A Study to Evaluate the Safety, Preliminary Efficacy, and Pharmacokinetic Properties of LASN01 in Healthy Subjects and in Patients With Pulmonary Fibrosis or Thyroid Eye Disease

NCT ID: NCT05331300

Last Updated: 2024-12-30

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/PHASE2

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-06

Study Completion Date

2024-11-27

Brief Summary

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LASN01 is a novel, fully human antibody directed against the human IL-11 receptor that is being developed to address the fibro-inflammatory pathology of pulmonary fibrosis and TED. This study is a four-part trial consisting of Parts A, B, C and D.

The primary objective of this study is to evaluate the safety and tolerability of LASN01, and the secondary objective is to evaluate the preliminary efficacy, immunogenicity, and pharmacokinetics of single and multiple doses of LASN01 in healthy participants and in patients with idiopathic pulmonary fibrosis (IPF) or progressive fibrosing interstitial lung disease (PF-ILD) or Thyroid Eye disease (TED).

Please note that both the Phase 1 (single and multiple ascending dose, SAD/MAD) portion in healthy volunteers and the Phase 2a portion in patients are completed.

Detailed Description

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This randomized, placebo-controlled clinical trial (LASN01-CL-1101) consists of 4 parts, each part containing adaptive design elements that can be modified.

In Phase 1, Part A comprised of a single-dose administration in healthy participants in 5 dose cohorts and Part B comprised of a multiple-dose administration in healthy participants in 2 dose cohorts. Parts A\&B have been completed.

In the Phase 2a portion, Part C comprised of a multiple-dose administration in a single cohort of patients with IPF and PF-ILD, and Part D comprised of a multiple-dose design in a single cohort of patients with TED.

In each part of the study, participants were randomized to receive IV doses of LASN01 or placebo.

Conditions

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Pulmonary Fibrosis Thyroid Eye Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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LASN01 - Parts A and B [Healthy Volunteers]

Group Type EXPERIMENTAL

LASN01

Intervention Type DRUG

Escalating single and multiple doses of LASN01

Placebo - Parts A and B [Healthy Volunteers]

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Escalating doses of matching placebo

LASN01 - Part C [Pulmonary Fibrosis]

Group Type EXPERIMENTAL

LASN01

Intervention Type DRUG

LASN01 will be administered intravenously

Placebo - Part C [Pulmonary Fibrosis]

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered intravenously

LASN01 - Part D [Thyroid Eye Disease]

Group Type EXPERIMENTAL

LASN01

Intervention Type DRUG

LASN01 will be administered intravenously

Placebo - Part D [Thyroid Eye Disease]

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo will be administered intravenously

Interventions

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LASN01

Escalating single and multiple doses of LASN01

Intervention Type DRUG

LASN01

LASN01 will be administered intravenously

Intervention Type DRUG

Placebo

Escalating doses of matching placebo

Intervention Type DRUG

Placebo

Placebo will be administered intravenously

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Parts A, B, C, and D

1. Female participants must be nonpregnant, nonlactating, and either postmenopausal for ≥12 months, surgically sterile for ≥6 months, or agree to use 2 effective methods of contraception or a highly effective method of contraception. Males must be surgically sterile for ≥6 months or agree to highly effective methods of contraception.
2. Able to comprehend and willing to sign an ICF and understand and comply with the requirements of the study.

Part A and Part B only
3. Males or females, 18 through 60 years of age, inclusive
4. Body weight ≥110 pounds (≥50 kg); body mass index (BMI) within the range of 18 through 32.0 kg/m2
5. In good health as determined by the Investigator

Part C only
6. Male and female patients \>40 years of age (IPF patients) or ≥21 years of age (PF-ILD patients)

7. A diagnosis of IPF
8. IPF has been stable for ≥3 months at Screening

9. Patients with physician diagnosed ILD who fulfill ≥1 of the following criteria for PF-ILD within 24 months of the Screening visit despite treatment with approved and/or unapproved medications used in clinical practice to treat ILD.
10. Fibrosing lung disease on HRCT performed within 3 years of the Screening Visit
11. For patients with underlying CTD: stable CTD as defined by no initiation of new therapy or withdrawal of therapy for CTD within 6 weeks before the Screening visit
12. FVC ≥45% predicted

Part D only
13. Male or female patients of age ≥18 years
14. Clinical diagnosis of Graves' disease associated with active TED
15. Moderate-to-severe active TED
16. Less than 15 months from onset of TED in the study eye
17. No previous medical treatment for TED with the exception of local supportive measures, mycophenolate and oral or injectable steroids, immunomodulating therapies, and/or orbital irradiation/radiotherapy

Exclusion Criteria

Parts A, B, C, and D

1. Any acute or chronic condition that would limit the participant's ability to participate in and complete this clinical study

Part A and Part B only
2. Significant history or clinical manifestation of any significant endocrine, metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, or psychiatric disorder
3. History of significant hypersensitivity; intolerance; or allergy to any drug compound, food, or other substance; or history of anaphylaxis or angioedema
4. Positive serum test for HIV or hepatitis infection
5. Currently receiving any antibiotics for upper or lower respiratory tract infections
6. Use of any prescription drug or vaccine within 21 days before Check-in with the exception of hormonal contraceptives and vaccines.
7. Any prescription biologic within 3 months or 5 half-lives (whichever is greater) before Check-in
8. Participation in any other investigational study drug trial in which an investigational study drug was administered within 30 days before randomization or an investigational biological study drug was administered within 3 months before Check-in

Part C only
9. History of clinically relevant cardiovascular disease that could jeopardize a patient's health during the course of the study
10. Patients with concurrent active malignancy other than adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix

11. FVC \<45% predicted of normal or a forced expiratory volume during the first second of the forced breath (FEV1)/FVC ratio of \<0.7
12. Extent of emphysema in the lungs exceeds fibrosis
13. Currently receiving pirfenidone or nintedanib if on treatment for \<3 consecutive months or needed dose modification due to AEs in the last 3 months

14. Diagnosis of IPF
15. Diagnosis of sarcoidosis
16. Significant pulmonary arterial hypertension
17. FVC \<45% predicted of normal or a FEV1/FVC ratio of \<0.7
18. Previous treatment with pirfenidone

Part D only
19. Any previous use of anti-insulin-like growth factor 1 receptor monoclonal antibody (eg, teprotumumab) at any time
20. Patients with 2 mm proptosis decrease between Screening and Baseline, or a 1-point decrease on the CAS 7-point scale in any 2 weeks during the Screening period
21. Patients with decreased best corrected visual acuity due to optic neuropathy, new visual field defect, or color defect secondary to optic nerve involvement within the last 6 months before Screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lassen Therapeutics 1 PTY LTD

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site AU05

Hurstville, New South Wales, Australia

Site Status

Site AU03

Brisbane, Queensland, Australia

Site Status

Site AU01

Melbourne, Victoria, Australia

Site Status

Site HK01

Shatin, , Hong Kong

Site Status

Countries

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New Zealand Australia Hong Kong

Other Identifiers

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LASN01-CL-1101

Identifier Type: -

Identifier Source: org_study_id