Phase 1
N=23
Study of the Safety, Tolerability and Pharmacokinetics of TIMP-GLIA in Subjects With Celiac Disease
Celiac Disease
Bottom Line
View on ClinicalTrials.gov: NCT03486990 ↗Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Jun 2020
Primary outcome: Primary: Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) — 1; 2; 3; 3 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- TIMP-GLIA (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Takeda
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) |
1; 2; 3; 3; 2; 3 | — |
| PRIMARY Number of Participants With Grade 3 or Higher TEAEs and Drug-related Adverse Events |
0; 0; 1; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Physical Examination Findings |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Electrocardiograms (ECG) Findings |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Change From Baseline in Arterial Oxygen Saturation Levels |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Change From Baseline in Vital Signs Values |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 3 |
2.15; 2.85; 3.30; 1.20; 0.60; -0.35 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 7 |
2.15; 2.85; 3.30; 0.75; 0.00; 0.85 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 8 |
2.15; 2.85; 3.30; 0.70; 0.10; 1.50 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 10 |
2.15; 2.85; 3.30; 1.85; 1.00; 1.25 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 14 |
2.15; 2.85; 3.30; 0.90; 1.65; 1.30 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 38 |
2.15; 2.85; 3.30; 0.30; 1.50; 1.00 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C1q Binding at Day 60 |
2.15; 2.85; 3.30; 0.65; 1.15; 1.10 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C3a and SC5B-9 Levels at 15 Minutes Post-dose on Day 1 |
32.25; 16.15; 18.65; 45.40; 134.90; 46.25 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C3a and SC5B-9 Levels at 30 Minutes Post-dose on Day 1 |
32.25; 16.15; 18.65; 87.50; 144.00; 65.65 | — |
| PRIMARY Part B: Change From Baseline (Day 1 Pre-dose) in C3a and SC5B-9 Levels at Day 2 |
32.25; 16.15; 18.65; -6.55; 0.90; -6.70 | — |
| PRIMARY Number of Participants With Clinically Significant Change From Baseline in Hematology, Serum Chemistry, Coagulation, and Urinalysis |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part A (Greater Than or Equal to [>=] 4.0 mg/kg) and Part B: Number of Participants With Clinically Significant Change From Baseline in Gliadin-Specific T-cell Proliferation and Cytokine Release Markers |
0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Laboratory Abnormalities |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration For TIMP-GLIA |
91.8; 220; 457; 845; 252; 529 | — |
| SECONDARY Clast: Last Measurable Observed Plasma Concentration For TIMP-GLIA |
50.6; 63.9; 68.6; 55.8; 77.2; 97.9 | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TIMP-GLIA |
0.54; 0.50; 0.50; 0.50; 2.86; 3.21 | — |
| SECONDARY AUCinf: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TIMP-GLIA |
604; 3100; 3170; 8430; NA; 3220 | — |
| SECONDARY AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TIMP-GLIA |
119; 503; 1690; 2920; 2870; 932 | — |
| SECONDARY Tlast: Time to Reach the Last Measurable Plasma Concentration for TIMP-GLIA |
2.49; 4.00; 12.17; 12.00; 12.00; 7.99 | — |
| SECONDARY T1/2: Terminal Phase Elimination Half-life (T1/2) for TIMP-GLIA |
NA; 1.81; 4.38; 3.03; 4.36; NA | — |
Summary
This study is to characterize the safety and tolerability of an investigational drug called TIMP-GLIA when either one or two intravenous doses are given to subjects with celiac disease. The way the body reacts to TIMP-GLIA is being checked by laboratory tests of the blood and urine, and study subject health will also be monitored by vital signs such as blood pressure, electrocardiogram (ECG), and physical examination.
Eligibility Criteria
Inclusion Criteria
- The subject provides written informed consent and is willing and able to comply with study requirements.
- At screening the subject has a minimum body mass index (BMI) of 16 kg/m2 and a minimum body weight of 33 kg up to a maximum body weight of 129 kg, inclusive. If subject is considered to be underweight or overweight/obese, the subject is otherwise healthy in the opinion of the investigator.
- The subject has celiac disease characterized at Screening Visit by:
- a history of biopsy-confirmed celiac disease; and
- no known gluten exposure for at least 10 days; and
- willingness to maintain a gluten-free diet for the duration of the study; and
- a negative or weak positive transglutaminase (tTG)-specific IgA titer if the subject has a normal total immunoglobulin A (IgA) titer or has a partial IgA deficiency OR
- a negative or weak positive deamidated gliadin peptide (DGP)-specific immunoglobulin G (IgG) titer if the subject has IgA deficiency.
- The male subject or female subject of childbearing potential will practice medically approved contraception during the study.
Exclusion Criteria
- The subject has a history of clinically confirmed immunoglobulin E-mediated reaction and/or anaphylaxis to wheat (i.e., "wheat allergy"), barley or rye.
- The subject has a known history of hypersensitivity or allergies to TIMP-GLIA components OR any other known severe hypersensitivity or allergic reaction (resulted in hospitalization [initial or prolonged], congenital anomaly, or disability, or that required medical intervention to prevent permanent impairment or damage) to any other allergens (medications, food or environmental).
- The subject has uncontrolled celiac disease and/or complications of celiac disease, or otherwise has experienced celiac symptomology within 10 days of screening, in the opinion of the investigator.
- The subject has a history of, or has an active, significant, clinically relevant, comorbidity (including Type 1 and Type 2 diabetes mellitus and other autoimmune disorders, splenectomy) that, in the opinion of the investigator, would make the subject unsuitable for participation in the study and/or could adversely affect interpretation of the study results.
- The subject has had significant changes to or anticipates changes to prescription or non-prescription medication used to manage an underlying comorbidity within 30 days prior to first dosing (Day 1).
- The subject is currently taking or received systemic biologics 6 months prior to first dosing (Day 1).
- The subject has a compromised immune system, e.g.
- known human immunodeficiency virus (HIV) infection or positive for HIV antibodies at Screening or
- immunosuppressive medical treatment taken during the 2 months prior to first dosing (Day 1) or
- immunosuppressive doses of corticosteroids (more than 20 mg of prednisone given daily for 2 weeks or more within 2 months prior to first dosing (Day 1), or any dose of corticosteroids within 30 days of first dosing (Day 1), or high dose inhaled corticosteroids [>960 µg/day of beclomethasone dipropionate or equivalent]) within 30 days of first dosing Day 1.
- The subject has currently untreated or active gastrointestinal disease such as peptic ulcer disease, esophagitis (Los Angeles Classification ≥ Grade C), irritable bowel syndrome, inflammatory bowel disease, or microscopic colitis.
- The subject has an active malignancy, or history of malignancy or chemotherapy, within the past 5 years other than history of localized or surgical removal of focal basal cell skin cancer, cervical cancer in situ treated successfully in the past by local treatment (including but not limited to cryotherapy or laser therapy) or by hysterectomy.
- The subject has known liver disease or serology positive for hepatitis C infection; positive hepatitis B surface antigen (HBsAg) at Screening Visit.
- The subject has a positive test result for drugs of abuse, cannabinoids, or alcohol at Screening Visit or at Check-i
Data sourced from ClinicalTrials.gov (NCT03486990). 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.