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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05751642
Registration number
NCT05751642
Ethics application status
Date submitted
21/02/2023
Date registered
2/03/2023
Titles & IDs
Public title
Safety and Tolerability, Pharmacokinetic, and Pharmacodynamic Study of ALXN1920 in Healthy Participants
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Scientific title
A Phase 1, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study of Subcutaneously and Intravenously Administered ALXN1920 in Healthy Adult Participants
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Secondary ID [1]
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ALXN1920-HV-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Healthy Participants
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - ALXN1920
Treatment: Other - Placebo
Treatment: Other - ALXN1920
Treatment: Other - ALXN1920
Experimental: Cohort 1 - Participants will receive a single dose of ALXN1920.
Experimental: Cohort 2 - Participants will receive a single dose of ALXN1920.
Experimental: Cohort 3 - Participants will receive a single dose of ALXN1920.
Experimental: Cohort 4 - Participants will receive a single dose of ALXN1920.
Experimental: Cohort 5 - Participants will receive a single dose of ALXN1920.
Experimental: Cohort 6: Japanese Cohort - Japanese participants will receive a single dose of ALXN1920.
Placebo comparator: Pooled Placebo - Participants will receive Placebo.
Treatment: Other: ALXN1920
Participants will receive a single dose of ALXN1920 by Subcutaneous (SC) injection.
Treatment: Other: Placebo
Participants will receive a single dose of Placebo by SC injection, SC infusion or IV infusion.
Treatment: Other: ALXN1920
Participants will receive a single dose of ALXN1920 by SC infusion.
Treatment: Other: ALXN1920
Participants will receive a single dose of ALXN1920 by Intravenous (IV) infusion.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with Adverse events (AEs)
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Assessment method [1]
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To assess the safety and tolerability of single ascending doses of ALXN1920.
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Timepoint [1]
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Up to End of study visit (Day 29)
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Secondary outcome [1]
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Maximum observed concentration (Cmax)
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Assessment method [1]
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To assess the Cmax of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [1]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [2]
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Time to maximum observed concentration (tmax)
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Assessment method [2]
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To assess the tmax of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [2]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [3]
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Area under the concentration-time curve from time 0 (dosing) to the last quantifiable concentration (AUC0-t)
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Assessment method [3]
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To assess the AUC0-t of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [3]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [4]
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Area under the concentration-time curve from time 0 (dosing) to time infinity (AUCinf)
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Assessment method [4]
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To assess the AUCinf of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [4]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [5]
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Terminal elimination half-life (t½)
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Assessment method [5]
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To assess the t½ of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [5]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [6]
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Terminal-phase elimination rate constant (?z)
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Assessment method [6]
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To assess the ?z of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [6]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [7]
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Total body clearance (CL)
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Assessment method [7]
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To assess the CL of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [7]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [8]
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Apparent clearance (CL/F)
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Assessment method [8]
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To assess the CL/F of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [8]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [9]
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Volume of distribution (Vd)
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Assessment method [9]
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To assess the Vd of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [9]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [10]
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Apparent volume of distribution (Vd/F)
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Assessment method [10]
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To assess the Vd/F of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [10]
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Day 1 (Pre-dose, 0.5, 1, 2, 6 and 12 hours post-dose), post-dose on Day 2, 3, 4, 5, 6, 8, 15, 22, and 29
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Secondary outcome [11]
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Renal clearance (CLR)
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Assessment method [11]
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To assess the CLR of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [11]
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Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
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Secondary outcome [12]
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Amount of unchanged drug excreted in urine (Ae)
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Assessment method [12]
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To assess the Ae of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [12]
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Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
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Secondary outcome [13]
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Fraction of dose excreted in urine (fe)
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Assessment method [13]
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To assess the fe of ALXN1920 following single ascending doses of ALXN1920.
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Timepoint [13]
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Day 1 through Day 5 (Pre-dose and up to 96 hours post-dose)
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Secondary outcome [14]
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Change in complement alternative pathway (CAP) activity
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Assessment method [14]
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To explore the Pharmacodynamic (PD) effects of single ascending doses of ALXN1920. CAP activity will be assessed using the CAP hemolytic assay.
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Timepoint [14]
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Day 1 (Pre-dose, 0.5, 1 and 2 hours post-dose), post-dose on Day 2, 3, 4, 5, 8, 15, 22, and 29
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Secondary outcome [15]
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Change in factor H
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Assessment method [15]
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To explore the PD effects of single ascending doses of ALXN1920. Change in factor H will be assessed using the factor H assay.
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Timepoint [15]
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Day 1 (Pre-dose, 0.5, 1 and 2 hours post-dose), post-dose on Day 2, 3, 4, 5, 8, 15, 22, and 29
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Secondary outcome [16]
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Number of Participants With Positive Antidrug Antibodies (ADAs) to ALXN1920
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Assessment method [16]
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To assess the immunogenicity to ALXN1920.
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Timepoint [16]
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Day 1 pre-dose and Day 29 post-dose
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Secondary outcome [17]
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Geometric Mean Ratio (GMR) of Area Under the Curve (AUC) Values of Subcutaneous (SC) Versus Intravenous (IV) Serum Concentration of ALXN1920
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Assessment method [17]
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To assess the absolute bioavailability of ALXN1920 SC.
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Timepoint [17]
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Day 29 post-dose
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Eligibility
Key inclusion criteria
* Healthy participants
* Body mass index within 18.0 to 32.0 kg/m^2 (inclusive), with a minimum body weight of 50.0 kg.
* Female participants of childbearing potential and male participants must follow protocol-specified contraception guidance.
* For Cohort 6, participants of Japanese descent, defined as having both parents and 4 grandparents who are ethnically Japanese.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Significant history or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders.
* History of significant allergic reaction.
* History of any Neisseria infection
* Active systemic bacterial, viral, or fungal infection.
* Participants who at Day -1 are either testing positive for coronavirus disease 2019 (COVID-19), or have not had at least 4 weeks elapse of recovery time (a negative test), or are experiencing long-term COVID-19-related sequelae.
* Any major surgery within 8 weeks of Screening.
* Known or suspected history of drug or alcohol abuse.
* Current tobacco users or smokers.
* Positive Human immunodeficiency virus (HIV) infection, hepatitis B or hepatitis C viral infection.
* Female participant who are pregnant, breastfeeding, or intending to conceive during the course of the study.
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/04/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
4/12/2023
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Sample size
Target
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Accrual to date
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Final
48
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Alexion Pharmaceuticals, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of single ascending doses (SADs) of ALXN1920 subcutaneous (SC) and of a single dose of ALXN1920 intravenous (IV) in healthy adult participants.
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Trial website
https://clinicaltrials.gov/study/NCT05751642
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
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When will data be available (start and end dates)?
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available to whom?
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://astrazenecagroup-dt.pharmacm.com/DT/Home
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05751642