A Study of Andecaliximab in People With Spinal Cord Injury at Risk for Bone Growth Outside of the Normal Skeleton.

NCT ID: NCT07024407

Last Updated: 2025-06-17

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE1/PHASE2
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-14
• Study Completion Date: 2026-01-31

Brief Summary

This is an open-label study of andecaliximab in participants at risk of developing bone where bone should not be, such as in muscle, tendons, and other soft tissues following traumatic spinal cord injury. The goal of this study is to assess the safety of andecaliximab, how much drug is in the body over time (pharmacokinetics/PK), and how it affects the body (pharmacodynamics/PD) in participants who have had a recent traumatic spinal cord injury.

Detailed Description

Safety: To evaluate the safety profile of andecaliximab in participants with spinal cord injurySCI at risk for Heterotopic Ossification.

PK: To describe the PK profile of andecaliximab in all participants.

Secondary Objective:

PD: To describe the PD profile of andecaliximab in all participants.

Conditions

Heterotopic Ossification (HO)

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Andecaliximab

All participants will receive andecaliximab whether at risk for developing HO or at risk for worsening of early HO.

Group Type: EXPERIMENTAL

Andecaliximab

Intervention Type: DRUG

Participants will receive weekly subcutaneous injections of andecaliximab during inpatient hospitalization, clinic visit, or self-administration if discharged from the hospital

Interventions

Andecaliximab

Participants will receive weekly subcutaneous injections of andecaliximab during inpatient hospitalization, clinic visit, or self-administration if discharged from the hospital

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Age 18 to 89 years.

2. History of traumatic SCI that occurred a minimum of 10 days prior to first study dose.

3. No significant HO identified by CT as defined in the Imaging Charter and meeting one of the following sets of criteria based on TPBS at end of screening:

The Inflammatory Group: Inflammation consistent with developing HO The Early HO Group: The third phase on TPBS shows minimal extraskeletal uptake

The Prophylactic High-Risk Group: No findings consistent with increased risk of HO but meets all of the following clinical risk factors for HO:

1. Within 1 month of injury AND

2. AIS Grade A AND

3. Male AND

4. Age 18 to 45 years 4. Participant or legal representative able and willing to give informed consent and to adhere to the visits schedule and study procedures.

5. Able to understand, undergo, and perform all protocol related procedures. 6. Agrees to provide access to all relevant current and historical medical records

Exclusion Criteria

1. History of:

1. Known monogenic disorder associated with HO.

2. Bone or mineral disorder unrelated to HO or SCI.

3. Malignancy (within the past 5 years). Untreated active infection at the time of enrollment Uncontrolled hypoparathyroidism or hyperparathyroidism Uncontrolled hyperthyroidism, based on participant report or chart review. Hyperthyroidism is defined by the presence of both a TSH level below the normal range and elevated T4.

4. Current infection with COVID-19 or COVID-19 infection within 1 month of Study Day 1 if treated with nirmatrelvir/ritonavir or other COVID-19 antiviral with a risk of rebound. (If a potential participant is experiencing mild COVID-19-like symptoms, they should wait until they are asymptomatic and/or rule out COVID-19 infection by local COVID-19 PCR testing prior to on-site screening.) Asymptomatic patients are not required to undergo COVID-19 testing.

5. COVID-19 vaccine within 1 month of Study Day 1.

2. Use of the following medication:

1. Current or chronic use of tetracycline drugs

2. Activated (1,25-OH) vitamin D (vitamin D2 and D3 allowed), phosphate or calcium supplements within 1 week of Study Day 1

3. Treatment with another investigational product within 5 half lives of last dose at the time of Study Day 1 or one month, whichever is longer.

3. History of allergy or hypersensitivity to andecaliximab or its excipients.

4. Any of the following abnormalities detected on laboratory evaluation prior to Study Day 1:

1. 25-OH vitamin D <16 ng/mL (<39.94 nmol/L).

2. Current albumin corrected serum calcium level <8.0 mg/dL or >11 mg/dL, or requiring treatment with IV fluids and/or bisphosphonates for hypercalcemia at time of enrollment.

3. Impaired renal function. (estimated glomerular filtration rate [eGFR] < 40 mL/min/1.73m2)

4. Hepatic panel [aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, direct bilirubin, lactate dehydrogenase (LDH)] >3 × ULN for ageHemoglobin <9.5 g/dL (<5.9 mmol/L).

5. Absolute neutrophil count (ANC) <1,500 mm3(<1.5 × 109/L).

6. Platelets <75,000/μL (<75 × 109/L).

5. Breastfeeding.

6. Pregnancy, planned pregnancy, or unwillingness to use acceptable birth control during the study and for 90 days after the last dose.

7. Simultaneous participation in another interventional clinical trial.

8. Any other significant medical condition or disability or biochemical or hematologic abnormalities, that in the opinion of the Investigator would expose the participant to undue risk, prevent the conduct of study procedures, or confound the study results.

9. Employees of the Sponsor, study site, or CRO involved in the conduct of the study or immediate family members thereof.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 89 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ashibio Inc

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Andrew Park, MD

Role: PRINCIPAL_INVESTIGATOR

Craig Hospital

Locations

Craig Hospital

Denver, Colorado, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

ashibio ashibio Clinical Study Inquiries

Role: CONTACT

ASH-HO-201@ashibio.com

650-360-0036

Facility Contacts

Andrew Park, MD

Role: primary

Other Identifiers

ASH-HO-201

Identifier Type: -

Identifier Source: org_study_id