Skip to content

First-in-human Study to Evaluate Safety, Tolerability and Pharmacokinetics of Various Doses of BCD-085 in Healthy Subjects

Open-label, Phase I Dose-escalation Clinical Study of the Safety, Tolerability and Pharmacokinetics of Single Subcutaneus Dose of BCD-085, Monoclonal Antibody Against IL-17, in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02380287
Enrollment
22
Registered
2015-03-05
Start date
2015-03-31
Completion date
2015-10-31
Last updated
2021-03-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

interleukin-17, maximum tolerated dose, novel monoclonal antibody

Brief summary

This is an open label, phase 1, 3+3 dose escalating study of tolerability, safety, pharmacokinetics and immunogenicity of a single subcutaneous injection of the novel monoclonal antibody against human IL-17 - BCD-085. The study will enroll 37 healthy male volunteers.

Detailed description

IL-17 is a new potential therapeutic target which plays important role in pathogenesis of several autoimmune disorders including psoriasis, rheumatoid arthritis, possibly - SLE and MS. BCD-085 is a novel humanized monoclonal antibody against human IL17 developed by JCS BIOCAD (Russia) which is now on the first step of clinical evaluation. BCD-085-1 study is the first-in-human clinical trial which is intended to evaluate tolerability, safety, pharmacokinetics and immunogenicity of BCD-085 when used as a single step-by-step escalating subcutaneous dose in healthy male volunteers. During this study it is expected to determine diapason of safety doses of BCD-085 (incl. MTD) which thereafter can be evaluated in phase 2 studies.

Interventions

DRUGhumanized monoclonal antibody against human IL-17

Sponsors

Biocad
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

* singed informed consent * male gender * 18-45 years of age inclusively * BMI between18.5-30.0 kg/sq.m. * absence of any sings of hepatic, renal, gastrointestinal, cardiovascular, endocrine, respiratory, immunologic, hematologic, dermatologic, or neurologic abnormality at screening or/and in anamnesis * parameters of complete blood count, blood biochemistry, and urinalysis do not exceed reference values, which are used at Study site laboratory. Evaluation of required laboratory parameters must be performed within 14 days before randomization * normal hemodynamic parameters : systolic BP 100 - 139 mm Hg, diastolic BP - 60 - 90 mm Hg, heart rate - 60 - 90 b/min * absence of chronic infections (HIV, syphilis, hepatitis В or С, tuberculosis ) and chronic inflammation * absence of infections within 4 weeks before randomization * absence of mental disorders or other conditions (incl. depression), which may affect the ability of participant to follow Protocol * health well-being (by volunteer's opining opinion) for at least 30 days before randomization. * absence of alcohol or drug addiction signs (incl. history of such addiction). Consent not to use alcohol within 24 hours before and after injection of BCD-085; * volunteer's ability to follow Protocol procedures * consent of volunteers and their sexual partners with childbearing potential to use adequate contraception during screening period and the main study part (14 days before randomization and 61 day after SC injection). This requirement is not applicable in surgically sterilized volunteers. Adequate contraception includes the use of one barrier method in combination with spermicides, intrauterine device / oral contraceptives in sexual partner

Exclusion criteria

* history of use of monoclonal antibodies against IL-17 * known severe allergy (anaphylaxis or multidrug intolerance) * known intolerance to medicines containing monoclonal antibodies (murine, humanized, human) or to any excipients of BCD-085 * major surgery within 30 days prior screening * severe infections (required hospitalization, parenteral use of antimicrobial agents) within 6 months prior the date of BCD-085 injection * systemic use of antimicrobials within 2 months prior the date of BCD-085 injection * more than 4 episodes of respiratory tract infections within 6 months prior the screening examination * presence of any disorders which may affect pharmacokinetics of BCD-085 * history of fever which was equal or exceeded 40 degrees in Celsius * history of hepatic transaminases increase 2.5 x ULN * history of seizures * actual or prior depression, suicidal tendencies * use of any medicines, vitamins, biologically active additives within 14 days prior the date of BCD-085 injection * use of any medicines which affects hemodynamics or hepatic function within 30 days prior the date of BCD-085 injection * use of any medicines which may influence on immune system within 30 days prior the date of BCD-085 injection * vaccination within 4 weeks prior the date of BCD-085 injection * smoking exceeds 10 cigarettes per day * use of alcohol, which exceeds 10 units per week (1 alcohol unit is equal ½ l of beer (1 pint), or 200 ml of vine, or 50 ml alcohol * donation of more than 450 ml of blood or plasma within 2 months prior randomization. * simultaneous participation in any other clinical trial, as well as former participation in other clinical trials within 3 months before this study initiation. * previous participation in this study

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-08556 daysThe blood sampling for the pharmacokinetic evaluations was performed at the following time points: 0 h (5 min before the injection) and at 0.5 hours, 2 hours, 4 hours, 8 hours, 12 hours, 24 hours, 48 hours, 72 hours,168 hours, 336 hours, 504 hours, 672 hours, 840 hours, 1008 hours, 1176 hours, and 1344 hours following the drug administration.

Secondary

MeasureTime frameDescription
Maximum Concentration of BCD-085 After Single Subcutaneous Injection56 daysTo assess the maximum observed concentration (Cmax) following single SC administer regardless of the cohort

Other

MeasureTime frameDescription
Constant of Elimination of BCD-085 After Single Subcutaneous Injection56 days
Clearance of BCD-085 After Single Subcutaneous Injection56 days
Mean Pain Score by VAS Assessment During Injection of BCD-085day 1The study subject assesses how painful was the injection. Assessment is performed by filling out a special 10-score visual analogue scale (VAS) immediately after the injection is done. The 0 score refers to no pain, the score 10 refers to the highest, almost unbearable pain. The pain was assessed after a single injection.
Total Frequency of AE/SAE56 days
Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection56 daysTo assess the Tmax following single SC administer regardless of the cohort
Frequency of Grade 3-4 AEs56 days
Frequency of Early Discontinuation Due to AE56 days
Frequency of Binding Antibodies to BCD-85 Formationday 56
Frequency of Local Reactions56 days
Half-life of BCD-085 After Single Subcutaneous Injection56 days

Participant flow

Participants by arm

ArmCount
Cohort no.1
This cohort includes just one subject who received the maximum safe starting dose of BCD-085 (0.05 mg/kg) subcutaneously.
1
Cohort no.2
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 0.05 mg/kg.
3
Cohort no.3
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 0.25 mg/kg.
3
Cohort no.4
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 0.825 mg/kg.
3
Cohort no.5
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 1.25 mg/kg.
3
Cohort no.6
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 1.75 mg/kg.
3
Cohort no.7
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 2.25 mg/kg.
3
Cohort no.8
This cohort includes 3 subjects who received the single subcutaneous injection of BCD-085 at a dose of 3.0 mg/kg.
3
Total22

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyAdverse Event00100000

Baseline characteristics

CharacteristicCohort no.1Cohort no.2Cohort no.3Cohort no.4Cohort no.5Cohort no.6Cohort no.7Cohort no.8Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
1 Participants3 Participants3 Participants3 Participants3 Participants3 Participants3 Participants3 Participants22 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
1 Participants3 Participants3 Participants3 Participants3 Participants3 Participants3 Participants3 Participants22 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 10 / 31 / 30 / 32 / 31 / 30 / 30 / 3
serious
Total, serious adverse events
0 / 10 / 31 / 30 / 30 / 30 / 30 / 30 / 3

Outcome results

Primary

Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-085

The blood sampling for the pharmacokinetic evaluations was performed at the following time points: 0 h (5 min before the injection) and at 0.5 hours, 2 hours, 4 hours, 8 hours, 12 hours, 24 hours, 48 hours, 72 hours,168 hours, 336 hours, 504 hours, 672 hours, 840 hours, 1008 hours, 1176 hours, and 1344 hours following the drug administration.

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEDIAN)
Cohort 1 + Cohort 2Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-085594222.00 (ng/ml)*hour
Cohort 3Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-0852262670.25 (ng/ml)*hour
Cohort 4Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-0855669903.75 (ng/ml)*hour
Cohort 5Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-0859939951.75 (ng/ml)*hour
Cohort 6Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-0859220825.00 (ng/ml)*hour
Cohort 7Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-08514915081.50 (ng/ml)*hour
Cohort 8Area Under the Plasma Concentration of BCD-085-time Curve From Zero (0) Hours to 1344 Hours After the Single Subcutaneous Injection of BCD-08510152522550.50 (ng/ml)*hour
Secondary

Maximum Concentration of BCD-085 After Single Subcutaneous Injection

To assess the maximum observed concentration (Cmax) following single SC administer regardless of the cohort

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEAN)Dispersion
Cohort 1 + Cohort 2Maximum Concentration of BCD-085 After Single Subcutaneous Injection583.5 ng/mLStandard Deviation 53.3
Cohort 3Maximum Concentration of BCD-085 After Single Subcutaneous Injection2566.00 ng/mLStandard Deviation 504.87
Cohort 4Maximum Concentration of BCD-085 After Single Subcutaneous Injection8970.67 ng/mLStandard Deviation 1831.26
Cohort 5Maximum Concentration of BCD-085 After Single Subcutaneous Injection12946.67 ng/mLStandard Deviation 1744.52
Cohort 6Maximum Concentration of BCD-085 After Single Subcutaneous Injection12415.33 ng/mLStandard Deviation 4280.65
Cohort 7Maximum Concentration of BCD-085 After Single Subcutaneous Injection20115.00 ng/mLStandard Deviation 1413.55
Cohort 8Maximum Concentration of BCD-085 After Single Subcutaneous Injection28691.33 ng/mLStandard Deviation 1478
Other Pre-specified

Clearance of BCD-085 After Single Subcutaneous Injection

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEAN)Dispersion
Cohort 1 + Cohort 2Clearance of BCD-085 After Single Subcutaneous Injection6.18 mL/hStandard Deviation 2.16
Cohort 3Clearance of BCD-085 After Single Subcutaneous Injection10.25 mL/hStandard Deviation 1.81
Cohort 4Clearance of BCD-085 After Single Subcutaneous Injection8.80 mL/hStandard Deviation 1.04
Cohort 5Clearance of BCD-085 After Single Subcutaneous Injection8.75 mL/hStandard Deviation 2.63
Cohort 6Clearance of BCD-085 After Single Subcutaneous Injection16.05 mL/hStandard Deviation 2.36
Cohort 7Clearance of BCD-085 After Single Subcutaneous Injection12.29 mL/hStandard Deviation 1.43
Cohort 8Clearance of BCD-085 After Single Subcutaneous Injection11.45 mL/hStandard Deviation 1.81
Other Pre-specified

Constant of Elimination of BCD-085 After Single Subcutaneous Injection

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEAN)Dispersion
Cohort 1 + Cohort 2Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 3Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 4Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 5Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 6Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 7Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Cohort 8Constant of Elimination of BCD-085 After Single Subcutaneous Injection0.002 hours^-1Standard Deviation 0
Other Pre-specified

Frequency of Binding Antibodies to BCD-85 Formation

Time frame: day 56

Population: Immunogenicity was evaluated in all volunteers who received the drug administration, and who had both samples, available for analysis. Volunteer from Cohort 3 had early withdrawal, so he did not have a second sample for the study. Thus, the total number of volunteers for immunogenicity assessment was 21.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 + Cohort 2Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 3Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 4Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 5Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 6Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 7Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 8Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Cohort 8Frequency of Binding Antibodies to BCD-85 Formation0 Participants
Other Pre-specified

Frequency of Early Discontinuation Due to AE

Time frame: 56 days

Population: The safety population included all subjects who received at least one injection of the study drug

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 + Cohort 2Frequency of Early Discontinuation Due to AE0 Participants
Cohort 3Frequency of Early Discontinuation Due to AE0 Participants
Cohort 4Frequency of Early Discontinuation Due to AE1 Participants
Cohort 5Frequency of Early Discontinuation Due to AE0 Participants
Cohort 6Frequency of Early Discontinuation Due to AE0 Participants
Cohort 7Frequency of Early Discontinuation Due to AE0 Participants
Cohort 8Frequency of Early Discontinuation Due to AE0 Participants
Cohort 8Frequency of Early Discontinuation Due to AE0 Participants
Other Pre-specified

Frequency of Grade 3-4 AEs

Time frame: 56 days

Population: The safety population included all subjects who received at least one injection of the study drug

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 + Cohort 2Frequency of Grade 3-4 AEs0 Participants
Cohort 3Frequency of Grade 3-4 AEs0 Participants
Cohort 4Frequency of Grade 3-4 AEs1 Participants
Cohort 5Frequency of Grade 3-4 AEs0 Participants
Cohort 6Frequency of Grade 3-4 AEs0 Participants
Cohort 7Frequency of Grade 3-4 AEs0 Participants
Cohort 8Frequency of Grade 3-4 AEs0 Participants
Cohort 8Frequency of Grade 3-4 AEs0 Participants
Other Pre-specified

Frequency of Local Reactions

Time frame: 56 days

Population: Safety population included all subjects who received at least one injection of the study drug

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 + Cohort 2Frequency of Local Reactions0 Participants
Cohort 3Frequency of Local Reactions0 Participants
Cohort 4Frequency of Local Reactions0 Participants
Cohort 5Frequency of Local Reactions0 Participants
Cohort 6Frequency of Local Reactions0 Participants
Cohort 7Frequency of Local Reactions0 Participants
Cohort 8Frequency of Local Reactions0 Participants
Cohort 8Frequency of Local Reactions0 Participants
Other Pre-specified

Half-life of BCD-085 After Single Subcutaneous Injection

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEDIAN)
Cohort 1 + Cohort 2Half-life of BCD-085 After Single Subcutaneous Injection425.15 hours
Cohort 3Half-life of BCD-085 After Single Subcutaneous Injection378.78 hours
Cohort 4Half-life of BCD-085 After Single Subcutaneous Injection370.13 hours
Cohort 5Half-life of BCD-085 After Single Subcutaneous Injection362.78 hours
Cohort 6Half-life of BCD-085 After Single Subcutaneous Injection428.42 hours
Cohort 7Half-life of BCD-085 After Single Subcutaneous Injection370.70 hours
Cohort 8Half-life of BCD-085 After Single Subcutaneous Injection375.76 hours
Other Pre-specified

Mean Pain Score by VAS Assessment During Injection of BCD-085

The study subject assesses how painful was the injection. Assessment is performed by filling out a special 10-score visual analogue scale (VAS) immediately after the injection is done. The 0 score refers to no pain, the score 10 refers to the highest, almost unbearable pain. The pain was assessed after a single injection.

Time frame: day 1

Population: The safety analysis will include all subjects received BCD-085.

ArmMeasureValue (MEAN)Dispersion
Cohort 1 + Cohort 2Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 3Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 4Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 5Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 6Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 7Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 8Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Cohort 8Mean Pain Score by VAS Assessment During Injection of BCD-0850 score on a scaleStandard Deviation 0
Other Pre-specified

Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection

To assess the Tmax following single SC administer regardless of the cohort

Time frame: 56 days

Population: The analysis population includes all subjects for whom not more than 2 blood samples for BCD-085 assay were missing or unevaluable, and for whom no violations of blood sampling schedule were reported. Results of PK parameters consider in Cohort 1 and 2 together since the same dose were injected.

ArmMeasureValue (MEDIAN)
Cohort 1 + Cohort 2Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection252.000 hours
Cohort 3Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection168.000 hours
Cohort 4Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection168.000 hours
Cohort 5Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection72.000 hours
Cohort 6Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection48.000 hours
Cohort 7Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection168.000 hours
Cohort 8Time of Maximum Concentration of BCD-085 After Single Subcutaneous Injection168.000 hours
Other Pre-specified

Total Frequency of AE/SAE

Time frame: 56 days

Population: The analysis population includes subjects who received any dose of BCD-085 subcutaneously.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1 + Cohort 2Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 1 + Cohort 2Total Frequency of AE/SAETotal frequency of AEs1 Participants
Cohort 3Total Frequency of AE/SAETotal frequency of AEs0 Participants
Cohort 3Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 4Total Frequency of AE/SAETotal frequency of AEs1 Participants
Cohort 4Total Frequency of AE/SAETotal frequency of SAEs1 Participants
Cohort 5Total Frequency of AE/SAETotal frequency of AEs0 Participants
Cohort 5Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 6Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 6Total Frequency of AE/SAETotal frequency of AEs2 Participants
Cohort 7Total Frequency of AE/SAETotal frequency of AEs1 Participants
Cohort 7Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 8Total Frequency of AE/SAETotal frequency of AEs0 Participants
Cohort 8Total Frequency of AE/SAETotal frequency of SAEs0 Participants
Cohort 8Total Frequency of AE/SAETotal frequency of AEs0 Participants
Cohort 8Total Frequency of AE/SAETotal frequency of SAEs0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026