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This is a Phase 1, open-label, multiple-dose study to evaluate the safety, tolerability, and PK of MGB after weekly subQ MGB administration in up to 36 healthy volunteers at 1 site in Australia.
This is a Phase 1, open-label, multiple-dose study to evaluate the safety, tolerability, and pharmacokinetics (PK) of MGB administered following weekly subcutaneous dosing in healthy adult volunteers. Up to 36 participants will be enrolled at a single site in Australia.
The study includes a screening period of up to 27 days, an 18-day treatment period, and follow-up visits on Days 22 and 29. Participants will be enrolled into up to six sequential dose-escalation cohorts (up to six participants per cohort) using a sentinel dosing approach. Dosing includes weekly subcutaneous administration of MGB at escalating doses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MGB 200 mg | Experimental | Participants receive MGB 200 mg administered subcutaneously once weekly on Days 1, 8, and 15 to evaluate safety, tolerability, and pharmacokinetics. |
|
| MGB 400 mg | Experimental | Participants receive MGB 400 mg administered subcutaneously once weekly on Days 1, 8, and 15 following Safety Review Committee approval. |
|
| MGB 600 mg | Experimental | Participants receive MGB 600 mg administered subcutaneously once weekly on Days 1, 8, and 15, contingent upon acceptable safety and tolerability in prior cohorts. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MGB 200 mg | Drug | Participants receive weekly subcutaneous administration of MGB |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of MGB | Safety will be assessed throughout the study by monitoring adverse events (AEs), including their incidence, severity, and relationship to study treatment. Additional safety assessments will include clinical laboratory evaluations (hematology, clinical chemistry, and urinalysis), physical examinations, and vital sign measurements, including pulse rate, blood pressure (BP), respiration rate, and tympanic temperature. | Varying timepoints through end of treatment, up to approximately 22 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Parameter Area Under the Curve (AUC) for MGB | Measure of MGB AUC in plasma | Varying timepoints through end of treatment, up to approximately 22 days. |
| Pharmacokinetic Parameter Maximum Concentration (Cmax) for MGB |
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Inclusion Criteria:
Healthy man or woman age 18 to 65 years, inclusive, at the Screening Visit
Has the ability to understand and sign the written ICF and local medical privacy authorization forms, which must be obtained prior to any study-related procedures being completed
Is in general good health, based upon the results of a medical history assessment, physical examination, vital signs, and laboratory profile, as judged by the Investigator
Female participants of non-childbearing potential must be either surgically sterile (hysterectomy, bilateral tubal ligation, salpingectomy, and/or bilateral oophorectomy at least 26 weeks before the Screening Visit) or postmenopausal, defined as spontaneous amenorrhea for at least 1 year, with follicle-stimulating hormone (FSH) in the postmenopausal range at screening, based on the central laboratory's ranges
All female participants of childbearing potential with male partners and male participants with female partners of childbearing potential must consent to use 2 (two) highly effective methods of contraception from start of study and for at least 90 days following the EOS visit or last dose of study treatment, whichever is later. Women of childbearing potential on hormonal contraceptives must be stable on the medication for at least 2 menstrual cycles prior to Day -1.
The following are acceptable methods of highly effective contraception:
If male, participants must agree to abstain from sperm donation through 90 days after administration of the last dose of study drug
If female, participants must refrain from donation of ova from start of study and for 120 days after last dose of investigational drug
Female participants may not be pregnant, lactating, or breastfeeding
Female participants of childbearing potential must have a negative pregnancy test at screening and Check-in (Day -1)
Participants must have a negative test result for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCVab), and human immunodeficiency virus (HIV) antibody at screening
Participants must have an estimated glomerular filtration rate (eGFR) of 90 mL/min/1.73 m2 at screening
Participants must have a negative urine test for drugs of abuse (see Appendix B), cotinine, and breath alcohol test at screening and Check-in (Day -1)
Participants must be willing and able to abide by all study requirements and restrictions.
Exclusion Criteria:
13. Investigator has reason to believe that the participant may be unable to fulfill the protocol visit schedule or requirements 14. Has any finding that, in the view of the Investigator or Medical Monitor, would compromise the participant's safety requirements 15. Is employed by the Sponsor, the Contract Research Organization (CRO), or the study site (permanent, temporary contract worker, or designee responsible for the conduct of the study), or is a family member (spouse, parent, sibling, or child) of the Sponsor, CRO, or study site employee
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Susan Schneider | Contact | 9176472867 | sschneider@avttx.com | |
| Jeff Cleland | Contact | (650) 868-5853 | jeff@avttx.com |
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| ID | Term |
|---|---|
| D009211 | Myoglobin |
| ID | Term |
|---|---|
| D009124 | Muscle Proteins |
| D003285 | Contractile Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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| MGB 400 mg |
| Drug |
Participants receive an intermediate dose of MGB administered subcutaneously once weekly |
|
| MGB 600 mg | Drug | Participants receive the highest planned dose of MGB administered subcutaneously |
|
Measure of MGB Cmax in plasma
| Varying timepoints through end of treatment, up to approximately 22 days. |
| Pharmacokinetic Parameter Time to Maximum Concentration (Tmax) for MGB | Measure of MGB Tmax in plasma | Varying timepoints through end of treatment, up to approximately 22 days. |
| Pharmacokinetic Parameter Total Clearance (CL) for MGB | Measure of MGB CL in plasma | Varying timepoints through end of treatment, up to approximately 22 days. |
| Pharmacokinetic Parameter Apparent Terminal Half-life (t1/2) for MGB | Measure of MGB Apparent Terminal Half-life (t1/2) in plasma | Varying timepoints through end of treatment, up to approximately 22 days. |
| D005914 |
| Globins |
| D006420 | Hemeproteins |