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This double-blind, randomized, placebo-controlled study will assess the safety and pharmacokinetics of ZB002 in healthy participants and in participants with rheumatoid arthritis (RA). The study consists of 2 parts. Part A: Single Ascending Dose (SAD), which will include only healthy volunteers. Part B: Multiple Ascending Dose (MAD), will commence after completion of the SAD study and will include RA participants.
Part A (SAD): Up to approximately 48 healthy volunteers across 6 cohorts randomized to receive ZB002 or placebo as a single dose.
Part B (MAD): Up to approximately 24 participants with RA across 3 cohorts randomized to receive ZB002 or placebo as multiple doses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: SAD in Healthy Volunteers | Experimental | Healthy volunteers will receive a single dose of ZB002 or placebo |
|
| Part B: MAD in RA Participants | Experimental | RA participants will receive ZB002 or placebo every 4 weeks (Q4W) × 3 administrations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZB002 | Drug | ZB002 will be administered subcutaneously as per schedule specified in the respective arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Safety and Tolerability in HVs | To evaluate the safety and tolerability of ZB002 in HVs by assessing the number, severity and type of adverse events, including changes in laboratory safety test and electrocardiogram (ECG) | Day 1 through Day 120 |
| Part B: Safety and Tolerability of multiple doses of ZB002 in participants with RA | To evaluate the safety and tolerability of ZB002 in participants with RA by assessing the number of participants with Treatment-emergent adverse events (TEAEs), serious TEAEs, and TEAE leading to discontinuation | Day 1 through Day 176 |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Maximum observed serum concentration (Cmax) | Pharmacokinetics | Day 1 through Day 120 |
| Part A: Time for Cmax (Tmax) | Pharmacokinetics |
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Main Inclusion Criteria
Part A SAD (HV):
Part B MAD (RA Participants):
Main Exclusion Criteria
Part A SAD (HV):
Part B MAD (RA Participants):
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cory D Sellwood, MBChB | Contact | +6433729477 | cory.sellwood@nzcr.co.nz |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Veritus Research | Not yet recruiting | Melbourne | Australia |
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| Placebo | Drug | Placebo will be administered subcutaneously as per schedule specified in the respective arm. |
|
| ZB002 | Drug | ZB002 will be administered subcutaneously as per schedule specified in the respective arm. |
|
| Placebo | Drug | Placebo will be administered subcutaneously as per schedule specified in the respective arm. |
|
| Day 1 through Day 120 |
| Part A: Area under the concentration-time curve from time zero extrapolated to infinity (AUCinf) | Pharmacokinetics | Day 1 through Day 120 |
| Part A: AUC from time 0 to the last quantifiable concentration (AUClast) | Pharmacokinetics | Day 1 through Day 120 |
| Part A: Terminal half-life (t1/2) | Pharmacokinetics | Day 1 through Day 120 |
| Part A: Apparent clearance following extravascular dosing (CL/F) | Pharmacokinetics | Day 1 through Day 120 |
| Part A: Apparent volume of distribution following extravascular administration (Vz/F) | Pharmacokinetics | Day 1 through Day 120 |
| Part B (All Doses): Serum trough concentration (Ctrough) | Before repeat-dose administration (or at the end of the dosing interval [tau] after the final dose) | Day 1 through Day 176 |
| Part B (Doses 1 and 3): Maximum observed serum concentration (Cmax) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Doses 1 and 3): Time for Cmax (Tmax) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Doses 1 and 3): AUC over the dosing interval, tau (AUCtau) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Doses 1 and 3): Accumulation ratio of Cmax (ARCmax) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Doses 1 and 3): Accumulation ratio of AUC (ARAUC) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Dose 3 only): Area under the concentration-time curve from time zero extrapolated to infinity (AUCinf) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Dose 3 only): Terminal half-life (t1/2) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Dose 3 only): AUC from time 0 to the last quantifiable concentration (AUClast) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Dose 3 only): Apparent clearance following extravascular dosing (CL/F) | Pharmacokinetics | Day 1 through Day 176 |
| Part B (Dose 3 only): Apparent volume of distribution following extravascular (Vz/F) | Pharmacokinetics | Day 1 through Day 176 |
| Part B: Serum anti-ZB002 antibody prevalence and incidence | Day 1 through Day 176 |
| Part B: Cytokine/chemokine secretion in ex vivo stimulated whole blood | Pharmacodynamic | Day 1 through Day 176 |
| NZCR New Zealand Clinical Research | Recruiting | Christchurch | New Zealand |
|
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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