ClinicalTrials.gg
CompletedNCT01932437Updated May 6, 2019Results posted

Intramuscular Dose-Escalation Study With ETI-204 in Adult Volunteers

A Phase 1 interventional study of ETI-204 and Placebo in Inhalational Anthrax, sponsored by Elusys Therapeutics. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-05-06.

Sponsored by Elusys Therapeutics · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is to evaluate the safety, local tolerability, pharmacokinetics (PK) and immunogenicity of escalating single intramuscular (IM) doses of ETI-204 in healthy volunteers

Read the detailed description

Following completion of a Screening visit subjects will arrive at the clinic on Day -1. On Day 1, subjects will be randomized in a 3:1 ratio to receive an IM dose of either ETI-204 or matching placebo, respectively:

Cohort 1: 4 subjects randomized to 4 mg/kg ETI-204 or matching placebo Cohort 2: 8 subjects randomized to 8 mg/kg ETI-204 or matching placebo Cohort 3: 8 subjects randomized to 16 mg/kg ETI-204 or matching placebo Cohort 4: 8 subjects randomized to 20 mg/kg ETI-204 or matching placebo Cohort 5: 8 subjects randomized to 24 mg/kg ETI-204 or matching placebo

Study drug will be injected bilaterally into the vastus lateralis muscles, with the subject in a supine position. A separate syringe with a 21-gauge,1.5-inch needle will be used for each injection. The number of injections and injection volume will increase with increasing dose allowing for an assessment of increasing IM ETI-204 doses and the tolerability of a larger number of injections and larger injection volume.

Subjects will be pretreated with 50 mg oral diphenhydramine approximately 30 minutes prior to administration of study drug.

Subjects will be discharged from the study facility on Day 4 following completion of study assessments and will return to the study facility for additional visits on Days 7, 10, 15 (±3 days), 29 (±3 days), 43 (±3 days), and 71 (±4 days).

Decisions to dose-escalate will be made by the investigator(s) in conjunction with the sponsor and will be based solely on the available safety and local tolerability data up to and including Day 4.

02

Conditions studied

  • Inhalational Anthrax

Keywords

  • Monoclonal antibody, ETI-204, IM, safety, PK, immunogenicity
03

In context

Lead sponsor

Elusys Therapeutics is the lead sponsor of 7 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 and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Females or males ≥18 years of age;
  2. All females regardless of must have a negative serum beta human chorionic gonadotropin (β-hCG) pregnancy test at Screening and Day -1;
  3. Females of childbearing potential (i.e., not or surgically sterile) must agree to practice abstinence or to use a medically accepted method of from the time of Screening through 30 days after the final study visit. Acceptable methods of contraception include diaphragm/cervical cap with spermicide; sponge with spermicide; condom with spermicide; or intrauterine device with condom or spermicide. The following contraceptive methods are acceptable only when used with a condom and spermicide: birth control pills, birth control patches, vaginal ring, hormone under the skin, or hormone injections;
  4. Postmenopausal females, defined as females who have had amenorrhea for at least 12 months either naturally or following cessation of all exogenous hormonal treatments, and have a follicle stimulating hormone level of >40 mIU/mL at Screening;
  5. Females who have undergone surgical sterilization, including hysterectomy, bilateral oophorectomy, bilateral salpingectomy, tubal ligation, or tubal essure;
  6. Males must agree to practice abstinence or use a condom with spermicide and to refrain from sperm donation from Screening during the study and for 30 days after the final study visit;
  7. Provide written ;
  8. Willing to comply with study restrictions.

Exclusion criteria

Exclusion Criteria:

  1. Body weight >100 kg;
  2. ≥32 kg/m2;
  3. Pregnant or lactating female;
  4. comorbidity that would interfere with completion of the study procedures or objectives, or compromise the subject's safety;
  5. Supine systolic blood pressure (BP) ≥150 mmHg or ≤90 mmHg or diastolic BP ≥95 mmHg;
  6. Use of H1 receptor antagonists (i.e., antihistamines) within 5 days prior to Day 1;
  7. Evidence of drug or alcohol abuse within 6 months of Day 1 as determined by the Investigator;
  8. Positive test result for drugs of abuse (with the exception of medically prescribed drugs) at Screening or on Day -1;
  9. Positive test for alcohol at Screening, subject to Investigator's discretion. Subjects who test positive for alcohol at Day -1 are excluded from the study;
  10. Treatment with an agent within 30 days or 5 half-lives of the investigational agent at Day 1 (whichever is longer);
  11. Congenital or acquired immunodeficiency syndrome;
  12. Prior solid organ or bone marrow transplant;
  13. Positive test for (surface antigen), , or (HIV) at Screening;
  14. History of prior treatment for anthrax exposure or prior anthrax infection;
  15. Prior immunization with any approved or investigational anthrax vaccine or prior treatment with an investigational anthrax treatment (e.g., ETI-204, raxibacumab, or anthrax immune globulin);
  16. Military personnel deployed in 1990 or after, unless the subject can provide documentation demonstrating he or she has not previously received any approved or investigational anthrax vaccine;
  17. Use of systemic , agents, anticoagulants, or anti-arrhythmics within 1 year prior to Day 1. A single short course (i.e., less than 14 days) of systemic steroid therapy is allowed, provided it concluded more than 6 months prior to Day 1;
  18. Donation or loss of >500 mL of blood within 30 days or plasma within 7 days of Day 1;
  19. Prior stroke, epilepsy, relapsing or degenerative central nervous system disease, or relapsing or degenerative ocular disease;
  20. Myocardial infarction or acute coronary syndrome in the past 5 years, active angina pectoris, or heart failure ( scale >1);
  21. History of chronic liver disease;
  22. Calculated of \<30 mL/min using the Cockcroft-Gault equation;
  23. Any clinically significant abnormality, in the Investigator's opinion, on (ECG) or clinical laboratory tests (hematology, clinical chemistry, or urinalysis) at Screening. Out of range tests may be repeated to confirm;
  24. History of allergic or reaction or hives to other therapeutic antibodies or immunoglobulins;
  25. History of any malignant neoplasm within the last 5 years, with the exception of adequately treated localized or in situ non-melanoma carcinoma of the skin (e.g., basal cell carcinoma) or the cervix;
  26. Subjects who, in the opinion of the Investigator, are not suitable candidates for enrollment or who may not comply with the requirements of the study.
  27. count \<140 K/µL;
  28. /international normalized ratio or activated partial thromboplastin time >1.2 X the at Screening or Day -1;
  29. Poor muscle mass as determined by the Investigator;
  30. Family or personal history of a bleeding disorder;
  31. History of unexplained bleeding;
  32. Use of any anticoagulant or anti-platelet drug for 3 months prior to Screening. At the discretion of the Investigator, daily aspirin may be taken for general health reasons.
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Cohort 1

    3 subjects will receive an IM dose of 4 mg/kg ETI-204, administered as two injections with a maximum volume of 2 mL at each injection site. 1 subject will receive an IM dose of ETI-204-placebo in an identical fashion.

    Biological: ETI-204 · Other: Placebo

  • Experimental
    Cohort 2

    6 subjects will receive an IM dose of 8 mg/kg ETI-204, administered as two injections with a maximum volume of 4 mL at each injection site. 2 subjects will receive an IM dose of ETI-204-placebo in an identical fashion.

    Biological: ETI-204 · Other: Placebo

  • Experimental
    Cohort 3

    6 subjects will receive an IM dose of 16 mg/kg ETI-204, administered at four sites, with administration of 4 mL at one site and the remaining volume given in three additional injections with a maximum volume of 4 mL at each injection site. 2 subjects will receive an IM dose of ETI-204-placebo in an identical fashion.

    Biological: ETI-204 · Other: Placebo

  • Experimental
    Cohort 4

    6 subjects will receive an IM dose of 20 mg/kg ETI-204, administered at up to five sites, with the injection volume distributed equally between injections and a maximum volume of 4 mL per injection site. 2 subjects will receive an IM dose of ETI-204-placebo in an identical fashion.

    Biological: ETI-204 · Other: Placebo

  • Experimental
    Cohort 5

    6 subjects will receive an IM dose of 24 mg/kg ETI-204, administered at up to six sites, with administration of 5 mL at one site and the remaining volume given in up to five additional injections distributed equally with a maximum volume of 4 mL per injection site. 2 subjects will receive an IM dose of ETI-204-placebo in an identical fashion.

    Biological: ETI-204 · Other: Placebo

Interventions

  • BiologicalETI-204

    monoclonal antibody

    Also known as: Obiltoxaximab

  • OtherPlacebo

    Placebo for ETI-204

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Experienced Adverse Events

    Safety was assessed for all subjects in the Safety Population by collecting and monitoring vital signs, clinical laboratory tests, ECGs, physical examinations, injection site assessments, skin assessments for presence/absence of rash, and adverse events (AEs).

    Time frame: Up to 71 (+/- 4) days or for 30 additional days after the final study visit for subjects with ongoing adverse events at the final scheduled study visit, for each group.

Secondary outcomes

  1. Maximum Observed Plasma Concentration of ETI-204 (Cmax)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  2. Time to Maximum Observed Plasma Concentration of ETI-204 (Tmax)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  3. Area Under the Concentration-Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-last)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  4. Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  5. Half-life (t1/2)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  6. Apparent Clearance (CL/F)

    Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

    Time frame: Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.

  7. Number of Participants With Anti-ETI-204 Antibodies

    Blood samples were collected and serum samples were assayed at an initial dilution of 1:10. Samples that were positive at the 1:10 dilution were serially diluted 1:2 and assayed until a negative result was attained. The titer of the most dilute sample yielding a positive result was recorded as the titer for that time point. Immunogenicity was measured by the number of participants in each study arm with anti-ETI-204 antibody values at Days 8, 43 or 71 ≥ 4-times higher than at baseline, or if the titer was negative at baseline, the post-treatment sample(s) required a titer of at least 1:20 for it to be considered positive.

    Time frame: Pre-dose and on Days 10, 43, and 71 after the IM injection of ETI-204 or placebo on Day 1.

07

Results

Posted May 1, 2019

Participant flow

Study started July 26, 2013. Study completed July 03, 2014. Conducted at a Phase 1 Clinical Research Unit

Cohort 1 - ETI-204 4 mg/kg or Placebo
Participant flow — Cohort 1 - ETI-204 4 mg/kg or Placebo
MilestonePlaceboETI-204 4 mg/kgETI-204 8 mg/kgETI-204 16 mg/kgETI-204 20 mg/kgETI-204 24 mg/kg
Started130000
Completed130000
Not completed000000
Cohort 2 - ETI-204 8 mg/kg or Placebo
Participant flow — Cohort 2 - ETI-204 8 mg/kg or Placebo
MilestonePlaceboETI-204 4 mg/kgETI-204 8 mg/kgETI-204 16 mg/kgETI-204 20 mg/kgETI-204 24 mg/kg
Started206000
Completed206000
Not completed000000
Cohort 3 - ETI-204 16 mg/kg or Placebo
Participant flow — Cohort 3 - ETI-204 16 mg/kg or Placebo
MilestonePlaceboETI-204 4 mg/kgETI-204 8 mg/kgETI-204 16 mg/kgETI-204 20 mg/kgETI-204 24 mg/kg
Started200600
Completed200600
Not completed000000
Cohort 4 - ETI-204 20 mg/kg or Placebo
Participant flow — Cohort 4 - ETI-204 20 mg/kg or Placebo
MilestonePlaceboETI-204 4 mg/kgETI-204 8 mg/kgETI-204 16 mg/kgETI-204 20 mg/kgETI-204 24 mg/kg
Started200060
Completed200060
Not completed000000
Cohort 5 - ETI-204 24 mg/kg or Placebo
Participant flow — Cohort 5 - ETI-204 24 mg/kg or Placebo
MilestonePlaceboETI-204 4 mg/kgETI-204 8 mg/kgETI-204 16 mg/kgETI-204 20 mg/kgETI-204 24 mg/kg
Started200006
Completed200005
Not completed000001
Withdrew: Lost to follow-up000001

Outcome measures

PrimaryNumber of Participants Who Experienced Adverse Events

Safety was assessed for all subjects in the Safety Population by collecting and monitoring vital signs, clinical laboratory tests, ECGs, physical examinations, injection site assessments, skin assessments for presence/absence of rash, and adverse events (AEs).

Time frame:
Up to 71 (+/- 4) days or for 30 additional days after the final study visit for subjects with ongoing adverse events at the final scheduled study visit, for each group.
Reported as:
Count of participants · Participants
Number of Participants Who Experienced Adverse Events
ParticipantsPlaceboCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Number of Participants Who Experienced Adverse Events531122
SecondaryMaximum Observed Plasma Concentration of ETI-204 (Cmax)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Mean · µg/mL
Maximum Observed Plasma Concentration of ETI-204 (Cmax)
µg/mLCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Maximum Observed Plasma Concentration of ETI-204 (Cmax)24.9 ± 4.7054.8 ± 6.45105 ± 22.5118 ± 28.2154 ± 32.4
SecondaryTime to Maximum Observed Plasma Concentration of ETI-204 (Tmax)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Median · days
Time to Maximum Observed Plasma Concentration of ETI-204 (Tmax)
daysCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Time to Maximum Observed Plasma Concentration of ETI-204 (Tmax)9.00 (3.00 to 9.00)9.00 (3.00 to 9.00)6.00 (6.00 to 14.00)6.00 (6.00 to 14.00)6.00 (3.00 to 9.00)
SecondaryArea Under the Concentration-Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-last)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Mean · µg.day/mL
Area Under the Concentration-Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-last)
µg.day/mLCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Area Under the Concentration-Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-last)774 ± 92.31540 ± 3282890 ± 5783660 ± 9453740 ± 570
SecondaryArea Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Mean · µg.day/mL
Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf)
µg.day/mLCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Area Under the Concentration-Time Curve From Time 0 Extrapolated to Infinity (AUC0-inf)819 ± 85.91580 ± 4413200 ± 7554220 ± 13603960 ± 823
SecondaryHalf-life (t1/2)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Mean · days
Half-life (t1/2)
daysCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Half-life (t1/2)16.0 ± 1.6020.2 ± 8.4719.6 ± 4.1023.3 ± 6.1720.0 ± 7.20
SecondaryApparent Clearance (CL/F)

Blood samples were obtained and serum concentrations were determined for free ETI-204 using a validated enzyme-linked immunosorbent assay method with an assay range of 100 ng/mL to 5000 ng/mL.

Time frame:
Pre-dose and 1.5, 4, 8, 24, 36, 48, 72 hours after the IM injection of ETI-204 on Day 1, and on Days (7), 10, 15, 29, 43, and 71. A Day 7 sample was not included in the profile until the dose had escalated to 20 mg/kg.
Reported as:
Mean · Liters/day
Apparent Clearance (CL/F)
Liters/dayCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Apparent Clearance (CL/F)0.410 ± 0.05450.415 ± 0.1170.445 ± 0.1130.382 ± 0.07360.478 ± 0.202
SecondaryNumber of Participants With Anti-ETI-204 Antibodies

Blood samples were collected and serum samples were assayed at an initial dilution of 1:10. Samples that were positive at the 1:10 dilution were serially diluted 1:2 and assayed until a negative result was attained. The titer of the most dilute sample yielding a positive result was recorded as the titer for that time point. Immunogenicity was measured by the number of participants in each study arm with anti-ETI-204 antibody values at Days 8, 43 or 71 ≥ 4-times higher than at baseline, or if the titer was negative at baseline, the post-treatment sample(s) required a titer of at least 1:20 for it to be considered positive.

Time frame:
Pre-dose and on Days 10, 43, and 71 after the IM injection of ETI-204 or placebo on Day 1.
Reported as:
Count of participants · Participants
Number of Participants With Anti-ETI-204 Antibodies
ParticipantsPlaceboCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Number of Participants With Anti-ETI-204 Antibodies000000

Adverse events

Collected over Up to 71 (+/- 4) days or for 30 additional days after the final scheduled study visit for subjects with ongoing adverse events at that visit, for each group.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/9 (0%)0/9 (0%)5/9 (55.6%)
Cohort 10/3 (0%)0/3 (0%)3/3 (100%)
Cohort 20/6 (0%)0/6 (0%)1/6 (16.7%)
Cohort 30/6 (0%)0/6 (0%)1/6 (16.7%)
Cohort 40/6 (0%)0/6 (0%)2/6 (33.3%)
Cohort 50/6 (0%)0/6 (0%)2/6 (33.3%)
Most frequent other events
Showing 10 of 20
Most frequent other events
EventPlaceboCohort 1Cohort 2Cohort 3Cohort 4Cohort 5
Injection site painGeneral disorders2/91/30/61/60/60/6
Menstruation IrregularReproductive system and breast disorders0/91/30/60/60/60/6
Oropharyngeal PainRespiratory, thoracic and mediastinal disorders0/91/30/60/60/60/6
PruritusSkin and subcutaneous tissue disorders0/91/30/60/60/60/6
RashSkin and subcutaneous tissue disorders0/91/30/60/60/60/6
RhinorrhoeaRespiratory, thoracic and mediastinal disorders0/91/30/60/60/60/6
DizzinessNervous system disorders0/90/30/60/61/61/6
VomitingGastrointestinal disorders0/90/31/60/60/61/6
Back painMusculoskeletal and connective tissue disorders0/90/30/60/61/60/6
ConstipationGastrointestinal disorders0/90/30/60/61/60/6

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboETI-204Total
Mean45.8 ± 11.5347.4 ± 14.3147.0 ± 13.5
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboETI-204Total
Female61117
Male31619
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboETI-204Total
Hispanic or Latino257
Not Hispanic or Latino72128
Unknown or Not Reported011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboETI-204Total
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American41317
White51217
More than one race000
Unknown or Not Reported011
Body weight
Body weight(kg)PlaceboETI-204Total
Mean67.71 ± 13.40676.33 ± 12.35174.2 ± 12.989
Height
Height(cm)PlaceboETI-204Total
Mean164.18 ± 8.859171.01 ± 8.062169.3 ± 8.672
BMI
BMI(kg/m2)PlaceboETI-204Total
Mean24.92 ± 2.98326.04 ± 3.45425.76 ± 3.337
08

Study locations

1 site
  • Covance Clinical Research Unit Inc.
    Dallas, Texas 75247, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01932437
Lead sponsor
Elusys Therapeutics
Responsible party
Sponsor
First posted
Aug 30, 2013
Start date
Jul 26, 2013
Primary completion
Jul 3, 2014
Completion
Jul 3, 2014
Results posted
May 1, 2019
Last update
May 6, 2019

Study contacts

Alex King, MD
principal investigator · Covance Clinical Research Unit

Oversight

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

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This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Obiltoxaximab

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