The goal of this clinical trial is to learn if a new drug called PDI204, developed fortreating or preventing COVID-19, is safe and well-tolerated in healthy volunteers. Thisis a first-in-human study. The main questions it aims to answer are:Is PDI204 safe and well-tolerated in healthy people? How long for and how does the bodyinteract with PDI204?Researchers will compare side effects in people who receive PDI204 and in those whoreceive a placebo (a look-alike substance that contains no drug) to see if and how manyside-effects there are with PDI204. Researchers will also measure how long PDI204 can bedetected in the blood.Participants will be asked to receive a single dose of PDI204. Participants will have tostay in the clinical center for the day of receiving the dose of PDI204 and will bedischarged the next day. Participants will then need to come back to the clinical centerfor study visits on days 3, 5, 7, 15, 30, 60 and 90.
"A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety,
Tolerability, and Pharmacokinetics of Single Ascending Doses (SAD) of PDI204 as
Intravenous Infusion or Intramuscular Injection in Healthy participants" will be a single
center, Phase 1, randomized, double-blind, placebo controlled, sequential single
ascending dose (SAD) study evaluating the safety, tolerability, and pharmacokinetics (PK)
of PDI204 via a single intravenous (IV) or intramuscular (IM) dose in healthy adult
participants. The study will also assess the incidence and impact of antidrug antibodies
(ADAs) on PK parameters and evaluate SARS-CoV-2 neutralizing antibody (NAb) levels over
time. The study will consist of a single part with 4 cohorts: 3 sequential cohorts
receiving IV administration (Cohorts 1-3) in an ascending dose manner, and one cohort
receiving IM administration (Cohort 4), which may partially or fully overlap with the
first 3 cohorts. Each cohort will include 8 participants (6 participants receiving the
active drug and 2 participants receiving the placebo), for a total of 32 participants.
The study will include a screening visit from Day -28 to Day -2. Eligible participants
will be admitted to the clinical site on Day 1 and will be discharged on Day 2 following
the completion of all required assessments. Participants will return to the clinical site
for follow-up visits on Days 3, 5, 7, 15, 30, 60 and 90 days. The total duration of study
participation for each participant from screening through the study exit is anticipated
to be approximately 118 days. A staggered dosing schedule will be used for dosing of each
cohort and will include 2 sentinel participants (1 active and 1 placebo) dosed initially,
and the remaining 6 participants dosed at least 24 hours later. The planned dose range
for IV administration (Cohorts 1-3) is anticipated to be from 200 to 1200 mg, while a
single 300 mg dose is planned for IM administration (Cohort 4).Following completion of
each dose level, a Safety Review Committee (SRC) will review the safety and tolerability
data, as well as available PK data, in order to make decisions whether to escalate to the
next dose level, decrease the next dose level, repeat a dose level, or to not evaluate
any additional dose. Additionally, the SRC may extend the duration of the IV infusion
(Cohorts 1-3) if necessary to improve participant safety or tolerability.
Drug: PDI204
PDI204 is a fully human, immunoglobulin G1 (IgG1) monoclonal antibody (mAb) directed
against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein
Other: 0.9 % saline
0.9% saline used as placebo
Inclusion Criteria:
-
1. Male or female, ≥18 and ≤65 years of age, with BMI >18.5 and <32.0 kg/m2. 2.
Healthy as defined by:
1. The absence of clinically significant illness and surgery within 4 weeks prior
to study drug administration.
2. The absence of clinically significant history of neurological, endocrine,
cardiovascular, respiratory, hematological, immunological, psychiatric,
gastrointestinal, renal, hepatic, and metabolic disease. Fully resolved basal
cell carcinoma (BCC) and squamous cell carcinoma (SCC) are acceptable.
3. Females of non-childbearing potential must be:
1. post-menopausal (spontaneous amenorrhea for at least 12 months prior to dosing)
with confirmation by documented FSH levels 40 mIU/mL or greater; or
2. surgically sterile (bilateral oophorectomy or hysterectomy) at least 3 months
prior to dosing.
4. Sexually active females of childbearing potential and non-sterile males
must be willing to use an acceptable contraceptive method throughout the
study as detailed in section 8.1.
5. Male participants must be willing not to donate sperm for 90 days and
female participants must be willing not to donate eggs for 30 days after
dosing.
6. Willing to abstain from alcohol, tobacco, and illicit drug use for 48
hours prior to admission to the CRU (Day -1) and during the inpatient
period.
7. Non-tattooed, clear injection site (i.e., absence of dermatologic
conditions, such as scarring or rash, that may impact the ability to
assess injection site reactions) suitable for IV or IM injection and
monitoring in the opinion of the Investigator.
8. Able to understand the study procedures and provide signed informed
consent to participate in the study
Exclusion Criteria:
1. Any clinically significant abnormal finding at physical examination.
2. Clinically significant abnormal laboratory test results or positive
serology test results for HBsAg, HCV antibody, or HIV antigen and
antibody, or QuantiFERON®-TB test at screening. Per Investigator's
discretion, a single repeat for safety laboratory assessment to confirm
initial result and trending is allowed per investigator's discretion.
3. Positive pregnancy test or lactating female participant.
4. Positive urine drug screen, or alcohol breath test.
5. History of significant allergic reactions (e.g., anaphylactic reaction,
hypersensitivity, angioedema) to any drug, in the opinion of investigator.
6. Clinically significant ECG abnormalities or vital signs abnormalities
(systolic BP lower than 90 or over 140 mmHg, diastolic BP lower than 40 or
over 90 mmHg, HR less than 40 or over 100 bpm, or RR less than 10 or over
22 bpm) at screening.
7. History of drug abuse within 1 year prior to screening or recreational use
of soft drugs (such as marijuana) within 1 month or hard drugs (such as
cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin,
and amphetamine derivatives) within 3 months prior to screening. per
investigator's discretion, a single repeat for drug abuse urine test in
the event of a false positive is allowed.
8. History of alcohol abuse within 1 year prior to screening or regular use
of alcohol within 6 months prior to screening that exceeds 14 units for
women and 21 units for men of alcohol per week (1 unit = 200 mL of beer
5%, 83 mL of wine 12%, or 25 mL of distilled alcohol 40%).
9. Participants who smoke more than 10 cigarettes per day or the equivalent
per week.
10. History of rare hereditary sucrose intolerance (e.g., genetic
sucrose-isomaltase deficiency (GSID).
11. History of a known or suspected respiratory system disorder including, but
not limited to, cystic fibrosis, interstitial lung disease, reactive
airway disease, emphysema, chronic bronchitis, pulmonary hypertension,
COPD, or asthma (participants with childhood asthma can be included in the
study).
12. Diagnosis or suspected diagnosis of immunodeficiency or autoimmune
diseases, or undergoing immunosuppressive therapy such as anticancer
chemotherapy or radiotherapy before the study, or has received systemic
corticosteroid treatment (topical corticosteroids are acceptable) within
the past 120 days before dosing.
13. Poor peripheral venous access for Cohorts 1a, 2a, and 3a.
14. Fever (≥ 38.0°C) within 14 days before study drug administration.
15. Positive Corona Virus Disease of 2019 (COVID-19) test at admission to the
CRU.
16. Vaccination (including COVID-19 vaccine) within 30 days prior to
administration of PDI204.
17. Known or suspected intolerance or hypersensitivity to any biologic
medication or known allergies or clinically significant reactions to human
proteins, mAbs or antibody fragments, or to any components of the
formulation of PDI204 and its excipients used in this study.
18. History of bleeding disorders or clotting disorders (e.g., hemophilia,
thrombocytopenia) or those with a history of easy bruising or bleeding who
may be at a higher risk for hematoma at the injection site.
19. Participants who had close contact (without PPE) as defined by the Centers
for Disease Control and Prevention (CDC) in the past 14 days to someone
diagnosed with SARS-CoV-2 infection or COVID-19 within 10 days of the
close contact. Participants may be rescreened after 14 days provided that
they remain asymptomatic.
20. Participants who have been infected by COVID-19, within 30 days prior to
the drug administration.
21. Has known active infection with influenza or other non-SARS-CoV-2
respiratory pathogen, confirmed by a diagnostic test.
22. Previous infusion-related reaction, or severe adverse reaction following
administration of a mAb.
23. Use of medications within the timeframes specified in section 8.2.
24. Participation in a clinical research study involving the administration of
an investigational or marketed drug (including mAbs) or device within 30
days (or 5 half-lives since last receipt of an investigational drug,
whichever is longer) prior to the first dosing, administration of a
biological product in the context of a clinical research study within 90
days prior to the first dosing, or concomitant participation in an
investigational study involving no drug or device administration.
25. Donation of serum within 7 days prior to dosing or donation or loss of 500
mL or more of whole blood within 30 days prior to screening.
26. Any reason which, in the opinion of the Investigator, would prevent the
subject from participating in the study.
Nucleus Network
Melbourne, Victoria, Australia
Investigator: Christina Chang, MD, PhD
c.chang@nucleusnetwork.com.au
Stephen Kent, PhD, MD
+61 3 8344 9939
skent@unimelb.edu.au
Adam Wheatley, PhD
+61 3 8344 9939
a.wheatley@unimelb.edu.au
Stephen Kent, PhD, MD, Principal Investigator
University of Melbourne