Phase 1
Completed N=28
Safety, Tolerability, and Pharmacokinetics of RSV Monoclonal Antibody RSM01 in Healthy Adults
RSV Infection
Source: ClinicalTrials.gov NCT05118386 ↗
Enrolled (actual)
28
Serious AEs
0.0%
Results posted
May 2024
Primary outcomePrimary: Number of Participants With Unsolicited Treatment Emergent Adverse Events (TEAEs) Through Day 151 — 1; 2; 3; 3 Participants
Summary
Gates MRI-RSM01-101 was a Phase 1, randomized, double-blind, placebo-controlled, dose-escalation study to evaluate the safety and tolerability, pharmacokinetics, occurrence of Anti-drug antibody (ADA), and assessment of neutralizing antibody against RSV after administration of single intravenous or intramuscular doses of RSM01 to healthy adults.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Unsolicited Treatment Emergent Adverse Events (TEAEs) Through Day 151 |
1; 2; 3; 3; 3; 2 | — |
| PRIMARY Number of Participants With Serious Adverse Events (SAEs) and AE of Special Interest (AESIs) Through Day 151 |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Solicited Systemic AEs for 7 Days After Dose Administration |
0; 0; 0; 0; 0; 1 | — |
| PRIMARY Number of Participants With Solicited Local AEs for Injection Site Reactions for 7 Days After Intramuscular Dose Administration |
0; 2; 0; 0; 2; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Hematology Assessments of Grade 1 and Above Through Day 151 |
0; 0; 1; 0; 0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Clinical Chemistry Assessments of Grade 1 and Above Through Day 151 |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Area Under the Capillary Blood-concentration Time Curve From Zero to Infinity (AUC 0-infinity) After Administration of RSM01 |
25700000; 25300000; 239000000; 1010000000; 106000000 | — |
| SECONDARY Day 91 Capillary Blood-concentration (CD91) After Administration of RSM01 |
14500; 8020; 63400; 196000; 27600 | — |
| SECONDARY Day 91 Area Under the Capillary Blood-concentration Time Curve (AUC 0-D91) After Administration of RSM01 |
50900000; 40600000; 207000000; 549000000; 85400000 | — |
| SECONDARY Day 151 Capillary Blood-concentration (CD151) After Administration of RSM01 |
13500; 12100; 36800; 105000; 17900 | — |
| SECONDARY Day 151 Area Under the Capillary Blood-concentration Time Curve (AUC 0-D151) After Administration of RSM01 |
68700000; 48400000; 278000000; 813000000; 114000000 | — |
| SECONDARY Maximum Capillary Blood Concentration (Cmax) After Administration of RSM01 |
62200; 31500; 264000; 652000; 56400 | — |
| SECONDARY Minimum Capillary Blood Concentration (Cmin) After Administration of RSM01 |
13500; 3670; 36100; 127000; 18700 | — |
| SECONDARY Time to Maximum Capillary Blood-concentration (Tmax) After Administration of RSM01 |
1.300; 140.458; 1.808; 2.208; 193.508 | — |
| SECONDARY Apparent Terminal Half-Life After Administration of RSM01 |
653; 439; 1310; 1060; 1480 | — |
| SECONDARY Total Body Clearance (CL) After Intravenous Dose Administration of RSM01 |
11.7; 4.25; 2.98 | — |
| SECONDARY Apparent Total Body Clearance (CL) After Intramuscular Dose Administration of RSM01 |
12.0; 5.68 | — |
| SECONDARY Volume of Distribution (Vz) After Intravenous Dose Administration of RSM01 |
11000; 7920; 4550 | — |
| SECONDARY Apparent Volume of Distribution (Vz) After Intramuscular Dose Administration of RSM01 |
7610; 12200 | — |
| SECONDARY Number of Participants With Positive Anti-drug Antibodies (ADAs) at Baseline and Post-Baseline Through Day 151 Following RSM01 Administration |
0; 0; 1; 0; 0; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Participant must be 18 to 49 years of age (inclusive), at the time of signing the informed consent.
- Participant is healthy as determined by medical evaluation including medical history, physical examination and laboratory tests.
- Body mass index (BMI) 18 to 29.9 kg/m2 (inclusive)
- Both males and females are eligible to participate. Female participants must not be pregnant, breastfeeding, or attempting to become pregnant for 28 days prior to screening and throughout the duration of the study. Females must be willing to comply with protocol-specified contraception for the duration of their participation in the study and for 90 days following the completion of the study. Male participants with partners of childbearing potential must be willing to comply with protocol specific contraception for the duration of their participation in the study and for 90 days following the completion of the study. Males must also agree to refrain from sperm donation for at least 90 days after they complete the study.
- Participant must be capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol
- Participant agrees to stay in contact with the study site for the duration of the study, provide updated contact information as necessary, and has no current plans to relocate from the study area for the duration of the study.
Exclusion Criteria
- Acute illness and/or body temperature ≥37.5°C or ≥99.5°F on Study Day 1. NOTE: This is a temporary exclusion for which the participant may be re-evaluated
- Evidence and/or history of clinically significant medical condition(s) as judged by the investigator, including malignancies, diabetes mellitus, and unstable or uncontrolled hypertension
- History of any autoimmune disease or immune deficiency or other impairment to the immune system, including but not limited to HIV, autoimmune conditions, or immunosuppressive therapy. Note: history of Hashimoto's thyroiditis is not an exclusion criterion
- History of anaphylaxis
- Any current medical, psychiatric, occupational, or substance abuse problems that, in the opinion of the investigator, will make it unlikely that the participant will comply with the protocol
- Receiving or plans to receive any medications or other therapies that may impact the immune system such as allergy injections, interferon, immunomodulators, cytotoxic drugs or other drugs known to be frequently associated with major organ toxicity within 90 days prior to Day 1
- Received any vaccination (including COVID-19 vaccine) within the 15 days before Day 1 or plans to receive a dose of any vaccine during the 15-day period following Day 1
- Receiving or plans to receive immunosuppressive agents including systemic steroids within 90 days prior to Day 1 (individuals using inhaled or topical corticosteroids, prednisone (or equivalent) dose of ≤ 20 mg/day for ≤ 14 days, and intra-articular corticosteroids are permitted)
- Received or donated blood or blood products within 90 days prior to Day 1 or plans to receive or donate during the study period
- Received or plans to receive antibody or biologic therapy within 180 days prior to Day 1 or any time during the study period, whether licensed or investigational (e.g., immunoglobulin products, monoclonal antibodies, or antibody fragments)
- Participation in an interventional clinical trial and/or receipt of any investigational drug within 30 days or 5 half-lives of the investigational drug before the first day of study drug dosing in this study, whichever is longer.
- Concurrent enrollment in another interventional study
- Previously participated and received study intervention in the current study
- Female participants: positive serum pregnancy test
- Safety laboratory values outside of normal range, for age and sex that are suggestive of a disease state (Grade 1 abnormalities will not lead to
Data sourced from ClinicalTrials.gov (NCT05118386). 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.