safety of ANX005 administered as an intravenous infusion as a single agent and in combination with intravenous immunoglobulin (IVIg). The optional multi-dose cohort will evaluate either additional subjects at the maximum tolerated dose or ANX005 administered as 2 infusions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ANX005 Monotherapy | Experimental | ANX005 intravenous infusion |
|
| ANX005 and IVIg Combination Therapy | Experimental | ANX005 intravenous infusion in combination with intravenous immunoglobulin (IVIg) |
|
| Placebo | Placebo Comparator | Placebo intravenous infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ANX005 | Drug | Single ascending dose intravenous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with treatment-related adverse events as assessed by CTCAE v4.03 | Safety is assessed throughout the study. Day 43 is the last visit. | Day 43 |
| Measure | Description | Time Frame |
|---|---|---|
| Peak plasma concentration | Day 43 | |
| Determine effective dose of ANX005 | Percent of subjects with a biologic response, defined as a reduction of serum CH50 percent change from baseline at 21 and 28 days after the first ANX005 infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Explore relationship of AUC with PD responses in serum | Day 43 | |
| Explore relationship of AUC with PD responses in CSF | Day 43 | |
| Explore relationship of half-life with PD responses in serum |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sandy Calman, MD | Annexon Medical Monitor | Study Director |
| Jason Lickliter, MBBS PhD | Nucleus Network Ltd | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nucleus Network | Melbourne | Victoria | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29202623 | Derived | Lansita JA, Mease KM, Qiu H, Yednock T, Sankaranarayanan S, Kramer S. Nonclinical Development of ANX005: A Humanized Anti-C1q Antibody for Treatment of Autoimmune and Neurodegenerative Diseases. Int J Toxicol. 2017 Nov/Dec;36(6):449-462. doi: 10.1177/1091581817740873. Epub 2017 Dec 4. |
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| ID | Term |
|---|---|
| D016756 | Immunoglobulins, Intravenous |
| ID | Term |
|---|---|
| D007074 | Immunoglobulin G |
| D007132 | Immunoglobulin Isotypes |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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| IVIg | Drug | IVIg infusion in Cohorts 4b and 5b only. Randomized to ANX005 followed by IVIg or placebo followed by IVIg. |
|
| Placebos | Drug | 0.9% saline intravenous infusion |
|
| Day 43 |
| Area under the plasma concentration versus time curve (AUC) | Day 43 |
| Terminal half-life | Day 43 |
| Day 43 |
| Explore relationship of half-life with PD responses in CSF | Day 43 |
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |