ClinicalTrials.gg
Enrolling by invitationNCT07149454Updated Jan 28, 2026

Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection

A Phase 1 interventional study of Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection and Human Tetanus Immunoglobulin in Tetanus, sponsored by Lanzhou Institute of Biological Products Co., Ltd. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-28.

Sponsored by Lanzhou Institute of Biological Products Co., Ltd (part of Sinopharm) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2026, 5 months ago, but the record still lists the study as enrolling by invitation.
Phase
Phase 1
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

A Randomized, Double-blind, Controlled, Dose-escalation Phase I Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Intramuscular Injection of Recombinant Human Anti-tetanus toxin Monoclonal Antibody Injection in Healthy Participants.

Read the detailed description

The primary objective of the study : evaluate the safety and tolerability of a single intramuscular injection of recombinant human anti-tetanus toxin monoclonal antibody injection in healthy adult participants. The secondary objectives are:

  1. to evaluate the pharmacokinetic (PK) characteristics of a single intramuscular injection of recombinant human anti-tetanus toxin monoclonal antibody injection in healthy adult participants;
  2. to evaluate the pharmacodynamic (PD) characteristics of a single intramuscular injection of recombinant human anti-tetanus toxin monoclonal antibody injection in healthy adult participants;
  3. to evaluate the immunogenicity of a single intramuscular injection of recombinant human anti-tetanus toxin monoclonal antibody injection in healthy adult participants.
02

Conditions studied

  • Tetanus

Browse trials for

Keywords

  • Tetanus Antitoxin
03

In context

Tetanus

318 studies on the registry are indexed under Tetanus; 29 are open to participants now.

This study's planned enrollment of 68 is below the median of 418 across 280 interventional studies indexed under Tetanus.

Browse Tetanus studies →

Lead sponsor

Lanzhou Institute of Biological Products Co., Ltd is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

First submitted after Lanzhou Institute of Biological Products Co., Ltd became part of Sinopharm.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
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. Participants voluntarily agree to participate in the study and sign the form (ICF);
  2. Aged 18-60 years (inclusive) at the time of ICF signing, regardless of gender, with valid legal identification;
  3. Body weight ≥45.0 kg for female participants and ≥50.0 kg for male participants, with a (BMI) between 18.0 and 28.0 kg/m² (inclusive) (BMI = weight [kg]/height [m²]);
  4. Female participants of must have no plans for pregnancy or egg donation during the trial and for 6 months after product administration and must voluntarily use at least one effective method. Male participants must have no plans for pregnancy or sperm donation during the trial and for 6 months after investigational product administration, and either the male participant or his female partner of childbearing potential must voluntarily use at least one effective contraceptive method.

Exclusion criteria

Exclusion Criteria:

  1. Known allergy to the product (including or similar drugs), or documented to essential materials used in the trial (e.g., skin disinfectants); or history of severe allergic diseases, hypersensitivity to monoclonal antibodies, or allergic constitution deemed by investigators to compromise participant safety;
  2. Acute/chronic medical conditions that may significantly affect drug metabolism or safety assessments per investigator judgment;
  3. History of diseases or immunodeficiency disorders (including -positive screening);
  4. Chronic /C (HBsAg or antibody-positive during screening);
  5. History/family history of seizures, epilepsy, or neuropsychiatric disorders;
  6. Major surgery within 3 months (90 days) prior to dosing, or planned surgery during the trial;
  7. Prior tetanus infection or use of passive tetanus immunoglobulins within 6 months (180 days) before dosing;
  8. Tetanus-toxoid-containing vaccination (e.g., DTaP, Td, meningococcal conjugate vaccines) within 10 years;
  9. Positive tetanus IgG rapid test during screening;
  10. Receipt of live/inactivated vaccines within 1 month (30 days) before dosing or planned vaccination during the trial;
  11. Systemic / within 3 months (90 days) (excluding inhaled/topical use);
  12. Prescription/OTC/herbal medications within 14 days or \<5 half-lives (whichever is longer) prior to dosing, particularly those interfering with the investigational monoclonal antibody's PK/safety (per criterion #11 for exceptions);
  13. Participation in other clinical trials involving investigational drugs/devices within 3 months (90 days) or planned concurrent enrollment;
  14. Excessive alcohol intake (>14 units/week; 1 unit = 360 mL beer/45 mL 40% liquor/150 mL wine), alcohol use within 48 hours pre-dose, or positive breathalyzer test;
  15. Heavy smoking (>10 cigarettes/day or equivalent) within 1 month (30 days);
  16. Blood loss/donation >400 mL within 3 months (90 days) or planned donation/transfusion during the trial;
  17. Inability to avoid strenuous exercise within 14 days post-dosing;
  18. Substance abuse history or positive drug screening;
  19. Positive syphilis antibody test during screening;
  20. abnormalities in screening assessments (e.g., >1.5×, creatinine >ULN, neutrophils \<1.5×10⁹/L, \<100×10⁹/L, \<100 g/L);
  21. Pregnant/lactating women or positive pregnancy test;
  22. Needle phobia, poor venous access, or intolerance to venipuncture;
  23. Any other condition deemed by investigators to preclude compliance or safe participation.
Terms in these criteria, in plain language(18)

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.

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.

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.

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.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    Group 1 (0.2 mg dose group)

    A single dose was administered to 3 enrolled participants, who were randomized in a 2:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period and were evaluated as safe and tolerable, administration for the next dose group could proceed.

    Drug: Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection · Drug: Placebo

  • Experimental
    Group 2 (2 mg dose group)

    A single dose was administered to 8 enrolled participants, who were randomized in a 3:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the trial proceeded to the next dose group.

    Drug: Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection · Drug: Placebo

  • Experimental
    Group 3 (5 mg dose group)

    A single dose was administered to 15 enrolled participants, who were randomized in a 4:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the study proceeded to the next cohort.

    Drug: Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection · Drug: Placebo

  • Experimental
    Group 4 (10 mg dose group)

    A single dose was administered to 27 enrolled participants, who were randomized in a 4:4:1 ratio to receive either: the recombinant human anti-tetanus toxin monoclonal antibody injection, human tetanus immunoglobulin (HTIG) injection, or placebo. After all participants completed the 14-day safety observation period for the current dose group and were evaluated as safe and tolerable, the study advanced to the next phase.

    Drug: Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection · Drug: Human Tetanus Immunoglobulin · Drug: Placebo

  • Experimental
    Group 5 (15 mg dose group)

    A single dose was administered to 15 enrolled participants who were randomized in a 4:1 ratio to receive either the recombinant human anti-tetanus toxin monoclonal antibody injection or placebo. As this represented the highest planned dose level, the sponsor and investigators jointly determined whether to continue dose escalation based on the absence of tolerability concerns.

    Drug: Recombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection · Drug: Placebo

Interventions

  • DrugRecombinant Human Anti-Tetanus Toxin Monoclonal Antibody Injection

    intramuscular injection

  • DrugHuman Tetanus Immunoglobulin

    intramuscular injection

  • DrugPlacebo

    intramuscular injection

06

What researchers measure

Primary outcomes

  1. The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit

    Types of Adverse Events / Serious Adverse Reactions

    Time frame: 105 days

  2. The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit

    Incidence of Adverse Events/Serious Adverse Reactions

    Time frame: 105Days

  3. The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit

    Severity of Adverse Events (AEs)/Serious Adverse Reactions (SARs)

    Time frame: 105Days

  4. The occurrence of adverse events (AEs)/serious adverse events (SAEs) (including injection site reactions) from administration to the last visit

    Relationship of Adverse Events (AEs)/Serious Adverse Reactions (SARs) to the Investigational Product

    Time frame: 105Days

  5. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:P Wave

    Time frame: 105Days

  6. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:QRS Complex

    Time frame: 105Days

  7. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:T Wave

    Time frame: 105Days

  8. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:U Wave

    Time frame: 105Days

  9. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:PR Interval

    Time frame: 105Days

  10. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:QT Interval

    Time frame: 105Days

  11. The clinical significance of changes in observation indicators at different time points after drug injection compared to pre-administration.

    12-lead electrocardiogram examination:ST Segment

    Time frame: 105Days

  12. Clinically significant changes in laboratory parameters from baseline at specified timepoints post-dosing

    Complete Blood Count (CBC)

    Time frame: 105Days

Secondary outcomes

  1. Pharmacokinetic Endpoints

    Cmax: Maximum plasma concentration

    Time frame: 105Days

  2. Pharmacokinetic Endpoints

    AUC\~0-t: Area under the curve from 0 to last measurable timepoint

    Time frame: 105Days

  3. Pharmacokinetic Endpoints

    AUC\~0-∞: Area under the curve extrapolated to infinity

    Time frame: 105Days

  4. Pharmacokinetic Endpoints

    T\~max: Time to reach Cmax

    Time frame: 105Days

  5. Pharmacokinetic Endpoints

    t\~1/2: Elimination half-life

    Time frame: 105Days

  6. Pharmacokinetic Endpoints

    CL/F: Apparent clearance

    Time frame: 105Days

  7. Pharmacokinetic Endpoints

    Vz/F:Apparent Volume of Distribution during Terminal Phase

    Time frame: 105Days

  8. Pharmacokinetic Endpoints

    MRT:Mean Residence Time

    Time frame: 105Days

  9. Pharmacodynamic Endpoints

    Change in tetanus-neutralizing antibody titer from baseline within 12 hours post-dose across treatment groups

    Time frame: 0 to 12 hours

  10. Pharmacodynamic Endpoints

    Percentage of participants with anti-tetanus toxin neutralizing antibody titers ≥0.01 IU/mL and ≥0.1 IU/mL at each timepoint post-dose across treatment groups

    Time frame: 105Days

  11. Pharmacodynamic Endpoints

    Percentage of participants with anti-tetanus toxin neutralizing antibody titer increases from baseline ≥0.01 IU/mL and ≥0.1 IU/mL at each timepoint post-dose across treatment groups

    Time frame: 105Days

  12. Exposure-Response Analysis, E-R Analysis

    Exposure-response (E-R) analysis of serum drug concentrations versus anti-tetanus toxin neutralizing antibody titers at each post-dose timepoint across treatment groups

    Time frame: 105Days

  13. Immunogenicity Endpoints

    Anti-drug antibody (ADA) titers against the investigational drug (recombinant human anti-tetanus toxin monoclonal antibody) in serum at each post-dose timepoint across treatment groups

    Time frame: 105Days

  14. Immunogenicity Endpoints

    Incidence of anti-drug antibodies (ADA) against the investigational drug (recombinant human anti-tetanus toxin monoclonal antibody) in serum post-dose across treatment groups

    Time frame: 105Days

  15. Immunogenicity Endpoints

    In participants who tested positive for anti-drug antibodies (ADA), the incidence of neutralizing antibodies (NAb) was assessed.

    Time frame: 105Days

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2025 (actual). Primary completion is estimated for May 2026, 9 months after the start.

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

Registered
Aug 3, 2025
First posted
Sep 2, 2025
StartActual
Aug 18, 2025
Primary completionEst.
May 27, 2026
CompletionEst.
Jun 24, 2026
Last update
Jan 28, 2026
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 Jan 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07149454
Responsible party
Sponsor
First posted
Sep 2, 2025
Start date
Aug 18, 2025
Primary completion
May 27, 2026 (estimated)
Completion
Jun 24, 2026 (estimated)
Last update
Jan 28, 2026

Study contacts

Jianchang He
principal investigator · Yunnan Provincial Hospital of Traditional Chinese Medicine

Oversight

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

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