A Study to Assess the Safety and Effects of the Investigational Drug BW-40202 in Healthy Volunteers

NCT06917482 | Recruiting Phase 1

• 1 other identifier: BW-40202-1001
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

This study will test the safety of a new drug called BW-40202 in healthy adults. The drug is a clear liquid given as an injection under the skin (subcutaneous injection). The study will test five different doses of BW-40202 compared to a placebo (saltwater solution). Participants will be divided into five groups, with each group receiving a different dose of BW-40202 or placebo. In each group, eight people will be randomly assigned to receive either the drug (6 people) or placebo (2 people). The Safety Review Committee will review the safety data before increasing the dose for the next group. Study nurses or trained staff will give the injections. Pharmacy staff will keep records of how much drug each participant receives, any returned or destroyed doses, and any changes from the planned dosing schedule. These records will be securely stored and available for review.

Conditions

Healthy Volunteers Only

Outcome Measures

Primary Outcomes (16)

• Proportion of participants experiencing at least one treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) from baseline to Day 169. To determine the incidenc of TEAEs and SAEs.

  Incidence of TEAEs (%) = (number of subjects with TEAEs/Total number of subjects) \*100 Incidence of SAEs (%) = (number of subjects with SAEs/total number of subjects)\*100

  From first participant enrolled until Day 169 post-dose of last participant

• Collecting the adverse events(AEs) up to D169 and the AEs will be categorized based on Medical Dictionary for Regulatory Activities (MedDRA) terms and clssified by System Organ Class (SOC) and Preferred Term (PT) for summary.

  Adverse events (AEs) were coded using the latest MedDRA version available at the time of study commencement. All AEs were collected after drug administration and were considered TEAEs to be included in the summaries. Summary tables included the number of subjects (%) experiencing an event and the number of events. Subjects who experienced multiple AEs were only counted once in each category (system organ class \[SOC\] and preferred term \[PT\]), but all events were included in the event frequencies (categorical descriptive analysis). The TEAE summaries included: * Overall summary of TEAEs. * TEAE summary by SOC and PT. * TEAE summary of serious events by SOC and PT. * TEAE summary of study-drug related events by SOC and PT. TEAE summary by SOC, PT, and Toxicity Grading. * TEAE summary by SOC, PT, and relationship to study drug. * TEAE summary of events leading to study discontinuation by SOC and PT. * TEAE summary of Injection Site reactions.

  From first participant enrolled until Day 169 post-dose of last participant

• Grading the TEAE and SAE based on severity and number of TEAEs and SAEs will be listed based on severity from baseline to Day 169.

  Adverse events are graded based on severity: Mild (Grade 1): No significant impact on daily activities Moderate (Grade 2): Some interference with daily activities Severe (Grade 3): Significant impact on function Life-threatening (Grade 4): Immediate risk of death Fatal (Grade 5): Resulted in death. Severity distribution = (number of subjects with grade X TEAE/total TEAE cases) \*100

  From first participant enrolled until Day 169 post-dose of last participant

• Hematology results (concentration of Hemoglobin, g/L; Platelets, 10^9/L; Red blood cell count, 10^12/L) at each time point, including changes from baseline to Day 169 post dose will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Coagulation results (Activated partial thermoplastic time, s; Prothrombin time, s) at each time point, including changes from baseline to Day 169 post dose will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Chemistry results (concentration of Albumin, g/L; Alkaline Phosphatase, U/L; Alanine Amintransferase, U/L; Aspartate Aminotransferase, U/L;Direct Billirubin umol/L) at each time point from baseline to Day 169 will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Urinalysis results（Epithelial cells, crystals, casts, bilirubin) at each time point, including change from baseline to Day 169 post dose will be summarized in the table by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Vital signs (blood pressures, millimeters of mercury) changes from Baseline values to Day 169 post dose will be summarized in the table by treatment group.

  Abnormal physical examination findings will be listed.

  From first participant enrolled until Day 169 post-dose of last participant

• Vital signs (heart rate, beats per minute) changes from Baseline values to Day 169 post dose will be summarized in the table by treatment group.

  Abnormal physical examination findings will be listed.

  From first participant enrolled until Day 169 post-dose of last participant

• Vital signs (temperature,degrees Celsius) changes from Baseline values to Day 169 post dose will be summarized in the table by treatment group.

  Abnormal physical examination findings will be listed.

  From first participant enrolled until Day 169 post-dose of last participant

• Changes in ECG (Mean heart rate, bpm; PR Interval,msec; QRS Duration, msec; QT interval, msec; RR interval, msec; QTcF Interval, msec; ) from Baseline to Day 169 post-dose will be summarized.

  12-lead ECGs will be summarized by visit and by treatment group, along with the changes from baseline.The summary of overall interpretation findings table presented counts and percentages for the reported results at Baseline and Day 169/time point. Result categories were ordered as 'Normal', 'Abnormal Not Clinically Significant (NCS)' and 'Abnormal Clinically Significant (CS)' (categorical descriptive analysis).

  From first participant enrolled until Day 169 post-dose of last participant

• By subject data listings will be created for all physical examination parameters(general appearance, head, neck, skin and others) from baseline to Day 169 post dose..

  Abnormal physical examination findings will be listed.

  From first participant enrolled until Day 169 post-dose of last participant

• Vital signs (respiratory rate, times per minute) changes from Baseline values to Day 169 post dose will be summarized in the table by treatment group.

  Abnormal physical examination findings will be listed.

  From first participant enrolled until Day 169 post-dose of last participant

• Hematology results (White blood cell count and differential (absolute and % differential)) at each time point, including changes from baseline to Day 169 post dose will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Coagulation results (International normalized ratio) at each time point, including changes from baseline to Day 169 post dose will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

• Chemistry results (concentration of Calcium, mmol/L; creatine kinase, U/L; chloride, mmol/L; Gamma Glutamyl Transferase, U/L) at each time point from baseline to Day 169 will be summarized by treatment group.

  The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. The values that are below the lower limit or above the upper limit of the reference range will be flagged for safety. Those values or changes in values that are identified as being clinically significant will be flagged.

  From first participant enrolled until Day 169 post-dose of last participant

Secondary Outcomes (6)

• maximum plasma concentration data (Cmax, ng/mL) of BW-40202 will be collected for all cohorts at the scheduled PK sampling timepoints.

  From first patient enrolled until Day 8 post-dose of last patient.

• Time to Maximum plasma concentration (Tmax, hr) of BW-40202 will be calculated (hr). T max(Time to Maximum Concentration) is the time at which the maximum observed plasma drug concentration ( Cmax) occurs after drug administration.

  From first patient enrolled until Day 8 post-dose of last patient.

• Calculate the Area Under the Plasma Concentration-Time Curve (AUC, hr*ng/mL), to estimate the AUC beyond the last observed time point (AUC0-∞), the AUC from 0 to 24 hours and AUC from 0 to 48 hours. The AUC represents the total drug exposure over time.

  From first patient enrolled until Day 8 post-dose of last patient.

• Calculate the time required for the plama concentration of a drug to decrease by 50% in the elimination phase. Which is called terminal elimination half-life (t1/2, hr)

  From first patient enrolled until Day 8 post-dose of last patient

• Calculate the Urine output (Aet, mg), Aet (total amount of drug excreted in urine during each time interval)

  From first participant being enrolled until 24 hours post-dose of last enrolled participant

Study Arms (6)

Arm1: Single dose of BW-40202

ACTIVE COMPARATOR

6 out of 8 participants randomized to cohort 1 will receive BW-40202

Drug: BW-40202 injection

Arm2: Single dose of BW-40202

ACTIVE COMPARATOR

If deemed safe and tolerable by Safety Review Committee, dose level will escalate to cohort , 6 out of 8 participants within cohort 2 will be randomized to receive BW-40202

Drug: BW-40202 injection

Arm3: Single dose of BW-40202

ACTIVE COMPARATOR

If deemed safe and tolerable by Safety Review Committee, dose level will escalate to cohort 3, 6 out of 8 participants within cohort 3 will be randomized to receive BW-40202

Drug: BW-40202 injection

Arm4: Single dose of BW-40202

ACTIVE COMPARATOR

If deemed safe and tolerable by Safety Review Committee, dose level will escalate to cohort 4, 6 out of 8 participants within cohort 4 will be randomized to receive BW-40202

Drug: BW-40202 injection

Arm5: Single dose of BW-40202

ACTIVE COMPARATOR

If deemed safe and tolerable by Safety Review Committee, dose level will escalate to cohort 5, 6 out of 8 participants within cohort 5 will be randomized to receive BW-40202

Drug: BW-40202 injection

Arm 6: Placebo

PLACEBO COMPARATOR

There will be 2 participants within each cohort be randomized to receive placebo.

Other: Sodium Chloride

Interventions

BW-40202 injection DRUG

BW-40202 is a conjugate drug, dosage form is solution for injection and route of administration is subcutaneous injection

Arm1: Single dose of BW-40202; Arm2: Single dose of BW-40202; Arm3: Single dose of BW-40202; Arm4: Single dose of BW-40202; Arm5: Single dose of BW-40202

Sodium Chloride OTHER

Placebo (sodium chloride injection) will be administered as Subcutaneous injection

Arm 6: Placebo

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Must have given written informed consent and be able to comply with all study requirements.
• Males or females aged 18 to 60 years old, inclusive, at the time of informed consent.
• BMI ≥18 and ≤32 kg/m2 with 50 kg \<body weight ≤100 kg.

You may not qualify if:

• Any clinically significant chronic medical condition or clinically significant abnormality in laboratory parameters that, in the opinion of the investigator, makes the subject unsuitable for participation in the study.
• Hospitalization for any reason within 60 days prior to screening.
• Any clinically significant acute condition such as fever (\>38 degree centigrade) or acute respiratory illness within 14 days of study drug administration.
• Systolic blood pressure (more than equal to) 140 mmHg and/or diastolic blood pressure (more than equal to) 90 mmHg after at least 5 minutes resting (seated or supine) at screening and Day -1(Repeat blood pressure measurement will be allowed at the discretion of the investigator).
• Any liver function panel analyte value \> 1.2 × upper limits of normal (ULN) which includes aspartate transaminase (AST), alanine transaminase (ALT), total bilirubin (TBIL), alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) at screening.
• International normalized ratio (INR) above 1.2 × ULN at screening or Day -1.
• Single 12-lead electrocardiogram (ECG) with clinically significant abnormalities at screening or Day -1, asdetermined by the clinical investigator.
• History or clinical evidence of alcohol abuse,
• History or clinical evidence of drug abuse, within the 12 months before screening.
• Donated or lost \>200 mL of blood within 30 days prior to screening.

Sponsors & Collaborators

• Shanghai Argo Biopharmaceutical Co., Ltd.: lead

Study Sites (2)

Q-Pharm Pty Ltd.

Brisbane, Queensland, 4006, Australia

RECRUITING

Nucleus Network Pty Ltd

Melbourne, Victoria, 3004, Australia

NOT YET RECRUITING

MeSH Terms

Interventions

Sodium Chloride

Intervention Hierarchy (Ancestors)

Chlorides; Hydrochloric Acid; Chlorine Compounds; Inorganic Chemicals; Sodium Compounds

Study Officials

• Zhuo Chang, MD. Ph.D

  Shanghai Argo Biopharmaceutical Co., Ltd.

  STUDY DIRECTOR

Central Study Contacts

Di Hu, M.sc

CONTACT

+86 15601969786; di.hu@argobiopharma.com

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 10, 2025
• First Posted: April 8, 2025
• Study Start: June 30, 2025
• Primary Completion (Estimated): July 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: July 25, 2025

Record last verified: 2025-07

Locations

AU (2)