ClinicalTrials.gg
CompletedNCT06072157Updated Jun 3, 2025

Study to Assess the Safety, Tolerability, Pharmacokinetics and Immunogenicity of AK006 in Healthy Subjects and Subjects With Chronic Spontaneous Urticaria

A Phase 1 interventional study of AK006-IV and Placebo-IV in Healthy Participants and Chronic Spontaneous Urticaria, sponsored by Allakos Inc.. Completed at 25 sites in 2 countries. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-03.

Sponsored by Allakos Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2025, 1 year 5 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
136
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 1, randomized, double-blind, placebo-controlled, sequential, single- and multiple-ascending dose study to evaluate the safety, tolerability, pharmacokinetics (PK), and immunogenicity of intravenous (IV) infusions and a single subcutaneous (SC) injection of AK006. The study will be conducted in 4 parts: a single-ascending dose part (Part A) in healthy participants, a multiple-ascending dose part (Part B) in healthy participants with an expanded cohort (Part C) in participants with chronic spontaneous urticaria (CSU), and a single ascending dose SC injection cohort (Part D) in healthy participants.

02

Conditions studied

  • Healthy Participants
  • Chronic Spontaneous Urticaria

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03

In context

Chronic Urticaria

194 studies on the registry are indexed under Chronic Urticaria; 46 are open to participants now.

This study's enrollment of 136 is above the median of 80 across 145 interventional studies indexed under Chronic Urticaria.

Browse Chronic Urticaria studies →

Lead sponsor

Allakos Inc. is the lead sponsor of 18 studies on the registry; none are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 9 (69%) have results posted.

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

Eligibility criteria

Key Inclusion Criteria:

To be included in the study, the participant must:

  • Weigh between 60 and 120 kg (inclusive) and have a (BMI) between 20 and 32 kg/m2, inclusive
  • Agree (female of or male with female partner of childbearing potential) to use a highly effective method (\<1% failure rate) of , if sexually active from screening and for 16 weeks after the last dose of product (IP).

Additionally, to be included in Part A, B and D, the participant must:

  • Be in good general health with no significant medical history and has no abnormalities on physical examination

Additionally, to be included in Part C, the participant must:

  • Have a diagnosis of chronic spontaneous urticaria (CSU) for at least 6 months prior to screening
  • Has a diagnosis of moderate to severe CSU that is to stable doses of a single 2nd or later generation H1-AH between 1× and 4× the licensed dose and frequency at the time of randomization as defined by the following:

    • Presence of hives and itch for ≥6 consecutive weeks at any time prior to the Screening, despite the use of non-sedating H1-AHs. Note: Subject must be on a non-sedating H1-AH for treatment of CSU symptoms at the time of the Screening visit.
    • UAS7 score ≥16 with a HSS7 score ≥8 for the 2 consecutive weeks prior to randomization (Day 1) while on the stable dose of an H1-AH.
  • Be on a stable dose of a single 2nd or later generation H1-antihistamines for the treatment of CSU, between 1× and 4× the licensed dose and frequency, by Day -14 of the Screening Period and must be willing to remain on the same stable dose throughout the study.
  • Able and willing to complete a daily electronic diary to collect CSU symptoms for the duration of the study.

Key Exclusion Criteria:

A participant who meets any of the following exclusion criteria will not be eligible for inclusion in the study:

  • Female participants who are pregnant, lactating, or planning to become pregnant during the study.
  • Abnormal laboratory values, or findings in physical examination, ( >450 ms for males and >470 ms for females), or vital signs considered to be clinically significant by the investigator.

Additionally, a participant will be excluded from Part A, B and D, if:

  • Received treatment with any prescribed (excluding hormonal contraceptives or hormone replacement therapy [ females]) or nonprescribed systemic or topical medication (including herbal product, and vitamins) within 21 days prior to the first dose of IP (excluding acetaminophen).

Additionally, a participant will be excluded from Part C, if:

  • Has known or suspected urticarial vasculitis
  • Subject has causes other than CSU for their urticaria including symptomatic dermographism, cholinergic urticaria, or any inducible urticaria
  • Subject has other conditions or diseases that in the investigator's opinion might influence study evaluations and results
  • Has any disease or condition (medical or surgical) which, in the opinion of the investigator, or medical monitor, would place the subject at increased risk
Terms in these criteria, in plain language(9)

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.

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.

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.

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.

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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).

05

Study design

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

Study arms

  • Experimental
    Part A - Single Ascending Dose (SAD) Intravenous Cohorts

    Part A: Healthy adult participants will receive a single intravenous infusion of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 5 cohorts evaluated.

    Drug: AK006-IV · Drug: Placebo-IV

  • Experimental
    Part B - Multiple Ascending Dose (MAD) Intravenous Cohorts

    Part B: Healthy adult participants will receive multiple intravenous infusions of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 3 cohorts evaluated.

    Drug: AK006-IV · Drug: Placebo-IV

  • Experimental
    Part C - Multiple Dose Intravenous Cohort

    Part C: Adults with Chronic Spontaneous Urticaria will receive multiple intravenous infusions of AK006 or matching placebo.

    Drug: AK006-IV · Drug: Placebo-IV

  • Experimental
    Part D - Single Ascending Dose (SAD) Subcutaneous Cohorts

    Part D: Healthy adult participants will receive a single subcutaneous injection of AK006 or matching placebo. The dose of AK006 will be increased per cohort. There will be up to 2 cohorts evaluated.

    Drug: AK006-SC · Drug: Placebo-SC

Interventions

  • DrugAK006-IV

    Intravenous infusion

  • DrugPlacebo-IV

    Intravenous infusion

  • DrugAK006-SC

    Subcutaneous

  • DrugPlacebo-SC

    Subcutaneous

06

What researchers measure

Primary outcomes

  1. Incidence and severity of adverse events (AEs)

    AEs, serious AEs, and treatment emergent AEs (AE that starts after start of investigational product)

    Time frame: Screening to Day 113 (Part A and D), Screening to Day 141 (Part B), and Screening to Day 197 (Part C)

  2. Incidence of AEs of special interest

    Infusion-related reactions, injection-related reactions, injection site reactions, anaphylaxis, and opportunistic infections

    Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)

  3. AEs leading to discontinuation

    AEs

    Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)

  4. Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs

    Incidence of clinically significant abnormal laboratory values, electrocardiograms (ECGs), and vital signs

    Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B), and Day 1 to Day 197 (Part C)

Secondary outcomes

  1. AK006 serum concentration at end of IV infusion

    AK006 Serum concentration (ng/mL) at end of infusion

    Time frame: Day 1 (Part A) and Day 29 (Part B)

  2. AK006 area under the concentration-time curve (AUC) from time 0 to the time of last quantifiable concentration (AUC[0-last])

    AK006 AUC(0-last) (ng x h/mL)

    Time frame: Day 1 to Day 113 (Part A and D) and Day 29 to Day 141 (Part B)

  3. AK006 AUC from time 0 extrapolated to infinity (AUC[0-inf])

    AK006 AUC(0-inf) (ng x h/mL)

    Time frame: Day 1 to Day 113 (Part A and D)

  4. Total systemic clearance of AK006 after intravenous or subcutaneous dose (CL)

    AK006 CL (L/h/kg)

    Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)

  5. Systemic steady-state volume of distribution (Vss) of AK006

    AK006 Vss (mg/L)

    Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)

  6. AK006 Terminal elimination phase half-life (t1/2)

    AK006 t1/2 (hours)

    Time frame: Day 1 to Day 113 (Part A and D) and Day 1 to Day 141 (Part B)

  7. Predose AK006 serum concentration (Ctrough, before the next dose) (Part B)

    AK006 Ctrough (ng/mL)

    Time frame: Day 29 (pre-dose)

  8. AK006 AUC(0-last) after the second dose (Part B)

    AK006 AUC(0-last) (ng x h/mL)

    Time frame: Day 29 to Day 141

  9. AK006 AUC over the dosing time interval (time 0 to 28 days) (AUC[tau]) (Part B)

    AK006 AUC(tau) (ng x h/mL)

    Time frame: Day 1 to Day 28 with each dosing interval

  10. AK006 serum concentrations

    AK006 ng/mL

    Time frame: Up to Day 141 (Part A, B, D); Up to Day 197 (Part C)

  11. AK006 absolute bioavailability subcutaneous injection

    Ratio of mean AUC(0-last) after subcutaneous injection to mean AUC(0-last) after intravenous administration adjusted for dose

    Time frame: Day 1 to Day 113 (Part A and D)

  12. AK006 PK dose proportionality (Part A, B, D)

    Comparing dose-normalized Cmax and AUC (Part A, B, and D)

    Time frame: Up to Day 141

  13. AK006 PK dose stationarity (Part B)

    Comparing AUCtau from last dose to AUCtau from first dose

    Time frame: Up to Day 141

  14. AK006 Anti-drug Antibodies (ADAs)

    Number of participants with positive or negative AK006-ADAs

    Time frame: Day 1 to Day 113 (Part A and D), Day 1 to Day 141 (Part B) and Day 1 to Day 197 (Part C)

07

Study locations

25 sites
  • Site 601-001 Healthy Volunteer Clinical Research Unit (Part A, B and D)
    Anniston, Alabama 36207, United States
  • Site 601-004 (Part C)
    Birmingham, Alabama 35209, United States
  • Site 601-008 (Part C)
    Scottsdale, Arizona 85251, United States
  • Site 601-014 (Part C)
    Bakersfield, California 93301, United States
  • Site 601-007 (Part C)
    Encino, California 91436, United States
  • Site 601-015 (Part C)
    Upland, California 91786, United States
  • Site 601-016 (Part C)
    Colorado Springs, Colorado 80907, United States
  • Site 601-006 (Part C)
    Overland Park, Kansas 66211, United States
  • Site 601-019 (Part C)
    Lexington, Kentucky 40509, United States
  • Site 601-003 (Part C)
    Baltimore, Maryland 21224, United States
  • Site 601-012 (Part C)
    Boston, Massachusetts 02111, United States
  • Site 601-023 (Part C)
    Troy, Michigan 48084, United States
  • Site 601-011 (Part C)
    Saint Louis, Missouri 63141, United States
  • Site 601-020 (Part C)
    Brooklyn, New York 11203, United States
  • Site 601-017 (Part C)
    Fargo, North Dakota 58103, United States
  • Site 601-002 (Part C)
    Cincinnati, Ohio 45236, United States
  • Site 601-018 (Part C)
    Portland, Oregon 97201, United States
  • Site 601-010 (Part C)
    El Paso, Texas 79912, United States
  • Site 601-013 (Part C)
    Greenfield, Wisconsin 53228, United States
  • Site 601-106 (Part C)
    Calgary, Alberta T2M 1A6, Canada
  • Site 601-103 (Part C)
    London, Ontario N6H 5L5, Canada
  • Site 601-107 (Part C)
    Niagara Falls, Ontario L2H 1H5, Canada
  • Site 601-108 (Part C)
    Toronto, Ontario M5G 1E2, Canada
  • Site 601-102 (Part C)
    Québec, Quebec G1V 4W2, Canada
  • Site 601-105 (Part C)
    Québec, Quebec G1W 4R4, Canada
08

References and documents

Publications

  • O'Sullivan JA, Youngblood BA, Schleimer RP, Bochner BS. Siglecs as potential targets of therapy in human mast cell- and/or eosinophil-associated diseases. Semin Immunol. 2023 Sep;69:101799. doi: 10.1016/j.smim.2023.101799. Epub 2023 Jul 4. PubMed 37413923 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2023 to primary completion in May 2025, 20 months.

Of 15 phase 1 interventional studies under Chronic Urticaria, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 21. This study's 20 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 9, 2023
First posted
Oct 10, 2023
StartActual
Aug 28, 2023
Primary completionActual
May 12, 2025
CompletionActual
May 12, 2025
Last update
Jun 3, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06072157
Lead sponsor
Allakos Inc.
Responsible party
Sponsor
First posted
Oct 10, 2023
Start date
Aug 28, 2023
Primary completion
May 12, 2025
Completion
May 12, 2025
Last update
Jun 3, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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