NCT05521022

Brief Summary

This is a multicenter, international, three-part, Phase 1 study designed to evaluate the safety, tolerability, and PK of rising single doses of AT-02 in healthy volunteers and in subjects with systemic amyloidosis and to assess the safety, tolerability, and PK of multiple doses of AT-02 in subjects with systemic amyloidosis.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Sep 2022

Typical duration for phase_1

Geographic Reach
2 countries

11 active sites

Status
recruiting

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

August 23, 2022

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 30, 2022

Completed
2 days until next milestone

Study Start

First participant enrolled

September 1, 2022

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2025

Completed
Last Updated

April 3, 2024

Status Verified

April 1, 2024

Enrollment Period

2.5 years

First QC Date

August 23, 2022

Last Update Submit

April 2, 2024

Conditions

Outcome Measures

Primary Outcomes (4)

  • Incidence and severity of treatment-emergent adverse events (TEAEs) from Day 1 to end of study (EOS).

    Safety will be assessed by review of clinical laboratory parameters and incidence and severity of TEAEs (graded using Common Terminology Criteria for Adverse Events (CTCAE) version 5).

    Up to 57+/-7 days

  • Incidence of dose-limiting toxicities (DLTs) in subjects with systemic amyloidosis.

    A DLT is defined as any related TEAE with a National Cancer Institute (NCI) CTCAE version 5.0 Grade ≥3 which also represents a shift from Baseline clinical status of \>1 NCI CTCAE Grade.

    Up to 85+/-7 Days

  • Incidence and frequency of abnormal and clinically significant abnormal clinical laboratory parameter values.

    Up to 85+/-7 Days

  • Incidence of treatment-emergent anti-drug antibodies (ADA)

    The number and percentage of subjects who develop detectable ADA will be summarized by dose cohort.

    Up to 85+/-7 Days

Secondary Outcomes (6)

  • To determine the plasma pharmacokinetics (PK) profile of AT-02

    Up to 85+/-7 Days

  • To determine the plasma pharmacokinetics (PK) profile of AT-02

    Up to 85+/-7 Days

  • To determine the plasma pharmacokinetics (PK) profile of AT-02

    Up to 85+/-7 Days

  • To determine the plasma pharmacokinetics (PK) profile of AT-02

    Up to 85+/-7 Days

  • To determine the plasma pharmacokinetics (PK) profile of AT-02

    Up to 85+/-7 Days

  • +1 more secondary outcomes

Study Arms (4)

Part 1 AT-02

EXPERIMENTAL

Part 1 enrolling Healthy Volunteers (Randomised, Double-blind) Drug: AT-02 Dosage: 30mg to 1000mg Dosage Form \& Route of Admin: Solution for IV Infusion

Drug: AT-02

Part 1 Placebo

PLACEBO COMPARATOR

Part 1 enrolling Healthy Volunteers (Randomised, Double-blind) Dosage Form \& Route of Admin: Normal Saline Solution for IV Infusion

Other: AT-02 (Placebo)

Part 2 AT-02

EXPERIMENTAL

Part 2 enrolling Systemic Amyloidosis Participants (Single-Arm, Open-label) Drug: AT-02 Dosage: 300mg to 4000mg Frequency: Single Dose Dosage Form \& Route of Admin: Solution for IV Infusion

Drug: AT-02

Part 3 AT-02

EXPERIMENTAL

Part 3 enrolling Systemic Amyloidosis Participants (Single-Arm, Open-label) Drug: AT-02 Dosage: Dose levels will be determined by the SRC. The starting dose in Part 3 will be determined by the SRC based on all available safety, tolerability, PK, and PD data from all prior cohorts Frequency: Multiple Doses Dosage Form \& Route of Admin: Solution for IV Infusion

Drug: AT-02

Interventions

AT-02DRUG

AT-02 via IV infusion

Part 1 AT-02Part 2 AT-02Part 3 AT-02

Normal saline solution via IV infusion

Part 1 Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Eligibility Criteria for Healthy Volunteers:
  • Healthy volunteers are eligible to be included in the study only if all the following criteria apply:
  • Understands the study procedures and can give signed informed consent
  • Male or female between \>18 and \<56 years of age.
  • Willing and able to comply with this protocol and informed consent and be available for the entire duration of the study.
  • Willing to abstain from alcohol and strenuous physical activity (i.e., strenuous or unaccustomed weightlifting, running, bicycling, etc.) from 48 hours prior to study treatment administration until discharge from the clinical unit and prior to each outpatient visit.
  • In good general health, determined by no clinically significant findings in the opinion of the Investigator from medical history, physical examination, 12-lead electrocardiogram (ECG), clinical laboratory findings, and vital signs at Screening and Phase 1 unit Check-in.
  • Has body mass index (BMI) of 18 to 32 kg/m2, inclusive.
  • Women of childbearing potential (WOCBP)
  • WOCBP must have a negative serum or urine pregnancy test within 24 hours prior to the start of study drug.
  • Must not be breastfeeding, lactating, or planning a pregnancy during the study period.
  • WOCBP who are not exclusively in same-sex relationships must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 105 days after the last dose of study intervention.
  • Postmenopausal females:
  • a) Postmenopausal females under the age of 55 years must have a documented serum follicle stimulating hormone (FSH) level \>40 mIU/mL to confirm menopause
  • Women of non-childbearing potential (WONCBP) and female participants with vasectomized male partners:
  • +53 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Midwest Heart and Vascular

Overland Park, Kansas, 66211, United States

RECRUITING

Johns Hopkins

Baltimore, Maryland, 21287, United States

RECRUITING

St. Luke's Hospital of Kansas City

Kansas City, Missouri, 64111, United States

RECRUITING

Cleveland Clinic

Cleveland, Ohio, 44195, United States

RECRUITING

OHSU (Oregon Health & Science University)

Portland, Oregon, 97239, United States

RECRUITING

Penn Presbyterian Medical Center

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

Q-Pharm Pty Ltd

Herston, Queensland, 4006, Australia

RECRUITING

Princess Alexandra Hospital

Woolloongabba, Queensland, 4102, Australia

RECRUITING

Flinders Medical Centre

Bedford Park, South Australia, 5042, Australia

RECRUITING

Box Hill Hospital

Box Hill, Victoria, 3128, Australia

RECRUITING

Royal Perth Hospital

Perth, Western Australia, 6000, Australia

RECRUITING

MeSH Terms

Conditions

Immunoglobulin Light-chain Amyloidosis

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsAmyloidosisProteostasis DeficienciesMetabolic DiseasesNutritional and Metabolic DiseasesLymphoproliferative DisordersImmunoproliferative DisordersImmune System DiseasesParaproteinemias

Central Study Contacts

Scott Stephens, RN

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Double blind (Part 1) Open Label (Part 2) Open Label (Part 3)
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 23, 2022

First Posted

August 30, 2022

Study Start

September 1, 2022

Primary Completion

March 1, 2025

Study Completion

March 1, 2025

Last Updated

April 3, 2024

Record last verified: 2024-04

Locations