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Amyloidosis; SystemicPhase 1AT02-001NCT05521022

Study of AT-02 in Healthy Volunteers and Subjects With Systemic Amyloidosis

A Phase 1 study testing AT-02 in people with Amyloidosis; Systemic, run by Attralus, Inc. at 11 sites in 2 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a multicenter, international, three-part, Phase 1 study designed to evaluate the safety, tolerability, and PK of rising single doses of AT-02 in healthy volunteers and in subjects with systemic amyloidosis and to assess the safety, tolerability, and PK of multiple doses of AT-02 in subjects with systemic… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Amyloidosis; Systemic
What is being tested?
AT-02
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
11 sitesin 2 countries
Study dates
1 Sep 2022to 1 Mar 2025
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Eligibility Criteria for Healthy Volunteers:
  • Healthy volunteers are eligible to be included in the study only if all the following criteria apply:
  • Understands the study procedures and can give signed informed consent
  • Male or female between >18 and <56 years of age.
  • Willing and able to comply with this protocol and informed consent and be available for the entire duration of the study.
  • Willing to abstain from alcohol and strenuous physical activity (i.e., strenuous or unaccustomed weightlifting, running, bicycling, etc.) from 48 hours prior to study treatment administration until discharge from the clinical unit and prior to each outpatient visit.
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  • In good general health, determined by no clinically significant findings in the opinion of the Investigator from medical history, physical examination, 12-lead electrocardiogram (ECG), clinical laboratory findings, and vital signs at Screening and Phase 1 unit Check-in.
  • Has body mass index (BMI) of 18 to 32 kg/m2, inclusive.
  • Women of childbearing potential (WOCBP)
  • WOCBP must have a negative serum or urine pregnancy test within 24 hours prior to the start of study drug.
  • Must not be breastfeeding, lactating, or planning a pregnancy during the study period.
  • WOCBP who are not exclusively in same-sex relationships must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 105 days after the last dose of study intervention.
  • Postmenopausal females:
  • Postmenopausal females under the age of 55 years must have a documented serum follicle stimulating hormone (FSH) level >40 mIU/mL to confirm menopause
  • Women of non-childbearing potential (WONCBP) and female participants with vasectomized male partners:
  • WONCBP must agree to remain abstinent (complete avoidance of intercourse) or the male partners of WONCBP participants must wear a condom to protect against the transfer of study intervention through bodily fluids during the treatment period and for at least 105 days after the last dose of study intervention.
  • Male participants:
  • Male participants must inform their female sexual partners who are WOCBP of the contraceptive requirements of the protocol and are expected to adhere to using contraception with their partner.
  • Male participants with female sexual partners who are WOCBP must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 165 days after the last dose of study intervention.
  • Male participants must not donate sperm for at least 165 days after the last dose of study intervention.
  • Male participants with potentially postmenopausal partners who are under the age of 55 years must use condoms unless their partner's postmenopausal status has been confirmed by FSH level.
  • Male participants in same-sex relationships or in relationships with WONCBP must agree to remain abstinent (complete avoidance of intercourse) or use a condom to prevent exposure of the partner to study intervention through ejaculate/seminal fluid during the treatment period and for at least 165 days after the last dose of study intervention.
  • Eligibility Criteria for Part 2 Subjects with Systemic Amyloidosis
  • Subjects with systemic amyloidosis are eligible to be included in the study only if all the following criteria apply:
  • Understands the study procedures and can give signed informed consent
  • Male or female ≥18 and ≤80 years of age.
  • Mini Mental Status Exam (MMSE) score >27 (subjects >55 years of age only).
  • Has a confirmed diagnosis of AL, ATTR, or other form of systemic amyloidosis, based on any one of the following:
  • A histologic confirmation with a biopsy containing deposits of apple-green birefringent, Congophilic material or other amyloid staining (i.e., thioflavin T or sulfated alcian blue) with confirmatory immunohistochemistry, mass spectrometry or identification of an amyloidogenic genetic variant;
  • Genetic screening with presence of amyloid-related pathology; or
  • Amyloid-specific imaging study (e.g., bone scintigraphy and echocardiogram/CMR consistent with ATTR cardiac amyloid).
  • Subjects with AL systemic amyloidosis must have achieved a hematologic very good partial response (VGPR) or complete response (CR) based on their most recent assessment (e.g., difference in free light chains <40 mg/L) and within 12 months of Screening and may be receiving maintenance daratumumab.
  • Subjects with ATTR systemic amyloidosis may be receiving a TTR silencer (e.g., inotersen, vutrisiran, or patisiran) or a stabilizer (e.g., tafamadis or diflunisal), but not both.
  • Women of childbearing potential (WOCBP):
  • WOCBP must have a negative serum or urine pregnancy test within 24 hours prior to the start of study treatment.
  • Must not be breastfeeding, lactating, or planning a pregnancy during the study period.
  • WOCBP who are not exclusively in same-sex relationships must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 105 days after the last dose of study intervention.
  • Women of non-childbearing potential (WONCBP), and female participants with vasectomized male partners:
  • WONCBP must agree to remain abstinent (complete avoidance of intercourse) or the male partners of WONCBP participants must wear a condom to protect against the transfer of study intervention through bodily fluids during the treatment period and for at least 105 days after the last dose of study intervention.
  • Postmenopausal females must have a documented serum FSH level >40 mIU/mL at Screening to confirm menopause.
  • Male participants:
  • Male participants must inform their female sexual partners who are WOCBP of the contraceptive requirements of the protocol and are expected to adhere to using contraception with their partner.
  • Male participants with female sexual partners who are WOCBP must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 165 days after the last dose of study intervention.
  • Male participants must not donate sperm for at least 165 days after the last dose of study intervention.
  • Male participants in same-sex relationships or in relationships with WONCBP, must agree to remain abstinent (complete avoidance of intercourse) or use a condom to prevent exposure of the partner to study intervention through ejaculate/seminal fluid during the treatment period and for at least 165 days after the last dose of study intervention.
  • Eligibility Criteria for Part 3 Subjects with Systemic Amyloidosis
  • Subjects with systemic amyloidosis are eligible to be included in the study only if all the following criteria apply:
  • Understands the study procedures and can give signed informed consent.
  • Male or female ≥18 and ≤85 years of age.
  • Has a confirmed diagnosis of ATTR cardiomyopathy (ATTR-CM), AL, or other form of systemic amyloidosis
  • Imaging evidence of organ amyloid deposits.
  • For ATTR cardiomyopathy subjects, genetic testing confirming wild type ATTR or identification of an amyloidogenic genetic variant is required. If genetic testing has not been performed prior to screening, then the test may be ordered during screening
  • Subjects with ATTR cardiomyopathy may be receiving a TTR silencer (e.g., inotersen, vutrisiran, or patisiran) or a stabilizer (e.g., tafamadis or diflunisal), but not both.
  • Subjects with AL systemic amyloidosis may be receiving maintenance daratumumab and must have
  • Achieved a hematologic very good partial response (VGPR) or complete response (CR) based on their most recent assessment (e.g., difference in free light chains <40 mg/L) within 12 months of Screening or
  • Achieved a partial hematologic response, is in stable condition (defined as >6 months without clonal or amyloidotic organ progression), is not receiving plasma cell directed (PCD) therapy and is not expected to require PCD therapy for the duration of the study.
  • Women of childbearing potential (WOCBP):
  • WOCBP must have a negative serum or urine pregnancy test within 24 hours prior to the start of study treatment.
  • Must not be breastfeeding, lactating, or planning a pregnancy during the study period.
  • WOCBP who are not exclusively in same-sex relationships must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 105 days after the last dose of study intervention.
  • Women of non-childbearing potential (WONCBP), and female participants with vasectomized male partners:
  • WONCBP must agree to remain abstinent (complete avoidance of intercourse) or the male partners of WONCBP participants must wear a condom to protect against the transfer of study intervention through bodily fluids during the treatment period and for at least 105 days after the last dose of study intervention.
  • Postmenopausal females must have a documented serum FSH level >40 mIU/mL at Screening to confirm menopause.
  • Male participants:
  • Male participants must inform their female sexual partners who are WOCBP of the contraceptive requirements of the protocol and are expected to adhere to using contraception with their partner.
  • Male participants with female sexual partners who are WOCBP must agree to remain abstinent (complete avoidance of heterosexual intercourse) or use adequate contraceptive methods, defined as use of a condom by the male partner combined with use of a highly effective method of contraception by the female partner, during the treatment period and for at least 165 days after the last dose of study intervention.
  • Male participants must not donate sperm for at least 165 days after the last dose of study intervention.
  • Male participants in same-sex relationships or in relationships with WONCBP must agree to remain abstinent (complete avoidance of intercourse) or use a condom to prevent exposure of the partner to study intervention through ejaculate/seminal fluid during the treatment period and for at least 165 days after the last dose of study intervention.

Who cannot join

None listed.

Trial locations and contacts

11 sites in 2 countries.

Scott Stephens, RN contact

3212287400

Sstephens@attralus.com

11 sites in 2 countries

United States6 sites, 6 recruiting
  • Johns Hopkins

    Baltimore, Maryland, 21287

    Joban Vaishnav, Dr, jvaishn1@jhmi.edu

    Recruiting
  • Cleveland Clinic

    Cleveland, Ohio, 44195

    Mazen Hanna, Dr, hannam@ccf.org

    Recruiting
  • St. Luke's Hospital of Kansas City

    Kansas City, Missouri, 64111

    Carmen Cook, RN, 816-932-3410, carcook1@saint-lukes.org

    Recruiting
  • Midwest Heart and Vascular

    Overland Park, Kansas, 66211

    Vasvi Singh, Dr, Vasvi.singh@hcahealthcare.com

    Recruiting
  • Penn Presbyterian Medical Center

    Philadelphia, Pennsylvania, 19104

    Brian Drachman, Dr, drachman@pennmedicine.upenn.edu

    Recruiting
  • OHSU (Oregon Health & Science University)

    Portland, Oregon, 97239

    Ahmad Masri, Dr, masria@ohsu.edu

    Recruiting

Other trials in United States

Australia5 sites, 5 recruiting
  • Flinders Medical Centre

    Bedford Park, South Australia, 5042

    Joseph Selvanayagam

    Recruiting
  • Box Hill Hospital

    Box Hill, Victoria, 3128

    Simon Gibbs

    Recruiting
  • Q-Pharm Pty Ltd

    Herston, Queensland, 4006

    Richard Friend

    Recruiting
  • Royal Perth Hospital

    Perth, Western Australia, 6000

    Graham Hillis

    Recruiting
  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

    Dariusz Korczyk, Dr

    Recruiting

Other trials in Australia

About this study

Official title: A Three-part, Phase 1, Single-ascending, and Multiple-ascending Dose Escalation Study in Healthy Volunteers and Subjects With Systemic Amyloidosis to Assess the Safety, Tolerability, and Pharmacokinetics of AT-02

This is a multicenter, international, three-part, Phase 1 study designed to evaluate the safety, tolerability, and PK of rising single doses of AT-02 in healthy volunteers and in subjects with systemic amyloidosis and to assess the safety, tolerability, and PK of multiple doses of AT-02 in subjects with systemic amyloidosis.

Read the detailed description

Systemic amyloidosis is an incurable disease, and about 20% of patients with cardiac or advanced kidney involvement experience early deaths (<1 year). Despite recent progress in proteasome inhibitors, chemotherapies, and immunotherapies that target plasma cells have greatly improved the prognosis of patients with systemic amyloidosis, median survival remains low at approximately five years.

AT-02 (INN: not yet available) is a full-length, humanized, recombinant immunoglobulin 1 (IgG1)-like glycoprotein monoclonal antibody (mAb) that is being developed to treat systemic amyloidosis.

This is a three-part, Phase 1 study designed to evaluate the safety, tolerability, and PK of rising single doses of AT-02 in healthy volunteers (HV) and in subjects with systemic amyloidosis (SA) and to assess the safety, tolerability, and PK of multiple doses of AT-02 in subjects with systemic amyloidosis.

Part 1 is a double-blind, single-center, single-ascending dose escalation study in HV to assess the safety, tolerability, and PK of AT-02. Healthy volunteers between 18 to 56 years of will be enrolled in the Part 1 study.

Part 2 is an open-label, single-ascending dose escalation study in subjects with systemic amyloidosis to assess the safety, tolerability, and PK of AT-02 and to identify a maximum tolerated dose (MTD). Subjects with SA over 18 years of age will be involved in the Part 2 study.

Part 3 is an open-label, multiple-ascending dose, dose escalation study in subjects with systemic amyloidosis to assess the safety, tolerability, PK, PD, and clinical activity of multiple doses of AT-02. Subjects with SA ≥18 and ≤85 years of age will be involved in the Part 3 study.

Being tested
AT-02, AT-02 (Placebo)
Medical subject headings
Immunoglobulin Light-chain Amyloidosis

What participants receive

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

  • AT-02Drug

    AT-02 via IV infusion

  • AT-02 (Placebo)Other

    Normal saline solution via IV infusion

Study groups in NCT05521022
Study groupRoleWhat they receive
Part 1 AT-02ExperimentalPart 1 enrolling Healthy Volunteers (Randomised, Double-blind) Drug: AT-02 Dosage: 30mg to 1000mg Dosage Form \& Route of Admin: Solution for IV Infusion
Receives: Drug: AT-02
Part 1 PlaceboPlacebo comparatorPart 1 enrolling Healthy Volunteers (Randomised, Double-blind) Dosage Form \& Route of Admin: Normal Saline Solution for IV Infusion
Receives: Other: AT-02 (Placebo)
Part 2 AT-02ExperimentalPart 2 enrolling Systemic Amyloidosis Participants (Single-Arm, Open-label) Drug: AT-02 Dosage: 300mg to 4000mg Frequency: Single Dose Dosage Form \& Route of Admin: Solution for IV Infusion
Receives: Drug: AT-02
Part 3 AT-02ExperimentalPart 3 enrolling Systemic Amyloidosis Participants (Single-Arm, Open-label) Drug: AT-02 Dosage: Dose levels will be determined by the SRC. The starting dose in Part 3 will be determined by the SRC based on all available safety, tolerability, PK, and PD data from all prior cohorts Frequency: Multiple Doses Dosage Form \& Route of Admin: Solution for IV Infusion
Receives: Drug: AT-02

What is being measured

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

  1. Incidence and severity of treatment-emergent adverse events (TEAEs) from Day 1 to end of study (EOS).

    Safety will be assessed by review of clinical laboratory parameters and incidence and severity of TEAEs (graded using Common Terminology Criteria for Adverse Events (CTCAE) version 5).

    Measured: Up to 57+/-7 days

  2. Incidence of dose-limiting toxicities (DLTs) in subjects with systemic amyloidosis.

    A DLT is defined as any related TEAE with a National Cancer Institute (NCI) CTCAE version 5.0 Grade ≥3 which also represents a shift from Baseline clinical status of >1 NCI CTCAE Grade.

    Measured: Up to 85+/-7 Days

  3. Incidence and frequency of abnormal and clinically significant abnormal clinical laboratory parameter values.

    Measured: Up to 85+/-7 Days

  4. Incidence of treatment-emergent anti-drug antibodies (ADA)

    The number and percentage of subjects who develop detectable ADA will be summarized by dose cohort.

    Measured: Up to 85+/-7 Days

Secondary outcomes (6)
  1. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: time to maximum observed AT-02 concentration (Tmax).

    Measured: Up to 85+/-7 Days

  2. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: maximum observed concentration of AT-02 (Cmax).

    Measured: Up to 85+/-7 Days

  3. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: area under the plasma concentration versus time curve (AUC).

    Measured: Up to 85+/-7 Days

  4. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: volume of distribution at steady state (Vss).

    Measured: Up to 85+/-7 Days

  5. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: total body clearance (CL) of AT-02.

    Measured: Up to 85+/-7 Days

  6. To determine the plasma pharmacokinetics (PK) profile of AT-02

    Parameter: AT-02 half-life (t1/2).

    Measured: Up to 85+/-7 Days

Timeline

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

  1. First posted30 Aug 2022
  2. Study start1 Sep 2022
  3. Primary completion1 Mar 2025 (estimated)
  4. Study completion1 Mar 2025 (estimated)

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
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05521022
Sponsor's protocol ID
AT02-001
Acronym
AT02-001
Status last verified
Apr 2024
First submitted
23 Aug 2022
Last updated
3 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AT-02 in people with Amyloidosis; Systemic, run by Attralus, Inc. at 11 sites in 2 countries.

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 68 inclusion and 0 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: status not confirmed, as of the sponsor's last update on 3 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States, Australia. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Scott Stephens, RN (3212287400, Sstephens@attralus.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence and severity of treatment-emergent adverse events (TEAEs) from Day 1 to end of study (EOS). (time frame: Up to 57+/-7 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?
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 3 Apr 2024; AzTrials last refreshed its copy on 26 Oct 2026.

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