Chronic Rhinosinusitis With Nasal Polyps (CRSwNP)
Conditions
Brief summary
This study is a randomized, double-Blind, placebo-controlled, Single and Multiple-ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Immunogenicity, Pharmacodynamics and Clinical Activity of BBT002 in Healthy Volunteers and Participants with Chronic Rhinosinusitis with Nasal Polyps (CRSwNP) with or without Asthma.
Detailed description
The study consists of two parts: * Part A (single dose in HVs in sequential ascending dose cohorts, SAD in HVs part) * Part B (five repeated doses in patients with CRSwNP, MAD in patients part)
Interventions
BBT002 will be administered.
Placebo will be administered
Sponsors
Study design
Eligibility
Inclusion criteria
Part (A\&B): 1. Age of 18-55 years (HVs), 18-75 years (patients) 2. Body mass index between 18-30 kg/m², capped at 120 kg 3. Negative pregnancy tests for women of childbearing potential 4. Willingness to refrain from alcohol consumption for 24 hours prior to each study visit 5. Non-smokers, healthy current smokers (≤5 cigarettes/day), or ex smokers Key Inclusion Criteria (Part B only) 1. Participants with physician-diagnosed CRSwNP before screening. 2. SNOT-22 total score ≥30 at screening and randomization. 3. Documented systemic corticosteroid use (or contraindication/intolerance) within past 24 months. 4. Diagnosed asthma per GINA 2025, stable for ≥12 months. Stable on GINA Step 3 or higher therapy for 6 weeks before screening. 5. For the participants have comorbid asthma, they had to be stable using their regular asthma treatment.
Exclusion criteria
Part (A\&B): 1. Positive viral serology for human immunodeficiency virus (HlV), hepatitis C virus (HCV), or hepatitis B (HBV) 2. Immunodeficiencies, autoimmune diseases, or cancer, history of conditions predisposing to infections 3. History of major metabolic, dermatological, liver, kidney, hematological or other significant disorders 4. Clinically relevant abnormal lab results, including low blood counts, liver enzymes, or abnormal kidney function 5. Positive drug/alcohol tests or abnormal vital signs at screening or Day -1 6. Abnormal Electrocardiogram(ECG) findings 7. History of drug/alcohol abuse in the past 2 years 8. History of severe allergic reactions or hypersensitivity Key
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events following single and multiple administration of BBT002 | Part A- Up to Day 141; Part B - Up to Day 169 post first dose administration | Incidence, relatedness, and severity of AEs graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v6.0. |
| Number of participants with change in vital sign measurements following dose administration. | Part A- Up to Day 141; Part B - Up to Day 169 post first dose administration | Changes in vital sign measurements, physical examination, clinical laboratory test findings, and 12-lead results. |
| Number of participants with change in physical examination following dose administration. | Part A- Up to Day 141; Part B - Up to Day 169 post first dose administration | Physical examination will be assessed. |
| Number of participants with change in Laboratory assessments | Part A- Up to Day 141; Part B - Up to Day 169 post first dose administration | Laboratory assessments include hematology, coagulation, clinical chemistry and urinalysis |
| Number of participants with change in 12-lead ECG readings | Part A- Up to Day 141; Part B - Up to Day 169 post first dose administration | 12-lead ECG will be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PK parameters- Area under the curve (AUC) | At specified timepoints pre-dose and up to 169 days post first dose administration | Area under the curve of the study drug in serum will be analyzed for all subjects |
| PK parameters- maximum observed concentration (Cmax) | At specified timepoints pre-dose and up to 169 days post first dose administration | Maximum observed concentration of the study drug in serum will be analyzed for all subjects |
| PK parameters- Time for maximum observed Concentration (Tmax) | At specified timepoints pre-dose and up to 169 days post first dose administration | Serum PK Tmax will be analyzed for all subjects |
| PK parameters- Volume of distribution (Vz) | At specified timepoints pre-dose and up to 169 days post first dose administration | Volume of distribution of the study drug in serum will be analyzed for all subjects |
| PK parameters- Total clearance (CL) | At specified timepoints pre-dose and up to 169 days post first dose administration | Total clearance of the study drug in serum will be analyzed for all subjects |
| PK parameters- - Elimination Half-life (t1/2) | At specified timepoints pre-dose and up to 169 days post first dose administration | Elimination half-life of the study drug in serum will be analyzed for all subjects |
| The immunogenicity of BBT002 is measured as the number and percentage of subjects who develop Anti-Drug Antibodies (ADA). | At specified timepoints pre-dose and up to 169 days post first dose administration | Serum Anti-Drug Antibodies will be analyzed for all subject |
Countries
China