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Treatment of Acute Zika Virus InfectionPhase 1NCT03443830

Safety and Tolerability of an Antibody Against Zika Virus (Tyzivumab) in Humans

A Phase 1 study testing Tyzivumab in people with Treatment of Acute Zika Virus Infection, run by Tychan Pte Ltd. at 1 site in Singapore.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Zika virus (ZIKV) infection is a new emerging arbovirus disease, caused by the same vector that transmits Dengue virus, Aedes aegypti. ZIKV is a growing public health problem, rapidly spreading throughout the continents since the first epidemic was reported in the French Polynesian islands. Read more about this study

Who is it for?
Ages 21 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Treatment of Acute Zika Virus Infection
What is being tested?
Tyzivumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteSingapore
Study dates
8 Feb 2018to 4 Dec 2018
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 21 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Each subject must meet all the following criteria to be enrolled:
  • Adult healthy volunteers, aged 21 to 45, men or women
  • Women must fulfil one (1) of the following criteria: i. Post-menopausal; either amenorrhea ≥ 12 months or follicle stimulating hormone > 40 mIU/mL ii. Surgically sterile; hysterectomy, bilateral oophorectomy, or tubal ligation iii.Women of childbearing potential participating in heterosexual sexual relations must be willing to use adequate contraception from screening day until 100 days post-infusion b. Male subjects who are non-vasectomized (or vasectomized less than six (6) months prior to dosing) and have female partners of childbearing potential must be willing to use an effective birth control method when having heterosexual intercourse, from screening day until 100 days post-infusion
  • Subjects negative for antibodies to flaviviruses as measured by a commercially available Dengue virus IgG enzyme-linked immunosorbent assay (ELISA) diagnostic kit
  • Subjects negative for human immunodeficiency virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HCV)
  • Subjects who are willing to comply with the requirements of the study protocol and attend scheduled visit
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  • Subjects who give written informed consent approved by the Ethical Review Board governing the site
  • Satisfactory baseline medical assessment as assessed by physical examination and normal laboratory values or minor variations that are acceptable for study entry
  • Accessible vein in the forearm for blood collection

Who cannot join

  • Subjects meeting any of the following criteria will be excluded from the study:
  • History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, neuropsychiatric, or immunosuppressive disorders
  • Evidence of clinically significant anaemia (HB < 10 g/dL) or any other significant active haematological disease, or having donated > 450 mL of blood within the past three (3) months
  • Evidence of substance abuse, or previous substance abuse
  • Participation or planned participation in a study involving the administration of an investigational compound within the past four (4) months or during this study period
  • Planned administration of any vaccine not foreseen by the study protocol 12 weeks before first dosing day and up to four (4) months after dosing
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  • Receipt of immunoglobulins and/or any blood products within nine (9) months of study enrolment or planned administration of any of these products during the study period
  • History of any reaction to monoclonal antibodies
  • Pregnant or lactating women, or women of childbearing potential who are unwilling to use adequate contraception
  • Any condition that, in the opinion of the investigator, would complicate or compromise the study or well-being of the subject

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • SingHealth Investigational Medicine Unit

    Singapore, 169608

Other trials in Singapore

About this study

Official title: Phase 1 First in Human, Time Lagged, Parallel-Group, Single Ascending Dose Study of Tyzivumab in Healthy Adult Volunteers

Zika virus (ZIKV) infection is a new emerging arbovirus disease, caused by the same vector that transmits Dengue virus, Aedes aegypti. ZIKV is a growing public health problem, rapidly spreading throughout the continents since the first epidemic was reported in the French Polynesian islands.

Currently, there are several ZIKV vaccine candidates in clinical trials. However, no ZIKV therapy (biologic or small molecule) has advanced to clinical trials. Tyzivumab will be the first therapeutic in the world, specifically targeting ZIKV, to enter clinical trials.

Read more

This is a Phase 1, first in human, time-lagged, parallel-group, single dose ascending (6 dose cohorts), Tyzivumab, ZIKV monoclonal antibody (mAb), study to be conducted in 24 flaviviral naïve healthy adult volunteers.

Tyzivumab will be administered once through single IV infusion over 30 minutes. Total duration of study participation is estimated at approximately 98 days from the date of screening. Post-trial monitoring through weekly telephone calls will continue from Day 85 post-dose onwards for another three (3) more months.

The main objective of this study is to evaluate safety of Tyzivumab in healthy adult volunteers through assessment of subject vital signs, clinical laboratory results, ECG, presence/absence of AE/SAE, PK and ADA.

Read the detailed description

Dose escalation in this study will include 24 healthy volunteers in six (6) dose cohorts:

  • 0.2 mg/kg, N = 2
  • 0.5 mg/kg, N = 2
  • 1 mg/kg, N = 2
  • 5 mg/kg, N = 6
  • 10 mg/kg, N = 6
  • 20 mg/kg, N = 6

A minimum of 20-hour interval from the first dosing must take place before the second subject can be dosed within each cohort. No such time interval will be required for dosing of subsequent subjects (third subject onwards) within the same cohort.

Dose escalations will be guided by review of clinical signs, adverse events (AEs), and laboratory tests of the prior group (up to Day 7 after dosing) by a safety monitoring committee.

In order to assess the safety and tolerability of an intravenous (IV) infusion of Tyzivumab when given to healthy adult volunteers, the following vital signs and tests will be performed:

  • Blood Pressure
  • Pulse Rate
  • Respiratory Rate
  • Body Temperature
  • ECG
  • Urinalysis
  • Serum Chemistry
  • Haematology

In order to assess Tyzivumab pharmacokinetics (only for doses 1 mg/kg, 5 mg/kg, 10 mg/kg \& 20 mg/kg), the following parameters will be measured:

  • maximum concentration (Cmax)
  • time to maximum concentration (Tmax)
  • area under the curve extrapolated to infinity (AUC0-∞)
  • AUC calculated from time of administration to the last measurable concentration (AUC0-last)
  • half-life (t1/2)
  • volume of distribution (Vd)
  • clearance [CL] in serum PK will be assessed at pre-dose, 0.5 h, 1 h, 2 h, 4 h, 8 h, 24 h, 48 h, 72 h, 120 h, Day 7, Day 14, Day 28, Day 56 and Day 84.

The presence and extent of anti-drug antibody (ADA) production in response to dosing with Tyzivumab will also be assessed at pre-dose, Day 14, Day 56 and Day 84.

Being tested
Tyzivumab
Keywords
Zika virus, Tyzivumab, Monoclonal antibody, Infectious diseases, Phase 1A first in human study, Singapore
Medical subject headings
Zika Virus Infection, Communicable Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TyzivumabDrug

    Also called TY008

    Tyzivumab Injection, (100 mg/5 mL/Vial), Zika Virus (ZIKV) Monoclonal Antibody (mAb) Infused over 30 minutes

Study groups in NCT03443830
Study groupRoleWhat they receive
0.2 mg/kgExperimentalSubject will be administered with 0.2 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab
0.5 mg/kgExperimentalSubject will be administered with 0.5 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab
1 mg/kgExperimentalSubject will be administered with 1 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab
5 mg/kgExperimentalSubject will be administered with 5 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab
10 mg/kgExperimentalSubject will be administered with 10 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab
20 mg/kgExperimentalSubject will be administered with 20 mg/kg of Tyzivumab via IV infusion over a period of 30 minutes.
Receives: Drug: Tyzivumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Treatment-Emergent Adverse Event (Safety and Tolerability)

    Presence or absence of infusion reaction (hypersensitivity / anaphylaxis / etc.) in dose cohorts.

    Measured: 84 days

Secondary outcomes (8)
  1. Maximum Concentration (Cmax) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the maximum concentration (Cmax) of Tyzivumab in human serum.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  2. Time to Maximum Concentration (Tmax) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the time to maximum concentration (Tmax) of Tyzivumab in human serum.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  3. Area Under the Curve Extrapolated to Infinity (AUC0-∞) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the area under the curve extrapolated to infinity (AUC0-∞) of Tyzivumab.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  4. AUC calculated from time of administration to the last measurable concentration (AUC0-last) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the AUC calculated from time of administration to the last measurable concentration (AUC0-last) of Tyzivumab.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  5. Half-Life (t1/2) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the half-life (t1/2) of Tyzivumab in human serum.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  6. Volume of Distribution (Vd) - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate the volume of distribution (Vd) of Tyzivumab in human serum.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  7. Clearance [CL] - Pharmacokinetic Assessment

    Constant monitoring of the levels of antibody in subject sera through various time points as stated below would help elucidate clearance [CL] of Tyzivumab in human serum.

    Measured: Pre-dose, 0.5 hour, 1 hour, 2 hour, 4 hour, 8 hour, 24 hour, 48 hour, 72 hour, 120 hour Day 7, Day 14, Day 28, Day 56 and Day 84.

  8. Anti-Drug Antibody Assessment

    To assess the presence or absence of anti-drug antibody (ADA) production in response to dosing with Tyzivumab

    Measured: Pre-dose, Day 14, Day 56 and Day 84

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2018
  2. Study start8 Feb 2018
  3. Primary completion12 Sep 2018
  4. Study completion4 Dec 2018

Resources

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Time Lagged, Parallel-Group, Single Ascending Dose Study
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03443830
Sponsor's protocol ID
ZKT-001
Status last verified
Apr 2019
First submitted
8 Feb 2018
Last updated
10 Apr 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tyzivumab in people with Treatment of Acute Zika Virus Infection, run by Tychan Pte Ltd. at 1 site in Singapore.

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 9 inclusion and 10 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 10 Apr 2019. 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 Singapore. 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?

Incidence of Treatment-Emergent Adverse Event (Safety and Tolerability) (time frame: 84 days). 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 10 Apr 2019.

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