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The goals of this clinical study are to characterize and compare the safety, tolerability, blood levels of UPB-101 when given to healthy Japanese and non-Japanese non-East Asian (NJNEA) adults. Eligible participants will be assigned to one of the 4 planned dosing treatment groups. Treatment groups 1, 2 and 3 will consist of Japanese adults who will be administered a single subcutaneous (SC) dose of UPB-101 (at 3 different strengths). Treatment group 4 will consist of NJNEA participants who will receive a single SC dose of UPB-101. All treatment groups will enroll and run in parallel.
This is a randomized, open-label, parallel group, ethno-bridging study comparing the pharmacokinetics and safety of a single dose of UPB-101 in healthy Japanese and NJNEA adults. The study will include 4 planned dosing treatment groups. Treatment groups 1, 2 and 3 will consist of Japanese adults who will be administered a single subcutaneous (SC) dose of UPB-101 (at 3 different strengths). Treatment group 4 will consist of NJNEA participants who will receive a single SC dose of UPB-101. All treatment groups will enroll and run in parallel. Japanese participants will be enrolled and randomized on Day 1 into treatment groups 1, 2 or 3 and NJNEA participants will be assigned to treatment group 4.
Eight participants will be enrolled per treatment group, all will receive a single dose of UPB-101. Thus, a total of 32 male and female participants will be enrolled in the study (24 Japanese participants in treatment groups 1-3 and 8 NJNEA participants in treatment group 4).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group 1 | Experimental | Single subcutaneous injection of a low dose of UPB-101 (formerly ASP7266) in 8 Japanese participants |
|
| Treatment Group 2 | Experimental | Single subcutaneous injection of a medium dose of UPB-101 (formerly ASP7266) in 8 Japanese participants |
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| Treatment Group 3 | Experimental | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Japanese participants |
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| Treatment Group 4 | Experimental | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Non-Japanese Non-East Asian participants |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UPB-101 | Drug | UPB-101 Subcutaneous injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Concentration (Cmax) of UPB-101 | Non-compartmental analysis was used for estimation of PK parameters. | Baseline through Day 85 |
| Time to Maximum Observed Concentration (Tmax) of UPB-101 | Non-compartmental analysis was used for estimation of PK parameters. | Baseline through Day 85 |
| AUC From Time Zero up to the Last Quantifiable Concentration of UPB-101 (AUClast) | Non-compartmental analysis was used for estimation of PK parameters. AUC = Area under the concentration-time curve | Baseline through Day 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events and Serious Adverse Events | Safety endpoints included AEs, SAEs, physical examinations, clinical laboratory assessments, vital signs, ECGs including telemetry, withdrawal of participants, and early terminations. | Baseline through Day 85 |
| Immunogenicity Assessment of UPB-101 When Administered to Japanese and NJNEA Adults |
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Main Inclusion Criteria:
Male or female, aged ≥18 to ≤40 years at the date of signing informed consent
Body mass index (BMI) between 18 and 25 kg/m2
For Japanese (treatment groups 1, 2 and 3), participants must be:
Born in Japan, holding a Japanese passport,
Not living outside Japan for more than 5 years at the date of signing informed consent,
Have all 4 grandparents Japanese
For NJNEA treatment group 4, participants must be:
Non-Japanese,
Non-East Asian (Chinese, Korean, Mongolian or Taiwanese).
Healthy, as defined by:
Agrees to follow the required contraceptive techniques.
Agrees not to donate sperm or ova from the time of the administration of study medication until three months later (120 days)
Main Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chaim Brickman | Upstream Bio | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Richmond Pharmacology | London | United Kingdom |
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Treatment groups 1, 2, and 3 consisted of Japanese adults who were administered a single SC dose of a low, medium, or high dose of UPB-101, respectively. Treatment group 4 consisted of NJNEA participants who received a single SC dose of a high dose UPB-101.
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| ID | Title | Description |
|---|---|---|
| FG000 | Low Dose, Japanese | Single subcutaneous injection of a low dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| FG001 | Medium Dose, Japanese | Single subcutaneous injection of a medium dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| FG002 | High Dose, Japanese | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| FG003 | High Dose, NJNEA | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Non-Japanese Non-East Asian participants UPB-101: UPB-101 Subcutaneous injection |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Low Dose, Japanese | Single subcutaneous injection of a low dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| BG001 | Medium Dose, Japanese |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed Concentration (Cmax) of UPB-101 | Non-compartmental analysis was used for estimation of PK parameters. | Posted | Mean | Standard Deviation | ug/mL | Baseline through Day 85 |
|
Baseline through Day 85
Adverse event (AE) data are listed and summarized using descriptive statistics: the number (and %) of participants who had any AEs and the number of AE episodes are summarized by each treatment group
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Low Dose, Japanese | Single subcutaneous injection of a low dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | MedDRA 25.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sumathi Sivapalasingam, Vice President of Clinical Development | Upstream Bio | 1 917-499-0789 | sumathi.sivapalasingam@upstreambio.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 17, 2022 | Apr 5, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 16, 2023 | Apr 5, 2024 | SAP_001.pdf |
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All treatment groups will enroll and run in parallel. Japanese participants will be enrolled and randomly assigned, on Day 1, to treatment groups 1, 2 or 3. NJNEA participants will be assigned to treatment group 4.
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The immunogenicity endpoints included UPB-101 Anti-Drug Antibodies (ADAs). Outcome data is the number of participants with Low titer ADA positive results (range 60-240) observed at Day 85. |
| Baseline through Day 85 |
Single subcutaneous injection of a medium dose of UPB-101 (formerly ASP7266) in 8 Japanese participants
UPB-101: UPB-101 Subcutaneous injection
| BG002 | High Dose, Japanese | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| BG003 | High Dose, NJNEA | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Non-Japanese Non-East Asian participants UPB-101: UPB-101 Subcutaneous injection |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
|
| High Dose, Japanese |
Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection |
| OG003 | High Dose, NJNEA | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Non-Japanese Non-East Asian participants UPB-101: UPB-101 Subcutaneous injection |
|
|
| Primary | Time to Maximum Observed Concentration (Tmax) of UPB-101 | Non-compartmental analysis was used for estimation of PK parameters. | Posted | Median | Full Range | days | Baseline through Day 85 |
|
|
|
| Primary | AUC From Time Zero up to the Last Quantifiable Concentration of UPB-101 (AUClast) | Non-compartmental analysis was used for estimation of PK parameters. AUC = Area under the concentration-time curve | AUClast | Posted | Mean | Standard Deviation | day*ug/mL | Baseline through Day 85 |
|
|
|
| Secondary | Number of Participants With Treatment-emergent Adverse Events and Serious Adverse Events | Safety endpoints included AEs, SAEs, physical examinations, clinical laboratory assessments, vital signs, ECGs including telemetry, withdrawal of participants, and early terminations. | Posted | Count of Participants | Participants | Baseline through Day 85 |
|
|
|
| Secondary | Immunogenicity Assessment of UPB-101 When Administered to Japanese and NJNEA Adults | The immunogenicity endpoints included UPB-101 Anti-Drug Antibodies (ADAs). Outcome data is the number of participants with Low titer ADA positive results (range 60-240) observed at Day 85. | Posted | Count of Participants | Participants | Baseline through Day 85 |
|
|
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| 0 |
| 8 |
| 0 |
| 8 |
| 4 |
| 8 |
| EG001 | Medium Dose, Japanese | Single subcutaneous injection of a medium dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection | 0 | 8 | 0 | 8 | 4 | 8 |
| EG002 | High Dose, Japanese | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Japanese participants UPB-101: UPB-101 Subcutaneous injection | 0 | 8 | 0 | 8 | 7 | 8 |
| EG003 | High Dose, NJNEA | Single subcutaneous injection of a high dose of UPB-101 (formerly ASP7266) in 8 Non-Japanese Non-East Asian participants UPB-101: UPB-101 Subcutaneous injection | 0 | 8 | 0 | 8 | 8 | 8 |
| Palpitations | Cardiac disorders | MedDRA 25.0 | Systematic Assessment |
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| Inner ear inflammation | Ear and labyrinth disorders | MedDRA 25.0 | Systematic Assessment |
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| Vision blurred | Eye disorders | MedDRA 25.0 | Systematic Assessment |
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| COVID-19 | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Conjunctivitis | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Viral infection | Infections and infestations | MedDRA 25.0 | Systematic Assessment |
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| Arthropod bite | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Corneal abrasion | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Medical device site reaction | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Soft tissue injury | Injury, poisoning and procedural complications | MedDRA 25.0 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 25.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA 25.0 | Systematic Assessment |
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| Menstrual disorder | Reproductive system and breast disorders | MedDRA 25.0 | Systematic Assessment |
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| Menstruation irregular | Reproductive system and breast disorders | MedDRA 25.0 | Systematic Assessment |
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| Premenstrual pain | Reproductive system and breast disorders | MedDRA 25.0 | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 25.0 | Systematic Assessment |
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| Blister | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 25.0 | Systematic Assessment |
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