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This is a single-center, double-blind, placebo-controlled, dose-escalating Phase Ia clinical study designed to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of a single dose of EA5 in healthy adult subjects.
The study plans to enroll up to 28 subjects. Its primary purpose is to conduct a preliminary assessment of the exposure, safety, and pharmacokinetic profile of EA5 in humans, thereby informing the confirmation or adjustment of the formal trial design. The trial is structured into a pilot phase and a formal phase, encompassing a total of five planned dose cohorts: the pilot trial involves two dose groups (90 mg and 180 mg), each with 2 subjects receiving the active drug; the formal trial consists of three dose groups (360 mg, 720 mg, and 1440 mg), where participants are randomized in a 3:1 ratio (6 subjects receiving the active drug EA5 and 2 subjects receiving placebo per cohort), administered via intravenous (IV) infusion.A 57-day observation period was performed for safety, pharmacokinetic, and pharmacodynamic assessments after study drug administration. Antidrug antibody (ADA) levels were monitored in study participants for the duration of the 57-day follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EA5 90mg | Experimental | EA5 was administered intravenously. |
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| EA5 180mg | Experimental | EA5 was administered intravenously. |
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| EA5 360mg | Experimental | EA5 was administered intravenously. |
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| EA5 720mg | Experimental | EA5 was administered intravenously. |
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| EA5 1440mg | Experimental | EA5 was administered intravenously. |
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| Placebo | Placebo Comparator | Placebo was administered intravenously. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EA5 | Drug | All doses of EA5 were administered by IV infusion, using programmable IV infusion pump and IV sets with in-line filters. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAEs were defined as AEs that occurred on or after the date and time of study drug administration, or those that first occurred before dosing but worsened in frequency or severity after study drug administration. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section. | Baseline up to Day 57 |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Serum Concentration (Cmax) of EA5 | Blood samples were collected for analysis of Cmax | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Time To Maximum Observed Serum Concentration (Tmax) of EA5 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wei Hu, Professor | The Second Hospital of Anhui Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Anhui Medical University | Hefei | Anhui | 230601 | China |
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| Placebo | Drug | All doses of placebo were administered by IV infusion, using programmable IV infusion pump and IV sets with in-line filters. |
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Blood samples were collected for analysis of Tmax |
| 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Area Under The Serum Concentration Versus Time Curve From Time Zero To The Time of The Last Quantifiable Concentration (AUC0-t) of EA5 | Blood samples were collected for analysis of AUC0-t | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Area Under The Serum Concentration Versus Time Curve From Time Zero (Dosing) To Infinity (AUCinf) of EA5 | Blood samples were collected for analysis of AUCinf | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Terminal Elimination Rate Constant (λz) of Serum EA5 | Blood samples were collected for analysis of λz | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Terminal Elimination Half-life (t½) of Serum EA5 | Blood samples were collected for analysis of t½ | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Total Clearance (CL) of EA5 | Blood samples were collected for analysis of CL | 30 minutes predose, 5 minutes, 1, 2, 6, 24, hours postdose, then at Days 3, 4, 8, 15, 29, 43, 57 |
| Percent Change From Baseline in Free Complement Component 5 (C5) | Blood samples were collected for analysis of free C5 concentrations. | Baseline, Day 57 |
| Percent Change From Baseline in Total Complement C5 | Blood samples were collected for analysis of total C5 concentrations. | Baseline, Day 57 |
| Percent Change From Baseline in determination of terminal complement activity in serum | Blood samples were collected for analysis of determination of terminal complement activity | Baseline, Day 57 |
| Percentage of Participants With Positive Anti-Drug Antibody (ADA) | lood samples were collected to evaluate antibody response through development of ADAs. | Baseline up to Day 57 |