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The goal of this clinical trial is to investigate the safety, tolerability, pharmacodynamics, pharmacokinetics, and immunogenicity of BCD-261 after single subcutaneous injection at ascending doses and proposed therapeutic doses to healthy male subjects aged from 18 to 45 years old.
The study consists of the first stage (dose escalation) and the second stage (dose expansion).
The study is conducted in 2 stages. During the Stage 1 of the study, dose escalation is performed in several cohorts to assess the effects of dose-limiting toxicity (DLT), the maximum tolerated dose of BCD-261.
During the dose escalation one subject ("sentinel volunteer") will be included in cohort 1. Starting from the 2nd cohort and up to the 6th cohort, the study is planned within a classic "3+3" design.
Based on the results of the analysis of the Stage 1 data, including the assessment of safety, pharmacodynamics, pharmacokinetics, immunogenicity of BCD-261, a decision will be made on the possibility of switching to the Stage 2 of the study (dose expansion).
DLT events will be monitored for 7 days after BCD-261 injection (during Stage 1), and may include any of CTCAE 5.0 grade ≥3 adverse events that are at least possibly related to the study drug.
During the Stage 2 an extended study of the safety, pharmacodynamics, pharmacokinetics, and immunogenicity of BCD-261 at two pre-selected proposed therapeutic doses, is carried out with the inclusion of several additional cohorts of healthy caucasians and asians.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Subjects in Cohort 1 will receive BCD-261 at a dose 1 during the Stage 1. Depending on the DLT, the cohort may include 1 to 3 subjects. |
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| Cohort 2 | Experimental | Subjects in Cohort 2 will receive BCD-261 at a dose 2 during the Stage 1. Depending on the DLT, the cohort may include 3 to 6 subjects. |
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| Cohort 3 | Experimental | Subjects in Cohort 3 will receive BCD-261 at a dose 3 during the Stage 1. Depending on the DLT, the cohort may include 3 to 6 subjects. |
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| Cohort 4 | Experimental | Subjects in Cohort 4 will receive BCD-261 at a dose 4 during the Stage 1. Depending on the DLT, the cohort may include 3 to 6 subjects. |
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| Cohort 5 | Experimental | Subjects in Cohort 5 will receive BCD-261 at a dose 5 during the Stage 1. Depending on the DLT, the cohort may include 3 to 6 subjects. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BCD-261, dose 1 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of subjects with adverse reactions | 127 days | |
| Proportion of subjects with serious adverse reactions | 127 days | |
| Proportion of subjects with CTCAE 5.0 grade 3 or higher adverse reactions | 127 days | |
| Proportion of subjects who prematurely withdrew from the study due to adverse reactions | 127 days |
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| Measure | Description | Time Frame |
|---|---|---|
| Cmax (Maximum concentration) | 127 days | |
| Tmax (Time of maximum observed concentration) | 127 days | |
| T1/2 (Elimination half-life period) |
Inclusion Criteria:
Exclusion Criteria:
Any medical or social condition that, in the opinion of the Investigator, prevents participation in this study.
Any confirmed or suspected immunosuppressive or immunodeficiency condition.
Any acute infectious and non-infectious diseases, including the period of convalescence, within 4 weeks from the moment of clinical recovery to signing the ICF, as well as during screening.
Diagnosis of infectious mononucleosis (documented or reported by the subject) within 2 months before signing the ICF and during screening.
Vaccination with live vaccines within 8 weeks and with any other vaccines within 4 weeks prior to signing the ICF and during screening.
A history of allergies and signs of other significant adverse reactions after the administration of any medicinal products.
Hypersensitivity to the components of BCD-261.
Body mass index (BMI) outside the normal range (18.0 to 30.0 kg/m2).
Results of standard laboratory and instrumental tests outside the normal ranges adopted at the study site.
Positive results of screening tests for HIV, hepatitis B and C, tuberculosis.
Repeated positive urine drug test, repeated positive saliva alcohol test at screening.
Impossibility of venipuncture for blood sampling (e.g., due to skin diseases at the sites of venipuncture).
Administration and use of the following drugs:
Smoking of more than 10 cigarettes a day.
Consumption of more than 10 units of alcohol per week (1 unit of alcohol is equivalent to ½ L of beer, 200 mL of wine or 20 mL of spirits) or a history of alcoholism, drug addiction or drug abuse.
Surgical interventions performed less than within 90 days before the signing of the ICF.
Donation of 450 mL or more of blood or plasma within 60 days prior to signing the ICF.
Participation in any clinical study of medicinal products within 90 days before signing the ICF; previous participation in the same study with the exception of subjects who withdrew before the administration of the investigational product.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yulia E Tsarikhina, MD | Contact | +7 (981) 698 14 22 | tsarikhina@biocad.ru |
| Name | Affiliation | Role |
|---|---|---|
| Arina V Zinkina-Orikhan, PhD | Director of Clinical Development Department, BIOCAD | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| "Meditsinskiy teсhnologiy Maly" | Recruiting | Saint Petersburg | 197198 | Russia |
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| Label | URL |
|---|---|
| Clinical Trials \| BIOCAD | View source |
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Stage 1: "3+3" design (dose escalation). Stage 2: parallel arms (dose expansion)
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| Cohort 6 |
| Experimental |
Subjects in Cohort 6 will receive BCD-261 at a dose 6 during the Stage 1. Depending on the DLT, the cohort may include 3 to 6 subjects. |
|
| Cohort 7 | Experimental | Subjects in Cohort 7 will receive BCD-261 at a pre-specified proposed therapeautic dose X during the Stage 2. DLT events will not be assesed during the Stage 2. Cohort 7 will enroll 6 caucasian healthy subjects, who will recieve single subcutaneous injection of BCD-261 solution in vials. |
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| Cohort 8 | Experimental | Subjects in Cohort 8 will receive BCD-261 at a pre-specified proposed therapeautic dose X during the Stage 2. DLT events will not be assesed during the Stage 2. Cohort 8 will enroll 6 caucasian healthy subjects, who will recieve single subcutaneous injection of BCD-261 solution in pre-filled syringes. |
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| Cohort 9 | Experimental | Subjects in Cohort 9 will receive BCD-261 at a pre-specified proposed therapeautic dose X during the Stage 2. DLT events will not be assesed during the Stage 2. Cohort 9 will enroll about 10 asian healthy subjects, who will recieve single subcutaneous injection of BCD-261 solution in pre-filled syringes. |
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| Cohort 10 | Experimental | Subjects in Cohort 10 will receive BCD-261 at a pre-specified proposed therapeautic dose Y during the Stage 2. DLT events will not be assesed during the Stage 2. Cohort 10 will enroll about 10 asian healthy subjects, who will recieve single subcutaneous injection of BCD-261 solution in pre-filled syringes. |
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| BCD-261, dose 2 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, dose 3 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, dose 4 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, dose 5 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, dose 6 | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, pre-specified therapeautic dose X | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in vials |
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| BCD-261, pre-specified therapeautic dose X | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in pre-filled syringes |
|
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| BCD-261, pre-specified therapeautic dose Y | Drug | Anti-TL1A human monoclonal antibody. Solution for Subcutaneous Injection in pre-filled syringes |
|
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| 127 days |
| Kel (Elimination rate constant) | 127 days |
| Cl (Clearance) | 127 days |
| Vd (Volume of distribution) | 127 days |
| Cmin (Minimum observed concentration) | 127 days |
| AUC(0-1344) (Area under curve from 0 to 1344 hours) | 57 days |
| AUC(0-inf) (Area under curve from 0 to infinity) | 127 days |
| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| D015212 | Inflammatory Bowel Diseases |
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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