Safety and Pharmacodynamics of SEL-212 (Pegsiticase + SEL-110) in Subjects With Elevated Blood Uric Acid Levels

NCT ID: NCT02648269

Last Updated: 2017-01-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2016-12-31

Brief Summary

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This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming.

Detailed Description

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This Study will first evaluate the safety and pharmacokinetics of a single intravenous dose of SEL-110, a nanoparticle containing rapamycin, in subjects with elevated blood uric acid levels. This will be followed, in separate subjects, by evaluation of the safety, pharmacokinetics, pharmacodynamics and immunogenicity of a single intravenous dose of SEL-212, SEL-037 (pegsiticase) plus SEL-110, in subjects with elevated blood uric acid levels. Uricase is an enzyme that converts uric acid to the readily soluble allantoin that is then excreted and SEL-110 is designed to prevent unwanted anti-drug-antibodies (ADAs) from forming. Cohorts of subjects in the SEL-110 only arms of the study will be given a single, ascending intravenous dose of SEL-110 and then monitored for safety and rapamycin levels (pharmacokinetics) over 30 days. Cohorts of subjects in the SEL-212 arms of the study will be given a single, ascending intravenous dose of SEL-110 with a fixed dose of SEL-037 and then monitored for safety, rapamycin levels, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days. One additional control group with receive a single intravenous infusion of SEL-037 at a fixed dose and then monitored for safety, SEL-037 levels, uric acid levels and anti-drug-antibodies (ADAs) to SEL-037 for 30 days

Conditions

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Gout

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SEL-110

Single intravenous dose of SEL-110

Group Type EXPERIMENTAL

SEL-110

Intervention Type DRUG

SEL-212

Intervention Type BIOLOGICAL

SEL-212

Single intravenous dose of SEL-110 plus SEL-037 (pegsiticase)

Group Type EXPERIMENTAL

SEL-212

Intervention Type BIOLOGICAL

SEL-037

Single intravenous dose of SEL-037 (pegsiticase)

Group Type EXPERIMENTAL

SEL-037

Intervention Type BIOLOGICAL

Interventions

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SEL-110

Intervention Type DRUG

SEL-212

Intervention Type BIOLOGICAL

SEL-037

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects ages 21 to 70 inclusive. Female subjects must be of non-childbearing potential;
* Has at the screening visit a serum uric acid ≥ 6 mg/dL, with or without a history of gout;
* The use of allopurinol, febuxostat (Uloric®), or probenecid as uric acid-lowering therapy is permissible if dosing has been stable for at least the month prior to the screening visit;
* Has adequate venous access and able to receive IV therapy;
* Evidence of a personally signed and dated informed consent document indicating that subject has been informed of all pertinent aspects of the study;

Exclusion Criteria

* Prior exposure to any experimental or marketed uricase (for arms receiving SEL-037 or SEL-212);
* History of any allergy to pegylated products;
* Glucose-6-phosphate dehydrogenase deficiency or known catalase deficiency;
* History of hematological or autoimmune disorders, is immunosuppressed or immunocompromised;
* Presently taking a drug classified as CYP3A4 inducer or inhibitor;
* Has participated in a clinical trial within 30 days of the Screening;
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Selecta Biosciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Baptist Health Center for Clinical Research

Little Rock, Arkansas, United States

Site Status

Miami Research Associates

Miami, Florida, United States

Site Status

Orlando Clinical Research Center, Inc.

Orlando, Florida, United States

Site Status

SNBL Clinical Pharmacology Center Inc.

Baltimore, Maryland, United States

Site Status

Davita Clinical Research

Minneapolis, Minnesota, United States

Site Status

Altoona Center for Clincal Research

Duncansville, Pennsylvania, United States

Site Status

Countries

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United States

References

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Sands E, Kivitz A, DeHaan W, Leung SS, Johnston L, Kishimoto TK. Tolerogenic nanoparticles mitigate the formation of anti-drug antibodies against pegylated uricase in patients with hyperuricemia. Nat Commun. 2022 Jan 12;13(1):272. doi: 10.1038/s41467-021-27945-7.

Reference Type DERIVED
PMID: 35022448 (View on PubMed)

Other Identifiers

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SEL-212/101

Identifier Type: -

Identifier Source: org_study_id

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