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A Randomized, Double-blind, Controlled, Dose-escalation Phase I Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Intramuscular Injection of Recombinant Human Anti-tetanus toxin Monoclonal Antibody Injection in Healthy Participants.
The primary objective of the study : evaluate the safety and tolerability of a single intramuscular injection of recombinant human anti-tetanus toxin monoclonal antibody injection in healthy adult participants. The secondary objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (0.2 mg dose group) | Experimental | A single dose was administered to 3 enrolled participants, who were randomized in a 2:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period and were evaluated as safe and tolerable, administration for the next dose group could proceed. |
|
| Group 2 (2 mg dose group) | Experimental | A single dose was administered to 8 enrolled participants, who were randomized in a 3:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the trial proceeded to the next dose group. |
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| Group 3 (5 mg dose group) | Experimental | A single dose was administered to 15 enrolled participants, who were randomized in a 4:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the study proceeded to the next cohort. |
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| Group 4 (10 mg dose group) | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection | Drug | intramuscular injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit | Types of Adverse Events / Serious Adverse Reactions | 105 days |
| The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit | Incidence of Adverse Events/Serious Adverse Reactions | 105Days |
| The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit | Severity of Adverse Events (AEs)/Serious Adverse Reactions (SARs) | 105Days |
| The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit | Relationship of Adverse Events (AEs)/Serious Adverse Reactions (SARs) to the Investigational Product | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:P Wave | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:QRS Complex | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Endpoints | Cmax: Maximum plasma concentration | 105Days |
| Pharmacokinetic Endpoints | AUC~0-t: Area under the curve from 0 to last measurable timepoint |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jianchang He | Yunnan Provincial Hospital of Traditional Chinese Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lanzhou Institute of Biological Products Co., Ltd. | Lanzhou | Gansu | 730000 | China |
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A single dose was administered to 27 enrolled participants, who were randomized in a 4:4:1 ratio to receive either: the recombinant human anti-tetanus toxin monoclonal antibody injection, human tetanus immunoglobulin (HTIG) injection, or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the study advanced to the next phase. |
|
| Group 5 (15 mg dose group) | Experimental | A single dose was administered to 15 enrolled participants who were randomized in a 4:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. As this represented the highest planned dose level, the sponsor and investigators jointly determined whether to continue dose escalation based on the absence of tolerability concerns. |
|
| Human Tetanus Immunoglobulin | Drug | intramuscular injection |
|
| Placebo | Drug | intramuscular injection |
|
12-lead electrocardiogram examination:T Wave |
| 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:U Wave | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:PR Interval | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:QT Interval | 105Days |
| The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration. | 12-lead electrocardiogram examination:ST Segment | 105Days |
| Clinically significant changes in laboratory parameters from baseline at specified timepoints post-dosing | Complete Blood Count (CBC) | 105Days |
| 105Days |
| Pharmacokinetic Endpoints | AUC~0-∞: Area under the curve extrapolated to infinity | 105Days |
| Pharmacokinetic Endpoints | T~max: Time to reach Cmax | 105Days |
| Pharmacokinetic Endpoints | t~1/2: Elimination half-life | 105Days |
| Pharmacokinetic Endpoints | CL/F: Apparent clearance | 105Days |
| Pharmacokinetic Endpoints | Vz/F:Apparent Volume of Distribution during Terminal Phase | 105Days |
| Pharmacokinetic Endpoints | MRT:Mean Residence Time | 105Days |
| Pharmacodynamic Endpoints | Change in tetanus-neutralizing antibody titer from baseline within 12 hours post-dose across treatment groups | 0 to 12 hours |
| Pharmacodynamic Endpoints | Percentage of participants with anti-tetanus toxin neutralizing antibody titers ≥0.01 IU/mL and ≥0.1 IU/mL at each timepoint post-dose across treatment groups | 105Days |
| Pharmacodynamic Endpoints | Percentage of participants with anti-tetanus toxin neutralizing antibody titer increases from baseline ≥0.01 IU/mL and ≥0.1 IU/mL at each timepoint post-dose across treatment groups | 105Days |
| Exposure-Response Analysis, E-R Analysis | Exposure-response (E-R) analysis of serum drug concentrations versus anti-tetanus toxin neutralizing antibody titers at each post-dose timepoint across treatment groups | 105Days |
| Immunogenicity Endpoints | Anti-drug antibody (ADA) titers against the investigational drug (recombinant human anti-tetanus toxin monoclonal antibody) in serum at each post-dose timepoint across treatment groups | 105Days |
| Immunogenicity Endpoints | Incidence of anti-drug antibodies (ADA) against the investigational drug (recombinant human anti-tetanus toxin monoclonal antibody) in serum post-dose across treatment groups | 105Days |
| Immunogenicity Endpoints | In participants who tested positive for anti-drug antibodies (ADA), the incidence of neutralizing antibodies (NAb) was assessed. | 105Days |
| ID | Term |
|---|---|
| D013742 | Tetanus |
| ID | Term |
|---|---|
| D003015 | Clostridium Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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