Phase 1
Completed N=44
Study to Characterize the Effect of Heparin on Palifermin Activity
Source: ClinicalTrials.gov NCT01163097 ↗Enrolled (actual)
44
Serious AEs
0.0%
Results posted
Aug 2012
Primary outcomePrimary: Ratio to Baseline of Epithelial Cell Proliferation as Assessed by Ki67 Staining of Buccal Mucosal Tissue. — 0.267; 0.414 ratio
Summary
The purpose of this study is to evaluate the effect of a continuous intravenous infusion of unfractionated heparin on the multiple-dose pharmacodynamics of palifermin in healthy adult subjects.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Ratio to Baseline of Epithelial Cell Proliferation as Assessed by Ki67 Staining of Buccal Mucosal Tissue. |
0.267; 0.414 | — |
| PRIMARY Incidence of Grade 2 or Higher Specific Skin-related Adverse Events. |
0; 0.0625 | — |
| PRIMARY Ratio to Baseline of Amylase |
0.242; 0.547 | — |
| PRIMARY Ratio to Baseline of Lipase. |
-0.487; 0.499 | — |
| PRIMARY Ratio to Baseline of Protein/Creatinine |
1.1; 1.1 | — |
| SECONDARY Palifermin Pharmacokinetic (PK) Parameters: Clearance (CL) |
121.1; 527.8 | <0.0001 sig |
| SECONDARY Palifermin PK Parameters: CL |
121.9; 524.3 | <0.0001 sig |
| SECONDARY Palifermin PK Parameters: Area Under the Serum Curve (AUC) (0-24) |
330.1; 75.80 | <0.0001 sig |
| SECONDARY Palifermin PK Parameters: AUC (0-24) |
328.1; 76.26 | <0.0001 sig |
| SECONDARY Palifermin PK Parameters: Estimated Concentration at Time 0 (C0) |
229.1; 584.7 | 0.4123 |
| SECONDARY Palifermin PK Parameters: C0 |
361.0; 563.2 | 0.9944 |
| SECONDARY Palifermin PK Parameters: Apparent Volume of Distribution at Steady State (Vss) |
411.5; 1586 | <0.0001 sig |
| SECONDARY Palifermin PK Parameters: Vss |
361.7; 1318 | <0.0001 sig |
| SECONDARY Subject Incidence of Treatment-emergent Adverse Event |
9; 8; 3 | — |
| SECONDARY Subject Incidence of Proteinuria |
0; 0 | — |
| SECONDARY Ratio to Baseline of Protein/Creatinine |
1.1; 1.1 | — |
| SECONDARY Ratio to Baseline of Protein/Creatinine |
1.1; 1.1 | — |
| SECONDARY Ratio to Baseline of Protein/Creatinine |
1.1; 1.1 | — |
| SECONDARY Ratio to Baseline of Albumin/Creatinine |
1.56; 1.25 | — |
| SECONDARY Ratio to Baseline of Albumin/Creatinine |
1.56; 1.25 | — |
| SECONDARY Ratio to Baseline of Albumin/Creatinine |
1.56; 1.25 | — |
| SECONDARY Ratio to Baseline of Albumin/Creatinine |
1.56; 1.25 | — |
Eligibility Criteria
Inclusion Criteria
- Healthy men or postmenopausal or oophorectomized women.
- Subjects should have a Body Mass Index between 19 and 30 inclusive.
- A negative screen for drug abuse, tobacco use and alcohol breath test.
- Subjects should be willing to be resident in the research facility for up to 6 nights and return to the research facility for scheduled study and follow-up procedures.
- Men must agree for the duration of the study to use an appropriate method of birth control
Exclusion Criteria
- History or evidence of clinically significant disorder, condition or disease that would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
- History or evidence of any oral mucosal disease that may affect mucosal keratinocyte proliferation.
- Evidence or history of thrombocytopenia, heparin-induced thrombocytopenia or other contraindications to heparin (e.g. recent surgeries).
- Known hypersensitivity to heparin or topical or injectable local anesthetic.
- Known allergies to Escherichia coli-derived products or allergies to palifermin or its excipients.
- Use of medications (except vitamins, hormonal replacement therapy and topical medications) within 10 days of admission to research facility.
- Blood donation within 8 weeks prior to dosing of investigational drug.
- History of hypertension, clinically significant bleeding, gastrointestinal ulcers, arteriovenous malformation (AVM), aneurysm, or other vascular malformation.
- History of coagulopathy, bleeding disorders or abnormal platelet counts.
- History of malignancy of any type, other than surgically excised non-melanoma skin cancers or in situ cervical cancer.
- For males, past history of epididymitis.
- Known alcohol abuse or use of illicit drugs within 12 months prior to admission to the research facility.
- History of smoking or using smokeless tobacco within the past year before admission to the research facility.
- Any other condition that might reduce the chance of obtaining data (eg, known poor compliance) required by the protocol or that might compromise the ability to give informed consent.
- Previous participation in a palifermin study.
Data sourced from ClinicalTrials.gov (NCT01163097). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.