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A Study to Compare Pharmacokinetics (PK) of Etrolizumab Administered Subcutaneously by a Prefilled Syringe With Needle Safety Device (PFS-NSD) or an Auto-injector (AI)

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Genentech

Status and phase

Completed
Phase 1

Conditions

Healthy Volunteers

Treatments

Device: Auto-Injector (AI)
Device: Prefilled Syringe With Needle Safety Device (PFS-NSD)
Drug: Etrolizumab

Study type

Interventional

Funder types

Industry

Identifiers

NCT02996019
GX29504

Details and patient eligibility

About

This is a randomized, 2-part, 2-arm, open-label, parallel-group, multi-center study to compare the PK of etrolizumab administered subcutaneously by an AI (test device) or a PFS-NSD (reference device) in healthy participants. The study will comprise a pilot cohort (Part 1) to estimate the geometric mean ratio (GMR) and variability of the maximum observed concentration (Cmax) and area under the concentration-time curve (AUC) to confirm or determine the sample size for the pivotal cohort (Part 2). The pivotal cohort will demonstrate exposure comparability of Cmax, AUC from Hour 0 to the last measurable concentration (AUClast), and AUC from Hour 0 to extrapolated infinite time (AUC0-inf), values for a single dose of etrolizumab administered subcutaneously either by the AI or the PFS-NSD.

Enrollment

180 patients

Sex

All

Ages

18 to 55 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Within the body weight range of 60 to 100 kilograms, inclusive (for the pivotal cohort [Part 2] only)
  • Within body mass index (BMI) range 18.0 to 30.0 kilograms per square meter (kg/m^2), inclusive
  • In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram (ECG), and vital signs
  • Females will be non-pregnant, non-lactating, and either postmenopausal (at least 12 months of non-therapy-induced amenorrhea)/surgically sterile (e.g., tubal ligation, hysterectomy) for at least 90 days prior to enrolment, or agree to remain abstinent/use a highly effective method of contraception for at least 24 weeks after study drug administration
  • Males will either be sterile or agree to remain abstinent/use a highly effective method of contraception for at least 24 weeks after study drug administration. Male participants will refrain from sperm donation from Check-in (Day -1) until 24 weeks following study drug administration

Exclusion criteria

  • Any prior treatment with etrolizumab or other anti-integrin agents (including natalizumab, vedolizumab, and efalizumab)
  • Any prior treatment with anti-mucosal addressin cell adhesion molecule 1 (anti-MAdCAM-1) agents
  • Any prior treatment with rituximab
  • Received intravenous corticosteroids within 30 days prior to Screening
  • Use of agents that deplete B or T cells (e.g., alemtuzumab, rituximab, or visilizumab) within 12 months prior to randomization
  • Any prior immunosuppressive agents (including cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil)
  • Chronic nonsteroidal anti-inflammatory drug (NSAID) use
  • Use of any prescription medications/products within 14 days prior to Check in (Day -1)
  • History of demyelinating disease
  • Neurological conditions or diseases
  • History of cancer
  • History of alcoholism or drug addiction within less than (<) 1 year prior to Screening
  • History of active or latent tuberculosis (TB), regardless of treatment history
  • History of recurrent opportunistic infections and/or history of severe disseminated viral infections
  • Positive for human immunodeficiency virus (HIV) antibody
  • Any current or recent signs or symptoms of infection
  • Pregnant or lactating
  • Hospitalized within 4 weeks prior to and during Screening
  • History of organ transplant
  • Presence of skin rash at Screening or history of other skin disorders
  • Tattoos, scars, chronic rashes, or sunburn in the area of the designated injection site

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

180 participants in 4 patient groups

Part 1: Etrolizumab AI
Experimental group
Description:
Participants will receive a single dose of etrolizumab via subcutaneous (SC) injection using the AI on Day 1.
Treatment:
Drug: Etrolizumab
Device: Auto-Injector (AI)
Part 1: Etrolizumab PFS-NSD
Active Comparator group
Description:
Participants will receive a single dose of etrolizumab via SC injection using the PFS-NSD on Day 1.
Treatment:
Drug: Etrolizumab
Device: Prefilled Syringe With Needle Safety Device (PFS-NSD)
Part 2: Etrolizumab AI
Experimental group
Description:
Participants will receive a single dose of etrolizumab via SC injection using the AI on Day 1.
Treatment:
Drug: Etrolizumab
Device: Auto-Injector (AI)
Part 2: Etrolizumab PFS-NSD
Active Comparator group
Description:
Participants will receive a single dose of etrolizumab via SC injection using the PFS-NSD on Day 1.
Treatment:
Drug: Etrolizumab
Device: Prefilled Syringe With Needle Safety Device (PFS-NSD)

Trial contacts and locations

4

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Data sourced from clinicaltrials.gov

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