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| Name | Class |
|---|---|
| The First Affiliated Hospital of Bengbu Medical University | OTHER |
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The main purpose To evaluate the safety and tolerability of pegloticase in subjects with asymptomatic hyperuricemia by single intravenous infusion at different doses, and to provide a basis for multiple doses of Pegloticase in subjects with asymptomatic hyperuricemia.
A secondary purpose To evaluate the pharmacokinetics, pharmacodynamics and immunogenicity of Pegloticase with single-pass intravenous drip in subjects with asymptomatic hyperuricemia.
Exploratory purpose Plasma uricase activity (pUox) analysis of pegloticase with single-pass intravenous drip in subjects with asymptomatic hyperuricemia.
To evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics analysis of pegloticase in subjects with asymptomatic hyperuricemia.
This is a phase I randomized, double-blind, placebo-controlled and dose-increasing single dosing study. Five dose groups of 1, 2, 4, 8 or 12 mg were planned to explore the most appropriate dose and to provide a basis for multiple doses of Pegloticase in subjects with asymptomatic hyperuricemia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Drug: SIBP-R002 & Dexamethasone/Methyl prednisolone & Diphenhydramine Starting from the lowest dose, when the former dose does not meet the termination criteria, then start the next dose group study until Maximum Tolerated Dose (MTD). |
|
| Placebo control group | Placebo Comparator | Placebo control: The same volume of placebo as SIBP-R002 & Dexamethasone/Methyl prednisolone & Diphenhydramine The rule and dose of placebo were the same as SIBP-R002. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIBP-R002 | Drug | SIBP-R002: injection; strength: 1, 2, 4, 8 or 12 mg; dose escalation and the first group is 1mg (intravenous infusion, 5 groups, the first group consisted of four people, and the other groups consisted of eight). |
| Measure | Description | Time Frame |
|---|---|---|
| The number of any adverse events (AE) | All subjects were observed during the trial for any AE that occurred during the clinical study, including clinical symptoms and life abnormal physical signs, abnormalities in electrocardiogram and laboratory tests. Attention should be paid to the occurrence of AE related to infusion reaction, allergic reaction, vomiting and watery stools/loose stools, acute attack of gout, cardiovascular adverse events and so on. | 35 days after the last dose |
| The number of serious adverse events (SAE) | That is serious adverse events, any serious adverse events that occurred to the subject during the study period. | 35 days after the last dose |
| Measure | Description | Time Frame |
|---|---|---|
| AUC 0-t (Area Under The Plasma Concentration Versus Time Curve) | Area under the blood concentration-time curve from 0 to T. It shows the degree to which a drug is absorbed and used in the body. | 35 days after the last dose |
| Cmax(Peak Plasma Concentration) |
| Measure | Description | Time Frame |
|---|---|---|
| pUox(Plasma uricase activity) | Plasma uricase activity (pUox) of subjects after single use of peruricase. | 35 days after the last dose |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| The First Affiliated Hospital of Bengbu Medical College The First Affiliated Hospital of Bengbu Medical College, Master | Shanghai Institute Of Biological Products | Study Director |
| Huan Zhou | The First Affiliated Hospital of Bengbu Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The first affiliated hospital of Bengbu medical college | Bengbu | Anhui | China |
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| ID | Term |
|---|---|
| D033461 | Hyperuricemia |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| D004155 | Diphenhydramine |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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This is a phase I randomized, double-blind, placebo-controlled and dose-increasing single dosing study.
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During the study period, the subjects and all personnel involved in the evaluation and analysis of the results were unaware of the actual grouping.
| Dexamethasone or Methyl prednisolone | Drug | Intravenous infusion, 5mg or 1~2mg/kg. These were administered within 30 minutes prior to infusion of the experimental drug. |
|
| Diphenhydramine | Drug | 10mg, intramuscular injection.These were administered within 30 minutes prior to infusion of the experimental drug. |
|
| Placebo | Drug | The same volume of placebo as SIBP-R002: injection; strength: the same volume of placebo as SIBP-R002 of 1, 2, 4, 8 or 12 mg (intravenous infusion, 5 groups, the first group consisted of one people, and the other groups consisted of two). The rule and dose of placebo were the same as SIBP-R002. |
|
It shows the highest plasma concentration of a drug that can be achieved after administration. |
| 35 days after the last dose |
| AUC inf (Area Under The Plasma Concentration Versus Time Curve) | Area under the blood concentration-time curve from 0 to unlimited time. It shows the degree to which a drug is absorbed and used in the body. | 35 days after the last dose |
| Tmax(Peak Time) | That is peak time of drug action, it shows the time required to reach the maximum concentration on the subject plasma concentration curve after administration. | 35 days after the last dose |
| T ½(Terminal elimination half-life) | It reflects how quickly the drug is eliminated from the body. | 35 days after the last dose |
| CL(Clearance Rate) | Apparent volume of drug distribution removed from the body per unit time. | 35 days after the last dose |
| The uric acid to creatinine ratio in Urine | To evaluate the effect of single use of peruricase on uric acid to creatinine ratio (UAc:Cr) in 24h urine of patients with hyperuricemia. | 35 days after the last dose |
| Vd(Apparent volume of distribution) | Apparent volume of distribution refers to the ratio of the amount of drug in vivo to the concentration of drug in blood when a drug reaches dynamic equilibrium in the body. It is a widely used parameters for drug distribution. | 35 days after the last dose |
| λz | Elimination rate constant of a drug.It is a common pharmacokinetic indicator. | 35 days after the last dose |
| The positive rate of anti-uricase antibody | An evaluation index of immunogenicity of an experimental drug. If detected, it is positive. | 35 days after the last dose |
| The positive rate of anti-PEG antibody | An evaluation index of immunogenicity of an experimental drug. If detected, it is positive. | 35 days after the last dose |
| The positive rate of anti-PEG-uricase antibody | An evaluation index of immunogenicity of an experimental drug. If detected, it is positive. | 35 days after the last dose |
| Antibody titer of anti-uricase antibody | An evaluation index of immunogenicity of an experimental drug. | 35 days after the last dose |
| Antibody titer of anti-PEG Antibody | An evaluation index of immunogenicity of an experimental drug. | 35 days after the last dose |
| Antibody titer of anti-PEG-uricase Antibody | An evaluation index of immunogenicity of an experimental drug. | 35 days after the last dose |
| Positive rate of neutralizing antibody(NAb) | NAb positive rate was assessed by detecting neutralizing antibodies in blood samples. | 35 days after the last dose |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D005021 | Ethylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D001559 | Benzhydryl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |