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The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of ARO-RAGE in normal healthy volunteers (NHVs) and in participants with inflammatory lung disease (asthma). In Part 1 of the study, NHVs will receive a single dose of ARO-RAGE or placebo. In Part 2 of the study, adult participants with asthma will receive 2 doses of ARO-RAGE or placebo. Additional NHVs may be randomized to receive 1 or 2 doses of ARO-RAGE or placebo at Sponsor discretion. Dose levels in Part 2 will be determined based on cumulative safety and pharmacodynamic data from Part 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ARO-RAGE | Experimental | ARO-RAGE Inhalation |
|
| Placebo | Placebo Comparator | (0.9% NaCl) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARO-RAGE | Drug | single or multiple doses of ARO-RAGE by inhalation of nebulized solution |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | From first dose of study drug through the end of study (EOS; up to 113 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline Over Time in Forced Expiratory Volume (FEV1) | Baseline through EOS (up to 113 days) or until serum soluble receptor for advance glycation end products (sRAGE) is ≥ 70% of baseline value | |
| Change from Baseline Over Time in Forced Vital Capacity (FVC) |
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Inclusion Criteria:
Exclusion Criteria:
Note: additional inclusion/exclusion criteria may apply per protocol
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site 1 | Nedlands | Washington | 6009 | Australia | ||
| Research Site 1 |
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| Placebo |
| Drug |
calculated volume to match active treatment by inhalation of nebulized solution |
|
| Baseline through EOS (up to 113 days) or until serum sRAGE is ≥ 70% of baseline value |
| Change from Baseline Over Time in Diffusing Capacity for Carbon Monoxide (DLCO) | Baseline through EOS (up to 113 days) or until serum sRAGE is ≥ 70% of baseline value |
| PK of ARO-RAGE: Maximum Observed Plasma Concentration (Cmax) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Time to Maximum Observed Plasma Concentration (Tmax) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Area Under the Plasma Concentration versus Time Curve From Zero to 24 Hours (AUC0-24) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Area Under the Plasma Concentration versus Time Curve From Zero to the Last Quantifiable Plasma Concentration (AUClast) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Area Under the Plasma Concentration versus Time Curve From Zero to Infinity (AUCinf) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Terminal Elimination Half-Life (t1/2) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Apparent Systemic Clearance (CL/F) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Apparent Terminal-Phase Volume of Distribution (VZ/F) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| PK of ARO-RAGE: Recovery of Unchanged Drug in Urine Over 0 to 24 Hours (Amount Excreted; Ae) | Through 24 hours post-dose |
| PK of ARO-RAGE: Percentage of Administrated Drug Recovered in Urine Over 0 to 24 hours | Through 24 hours post-dose |
| PK of ARO-RAGE: Renal Clearance (CLr) | single dose phase: up to 48 hours post-dose; multiple dose phase: up to 6 hours post-dose on Days 1 and 29 for NHVs, and up to 24 hours post-dose for participants with asthma |
| Auckland |
| 1010 |
| New Zealand |
| Research Site 2 | Auckland | 1051 | New Zealand |
| Research Site 3 | Auckland | 622 | New Zealand |
| Research Site 2 | Krakow | 31-455 | Poland |
| Research Site 3 | Oświęcim | 32-600 | Poland |
| Research Site 1 | Barcelona | 08017 | Spain |
| Research Site 1 | Bangkok Noi | Bangkok | 10700 | Thailand |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |