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The purpose of the study is to assess safety, tolerance, pharmacokinetic, and pharmacodynamics of single doses of ACE-2494 in healthy postmenopausal women.
Subjects will be evaluated for study inclusion/exclusion criteria during the screening period (within 4 weeks prior to Day -1) and eligible subjects who have signed the informed consent form (ICF) will be enrolled and treated with study drug (ACE-2494 or placebo) on Day 1. Subjects will be randomized (3:1, ACE-2494: placebo) to receive one dose of either ACE-2494 or placebo, respectively, on Day 1.
The primary objective of the study is to evaluate the safety and tolerability of single ascending doses of ACE-2494 in healthy postmenopausal women. The secondary objectives are to characterize the pharmacokinetic (PK) profile and pharmacodynamic (PD) effects, including serum biomarkers, fat, lean, and bone mass (DXA), muscle volume and intramuscular fat fraction (MRI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | ACE-2494 or placebo 0.06 mg/kg SC Day 1 |
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| Cohort 2 | Experimental | ACE-2494 or placebo 0.2 mg/kg SC Day 1 |
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| Cohort 3 | Experimental | ACE-2494 or placebo 0.6 mg/kg SC Day 1 |
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| Cohort 4 | Experimental | ACE-2494 or placebo 1.0 mg/kg SC Day 1 |
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| Cohort 5 | Experimental | ACE-2494 or placebo 2.0 mg/kg SC Day 1 |
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| Cohort 6 | Experimental | ACE-2494 or placebo TBD (not to exceed 3.0 mg/kg SC) Day 1 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACE-2494 or placebo | Drug | Recombination fusion protein |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with ACE-2494 treatment-related adverse events as assessed by CTCAE v5.0 | Adverse events (including both clinical observations and laboratory measurements), deemed related to ACE-2494 treat, will be recorded for each study subject | From initiation of treatment (Study Day 1) to end of follow-up period (Study Day 85) |
| Measure | Description | Time Frame |
|---|---|---|
| Determination of ACE-2494 serum Cmax | Determination of maximum serum concentration of ACE-2494 following subcutaneous administration | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of ACE-2494 serum Tmax |
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Inclusion Criteria:
Postmenopausal women, with menopause defined by follicle stimulating hormone (FSH) level > 40 IU/L and either 12 months of spontaneous amenorrhea or at least 6 months post-surgical bilateral oophorectomy and/or hysterectomy
Age 45-75 years
Body mass index (BMI) 18.5-32.0 kg/m2
Clinical laboratory values that meet the following criteria prior to dosing on Day 1:
Ability to adhere to the study visit schedule/procedures, and to understand and comply with protocol requirements
Signed written informed consent
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Syneos Health | Québec | G1P0A2 | Canada |
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Determination of time to maximum serum concentration of ACE-2494 following subcutaneous administration |
| From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of ACE-2494 serum T1/2 | Determination of serum half-life of ACE-2494 following subcutaneous administration | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of ACE-2494 AUC | Determination of the area under the serum concentration curve of ACE-2494 following subcutaneous administration | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Quantitation of serum GDF8 following ACE-2494 treatment | Quantitation of serum levels of growth differentiation factor (GDF)8 following treatment with ACE-2492 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Quantitation of serum BSAP following ACE-2494 treatment | Quantitation of serum levels of bone-specific alkaline phosphatase (BSAP) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Quantitation of serum CTX following ACE-2494 treatment | Quantitation of serum levels of carboxy-terminal collagen crosslinks (CTX) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Quantitation of serum FSH following ACE-2494 treatment | Quantitation of serum levels of follicle stimulating hormone (FSH) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of body composition following ACE-2494 treatment by DXA | Regional and whole-body quantitation of fat mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of body composition following ACE-2494 treatment by DXA | Regional and whole-body quantitation of lean mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of body composition following ACE-2494 treatment by DXA | Regional and whole-body quantitation of bone mass by dual energy X-ray absorptiometry (DXA) following treatment with ACE-2494 | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only | Determination of total muscle volume in the thigh by magnetic resonance imaging (MRI) | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |
| Determination of thigh muscle volume and intramuscular fat following ACE-2494 treatment by MRI for patients in Cohorts 4-6 only | Determination of intramuscular fat in the thigh by magnetic resonance imaging (MRI) | From initiation of treatment, Study Day (SD)1 to end of follow-up period (SD85) |