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To evaluate the safety, pharmacokinetics, pharmacodynamics and immunogenicity of N-Rephasin® SAL200 following single and multiple ascending doses in healthy male volunteers after continuous intravenous infusion over 60 minutes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| N-Rephasin® SAL200 | Experimental | Forty subjects will be randomly assigned to receive either N-Rephasin® SAL200 injection or a placebo administered by a 60-min intravenous infusion. Within each group, 8 subjects (6 active and 2 placebo) will receive a single dose of 6 mg/kg, followed by multiple ascending dose of 3, 6, 9, and 12 mg/kg/day. |
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| INT200-Placebo | Placebo Comparator | Saline |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| N-Rephasin® SAL200 | Biological | continuous intravenous infusion over 60 minutes |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability Evaluation | Monitoring of adverse events (AEs) for Safety and Tolerability Evaluation | Up to 50D (±2D) |
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| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Evaluation [Cmax (µg/mL)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| In Jin Jang, M.D., Ph. D. | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 110-744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 2875256 | Background | Etienne J, Fleurette J, Ninet JF, Favet P, Gruer LD. Staphylococcal endocarditis after dental extraction. Lancet. 1986 Aug 30;2(8505):511-2. doi: 10.1016/s0140-6736(86)90377-6. No abstract available. | |
| 6939390 | Background | Kundsin RB. Documentation of airborne infection during surgery. Ann N Y Acad Sci. 1980;353:255-61. doi: 10.1111/j.1749-6632.1980.tb18928.x. No abstract available. |
| Label | URL |
|---|---|
| Seung-Ho Han et al., Monitoring of Methicillin-Resistant Staphylococcus aureus in Nasal Swabs Obtained fron Dental Clinic Healthcare Providers and Medical Environments Nurses. Int J Oral Biology. 2010;35:7-12 | View source |
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There is not a plan to make IPD available.
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59 subjects were screened and 33 subjects met inclusion criteria and were randomized to treatment.
The recruitment was conducted in a single center (SEOUL NATIONAL UNIVERSITY HOSPITAL) from Feb. 2018 to Dec. 2018.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo, Single Dose Study | INT200-Placebo, single dose, IP administration: 1d 0h |
| FG001 | N-Rephasin® SAL200 6mg/kg (Single Dose) | Sigle dose group N-Rephasin® SAL200 6mg/kg (single dose) Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | May 17, 2019 | Jun 15, 2021 |
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| INT200-Placebo |
| Other |
Formulation buffer except active ingredient for continuous intravenous infusion over 60 minutes |
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| Pharmacodynamic Evaluation | Ex vivo antibacterial activity was assessed by bactericidal effects of the serum specimens collected from the trials were compared with calibration samples range of 0.05 to 1.0 μg/mL N-Rephasin®SAL200. | Up to 2hours |
| Immunogenicity Evaluation | Anti-drug antibody titer was assessed. | Up to 50D (±2D) |
| Pharmacokinetic Evaluation [AUClast, AUCinf (µg*h/mL)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
| Pharmacokinetic Evaluation [Tmax, T1/2, MRTinf (h)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200 | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
| Pharmacokinetic Evaluation [Vd (L)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
| Pharmacokinetic Evaluation [CL (L/h)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
| 22491776 | Background | van Hal SJ, Jensen SO, Vaska VL, Espedido BA, Paterson DL, Gosbell IB. Predictors of mortality in Staphylococcus aureus Bacteremia. Clin Microbiol Rev. 2012 Apr;25(2):362-86. doi: 10.1128/CMR.05022-11. |
| 35007129 | Derived | Wire MB, Jun SY, Jang IJ, Lee SH, Hwang JG, Huang DB. A Phase 1 Study To Evaluate Safety and Pharmacokinetics following Administration of Single and Multiple Doses of the Antistaphylococcal Lysin LSVT-1701 in Healthy Adult Subjects. Antimicrob Agents Chemother. 2022 Mar 15;66(3):e0184221. doi: 10.1128/AAC.01842-21. Epub 2022 Jan 10. |
| Eun Ja Park et al., Analysis of Economic Outcome of Methicillin-Resistant Staphylococcus aureus(MRSA) Bacteremia Using Retrospective Case-Control Study, Kor. J. Clin. Pharm 2007;17:59-64 | View source |
| Hyuk Min Lee, Dong Eun Yong, Kyungwon Lee., Antimicrobial Resistance of Clinically Important Bacteria Isolated from 12 Hospitals in Korea in 2004 . Korean Journal of Clinical Microbiology 2005;8(1):66-73 | View source |
| Frency J, Brun Y, Bes M, Meugnier H, Grimont F, Grimon PAD, Newi C, Fleurette J. Staphylococcus lugdunensis sp. and Staphylococcus schleiferi sp. novel two species from human clinical specimens. Int Syst Bacteriol. 1998;38:168-172 | View source |
| FG002 | Placebo , Multiple Dose Study | INT200-Placebo, multiple dose, IP administration: 1d 0h, 2d 0h, 2d 12h, 3d 0h, 3d 12h and 4d 0h |
| FG003 | N-Rephasin® SAL200 1.5 mg/kg (3mg/kg/d) , Multi Dose | multi dose study Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| FG004 | N-Rephasin® SAL200 3mg/kg (6mg/kg/d), Multi Dose | Multi dose study Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| FG005 | N-Rephasin® SAL200 4.5mg/kg (9mg/kg/d), Multi Dose | Multi dose study Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| Randomized Set |
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| Safety Analysis Set |
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| PK/PD Analysis Set |
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| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | INT200-Placebo (Single Dose Study + Multi Dose Study) | Saline INT200-Placebo: Formulation buffer except active ingredient for continuous intravenous infusion over 60 minutes |
| BG001 | N-Rephasin® SAL200 6mg/kg (Single Dose) | Sigle dose N-Rephasin® SAL200 6mg/kg (single dose) Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| BG002 | N-Rephasin® SAL200 1.5 mg/kg (3mg/kg/d), Multi Dose | Multi dose Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| BG003 | N-Rephasin® SAL200 3mg/kg (6mg/kg/d), Multi Dose | Multi dose Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| BG004 | N-Rephasin® SAL200 4.5mg/kg (9mg/kg/d), Multi Dose | Multi dose Experimental: N-Rephasin® SAL200 Active ingredient : SAL200 1ml (SAL-1 18 mg/mL) Manufacturer: BINEX Co., Ltd. (whole process contracted) Transparent and colorless vial filled with colorless clear liquid injection continuous intravenous infusion over 60 minutes Healthy Volunteers who were met eligibility criteria. |
| BG005 | 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, Customized | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Weight | Mean | Standard Deviation | kg |
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| Height | Mean | Standard Deviation | cm |
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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 | Safety and Tolerability Evaluation | Monitoring of adverse events (AEs) for Safety and Tolerability Evaluation | Posted | Count of Participants | Participants | Up to 50D (±2D) |
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| Other Pre-specified | Pharmacokinetic Evaluation [Cmax (µg/mL)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Posted | Mean | Standard Deviation | µg/mL | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
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| Other Pre-specified | Pharmacodynamic Evaluation | Ex vivo antibacterial activity was assessed by bactericidal effects of the serum specimens collected from the trials were compared with calibration samples range of 0.05 to 1.0 μg/mL N-Rephasin®SAL200. | Posted | Mean | Standard Deviation | μg/mL | Up to 2hours |
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| Other Pre-specified | Immunogenicity Evaluation | Anti-drug antibody titer was assessed. | Posted | Count of Participants | Participants | Up to 50D (±2D) |
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| Other Pre-specified | Pharmacokinetic Evaluation [AUClast, AUCinf (µg*h/mL)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Posted | Mean | Standard Deviation | µg*h/mL | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
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| Other Pre-specified | Pharmacokinetic Evaluation [Tmax, T1/2, MRTinf (h)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200 | Posted | Mean | Standard Deviation | h | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
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| Other Pre-specified | Pharmacokinetic Evaluation [Vd (L)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Posted | Mean | Standard Deviation | L | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
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| Other Pre-specified | Pharmacokinetic Evaluation [CL (L/h)] | Blood sampling for PK evaluation was performed at the following time points. Summary of PK parameters after single IV administration of N-Rephasin® SAL200. | Posted | Mean | Standard Deviation | L/h | Single administration: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24 hours post-dose Multiple administration: the above timepoints and 25, 36, 48, 49, 60, 72, 72.25, 72.5, 72.75, 73, 73.5, 74, 75, 76, 77, 78, 80, 82, 84, 96 hours post-dose |
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Up to 50 Days after randomization.
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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, Single Dose Study | INT200-Placebo (N=2),single dose study | 0 | 2 | 0 | 2 | 1 | 2 |
| EG001 | N-Rephasin® SAL200 (6mg/kg), Single Dose Study | N-Rephasin® SAL200 (6mg/kg), (N=6),single dose study | 0 | 6 | 0 | 6 | 6 | 6 |
| EG002 | Placebo , Multiple Dose Study | INT200-Placebo (N=6),multiple dose study | 0 | 6 | 0 | 6 | 1 | 6 |
| EG003 | N-Rephasin® SAL200 (1.5 mg/kg), Multiple Dose Study | N-Rephasin® SAL200 (1.5mg/kg), (N=6),multiple dose study | 0 | 6 | 0 | 6 | 3 | 6 |
| EG004 | N-Rephasin® SAL200 (3 mg/kg), Multiple Dose Study | N-Rephasin® SAL200 (3mg/kg), (N=6),multiple dose study | 0 | 6 | 0 | 6 | 1 | 6 |
| EG005 | N-Rephasin® SAL200 (4.5 mg/kg), Multiple Dose Study | N-Rephasin® SAL200 (4.5mg/kg), (N=6),multiple dose study | 0 | 6 | 0 | 6 | 3 | 6 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Odynophagia | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Stomatitis | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Chills | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Pyrexia | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Hyperthermia | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Infusion site erythema | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Infusion site induration | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Infusion site pain | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Infusion site warmth | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Injection site induration | General disorders | MedDRA (ver. 20.0) | Systematic Assessment | General disorders and administration site conditions |
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| Ligament pain | Injury, poisoning and procedural complications | MedDRA (ver. 20.0) | Systematic Assessment |
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| C-reactive protein increased | Investigations | MedDRA (ver. 20.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (ver. 20.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jun SooYoun, Ph.D. / Executive Director/ Principal researcher | Institute of iNtRON Biotechnology | +82-31-739-5332 | jsy@intron.co.kr |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 16, 2019 | Jun 15, 2021 | SAP_001.pdf |
| Male |
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| No. of Subjects with Drug-Related TEAEs |
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| No. of Subjects with Serious TEAEs |
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| Participants |
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SAL200 1 ml (SAL-1 18 mg/mL), 4.5 mg (9 mg/kg/day) (Multi dose study)
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