A Study to Investigate the Safety, Pharmacokinetics, and Immunogenicity of BITS7201A in Healthy Volunteers and Participants With Mild Atopic Asthma

Genentech

Status and phase: Completed; Phase 1

Conditions: Mild Atopic Asthma

Treatments: Drug: Placebo; Drug: BITS7201A

Study type: Interventional

Funder types: Industry

Identifiers

NCT02748642

GB30030

Details and patient eligibility

About

This randomized, observer-blinded, placebo-controlled, single and multiple ascending-dose study will be conducted in two parts to evaluate the safety, pharmacokinetics, and immunogenicity of BITS7201A. Part A will be an ascending, single-dose, sequential-group study where participants will be randomly assigned to active drug or placebo. Part B will be an ascending, multiple-dose, sequential-group study where participants will be randomized to active drug or placebo. Total length of the study is anticipated to be approximately 12 months.

Enrollment: 67 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

General Inclusion Criteria:

• Body mass index between 18 and 37 kilograms per meter square (kg/m^2)
• Weight 50-120 kilograms
• Participants in good health, determined by no clinically significant findings from medical history, 12-lead electrocardiogram (ECG), and vital signs
• Clinical laboratory evaluations should be within the reference range for the test laboratory unless deemed not clinically significant by the Investigator and Sponsor.
• For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method for at least 70 days after the last dose of study drug
• For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm for at least 70 days after the last dose of study drug

Additional Inclusion Criteria for Participants With Mild Atopic Asthma:

• Diagnosis of asthma for greater than or equal to (>/=) 3 months prior to screening
• History of atopy
• Pre-bronchodilator forced expiratory volume in 1 second (FEV1) >/=60 percent (%) predicted at screening
• Fractional exhaled nitric oxide (FeNO) >/=30 parts per billion (ppb) at screening and at randomization (predose)

Exclusion criteria

General Exclusion Criteria:

• History or clinical manifestations of significant metabolic, hepatic, renal, pulmonary, cardiovascular, gastrointestinal, urologic, neurologic, or psychiatric disorders
• History of hematologic or immunosuppressive disorders
• History of severe depression or suicidal ideation
• History of inflammatory bowel disease
• History of anaphylaxis, hypersensitivity, or significant drug allergies
• History or presence of an abnormal ECG, which is clinically significant
• History of a positive tuberculin skin test in participants who are Bacille Calmette-Guérin (BCG) vaccine naïve or history of a positive interferon-gamma release assay in participants who have received the BCG vaccine
• Participants with neutropenia or thrombocytopenia
• History of alcoholism or drug addiction within 1 year of screening
• Self-reported history of smoking (tobacco, marijuana, or vaping) within the 7 days prior to initiation of study drug
• Smokers not able to pass the tobacco-related laboratory screening and who cannot refrain from smoking during the confinement periods
• Pregnancy or lactation
• History of malignancy, except completely excised basal cell carcinoma or squamous cell carcinoma of the skin
• Any severe bacterial, fungal, or parasitic infections associated with hospitalization or IV antibiotics within 1 year of screening
• History of active parasitic infection within 6 months or exposure to water-born parasites within 6 weeks prior to initiation of study drug
• Upper or lower respiratory tract infection within 4 weeks prior to screening
• Received oral antibiotics within 4 weeks prior to initiation of study drug, or IV/intramuscular (IM) antibiotics within 8 weeks prior to initiation of study drug
• For health volunteers: use of any prescription medications/products within 7 days prior to Day 1 and throughout the study
• Use of any immunosuppressive medication within 30 days or 5 half-lives, whichever is greater, prior to initiation of study drug
• Use of a non-biologic investigational drug or participation in an investigational study with a non-biologic drug within 30 days prior to initiation of study drug (or within 5 half-lives of the investigational product, whichever is greater)
• Use of a biologic investigational therapy or participation in an investigational study involving biologic therapy within 3 months or 5 half-lives, whichever is greater, prior to initiation of study drug
• Received live or attenuated vaccine within 30 days prior to screening
• Received killed vaccine within 14 days prior to initiation of study drug, unless deemed acceptable by the investigator and Sponsor
• Positive blood test for chronic viral infections by: hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus (HIV) antibody

Additional Exclusion Criteria for Participants With Mild Atopic Asthma:

• Poorly controlled asthma
• Use of any prescription medications and/or products other than asthma and/or allergic rhinitis medications within 7 days prior to Day 1 and throughout the study, unless deemed acceptable by the investigator and Sponsor
• Active lung disease other than asthma
• Occupations with potential exposure to exogenous sources of nitrous oxide and/or associated with elevated FeNO
• Unable to perform FeNO measurement

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

---

67 participants in 11 patient groups, including a placebo group

Part A Cohort A: BITS7201A Dose Level 1 Subcutaneous (SC)

Experimental group

Description:

Healthy participants will receive a single SC dose of BITS7201A dose Level 1 on Day 1.

Treatment:

Drug: BITS7201A

Part A Cohort B: BITS7201A Dose Level 2 SC

Experimental group

Description:

Healthy participants will receive a single SC dose of BITS7201A dose Level 2 on Day 1.

Treatment:

Drug: BITS7201A

Part A Cohort C: BITS7201A Dose Level 4 SC

Experimental group

Description:

Healthy participants will receive a single SC dose of BITS7201A dose Level 4 on Day 1.

Treatment:

Drug: BITS7201A

Part A Cohort D: BITS7201A Dose Level 4 Intravenous (IV)

Experimental group

Description:

Healthy participants will receive a single IV dose of BITS7201A dose Level 4 on Day 1.

Treatment:

Drug: BITS7201A

Part A Cohort E: BITS7201A Dose Level 6 IV

Experimental group

Description:

Healthy participants will receive a single IV dose of BITS7201A dose Level 6 on Day 1.

Treatment:

Drug: BITS7201A

Part A: Placebo

Placebo Comparator group

Description:

Healthy participants will receive a single SC or IV dose of placebo matched to BITS7201A on Day 1.

Treatment:

Drug: Placebo

Part B Cohort F: BITS7201A Dose Level 3 SC

Experimental group

Description:

Healthy participants will receive a single SC dose of BITS7201A dose Level 3 every 4 weeks (Q4W) on Days 1, 29, and 57.

Treatment:

Drug: BITS7201A

Part B Cohort G: BITS7201A Dose Level 4 SC

Experimental group

Description:

Healthy participants will receive a single SC dose of BITS7201A dose Level 4 Q4W on Days 1, 29, and 57.

Treatment:

Drug: BITS7201A

Part B Cohort H: BITS7201A Dose Level 5 SC

Experimental group

Description:

Healthy participants will receive SC dose of BITS7201A dose Level 5 Q4W on Days 1, 29, and 57.

Treatment:

Drug: BITS7201A

Part B Cohort I:BITS7201A Dose Level 5 SC (Mild Atopic Asthma)

Experimental group

Description:

Mild atopic asthma participants will receive SC dose of BITS7201 dose Level 5 Q4W on Days 1, 29, and 57.

Treatment:

Drug: BITS7201A

Part B: Placebo

Placebo Comparator group

Description:

Healthy participants or mild atopic asthma participants will receive SC doses of placebo matched to BITS7201A Q4W on Days 1, 29, and 57.

Treatment:

Drug: Placebo