Title
Ascending Single Dose Study of Rhu-pGelsolin in Patients With Decreased Gelsolin Levels
Phase 1b Randomized, Double-blind, Placebo-controlled, Ascending Single Dose Infusion Trial of the Pharmacokinetics of Rhu-pGelsolin in Patients With Decreased Natural Gelsolin Levels
Phase
Phase 1/Phase 2Lead Sponsor
Critical Biologics CorporationStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Low Gelsolin Trauma Infection BurnsIntervention/Treatment
rhu-pgelsolin ...Study Participants
40This study is designed to assess the pharmacokinetics and safety of an infusion of a single dose of recombinant plasma gelsolin (rhu-pGelsolin) when given to patients admitted to the Intensive Care Unit with documented low levels of natural gelsolin. It is believed that this drug will raise the gelsolin levels in these patients and decrease the probability that they will develop complications from their underlying disease such as organ system failure or death.
This is a randomized, double-blind, placebo-controlled, ascending single dose of rhu-pGelsolin infusion study. Thirteen subjects (10 active and 3 placebo) will be dosed at 3 mg/kg and 5 subjects (3 active and 2 placebo) will be dosed at 6 mg/kg. In addition, twenty-two subjects (18 active and 4 placebo) will be dosed at 6 mg/kg per day for 3 days. The Data Safety Monitoring Committee (DSMC) and Steering Committee will review the preceding dose safety data, and agree the tolerability prior to the enrolment for next higher dose. Blood samples will be collected during 1 hour infusion through 72 hours post dose for PK assessment after each dose.
IV formulation of recombinant plasma gelsolin formulated as 10 mg/ml given as a single IV infusion over 1 hour
Vehicle control given as IV infusion over 1 hour
3 mg/kg of rhu-pGelsolin given as an IV infusion over 1 hour
6 mg/kg of rhu-pGelsolin given as an IV infusion over 1 hour
6 mg/kg of rhu-pGelsolin given a an IV infusion over 1 hour once a day for 3 days
Inclusion Criteria: >18 years of age Documented gelsolin level <100 mg/mL Admission to ICU Women of child-bearing age have a negative pregnancy test Multiple Organ Failure score < 4 Catheter present through which blood samples can be taken Written Informed Consent obtained Exclusion Criteria: Participation in other investigational treatment protocols Patients <18 years of age Patients who have a modified Multiple Organ Failure score of >=4 Patient, who in the opinion of the Principal Investigator, are unlikely to be in the ICU for >48 hours