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The purpose of this study is to assess the bioequivalence pharmacokinetics, safety, tolerability and device deficiencies of zilucoplan (ZLP) in healthy adult participants
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Sequence AB | Experimental | Study participants randomized to this arm will receive a single subcutaneous (sc) injection of zilucoplan using pre-filled syringe (ZLP-PFS; Treatment A) as reference and a single sc injection of zilucoplan using an autoinjector (ZLP-AI; Treatment B) as test in the treatment sequence A-B on Day 1 of each Treatment Period. |
|
| Treatment Sequence BA | Experimental | Study participants randomized to this arm will receive a single sc injection of zilucoplan using pre-filled syringe (ZLP-PFS; Treatment A) as reference and a single sc injection of zilucoplan using an autoinjector (ZLP-AI; Treatment B) as test in the treatment sequence B-A on Day 1 of each Treatment Period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zilucoplan | Drug | Participants will receive a single sc injection of zilucoplan in the pre-specified sequence. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero (Predose [Day 1]) to Infinity (AUC) for Zilucoplan | AUC was defined as the area under the plasma concentration-time curve from time zero (predose [Day 1]) to infinity for zilucoplan. | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
| Area Under the Plasma Concentration-time Curve From Time 0 (Predose [Day 1]) to the Time of the Last Quantifiable Concentration (AUC[0-t]) for Zilucoplan | AUC(0-t) was defined as the area under the plasma concentration-time curve from time 0 (predose [Day 1]) to the time of the last quantifiable concentration for zilucoplan. | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
| Maximum Observed Plasma Concentration (Cmax) for Zilucoplan | Cmax was defined as the maximum observed plasma concentration for zilucoplan. | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An AE was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational medicinal product, whether or not considered related to the investigational medicinal product. A TEAE was defined as any AE with a start date/time on or after the administration of IMP in each Treatment Period, and up to and including 40 days after the single dose in each Treatment Period (or up to the first dose in Period 2 (for TEAEs following the first dose in Period 1) or last contact date (for TEAEs following the first dose in Period 2) depending on which occurs first. Percentages were displayed to one decimal place and was correspond to whole participant counts due to rounding. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| UCB Cares | 001 844 599 2273 | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| DV0012 1 | Groningen | Netherlands |
Due to the small sample size in this trial, individual patient-level data cannot be adequately anonymized as there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.
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The Participant Flow refers to the All randomized Study Participants.
The study started to enroll participants in August 2024 and concluded in November 2024.
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence: Treatment A (ZLP-PFS) - Treatment B (ZLP-AI) | Participants received a single subcutaneous (sc) injection in abdomen using zilucoplan pre-filled syringe (ZLP-PFS) (Treatment A) on Day 1 of Period 1 and a single sc injection in abdomen using zilucoplan auto-injector (ZLP-AI) (Treatment B) on Day 1 of Period 2 in the treatment sequence A-B. Each treatment period was of 35 days and was separated by 7-Days Washout period. |
| FG001 | Sequence: Treatment B (ZLP-AI) - Treatment A (ZLP-PFS) | Participants received a single sc injection using ZLP-AI (Treatment B) on Day 1 of Period 1 and a single sc injection in abdomen using ZLP-PFS (Treatment A) on Day 1 of Period 2 in the treatment sequence B-A. Each treatment period was of 35 days and was separated by 7-Days Washout period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Treatment Period 1 (35 Days) |
| |||||||||||||
| Treatment Period 2 (35 Days) |
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Baseline refers All Randomized Study Participants which consisted of all study participants who were randomized.
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| ID | Title | Description |
|---|---|---|
| BG000 | Sequence: Treatment A (ZLP-PFS) - Treatment B (ZLP-AI) | Participants received a single subcutaneous (sc) injection in abdomen using zilucoplan pre-filled syringe (ZLP-PFS) (Treatment A) on Day 1 of Period 1 and a single sc injection in abdomen using zilucoplan auto-injector (ZLP-AI) (Treatment B) on Day 1 of Period 2 in the treatment sequence A-B. Each treatment period was of 35 days and was separated by 7-Days Washout period. |
| Units | Counts |
|---|---|
| Participants |
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| 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 | Area Under the Plasma Concentration-time Curve From Time Zero (Predose [Day 1]) to Infinity (AUC) for Zilucoplan | AUC was defined as the area under the plasma concentration-time curve from time zero (predose [Day 1]) to infinity for zilucoplan. | The Pharmacokinetic (PK) Set consisted of all study participants who were randomized, received at least 1 dose of ZLP, and had at least 1 observable PK concentration measurement. | Posted | Geometric Mean | Geometric Coefficient of Variation | hour*nanogram per milliliters (h*ng/mL) | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
|
From Day 1 to EOS visit or ET visit (up to 82 days)
A TEAE was defined as any AE with a start date/time on or after the administration of IMP in each Treatment Period, and up to and including 40 days after the single dose in each Treatment Period (or up to the first dose in Period 2 (for TEAEs following the first dose in Period 1) or last contact date (for TEAEs following the first dose in Period 2) depending on which occurs first.
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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 | ZLP-PFS | Participants received a single sc injection of zilucoplan using pre-filled syringe (ZLP-PFS; Treatment A) on Day 1 of Treatment Period 1 and 2. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gingival bleeding | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| UCB | Cares | 001 844 599 2273 | UCBCares@ucb.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 | Dec 11, 2023 | Nov 14, 2025 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 11, 2024 | Nov 14, 2025 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C000719268 | zilucoplan |
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|
| From Day 1 to EOS visit or ET visit (up to 82 days) |
| Percentage of Participants With Serious Treatment-emergent Adverse Events (Serious TEAEs) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An SAE was defined as any untoward medical occurrence that, at any dose, met 1 or more of the criteria listed:
| From Day 1 to EOS visit or ET visit (up to 82 days) |
| Percentage of Participants With Serious Adverse Device Effects (SADE) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An SAE was defined as any untoward medical occurrence that, at any dose, met 1 or more of the criteria listed:
A SADE was defined as an adverse device effect that has resulted in any of the consequences characteristic of a SAE. | From Day 1 to EOS visit or ET visit (up to 82 days) |
| Percentage of Participants With Non-serious Adverse Device Effects (ADE) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory finding) in study participants, users, or other persons, whether or not related to the investigational medical device. An ADE was defined as an AE related to the use of an investigational medical device. | From Day 1 to EOS visit or ET visit (up to 82 days) |
| NOT COMPLETED |
|
| BG001 | Sequence: Treatment B (ZLP-AI) - Treatment A (ZLP-PFS) | Participants received a single sc injection using ZLP-AI (Treatment B) on Day 1 of Period 1 and a single sc injection in abdomen using ZLP-PFS (Treatment A) on Day 1 of Period 2 in the treatment sequence B-A. Each treatment period was of 35 days and was separated by 7-Days Washout period. |
| BG002 | Total | Total of all reporting groups |
| years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| OG001 |
| ZLP-AI |
Participants received a single sc injection using ZLP-AI (Treatment B) on Day 1 of Treatment Period 1 and 2. |
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| Primary | Area Under the Plasma Concentration-time Curve From Time 0 (Predose [Day 1]) to the Time of the Last Quantifiable Concentration (AUC[0-t]) for Zilucoplan | AUC(0-t) was defined as the area under the plasma concentration-time curve from time 0 (predose [Day 1]) to the time of the last quantifiable concentration for zilucoplan. | The PK Set consisted of all study participants who were randomized, received at least 1 dose of ZLP, and had at least 1 observable PK concentration measurement. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
|
|
|
|
| Primary | Maximum Observed Plasma Concentration (Cmax) for Zilucoplan | Cmax was defined as the maximum observed plasma concentration for zilucoplan. | The PK Set consisted of all study participants who were randomized, received at least 1 dose of ZLP, and had at least 1 observable PK concentration measurement. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanograms per milliliters (ng/mL) | Baseline (Day 1 of each treatment period at predose) and at predefined time points up to 816 hours (Day 35) postdose |
|
|
|
|
| Secondary | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An AE was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of investigational medicinal product, whether or not considered related to the investigational medicinal product. A TEAE was defined as any AE with a start date/time on or after the administration of IMP in each Treatment Period, and up to and including 40 days after the single dose in each Treatment Period (or up to the first dose in Period 2 (for TEAEs following the first dose in Period 1) or last contact date (for TEAEs following the first dose in Period 2) depending on which occurs first. Percentages were displayed to one decimal place and was correspond to whole participant counts due to rounding. | The safety set (SS) consisted of all study participants who were randomized and receive at least 1 dose of ZLP. Study participants were classified according to the sequence to which they were randomly assigned. | Posted | Number | percentage of participants | From Day 1 to EOS visit or ET visit (up to 82 days) |
|
|
|
| Secondary | Percentage of Participants With Serious Treatment-emergent Adverse Events (Serious TEAEs) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An SAE was defined as any untoward medical occurrence that, at any dose, met 1 or more of the criteria listed:
| The SS consisted of all study participants who were randomized and receive at least 1 dose of ZLP. Study participants were classified according to the sequence to which they were randomly assigned. | Posted | Number | percentage of participants | From Day 1 to EOS visit or ET visit (up to 82 days) |
|
|
|
| Secondary | Percentage of Participants With Serious Adverse Device Effects (SADE) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An SAE was defined as any untoward medical occurrence that, at any dose, met 1 or more of the criteria listed:
A SADE was defined as an adverse device effect that has resulted in any of the consequences characteristic of a SAE. | The SS consisted of all study participants who were randomized and receive at least 1 dose of ZLP. Study participants were classified according to the sequence to which they were randomly assigned. | Posted | Number | percentage of participants | From Day 1 to EOS visit or ET visit (up to 82 days) |
|
|
|
| Secondary | Percentage of Participants With Non-serious Adverse Device Effects (ADE) From Day 1 up to the End of Study (EOS) Visit or Early Termination (ET) Visit | An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory finding) in study participants, users, or other persons, whether or not related to the investigational medical device. An ADE was defined as an AE related to the use of an investigational medical device. | The SS consisted of all study participants who were randomized and receive at least 1 dose of ZLP. Study participants were classified according to the sequence to which they were randomly assigned. | Posted | Number | percentage of participants | From Day 1 to EOS visit or ET visit (up to 82 days) |
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| 0 |
| 14 |
| 0 |
| 14 |
| 8 |
| 14 |
| EG001 | ZLP-AI | Participants received a single sc injection using ZLP-AI (Treatment B) on Day 1 of Treatment Period 1 and 2. | 0 | 14 | 0 | 14 | 8 | 14 |
| Nausea | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Abdominal pain lower | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Aphthous ulcer | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Vessel puncture site bruise | General disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Catheter site papule | General disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Catheter site pruritus | General disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Catheter site related reaction | General disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Catheter site swelling | General disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Gingivitis | Infections and infestations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Periodontitis | Infections and infestations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Oral herpes | Infections and infestations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA Version 27.0 | Non-systematic Assessment |
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| Nitrite urine present | Investigations | MedDRA Version 27.0 | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Migraine | Nervous system disorders | MedDRA Version 27.0 | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA Version 27.0 | Non-systematic Assessment |
|
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