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| Name | Class |
|---|---|
| PPD Development, LP | INDUSTRY |
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This Phase 1 study to evaluate the safety of a single dose of Dengushield (dengue monoclonal antibody) in healthy adults.
This Phase 1 study will evaluate the safety and tolerability of a single dose of Dengushield (dengue monoclonal antibody) in healthy adults in a dose-escalating study design. In addition, pharmacokinetics will also be studied.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 (Initial Safety Cohort) 1 mg/kg | Experimental | 4 participants will be administered Dengushield at 1 mg/kg body weight as Intravenous injection. |
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| Cohort 2 Experimental 3mg/kg | Experimental | Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo. |
|
| Cohort 2 Placebo 3 mg/kg | Placebo Comparator | Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo and enrolled. |
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| Cohort 3 Experimental 7 mg/kg | Experimental | Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dengushield 1 mg/kg (Cohort 1) intravenous | Biological | Participants will be administered Dengushield 1 mg/kg as slow intravenous injection. |
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| Measure | Description | Time Frame |
|---|---|---|
| The proportion of participants with post-injection/ infusion adverse events (AEs) including hypersensitivity reaction, anaphylactic reaction and other AEs occurring within 4 hours of the start of dosing | Safety monitoring for 4 hours | 4 hours post administration of drug |
| The proportion of participants with AEs, discontinuations due to AEs, and serious adverse events (SAEs) | Safety | 84 days |
| Proportion of participants with clinically significant abnormal safety laboratory (hematology and chemistry parameters) findings | Safety | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time to maximum serum concentration of Dengushield - Tmax | Time to maximum serum concentration of Dengushield - Tmax | 84 days |
| Presence or absence of anti-Dengushield antibody in sera samples | Anti-Dengushield antibodies will be checked in sera samples. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Prasad Kulkarni, MD | Serum Institute of India Pvt. Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMAX Clinical Research Pty Ltd | Adelaide | South Australia | 5000 | Australia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38408457 | Derived | Gunale B, Farinola N, Kamat CD, Poonawalla CS, Pisal SS, Dhere RM, Miller C, Kulkarni PS. An observer-blind, randomised, placebo-controlled, phase 1, single ascending dose study of dengue monoclonal antibody in healthy adults in Australia. Lancet Infect Dis. 2024 Jun;24(6):639-649. doi: 10.1016/S1473-3099(24)00030-6. Epub 2024 Feb 23. |
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This is a Phase 1, randomized, partially-blind (observer-blind), placebo controlled, single dose ascending study in healthy adults. For the Cohort 1 (Initial Safety Cohort), no placebo control will be used and hence, blinding is not applicable.
There will be 4 dose levels. The proposed doses to be studied are; 1 mg/kg, 3 mg/kg, 12 mg/kg and 25 mg/kg. Total of 40 participants will be dosed and followed till Day 84 from dosing.
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For the Cohort 1 (Initial Safety Cohort), no placebo control will be used and hence, blinding is not applicable.For remaining cohorts, both participant and investigator will be unaware of treatment allocation as well as the laboratories analyzing the biochemistry and hematology parameters, pharmacokinetic and immunogenicity (ADA) samples will be blinded to treatment allocation. The drug administrator will be unblinded who will prepare and administer the study drugs. The 7 day safety data for each cohort will be reviewed by group-wise unblinding. Individual level unblinding will be done only in cases of suspected serious adverse reactions as per the judgement of investigator or medical monitor / sponsor representative.
| Cohort 3 Placebo 7 mg/kg |
| Placebo Comparator |
Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo. |
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| Cohort 4 Experimental 12 mg/kg | Experimental | Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo. |
|
| Cohort 4 Placebo 12 mg/kg | Placebo Comparator | Initially two participants will be randomized in 1:1 ratio to Dengushield or placebo as a sentinel cohort. If there are no causally related serious safety findings, remaining 10 participants for that cohort will be randomized in 9:1 ratio to Dengushield or placebo. |
|
| Dengushield 3 mg/kg (Cohort 2) intravenous | Biological | Participants will be administered Dengushield 3 mg/kg as slow intravenous infusion. |
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| Placebo 3 mg/kg (Cohort 2) intravenous | Biological | Participants will be administered Placebo 3 mg/kg as slow intravenous infusion. |
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| Dengushield 7 mg/kg (Cohort 3) intravenous | Biological | Participants will be administered Dengushield 7 mg/kg as slow intravenous infusion. |
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| Placebo 7 mg/kg (Cohort 3) intravenous | Biological | Participants will be administered Placebo 7 mg/kg as slow intravenous infusion. |
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| Dengushield 12 mg/kg (Cohort 4) intravenous | Biological | Participants will be administered Dengushield 12 mg/kg as slow intravenous infusion. |
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| Placebo 12 mg/kg (Cohort 4) intravenous | Biological | Participants will be administered Placebo 12 mg/kg as slow intravenous infusion. |
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| 84 days |
| Maximum serum concentration of dengushield - Cmax | Maximum serum concentration of dengushield | 84 days |
| AUC from time 0 to infinity of Dengushield | Area under curve of Dengushield from time 0 to infinity (AUC0-infinity) | 84 days |
| AUC from time 0 to 84 days of Dengushield | Area under curve of Dengushield from time 0 to 84 days (AUC0-84d) | 84 days |
| Half life of Dengushield - t1/2 | Half life of Dengushield | 84 days |
| Volume of distribution of Dengushield | Volume of distribution of Dengushield | 84 days |
| Clearance of dengushield | Clearance of dengushield | 84 days |
| Elimination rate constant of dengushield | Elimination rate constant of dengushield | 84 days |
| ID | Term |
|---|---|
| D003715 | Dengue |
| ID | Term |
|---|---|
| D000096724 | Mosquito-Borne Diseases |
| D000079426 | Vector Borne Diseases |
| D007239 | Infections |
| D001102 | Arbovirus Infections |
| D014777 | Virus Diseases |
| D018177 | Flavivirus Infections |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006482 | Hemorrhagic Fevers, Viral |
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