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A phase 1, randomized ascending single-dose study of antagonist anti-human CD40 ASKP1240 in healthy subjects.

Abstract
This first-in-human, phase I study evaluated the safety, tolerability, pharmacokinetic and pharmacodynamic profile of ASKP1240 in healthy subjects. Twelve sequential groups (each 6 active and 3 placebo) were randomly assigned to placebo or single ascending doses of intravenous ASKP1240 (0.00003-10 mg/kg). ASKP1240 exhibited nonlinear pharmacokinetics, with mean maximal serum concentrations and area under the serum concentration-time curves ranging from 0.7 to 251.6 μg/mL and 6.5 to 55409.6 h·μg/mL following doses 0.1 mg/kg-10 mg/kg, respectively. CD40 receptor occupancy by ASKP1240, which was dose-dependent, reached a maximum at doses above 0.01 mg/kg. ASKP1240 was well tolerated, with no evidence of cytokine release syndrome or thromboembolic events. Treatment emergent antibodies to ASKP1240 were detected in 5/70 (7.1%) ASKP1240 recipients. In conclusion, antagonism of the CD40/CD154 interaction with ASKP1240 was safe and well tolerated at the doses tested.
AuthorsR Goldwater, J Keirns, P Blahunka, R First, T Sawamoto, W Zhang, D Kowalski, A Kaibara, J Holman
JournalAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons (Am J Transplant) Vol. 13 Issue 4 Pg. 1040-1046 (Apr 2013) ISSN: 1600-6143 [Electronic] United States
PMID23356210 (Publication Type: Clinical Trial, Phase I, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Copyright© Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons.
Chemical References
  • Antibodies, Monoclonal
  • CD40 Antigens
  • Immunosuppressive Agents
Topics
  • Adolescent
  • Adult
  • Antibodies, Monoclonal (pharmacokinetics, pharmacology)
  • Area Under Curve
  • Blood Coagulation (drug effects)
  • CD40 Antigens (antagonists & inhibitors, metabolism)
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Female
  • Healthy Volunteers
  • Humans
  • Immunosuppressive Agents (pharmacokinetics, pharmacology)
  • Injections, Intravenous
  • Male
  • Middle Aged
  • Time Factors
  • Young Adult

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