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The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of QHRD106 in Chinese healthy subjects with single and multiple doses.
Three dose groups were initially set up. The experimental groups were increased from low to high dose according to the principle of increasing dose, and Urinary kallidinogenase for injection was added as the positive control group. All the selected subjects in the experimental group were given the drug once. Combined with the existing human PK and safety test data, the expected human exposure of the dose group to be increased was still in the range of the lowest safe exposure proved by preclinical toxicology studies, and the safety of the dose to be increased was controllable in humans. The positive control group could be carried out at any time during the single dose increasing stage, and the positive control drug was given once a day for 7 consecutive days.n the stage of multiple dose escalation, QHRD106 injection is intended to be administered in 5600IU, 8400 IU and 12600 IU dosage groups. When the single dose tolerance observation of each dose is completed and the dose escalation termination standard is not reached, the corresponding dose multiple dose escalation study can be selected. Ten subjects in each group were given medicine once a week for 4 consecutive times.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part-A SAD in healthy subjects(Cohort 1-2) | Experimental | A randomized, double-blinded, positive drug and placebo-controlled, single ascending dose (SAD) study in healthy male and female subjects. Subjects will receive QHRD106 by intramuscular-injection (im). |
|
| Part-B MAD in healthy subjects(Cohort 3-5) | Experimental | A randomized, double-blinded, positive drug and placebo-controlled, multiple ascending dose (MAD) study in healthy male and female subjects. Subjects will receive QHRD106 by intramuscular-injection (im). |
|
| Part-C Healthy subjects SAD placebo | Placebo Comparator | A randomized, double-blinded, positive drug and placebo-controlled, single ascending dose (SAD) study in healthy male and female subjects. Subjects will receive placebo by intramuscular-injection (im). |
|
| Part-D Healthy subjects MAD placebo | Placebo Comparator | A randomized, double-blinded, positive drug and placebo-controlled, single ascending dose (SAD) study in healthy male and female subjects. Subjects will receive placebo by intramuscular-injection (im). |
|
| Part-E Healthy subjects MAD positive drug | Active Comparator |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| QHRD106 Injection | Drug | PEG-tissue kallikrein-1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety as assessed by incidence, severity, and causality of adverse events | The frequency and number of adverse events, adverse reactions and serious adverse events in different dose groups and placebo groups were calculated and listed. | Up to 43 days after final dose |
| Plasma measurements of QHRD106 | The concentration of a single dose was measured at 2 different doses, and the concentration of a multiple dose was measured at 3 different doses | Up to 43 days after final dose |
| Concentration of bradykinin in plasma | The concentration of a single dose was measured at 2 different doses, and the concentration of a multiple dose was measured at 3 different doses | Up to 43 days after final dose |
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Inclusion Criteria:
Exclusion Criteria:
Subjects who meet one of the following conditions will not be enrolled in the trial:
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| Name | Affiliation | Role |
|---|---|---|
| Juan Li, Doctor | The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanjing Drum Tower Hospital | Nanjing | Jiangsu | 210008 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39545461 | Derived | Huang L, Sun R, Song H, Chen Z, Hong Y, Yang H, Zhang Y, Wei L, Fei F, Li J. The first-in-human study of QHRD106 functioning as a safe and effective long-acting kallikrein drug potentially aiding ischemic stroke. Expert Opin Investig Drugs. 2024 Dec;33(12):1257-1265. doi: 10.1080/13543784.2024.2430200. Epub 2024 Nov 19. |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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A randomized, double-blinded, positive drug and placebo-controlled, single ascending dose (SAD) study in healthy male and female subjects. Subjects will receive Human Urinary Kallidinogenase by Intravenous infusion (iv). |
|
| Human Urinary Kallidinogenase | Drug | tissue kallikrein-1 |
|
|
| placebo | Drug | placebo |
|
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |