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This is a Phase 1A, first in human, randomized, double-blinded, placebo-controlled, dose escalation study of PMG1015 in healthy adult volunteers. PMG1015 is a monoclonal antibody, being developed as a novel therapeutic treatment for patients with Idiopathic Pulmonary fibrosis (IPF). This study aims to evaluate the safety, tolerability, pharmacokinetics and immunogenicity of PMG1015 after Single ascending doses (SAD).
Participants will be enrolled and randomized into 1 of 7 cohorts in a double-blind manner.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Doses Cohort 1a | Experimental | Subjects will receive either Dose level 1 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1b | Experimental | Subjects will receive either Dose level 2 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1c | Experimental | Subjects will receive either Dose level 3 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1d | Experimental | Subjects will receive either Dose level 4 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1e | Experimental | Subjects will receive either Dose level 5 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1f |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PMG1015 Dose 1 | Drug | Dose level 1 of PMG1015 |
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| Measure | Description | Time Frame |
|---|---|---|
| The incidence of Treatment-emergent adverse events (TEAEs) | An Adverse Event (AE) is any event, side-effect or any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs are AEs that occur following the start of treatment. | Day 1-Day 85 |
| The severity of Treatment-emergent adverse events (TEAEs) | TEAEs are AEs that occur following the start of treatment. | Day 1-Day 85 |
| The incidence of Serious adverse events (SAEs) | A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect. | Day 1-Day 85 |
| The severity of Serious adverse events (SAEs) | A serious adverse event (SAE) is defined as an AE occurring during any study phase and at any dose of IP (active or placebo) that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect. | Day 1- Day 85 |
| Number of participants with abnormally clinical vital signs | Vital signs include pulse rate (PR), blood pressure (BP), respiratory rate (RR) and tympanic temperature (T) | Day 1- Day 85 |
| Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) parameters |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the serum-concentration time curve (AUC) from time zero (from the start of infusion time) to the last time point with measurable analyte concentration (AUC0-t) | Area under the plasma concentration versus time curve (AUC) from time 0 to time of last quantifiable concentration | Day 1-Day 85. |
| AUC from time zero to infinity (AUC0-∞) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Richard Friend | Nucleus Network | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Q-Pharm Pty Ltd, Clive Berghofer Cancer Research Centre | Herston | Queensland | 4006 | Australia |
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| Experimental |
Subjects will receive either Dose level 6 of PMG1015 or Placebo |
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| Single Ascending Doses Cohort 1g | Experimental | Subjects will receive either Dose level 7 of PMG1015 or Placebo |
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| PMG1015 Dose 2 | Drug | Dose level 2 of PMG1015 |
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| PMG1015 Dose 3 | Drug | Dose level 3 of PMG1015 |
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| PMG1015 Dose 4 | Drug | Dose level 4 of PMG1015 |
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| PMG1015 Dose 5 | Drug | Dose level 5 of PMG1015 |
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| PMG1015 Dose 6 | Drug | Dose level 6 of PMG1015 |
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| Placebo | Drug | Placebo to match |
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| PMG1015 Dose 7 | Drug | Dose level 7 of PMG1015 |
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All ECG tracings will be reviewed by the PI or designee and assessed for clinical significance. |
| Day 1-Day 85. |
| Number of participants with abnormal clinically significant clinical laboratory results | Clinical laboratory test include hematology, coagulation, biochemistry, and urinalysis. | Day 1- Day 85 |
| MTD of PMG1015 in healthy participants | Maximum tolerated dose of PMG1015 in healthy participants | Day 1- Day 85 |
| Number of patients with abnormal clinically significant results from physical examination | Complete physical examination include, general appearance, head, eyes, ears, nose, throat, dentition, thyroid, chest (heart, lungs), abdomen, skin, neurological, extremities, back, neck, musculoskeletal, and lymph nodes. | Day 1-Day 85 |
Area under the plasma concentration versus time curve (AUC) from time 0 (from the start of infusion) extrapolated to infinity |
| Day 1-Day 85. |
| To determine %AUCexp | The percentage of the AUC that has been extrapolated beyond the last observed data point | Day 1-Day 85. |
| To determine Cmax | Maximum observed serum PMG1015 concentration | Day 1-Day 85. |
| To determine Tmax, derived from serum concentration of each dose of PMG1015 | Time to maximum observed concentration | Day 1-Day 85. |
| To determine t1/2 | Terminal elimination half life summarized by dosing regimen | Day 1-Day 85. |
| Apparent total body clearance (CL) | CL is the measure of the rate at which a drug is metabolized or eliminated by normal biological processes | Day 1-Day 85. |
| Apparent volume of distribution during the terminal phase (Vz) | Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. | Day 1-Day 85. |
| Apparent terminal elimination rate constant (λz or kel) | λz is calculated using log-linear regression of the terminal portions of the plasma concentrations versus time curves. | Day 1-Day 85. |
| Levels of ADA | Anti-drug antibody levels in blood | Day 1-Day 85 |
| ID | Term |
|---|---|
| D054990 | Idiopathic Pulmonary Fibrosis |
| ID | Term |
|---|---|
| D011658 | Pulmonary Fibrosis |
| D017563 | Lung Diseases, Interstitial |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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