Safety and Pharmacokinetics of Single and Multiple Ascending Doses of 3K3A-APC in Healthy Adult Volunteers
A Randomized, Double-Blind, Placebo-Controlled Phase 1 Study of the Safety and Pharmacokinetics of Single and Multiple Ascending Doses of 3K3A-APC, a Recombinant Variant of Human Activated Protein C (APC), in Healthy Adult Volunteers
2 other identifiers
interventional
64
1 country
1
Brief Summary
The purpose of this study is to evaluate the safety and pharmacokinetic profile of single and multiple ascending intravenous doses of 3K3A-APC in healthy adult subjects aged 18-55 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 healthy
Started Aug 2012
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 25, 2012
CompletedStudy Start
First participant enrolled
August 1, 2012
CompletedFirst Posted
Study publicly available on registry
August 8, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedResults Posted
Study results publicly available
April 10, 2014
CompletedFebruary 5, 2018
January 1, 2018
4 months
July 25, 2012
February 27, 2014
January 9, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Adverse Events That Meet Dose-limiting Toxicity Criteria Specified in Protocol.
Day 4 for single-dose cohorts
Adverse Events That Meet Dose-limiting Toxicity Criteria Specified in the Protocol.
Day 6 for multiple-dose cohorts
Secondary Outcomes (20)
Maximum Observed Plasma Concentration (Cmax) of 3K3A-APC by Non-compartmental Analysis
0, 5, 10, 15, 20, 30, and 45 minutes, and 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose
Time at Which Cmax is Observed (Tmax) for 3K3A-APC by Non-compartmental Analysis
0, 5, 10, 15, 20, 30, and 45 minutes, and 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose
Area Under the Plasma Concentration-time Curve From Time 0 to the Final Time With a Concentration ≥ Limit of Quantitation [AUC(0-t)] for 3K3A-APC by Non-compartmental Analysis
0, 5, 10, 15, 20, 30, and 45 minutes, and 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose
Area Under the Plasma Concentration-time Curve From Time 0 to Infinity [AUC(0-inf)] for 3K3A-APC by Non-compartmental Analysis
0, 5, 10, 15, 20, 30, and 45 minutes, and 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose
Elimination Rate Constant (λz) for 3K3A-APC by Non-compartmental Analysis
0, 5, 10, 15, 20, 30, and 45 minutes, and 1, 1.5, 2, 3, 4, 6 and 8 hours post-dose
- +15 more secondary outcomes
Study Arms (11)
6 µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 1: 6 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 20 mL IV infusion over 15 minutes
30 µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 2: 30 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes
90 µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 3: 90 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes
180 µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 4: 180 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes
360 µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 5: 360 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes
TBD µg/kg 3K3A-APC, single-dose
ACTIVE COMPARATORCohort 6: TBD (not to exceed 720) µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes
90 µg/kg 3K3A-APC, q12h for 5 doses
ACTIVE COMPARATORCohort 7: 90 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes; given every 12 hours for 5 doses
180 µg/kg 3K3A-APC, q12h for 5 doses
ACTIVE COMPARATORCohort 8: 180 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes; given every 12 hours for 5 doses
360 µg/kg 3K3A-APC, q12h for 5 doses
ACTIVE COMPARATORCohort 9: 360 µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes; given every 12 hours for 5 doses
TBD µg/kg 3K3A-APC, q12h for 5 doses
ACTIVE COMPARATORCohort 10: TBD (not to exceed 720) µg/kg 3K3A-APC, diluted in 0.9% sodium chloride in water and administered as an 100 mL IV infusion over 15 minutes; given every 12 hours for 5 doses
Matching Placebo, 0.9% NaCl in water
PLACEBO COMPARATORCohorts 1-10: 0.9% sodium chloride in water and administered as either 20 mL IV infusion over 15 minutes (Cohort 1), or 100 mL IV infusion over 15 minutes (Cohorts 2-10)
Interventions
Eligibility Criteria
You may qualify if:
- Healthy males or non-pregnant, non-lactating females
- Both men and women of child-bearing potential (i.e., not surgically sterile or post-menopausal defined as age \> 40 years without menses for ≥ 2 years) must agree to use a barrier method of contraception plus a spermicide throughout the study.
- Age 18 to 55 years, inclusive
- Body Mass Index (BMI) of 19 to 30 kg/m2, inclusive (see APPENDIX B)
- Willing and able to complete all study visits
- Agreement to abstain from smoking and drinking alcoholic beverages from 48 hours prior to randomization through last Study Day (15)
- Signed informed consent form (ICF)
You may not qualify if:
- Any medical problem for which the subject is being evaluated and/or treated
- Activated partial thromboplastin time (aPTT) greater than upper limit of normal (ULN)
- Platelet count \< 125,000 cells/mm3
- International Normalized Ratio (INR) \> 1.3
- Any other clinically significant abnormalities in laboratory values (chemistries, hematology, coagulation studies, and urinalysis - see APPENDIX C)
- Clinically significant abnormalities on electrocardiogram (ECG)
- Positive serum βHCG pregnancy test at screening or on Study Day -1 (for all women, regardless of child-bearing potential)
- Positive urine drug screen at screening or on Study Day -1 (see APPENDIX C)
- Positive blood test for hepatitis B surface antigen, hepatitis C antibody, or HIV antibody
- Known family history of bleeding or blood clotting disorders
- History of bleeding diathesis
- History of liver disease with ongoing coagulopathy
- Use of any prescription or non-prescription medications or supplements within 7 days prior to Study Day -1, excluding hormonal contraceptives
- Use of anticoagulant medication within 14 days prior to Study Day -1
- Major surgery within 60 days prior to Study Day -1
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ZZ Biotech, LLClead
Study Sites (1)
Privatklinik Leech
Graz, 8010, Austria
Related Publications (1)
Lyden P, Levy H, Weymer S, Pryor K, Kramer W, Griffin JH, Davis TP, Zlokovic B. Phase 1 safety, tolerability and pharmacokinetics of 3K3A-APC in healthy adult volunteers. Curr Pharm Des. 2013;19(42):7479-85. doi: 10.2174/1381612819666131230131454.
PMID: 24372304DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Samples were analyzed from 4 treated subjects in the 6 μg/kg dose group, but all values were below the lower limit of quantitation for the assay (75 ng/mL) and therefore no PK analysis could be performed.
Results Point of Contact
- Title
- Kent Pryor, PhD, MBA, Chief Operating Officer
- Organization
- ZZ Biotech, LLC
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick D Lyden, MD, FAAN
Cedars-Sinai Medical Center
- STUDY DIRECTOR
Howard Levy, MD, PhD, MMM
ZZ Biotech, LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 25, 2012
First Posted
August 8, 2012
Study Start
August 1, 2012
Primary Completion
December 1, 2012
Study Completion
December 1, 2012
Last Updated
February 5, 2018
Results First Posted
April 10, 2014
Record last verified: 2018-01