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CompletedNCT01372137Updated Jan 25, 2016

First-in-human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NOX-H94

A Phase 1 interventional study of NOX-H94 and Glucose 5% in Anemia, Chronic Diseases and Inflammation, sponsored by TME Pharma AG. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-01-25.

Sponsored by TME Pharma AG · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is the first clinical trial with NOX-H94. The purpose of this clinical trial is to identify a safe and efficacious treatment regimen for the clinical development of NOX-H94 in patients with anemia of chronic disease (inflammation).

Read the detailed description

NOX H94 is a pegylated Spiegelmer that specifically binds to human hepcidin, thereby antagonizing its role in hemostasis, and is therefore indicated for use in anemia of inflammation. Human hepcidin has emerged as the central regulatory molecule of systemic iron homeostasis. Hepcidin expression in hepatocytes is regulated by multiple, in particular opposing signals, including systemic iron availability, hepatic iron stores, erythropoietic activity, hypoxia, and inflammatory states. These different signals are integrated transcriptionally. In chronic inflammation, such as occurs in rheumatoid arthritis, chronic kidney disease or cancer, elevated hepcidin levels have been measured and may be a key factor leading to anemia in these patients.

NOX-H94 is therefore indicated for treatment of patients with an anemia of inflammation, which is characterized by increased intracellular iron stores, increased serum ferritin concentrations and reduced sensitivity to treatment with erythropoiesis stimulating agents (ESAs), due to the limited availability of serum iron. Antagonism of hepcidin by NOX-H94 therefore leads to elevated levels of iron and transferrin saturation in the peripheral blood and could supply iron for erythropoiesis thereby correcting the anemia.

02

Conditions studied

  • Anemia
  • Chronic Diseases
  • Inflammation

Keywords

  • NOX-H94
  • Hepcidin
  • Anemia
  • Inflammation
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 64 is above the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

TME Pharma AG is the lead sponsor of 14 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male subjects or female subjects of non-childbearing potential (Groups A to E), male subjects (groups F to H)
  • Age 18-65 years
  • Healthy as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram, and clinical laboratory parameters
  • Males willing to use 2 means of contraceptive methods for at least 2 months after the final examination

Exclusion criteria

Exclusion Criteria:

  1. Anemia predominantly caused by other factors than chronic disease.
  2. Iron overload or disturbances in utilization of iron.
  3. Intravenous iron treatment or blood transfusion within 4 weeks prior to screening visit.
  4. Erythropoietin treatment within 4 weeks prior to screening visit.
  5. Intake of Intravenous iron, Blood transfusions, Erythropoietin during their trial participation.
  6. Resting supine pulse rate \< 40 or > 100 beats / min.
  7. Resting supine blood pressure:

    Systolic blood pressure \< 90 or > 160 mmHg Diastolic blood pressure \< 40 or > 100 mmHg.

  8. History or presence of confirmed orthostatic hypotension defined.
  9. Positive test of HIV type 1/2 antibodies, HBs antigen, HBc antibodies, HCV antibodies.
  10. Participation in another clinical trial during the last 3 months before starting this trial.
  11. Positive test for drugs of abuse.
  12. Diseases or condition known to interfere with the absorption, distribution, metabolism or excretion of drugs.
  13. Marked repolarization abnormality.
  14. Current bronchial asthma, childhood asthma which has been resolved is allowed.
  15. Definite or suspected history of drug allergy or hypersensitivity or intolerance to PEG
  16. Regular intake of over 14 units of alcohol per week for women and 21 units for men.
  17. Not able to abstain from consumption of:

    • Caffeine containing beverages or food (tea, coffee, cola, chocolate, etc.)
    • Quinine containing beverages or food (bitter lemon, tonic water)
    • Grapefruit juice (sweet or sour)
    • Poppy seeds containing beverages or food
  18. Subjects who have donated any blood, plasma or platelets in the month prior to screening
  19. History of seizures or at risk
  20. Known or suspected of not being able to comply with the trial protocol and/or clinical unit restrictions.
  21. History of or presence of clinically significant diseases other than the underlying disease.
  22. Surgery or trauma with significant blood loss within the last 2 months before administration of study drug.
  1. History of increased bleeding risk.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Double (Participant, Investigator)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    NOX-H94

    Group A: single 15 minutes IV infusion of 0.3 mg/kg NOX-H94 Group B: single 15 minutes IV infusion of 0.6 mg/kg NOX-H94 Group C: single 15 minutes IV infusion of 1.2 mg/kg NOX-H94 Group D: single 15 minutes IV infusion of 2.4 mg/kg NOX-H94 Group E: single 15 minutes IV infusion of 4.8 mg/kg NOX-H94 Group F: single / repeated SC injection of NOX-H94 over a treatment period of 2 weeks Group G: multiple doses of NOX-H94 as a 15 minutes IV infusion over a treatment period of 2 weeks Group H: multiple doses of NOX-H94 as a 15 minutes IV infusion over a treatment period of 2 weeks

    Drug: NOX-H94

  • Placebo comparator
    Glucose 5%

    Group A to Group H get NOX-H94 or Placebo

    Other: Glucose 5%

Interventions

  • DrugNOX-H94

    Dosage form: NOX-H94 25 mg (oligonucleotide basis) Solution for Injection Strength: 14.6 mg NOX-H94 / mL Dose: 0.3 - 4.8 mg/kg single dose Route: IV infusion over 15 minutes / SC administration

    Also known as: lexaptepid pegol

  • OtherGlucose 5%

    Placebo

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What researchers measure

Primary outcomes

  1. Incidence of adverse events

    Time frame: 0 to 90 days

Secondary outcomes

  1. drug plasma concentrations

    Time frame: 0 to 29 days

07

Study locations

1 site
  • HMR
    London, NW10 7EW, United Kingdom
08

References and documents

Publications

  • Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19. PubMed 30957581 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 25, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01372137
Lead sponsor
TME Pharma AG
Responsible party
Sponsor
First posted
Jun 13, 2011
Start date
Jul 2011
Primary completion
Mar 2012
Completion
Mar 2012
Last update
Jan 25, 2016

Study contacts

Riecke Kai, MD
study director · TME Pharma AG

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2014. You cannot join it, but the record below documents what was studied.

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