Multiple Sclerosis (MS)Phase 1C-851NCT01863069
Avonex®: Safety, Blood Levels and Effects
A Phase 1 study testing Interferon beta 1a and (IM) AVONEX® in people with Multiple Sclerosis (MS), run by Trio Medicines Ltd. at 1 site in United Kingdom.
Trial summary
The primary objective was to determine the tolerability of a new inhaled formulation of interferon beta-1a when given as a single dose, when given once per week for 4 weeks, and compared with standard intramuscular (IM) AVONEX® when given as a single dose. Read more about this study
- Who is it for?
- Ages 18 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Multiple Sclerosis (MS)
- What is being tested?
- Interferon beta 1a and (IM) AVONEX®
- How many people
- 77 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- Jan 2001to Oct 2001
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Must be between the ages of 18 and 45 years, inclusive.
- Must have a body mass index (BMI) of 19 to 28 kilograms/height (m)2, inclusive, and have a minimum body weight of 50 kilograms (at screening and baseline).
- Must give written informed consent.
Who cannot join
- History of severe allergic or anaphylactic reactions.
- History of hypersensitivity to acetaminophen (paracetamol) or ibuprofen. Subjects in Part III of the study will also be excluded for history of hypersensitivity to human albumin.
- History of any clinically significant (as determined by the investigator) cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, and/or other major disease.
- History of asthma, as defined by wheezing, dyspnea, or cough requiring treatment with either inhaled beta-2-agonists, inhaled corticosteroids, inhaled cromolyn sodium, or oral steroids or history of chronic obstructive pulmonary disease (including chronic bronchitis, bronchiectasis, or emphysema).
- Abnormal screening full pulmonary function tests (PFTs) or baseline spirometry (predicted values are those of the European Coal and Steel Community (Quanjer, 1983)) or abnormal screening or baseline oximetry, as defined by any one of the following:
- <80% predicted Forced expiratory volume (FEV1)
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- <80% predicted forced vital capacity (FVC)
- <70% FEV1/FVC ratio
- <80% predicted total lung capacity (TLC)
- <80% predicted diffusion capacity, corrected for hemoglobin (DLCOcorr).
- Oxygen saturation of <96% on room air at rest.
- Inability to perform pulmonary function tests in a reproducible manner.
- Inability to use the Pulmonary Delivery System device correctly.
- Abnormal baseline or screening dyspnea scale, defined as a score of equal to or greater than 1 on the modified Medical Research Council (MRC) scale.
- Fever (body temperature >38 degrees C) or symptomatic viral or bacterial infection (including upper respiratory infection) within 1 week prior to the first day of dosing.
- Abnormal baseline or screening blood tests exceeding any of the limits defined below:
- Alanine transaminase (ALT) or aspartate transaminase (AST) or bilirubin > 2x the upper limit of normal (> 2x ULN)
- Total white blood cell count (WBC) < 3700/mm3
- Platelet count < 150,000/mm³
- Hemoglobin < 12 g/dL
- Plasma Creatinine > ULN
- Prothrombin time (PT) or activated thromboplastin time (aPTT) > ULN
- Positive for hepatitis C antibody, hepatitis B surface antigen (HBsAg), or HIV antibody.
- An electrocardiogram (ECG) with a clinically significant abnormality (as determined by the investigator).
- A chest radiograph (CXR) with a clinically significant abnormality (as determined by the investigator).
- History of epilepsy or fits or unexplained blackouts.
- Treatment History
- Previous treatment with any interferon beta or any interferon alpha product.
- Treatment with another investigational drug or approved therapy for investigational use within 3 months prior to the first day of dosing.
- Except for contraceptives, vitamin/mineral supplements, acetaminophen (paracetamol), and/or ibuprofen, treatment with any medication including over-the-counter products within 48 hours prior to the first dose of study drug.
- Miscellaneous
- History of smoking within 6 months prior to the first day of dosing.
- Abnormal screening urine cotinine level (defined as >100 ng/mL when performed by capillary column gas-liquid chromatography).
- History of drug or alcohol abuse (as defined by the investigator) within the 2 years prior to the first day of dosing.
- Blood donation (one unit or more) within 1 month prior to the first day of dosing.
- Vigorous exercise (as determined by the investigator) within 48 hours prior to the first dose of study drug.
- Alcohol use within 24 hours prior to the first dose of study drug.
- Female subjects who are currently pregnant or breast-feeding.
- For female subjects, unless postmenopausal or surgically sterile, unwillingness to practice effective contraception, as defined by the investigator, during the study. The rhythm method is not to be used as the sole method of contraception. Women considering becoming pregnant while on study are to be excluded.
- Positive screening or baseline urine drug screen
- Unwillingness or inability to comply with the requirements of this protocol including the presence of any condition (physical, mental, or social) that is likely to affect the subject's returning for follow-up visits on schedule.
- Current enrollment in any other study.
- Previous participation in this study.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Single-centre Study to Evaluate the Tolerability, Pharmacokinetics, and Pharmacodynamics of a New Inhaled Formulation of AVONEX® (Interferon Beta-1a) in Healthy Volunteers
The primary objective was to determine the tolerability of a new inhaled formulation of interferon beta-1a when given as a single dose, when given once per week for 4 weeks, and compared with standard intramuscular (IM) AVONEX® when given as a single dose.
The additional objectives were:
Read more
To determine the pharmacokinetic (PK) properties of a new inhaled formulation of interferon beta-1a, using an anti-viral cytopathic effect (CPE) assay for human interferon-beta, when given as a single dose, when given once per week for 4 weeks, and compared with standard IM AVONEX® when given as a single dose.
To determine the pharmacodynamic (PD) properties of a new inhaled formulation of interferon beta-1a, as measured by serum neopterin and 2-microglobulin, when given as a single dose, when given once per week for 4 weeks, and compared with standard IM AVONEX® when given as a single dose.
- Conditions
- Multiple Sclerosis (MS)
- Being tested
- Interferon beta 1a, (IM) AVONEX®
- Keywords
- inhaled, interferon beta-1a, healthy subjects
- Medical subject headings
- Multiple Sclerosis, Respiratory Aspiration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interferon beta 1aDrug
Also called AVONEX
(IM) AVONEX®Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Pharmacokinetic parameter
Serum concentrations of human interferon-beta
Measured: 10 months
Pharmacodynamic parameter
Serum concentrations of neopterin and beta2-microglobulin
Measured: 10 months
Number of adverse events
Adverse events throughout the study
Measured: 10 months
Clinically relevant changes from baseline in safety assessments
Routine physical examination, ECG, safety tests of blood/urine, CXR, oximetry, full pulmonary function tests, spirometry, Dyspnea scale
Measured: 10 months
Pharmacodynamic paramter
Cellular MxA protein as an exploratory analysis
Measured: 10 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 May 2013 (estimated)
- Study startJan 2001
- Primary completionOct 2001
- Study completionOct 2001
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Multiple Sclerosis (MS)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Basic science
- Allocation
- Randomised
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 77 participants (actual)
Sponsor and investigators
- Lead sponsor
- Trio Medicines Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Biogen
- Responsible party
- Sponsor
- Investigators
- Steve Warrington, Principal investigator, Hammersmith Medicines Research
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01863069
- Sponsor's protocol ID
- 00-037
- Acronym
- C-851
- Status last verified
- May 2013
- First submitted
- 20 May 2013
- Last updated
- 27 May 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 May 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-centre Study to Evaluate the Tolerability, Pharmacokinetics, and Pharmacodynamics of a New Inhaled Formulation of AVONEX® (Interferon Beta-1a) in Healthy Volunteers
- ClinicalTrials.gov ID
- NCT01863069
- Acronym / sponsor ID
- C-851 / 00-037
- Conditions
- Multiple Sclerosis (MS)
- Keywords
- inhaled, interferon beta-1a, healthy subjects
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 77 participants (actual)
- Lead sponsor
- Trio Medicines Ltd.Industry (pharma, biotech, devices)
- Collaborators
- Biogen
- Study start
- Jan 2001
- Primary completion
- Oct 2001 (actual)
- Study completion
- Oct 2001 (actual)
- First posted
- 27 May 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective was to determine the tolerability of a new inhaled formulation of interferon beta-1a when given as a single dose, when given once per week for 4 weeks, and compared with standard intramuscular (IM) AVONEX® when given as a single dose.
The additional objectives were:
To determine the pharmacokinetic (PK) properties of a new inhaled formulation of interferon beta-1a, using an anti-viral cytopathic effect (CPE) assay for human interferon-beta, when given as a single dose, when given once per week for 4 weeks, and compared with standard IM AVONEX® when given as a single dose.
To determine the pharmacodynamic (PD) properties of a new inhaled formulation of interferon beta-1a, as measured by serum neopterin and 2-microglobulin, when given as a single dose, when given once per week for 4 weeks, and compared with standard IM AVONEX® when given as a single dose.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Masking
- Double blind (participant, investigator)
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Must be between the ages of 18 and 45 years, inclusive.
- Must have a body mass index (BMI) of 19 to 28 kilograms/height (m)2, inclusive, and have a minimum body weight of 50 kilograms (at screening and baseline).
- Must give written informed consent.
Key exclusion criteria (43 listed)
- History of severe allergic or anaphylactic reactions.
- History of hypersensitivity to acetaminophen (paracetamol) or ibuprofen. Subjects in Part III of the study will also be excluded for history of hypersensitivity to human albumin.
- History of any clinically significant (as determined by the investigator) cardiac, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, and/or other major disease.
- History of asthma, as defined by wheezing, dyspnea, or cough requiring treatment with either inhaled beta-2-agonists, inhaled corticosteroids, inhaled cromolyn sodium, or oral steroids or history of chronic obstructive pulmonary disease (including chronic bronchitis, bronchiectasis, or emphysema).
- Abnormal screening full pulmonary function tests (PFTs) or baseline spirometry (predicted values are those of the European Coal and Steel Community (Quanjer, 1983)) or abnormal screening or baseline oximetry, as defined by any one of the following:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Interferon beta 1aAlso: AVONEX | Drug | – |
| (IM) AVONEX® | Drug | – |
Primary outcome
Pharmacokinetic parameter
Time frame: 10 months
Serum concentrations of human interferon-beta
Pharmacodynamic parameter
Time frame: 10 months
Serum concentrations of neopterin and beta2-microglobulin
Number of adverse events
Time frame: 10 months
Adverse events throughout the study
Clinically relevant changes from baseline in safety assessments
Time frame: 10 months
Routine physical examination, ECG, safety tests of blood/urine, CXR, oximetry, full pulmonary function tests, spirometry, Dyspnea scale
Pharmacodynamic paramter
Time frame: 10 months
Cellular MxA protein as an exploratory analysis
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 May 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Steve Warrington principal investigator
Hammersmith Medicines Research
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Interferon beta 1a and (IM) AVONEX® in people with Multiple Sclerosis (MS), run by Trio Medicines Ltd. at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 43 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 May 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pharmacokinetic parameter (time frame: 10 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 May 2013.