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This trial is a single center, randomized, double-blind, placebo-controlled dose escalation study aimed at examining the safety, tolerability, and pharmacokinetics/pharmacodynamics of single and multiple injections of RAB001 in healthy subjects.
According to the results of Phase I clinical trials abroad, two dose groups (400 μ g/kg and 750 μ g/kg) were established, with 8 healthy subjects enrolled in each dose group (6 in the experimental group and 2 in the placebo group), for a total of 16 healthy subjects. Each dose group is divided into two stages.
Phase 1: Single dose administration phase Subjects who meet the inclusion criteria will first undergo a single dose study in the 400 μ g/kg dose group. Blood samples will be collected at predetermined time points for single dose PK, PD, and immunogenicity evaluation. After the single dose, safety and tolerance data will be collected for 14 days. If the subjects are tolerant, a single dose study in the 750 μ g/kg dose group can be conducted. After the dose increases to the maximum dose of 750 μ g/kg as designed in this experiment, the next dose will not be administered.
Phase 2: Multiple administration phase Single dose administration is combined with multiple dose administration. If the subjects can tolerate it during the single dose phase, they will enter the multiple dose study phase, which will be administered once every 2 weeks, on days 15, 29, and 43 respectively. Collect blood samples at predetermined time points for PK, PD, and immunogenicity evaluation, observe for 14 days after the last administration, and collect safety and tolerability data.
This experiment adopts a step-by-step increasing method for dose escalation, and the next dose group must complete the safety and tolerability evaluation of a single dose in the previous dose group before starting. Each subject only receives one corresponding dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | The subjects received intravenous administration of RAB001 |
|
| Control group | Placebo Comparator | The subjects received intravenous administration of normal saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RAB001 400 μg/kg group | Drug | The subjects received intravenous administration of RAB001 400 μ g/kg on day 1、15、29、43 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Adverse events,evaluate the safety of single injections of RAB001 at different doses | 14 days after single injections |
| Serious adverse events | serious adverse events during the study | 14 days after single administration |
| Adverse events | Adverse events evaluate the safety and tolerability of multiple injections of RAB001 at different doses | 14 days after multiple administrations |
| Serious adverse events | Serious adverse events during the study,evaluate the safety of multiple injections of RAB001 at different doses | 14 days after multiple administrations |
| Measure | Description | Time Frame |
|---|---|---|
| PK parameter Cmax | PK parameter Cmax :Maximum peak plasma concentration (Cmax) | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15 |
| PK parameter AUC0-t | PK parameter AUC0-t:Area under the concentration-time curve (AUC0-t) from time zero to time "t" . |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hebei University Affiliated Hospital | Baoding | Hebei | 071000 | China |
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| ID | Term |
|---|---|
| D007873 | Legg-Calve-Perthes Disease |
| D010020 | Osteonecrosis |
| ID | Term |
|---|---|
| D005271 | Femur Head Necrosis |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D009336 | Necrosis |
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| ID | Term |
|---|---|
| D044382 | Population Groups |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D003710 | Demography |
| D011154 | Population Characteristics |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
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| RAB001 750 μg/kg group | Drug | The subjects received intravenous administration of RAB001 750 μ g/kg on day 1、15、29、43 |
|
| Normal saline | Drug | The subjects received intravenous administration of normal saline on day 1、15、29、43 |
|
| The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter AUC0-∞ | PK parameter AUC0-∞:AUC from time zero to infinity (AUC0-∞) . | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter Tmax | PK parameter Tmax.Time of Cmax (Tmax). | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter T1/2z | PK parameter T1/2z:Terminal-phase elimination half-life (t1/2) . | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter-Vz/F | PK parameter-Vz/F:Apparent Volume of Distribution During the Terminal Phase (Vz/F) of RAB001 in Plasma | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter-CL | PK parameter-CL:Systemic Clearance (CL) of RAB001 | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK parameter λz | PK parameter λz:Apparent Terminal Elimination Rate Constant (λZ) of | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| PK Parameter: CLss | PK Parameter: CLss , the apparent systemic clearance from plasma observed during a dosing interval at steady state following extravascular administration | The 0-24 hours after dosing on Day 1 and the 0-24 hours after dosing on Day 15. |
| Bone turnover marker: BALP | Change in Serum Bone Alkaline Phosphatase (BALP) Level | Day 1、8 、15、29、43 、 57 |
| Bone turnover marker: PINP levels | PINP (N-terminal Propeptide of Type I Procollagen) Bone Turnover Marker Levels | Day 1、8 、15、29、43 、57 |
| Bone turnover marker: Osteocalcin (OC) Levels | the bone turnover marker : Osteocalcin (OC) Levels | Day 1、8 、15、29、43 、 57 |
| Bone turnover marker:CTX-I Levels | CTX-I (C-terminal Telopeptide of Type I Collagen )Levels the bone turnover marker | Day 1、8 、15、29、43 、57 |
| Bone turnover marker: VEGF | Bone turnover marker: VEGF vascular endothelial growth factor | Day 1、8 、15、29、43、57 |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012996 |
| Solutions |
| D004364 | Pharmaceutical Preparations |