Title

Single Dose PG102 in Patients With Active Psoriatic Arthritis
A Randomised, Double Blind, Placebo Controlled, Single Ascending Dose, Phase I Study To Evaluate The Safety, Tolerability And Pharmacokinetics Of PG102 (Anti-CD40 Monoclonal Antibody) In Patients With Active Psoriatic Arthritis
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    pg-102 ...
  • Study Participants

    17
The primary objective is to evaluate the safety and tolerability of a single intravenous dose of PG102 in patients with psoriatic arthritis. The secondary objectives are to evaluate how PG102 moves around the body and to explore its effects on the disease.
Study Started
Dec 31
2008
Primary Completion
Apr 30
2010
Study Completion
May 31
2010
Results Posted
Oct 15
2010
Estimate
Last Update
Oct 26
2010
Estimate

Drug PG102

A single intravenous infusion

  • Other names: Anti-CD40 monoclonal antibody

Drug Placebo comparator

Phosphate-buffered saline

PG102 0.3 mg/kg Experimental

Lowest dose PG102

PG102 1 mg/kg Experimental

Second dose PG102

Placebo (phosphate-buffered saline) Placebo Comparator

Control

Criteria

Inclusion Criteria:

Arthritis that meets Classification of Psoriatic Arthritis (CASPAR) criteria
Plaque psoriasis for at least 6 months prior to study enrollment

Exclusion Criteria:

Clinically significant psoriasis flare
Unstable doses of pain relief medication
Treatment with systemic corticosteroids other than prednisone ≤ 10 mg/day or equivalent
Treatment with any biologic therapy
Treatment with immunosuppressive agents or disease modifying anti-rheumatic drugs (DMARDs) other than methotrexate
Treatment with lithium, any anti-malarial, chlorambucil, cyclophosphamide or therapies for psoriasis other than low potency topical corticosteroids on intertriginous and groin areas, tar or salicylate preparations on the scalp, and emollients and moisturisers
Family history of multiple thrombotic events or a personal history of any venous or arterial thrombotic event
Clinically significant result for anti-cardiolipin, Activated protein C resistance test, Protein C, Free Protein S, Antithrombin III, Factor V Leiden, Prothrombin variant, Homocysteine, Lupus anticoagulant, Prothrombin time, Activated partial thromboplastin time, Fibrinogen, Thrombin time, Factors IX and XI
Currently smoking ≥ 10 cigarettes per day or equivalent
Active tuberculosis or other infection
Current or previous malignancies
Clinically significant abnormality on physical examination, laboratory testing, vital signs or 12-lead electrocardiogram

Summary

PG102 0.3 mg/kg

PG102 1 mg/kg

Placebo

All Events

Event Type Organ System Event Term PG102 0.3 mg/kg PG102 1 mg/kg Placebo

The Number of Reported Adverse Events

This was an exploratory study and all safety endpoints were considered.

PG102 0.3 mg/kg

3.0
Number of adverse events

PG102 1 mg/kg

6.0
Number of adverse events

Placebo

13.0
Number of adverse events

The Percentage of Participants With Adverse Events

PG102 0.3 mg/kg

50.0
Percentage of Participants

PG102 1 mg/kg

67.0
Percentage of Participants

Placebo

40.0
Percentage of Participants

The Number of Episodes of Change in Vital Signs

Clinically significant episodes of change in blood pressure, heart rate, temperature or respiration rate on the day before dosing and 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours and 4, 7, 14, 21, 28, 56 & 84 days after dosing. The investigator evaluated clinical significance primarily by blinded comparison with the respective screening value.

PG102 0.3 mg/kg

PG102 1 mg/kg

Placebo

1.0
Number of episodes of change

The Number of Episodes of Change in Electrocardiogram

Episodes of clinically significant change in 12-lead electrocardiogram predose,1 & 4 hours and 1 & 84 days postdose. The investigator evaluated clinical significance primarily by blinded comparison with the screening electrocardiogram.

PG102 0.3 mg/kg

PG102 1 mg/kg

Placebo

The Number of Episodes of Change From Screening in Laboratory Assessments

Red cell count, haemoglobin, haematocrit, total and differential white cell counts, platelet count, mean corpuscular volume, mean corpuscular haemoglobin, mean corpuscular haemoglobin concentration, reticulocytes; urea, creatinine, urate, bilirubin, sodium, potassium, calcium, phosphate, chloride, bicarbonate, alkaline phosphatase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, gammaglutamyl transferase, creatine phosphokinase, albumin, protein; urine pH, protein, glucose, ketones, bilirubin, blood, urobilinogen, nitrite, leucocytes, specific gravity.

PG102 0.3 mg/kg

4.0
Number of episodes of change

PG102 1 mg/kg

7.0
Number of episodes of change

Placebo

3.0
Number of episodes of change

Total

17
Participants

Age Continuous

44.0
years (Mean)
Full Range: 27.0 to 59.0

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

PG102 0.3 mg/kg

PG102 1 mg/kg

Placebo

Drop/Withdrawal Reasons

Placebo