A First in Human Study of AX-202 in Healthy Subjects and Patients With Psoriasis.

Study Purpose

The first-in-human study will be performed in healthy volunteers and patients with a chronic inflammatory skin disease. The primary objective is to evaluate the safety, tolerability and pharmacokinetics of increasing doses of AX-202 infusion.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Yes
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 65 Years
Gender All
More Inclusion & Exclusion Criteria

Key

Inclusion Criteria:

Part A / Single ascending doses:
  • - Male and female subjects must be between 18-55 years inclusive, at the time of informed consent.
  • - Subjects must have a Body Mass Index (BMI) ≥ 18 and ≤ 32 kg/m2 and weight of at least 45kg at screening.
  • - Subjects must be in good health as determined by medical history, physical examination, vital signs, 12-lead ECG and clinical laboratory assessments at the time of screening, as judged by the Investigator.
Part B / Multiple ascending doses:
  • - Male and female patients must be between 18-65 years inclusive, at the time of informed consent.
  • - Patients must have a documented diagnosis of plaque psoriasis for ≥ 6 months prior to screening.
  • - Patients must have a Body Mass Index (BMI) ≥ 18 and ≤ 36 kg/m2 and weigh at least 45kg at screening.
  • - Patients must be in good health as determined by medical history, physical examination, vital signs, 12-lead ECG and clinical laboratory assessments at the time of screening, as judged by the Investigator.
Key

Exclusion Criteria:

Part A / Single ascending doses:
  • - History or presence of any clinically relevant acute or chronic medical or psychiatric condition that could interfere with the subject's safety during the clinical study or expose the subject to undue risk as judged by the Investigator.
  • - After a minimum of 10 minutes supine rest at the time of screening or on Day -1: - Systolic blood pressure <90 or >140 mmHg, or.
  • - Diastolic blood pressure <50 or >90 mmHg, or.
  • - Pulse <40 or >90 bpm.
  • - Any clinically significant abnormalities in resting ECG at the time of screening or on Day -1 including prolonged QTcF (>450 ms for males; >470 ms for females using the mean of triplicate ECGs) and cardiac arrhythmias, as judged by the Investigator.
  • - Clinically significant abnormalities in renal function at screening.
  • - Clinically significant abnormalities in liver function at screening.
  • - Haemoglobin < 130 g/l for males or <120 g/l for females at screening.
  • - Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first administration of IMP (Day 1).
  • - Malignancy within the past 5 years of screening with the exception of in situ removal of basal cell carcinoma or resected benign colonic polyps.
  • - Any planned major surgery within the duration of the study or in the 30 days following study completion.
  • - History of latent or active tuberculosis or a positive QuantiFERON® TB Gold test at screening.
  • - Females who are pregnant, breast feeding, lactating or plan to be pregnant during the study period or 120 days after.
  • - Female subjects with a positive serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin [HCG]) at screening or on Day -1.
  • - Positive serum hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (HCVAb) or human immunodeficiency virus (HIV) 1 and/or 2 antibodies at screening.
  • - A Positive test for active COVID -19 prior to dosing on Day 1.
  • - History of any drug and/or alcohol abuse in the past 2 years prior to screening.
  • - Regular alcohol consumption of >14 units per week.
  • - Positive urine drugs of abuse test and/or alcohol breath test at screening or on admission to the unit on Day -1 that cannot be accounted for by concomitant medication in the opinion of the Investigator.
  • - Current or previous use of tobacco, nicotine products or e-cigarettes in the past 6 months.
  • - Smoking history of > 5 pack years.
  • - Positive urine cotinine test at screening or Day -1.
  • - Receiving any of the prohibited concomitant medications as specified in Section 5.5.
3.1.
  • - Known history of intolerance or hypersensitivity to AX-202 or to any other component of the formulation.
  • - Known history of intolerance to placebo or excipients.
  • - Participation in another clinical study with an experimental drug within 3 months (non-biologic), 6 months (biologic) or 5 half-lives, whichever is longer, before the administration of IMP.
Part B / Multiple ascending doses:
  • - History or presence of any clinically relevant acute or chronic medical or psychiatric condition other than psoriasis that could interfere with the patient's safety during the clinical study or expose the patient to undue risk as judged by the Investigator.
  • - A diagnosis of non-plaque psoriasis.
  • - Plaque psoriasis restricted to the scalp, palms, soles and face.
  • - Pustular, erythrodermic, inverse, and guttate psoriasis.
  • - Drug-induced psoriasis (i.e., new onset or current exacerbation from beta-blockers, calcium channel inhibitors or lithium) - Diagnosis of psoriatic arthritis, uveitis, inflammatory bowel disease, or other immune-mediated conditions that are commonly associated with psoriasis for which a patient requires current systemic (oral, subcutaneous [SC], or IV) (including corticosteroids, immunosuppressants, biologics) immunosuppressant medical treatment.
  • - Presence of other skin conditions that could interfere with psoriasis evaluation or assessments as judged by the Investigator.
  • - After a minimum of 10 minutes supine rest at the time of screening or on Day -1: - Systolic blood pressure <90 or >140 mmHg, or.
  • - Diastolic blood pressure <50 or >90 mmHg, or.
  • - Pulse <40 or >90 bpm 9.
Any clinically significant abnormalities in resting ECG at the time of screening or on Day -1 including prolonged QTcF (>450 ms for males; >470 ms for females using the mean of triplicate ECG's) and cardiac arrhythmias, as judged by the Investigator.
  • - Clinically significant abnormalities in renal function at screening.
  • - Clinically significant abnormalities in liver function at screening.
  • - Haemoglobin <130 g/l for males or <120 g/l for females at screening.
  • - Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first administration of IMP (Day 1).
  • - Malignancy within the past 5 years of screening with the exception of in-situ removal of basal cell carcinoma or resected benign colonic polyps.
  • - Any planned major surgery within the duration of the study or in the 30 days following study completion.
  • - History of latent or active tuberculosis, or a positive QuantiFERON® TB Gold result at screening.
  • - Females who are pregnant, breast feeding, lactating or plan to be pregnant during the study period or 120 days after.
  • - Female patients with a positive serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin [HCG]) at screening or on Day -1.
  • - Positive serum hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (HCVAb) or human immunodeficiency virus (HIV) 1 and/or 2 antibodies at screening.
  • - A Positive test for active COVID -19 prior to dosing on Day 1.
  • - History of any drug and/or alcohol abuse in the past 2 years prior to screening.
  • - Regular alcohol consumption of >14 units per week.
  • - Positive urine drugs of abuse test and/or alcohol breath test at screening or on admission to the unit on Day -1 that cannot be accounted for by concomitant medication in the opinion of the Investigator.
  • - Receiving any of the prohibited concomitant medications as specified in Section 5.5.
3.2.
  • - Any clinically significant infection requiring antimicrobial treatment in the 2 weeks prior to Day 1.
  • - Known history of intolerance or hypersensitivity to AX-202 or to any other component of the formulation.
  • - Known history of intolerance to placebo or excipients.
  • - Participation in another clinical study with an experimental drug within 3 months (non-biologic), 6 months (biologic) or 5 half-lives, whichever is longer, before the administration of IMP.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05965089
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Arxx Therapeutics
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries United Kingdom
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Healthy Volunteers, Mild to Moderate Psoriasis
Arms & Interventions

Arms

Experimental: AX-202

Single and multiple ascending doses of AX-202

Placebo Comparator: Placebo

Single and multiple doses of placebo

Interventions

Biological: - Placebo

Placebo

Biological: - AX-202

Humanized monoclonal antibody

Contact a Trial Team

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International Sites

Medicines Evaluation Unit, Manchester, Wythenshawe, United Kingdom

Status

Recruiting

Address

Medicines Evaluation Unit

Manchester, Wythenshawe, M23 9QZ

Site Contact

Dave Singh

enquiries@meu.org.uk

+44 (0)161 946 1450

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