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Healthy VolunteersPhase 1NCT03615196

Study of the Safety of USB005 in Healthy Volunteers

A Phase 1 study testing USB005 (aclerastide) Ophthalmic Solution in people with Healthy Volunteers, run by US Biotest, Inc. at 1 site in United States.

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

This study will evaluate the safety, tolerability and pharmacokinetics of USB005 (aclerastide) Ophthalmic Solution. Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
USB005 (aclerastide) Ophthalmic Solution
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteUnited States
Study dates
25 Jul 2018to 2 Apr 2019
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 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male or female volunteers, aged 18-64 years (inclusive) at the time of signing the ICF;
  • For females:
  • Surgically sterilized (eg, hysterectomy or bilateral oophorectomy) for at least 6 months prior to screening or postmenopausal (postmenopausal women must have no menstrual bleeding for at least 1 year prior to screening and menopause will be confirmed by a plasma FSH level of >40 IU/L) or
  • Women of childbearing potential must be non-lactating and agree to use a highly effective acceptable form of birth control (e.g., established hormonal birth control plus a barrier method, double barrier method: intrauterine device plus condom or spermicidal gel plus condom) from 21 days prior to dosing until 7 days after dosing, and
  • Women with a negative pregnancy test (β-hCG assay) at screening and Day -1;
  • Weight of 45-100 kg and BMI of 17.5-35 kg/m2 (inclusive);
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  • Blood pressure no greater than 120/80 mm Hg (inclusive);
  • Healthy, as determined by medical history, physical examination, vital signs, and clinical laboratory tests, unless the Investigator considers an abnormality to be clinically irrelevant;
  • IOP measurement oculus uterque (OU, both eyes) <21 mm Hg at screening and Day -1;
  • BCVA 20/30 or better (LogMAR and Snellen Equivalent) at both the screening visit and Day -1 in at least 1 eye;
  • Normal vision as determined by comprehensive ocular examination;
  • Able and willing to provide signed, written, informed consent;
  • Willing to communicate with the Investigator and site staff and comply with all study procedures and requirements;
  • Willing and able to be confined to the clinical study site as required by the protocol.

Who cannot join

  • Any history of severe ocular trauma in either eye at any time;
  • Any history of previous intraocular or ocular laser surgery within the past 3 months or any refractive surgery procedure within the past 6 months of the screening visit in either eye;
  • Any condition preventing reliable ocular assessment (eg, applanation tonometry, fundus examination) in either eye;
  • Intended use of contact lenses during this study or 1 week before Day -1;
  • Current or chronic history of ocular disease within the past 3 months of screening visit in either eye;
  • Current or chronic history of ocular infection (bacterial, viral or fungal) or corneal irritation within the past 3 months of screening visit in either eye OR ongoing or recurrent ocular inflammation (ie, moderate to severe blepharitis, allergic conjunctivitis, peripheral ulcerative keratitis, scleritis, uveitis) in either eye;
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  • Abnormal tearing, OR expected regular use of prescription or expected use of OTC tear substitutes within 4 weeks prior to Day -1, and for the duration of the study;
  • Previous or expected use of ocular (topical, periocular, intravitreal), local (inhaled or nasal), or systemic steroid or glucocorticoid medications within 4 weeks prior to Day -1, and for the duration of the study;
  • At the ophthalmic investigator's discretion, any volunteers who have a history of any significant ocular conditions in either eye that would contraindicate the use of the study medication, or that might affect the study conduct, or the interpretation of the study results;
  • Use of any non-diagnostic topical ophthalmic solutions through the duration of the study;
  • Clinically significant metabolic disease such as diabetes, asthma, or hypertension (ie, blood pressure >120/80 mm Hg on two successive visits during screening);
  • Taken any nicotine-containing products in the last 6 months prior to dosing or for the duration of the study;
  • At the Investigator's discretion, any volunteers with a history or presence of clinically significant cardiovascular disorders, including a history of orthostatic hypotension, arrhythmia and syncope (including vasovagal syncope), or respiratory, metabolic, renal, hepatic, immunologic, endocrine, dermatologic, venereal, hematologic, neurologic, psychiatric (eg, major depression with suicidal ideation, or suicide attempt), malignant neoplasm, musculoskeletal, connective tissue, urinary disease or disorders;
  • History of clinically significant drug or food allergy;
  • Positive HIV, hepatitis B or C viral test at screening;
  • Taken any prescription drugs within 14 days or within 5 half-lives, whichever is longer, prior to dosing;
  • Taken any non-prescription or OTC drugs including vitamins or herbal medications within 14 days or within 5 half-lives whichever is longer, prior to dosing;
  • History or presence, as judged by the Investigator, of drug or alcohol abuse (ie, alcohol consumption >2 drinks/day over the last 3 months prior to screening); drug abuse is any use of illegal drugs or prescription-drug over usage or addiction. A positive drug screen or alcohol screen will disqualify a volunteer from study participation;
  • Donated >400 mL and/or received any blood or blood products within the previous 3 months prior to screening;
  • Taken any investigational medication and/or participated in any clinical studies within 30 days of screening;
  • Any volunteer who, in the judgment of the Investigator, may not be able to cooperate fully with the study staff, may have difficulty following some study requirements, or is otherwise not qualified for the study;
  • Any volunteer who is directly involved in the conduct of the protocol.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • WCCT Global, Inc.

    Cypress, California, 90630

Other trials in United States

About this study

Official title: Evaluation of USB005 in a Phase 1 Normal, Healthy Volunteer Ocular Safety and PK Study

This study will evaluate the safety, tolerability and pharmacokinetics of USB005 (aclerastide) Ophthalmic Solution.

Read the detailed description

This is a Phase 1, single-center, randomized, double-masked, placebo-controlled, multiple ascending dose study in healthy volunteers. Thirty-two male and female volunteer subjects, between the ages of 18 and 64 years of age, will be enrolled. Subjects will be enrolled in four dose-escalating cohorts of eight subjects and randomized to USB005 or placebo in a ratio of 3:1. Cohorts will be enrolled sequentially starting at the lowest concentration. The four cohorts will be identified as: Cohort 1(0.03% USB005 or placebo), Cohort 2 (0.1% USB005 or placebo), Cohort 3 (0.3% USB005 or placebo), and Cohort 4 (0.45% USB005 or placebo). Volunteers in the four cohorts will self-administer a single drop of USB005 or placebo into the study eye, three times a day for 28 days. The study eye in which the drug is applied to will be determined based on screening assessments. Subjects will be followed for 8 days after the last USB005 or placebo administration.

The safety and tolerability of USB005 will be demonstrated by local toxicity, adverse events, laboratory assessments, vital signs, and a comprehensive eye exam. Plasma samples will be taken at various time points throughout the study to characterize the pharmacokinetics of USB005. Dropouts will be replaced after consultation with the Sponsor.

Being tested
USB005 (aclerastide) Ophthalmic Solution, USB005 Ophthalmic Solution Placebo
Keywords
NorLeu3-A(1-7), USB005, aclerastide, corneal repair, corneal injury
Medical subject headings
Corneal Injuries

What participants receive

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

  • USB005 (aclerastide) Ophthalmic SolutionDrug

    Aclerastide ([Nle3]-Angiotensin II (1-7)) is aseptically formulated in USB005 Ophthalmic Solution for topical ophthalmic administration. Active pharmaceutical ingredient (API) levels ranging from 0.03% to 0.45% are formulated in a sterile vehicle consisting of 0.06% Sodium Phosphate Monobasic Anhydrous, USP; 3% Glycerol, USP; 1.4% Polyvinyl Alcohol, USP; and 0.5% Hydroxyethylcellulose (HEC 250 HHX), NF in Sterile Water for Injection, USP.

  • USB005 Ophthalmic Solution PlaceboDrug

    A clinical placebo formulated with the same excipients and packaged in the same container closure system as the active product, USB005 (aclerastide) Ophthalmic Solution.

Study groups in NCT03615196
Study groupRoleWhat they receive
USB005 0.03%ExperimentalUSB005 (aclerastide) Ophthalmic Solution 0.03%; single eye drop instillation three times a day to one eye during a 28-day treatment period (84 treatments)
Receives: Drug: USB005 (aclerastide) Ophthalmic Solution
USB005 0.1%ExperimentalUSB005 (aclerastide) Ophthalmic Solution 0.1%; single eye drop instillation three times a day to one eye during a 28-day treatment period (84 treatments)
Receives: Drug: USB005 (aclerastide) Ophthalmic Solution
USB005 0.3%ExperimentalUSB005 (aclerastide) Ophthalmic Solution 0.3%; single eye drop instillation three times a day to one eye during a 28-day treatment period (84 treatments)
Receives: Drug: USB005 (aclerastide) Ophthalmic Solution
USB005 0.45%ExperimentalUSB005 (aclerastide) Ophthalmic Solution 0.45%; single eye drop instillation three times a day to one eye during a 28-day treatment period (84 treatments)
Receives: Drug: USB005 (aclerastide) Ophthalmic Solution
USB005 PlaceboPlacebo comparatorUSB005 Ophthalmic Solution Placebo; single eye drop instillation three times a day to one eye during a 28-day treatment period (84 treatments)
Receives: Drug: USB005 Ophthalmic Solution Placebo

What is being measured

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

  1. Percentage of volunteers with dose limiting toxicities in each cohort

    Measured: 36 days

  2. Percentage of volunteers in each cohort with ocular adverse events

    Measured: 36 days

  3. Percentage of volunteers in each cohort with systemic adverse events

    Measured: 36 days

  4. Percentage of volunteers with clinically significant out of range laboratory values

    Measured: 36 days

Secondary outcomes (6)
  1. Maximum observed concentrations (Cmax)

    Measured: 36 days

  2. Time to reach maximum observed plasma concentration (Tmax) after multiple ascending dose

    Measured: 36 days

  3. Apparent terminal half-life (T1/2) after multiple ascending dose

    Measured: 36 days

  4. Area under the plasma concentration versus time curve from time 0 to infinity (AUCinf)

    Measured: 36 days

  5. Area under the plasma concentration versus time curve up to the last measurable concentration (AUC0-last)

    Measured: 36 days

  6. Apparent clearance (CL/F)

    Measured: 36 days

Timeline

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

  1. First posted3 Aug 2018
  2. Study start25 Jul 2018
  3. Primary completion8 Nov 2018
  4. Study completion2 Apr 2019

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
Randomised
Intervention model
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03615196
Sponsor's protocol ID
USB005-2017-01
Status last verified
Apr 2019
First submitted
30 Jul 2018
Last updated
4 Apr 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Abdallah WF, Louie SG, Zhang Y, Rodgers KE, Sivok E, S diZerega G, Humayun MS. NorLeu3A(1-7) Accelerates Clear Corneal Full Thickness Wound Healing. Invest Ophthalmol Vis Sci. 2016 Apr 1;57(4):2187-94. doi: 10.1167/iovs.15-18515.

    PubMed 27116546

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing USB005 (aclerastide) Ophthalmic Solution in people with Healthy Volunteers, run by US Biotest, Inc. at 1 site in United States.

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 14 inclusion and 22 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 4 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 United States. 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. Some participants in this study may receive a placebo. 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?

Percentage of volunteers with dose limiting toxicities in each cohort (time frame: 36 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03615196, which also lists 1 linked publication.

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 4 Apr 2019.

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