Overview

Ph1 Study of Valortim and Doxycycline in Humans

Status:
Terminated
Trial end date:
2009-12-01
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to evaluate the safety and tolerability of short-term dosing of IV doxycycline when administered concomitantly with IV Valortim in normal healthy human subjects.
Phase:
Phase 1
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
PharmAthene, Inc.
Collaborators:
Department of Health and Human Services
Medarex
National Institutes of Health (NIH)
Quintiles, Inc.
Treatments:
Anti-Bacterial Agents
Antibiotics, Antitubercular
Doxycycline
Criteria
Inclusion Criteria:

1. Healthy normal male or female subjects 18 to 65 years of age on Day -1 of the study

2. Subject must have read, understood, and provided written informed consent after the
nature of the study has been fully explained and must be willing to comply with all
study requirements and procedures

3. In the opinion of the Investigator, subjects should be in generally good health, based
upon prestudy medical history, physical examination, ECG and laboratory tests (see
Appendix H)

4. Laboratory screening values (i.e., hematology, clinical chemistries and urinalysis
tests) must be within study-defined ranges (See Appendix G).

5. No detectable antibody to B. anthracis Protective Antigen (PA-IgG) as measured by
ELISA testing at study Screening

6. Women of childbearing potential may be enrolled if one of the following criteria
applies:

1. Must be using an effective form of contraception (e.g., oral contraceptives,,
IUD, injected or implanted hormonal contraception, double barrier method of
condom and spermicide, diaphragm with spermicide or sponge with spermicide) for
at least one month prior to study entry, must have maintained a normal menstrual
pattern for the three months prior to study entry and have a negative pregnancy
test at the time of admission to the unit. Women must be willing to continue this
contraception throughout the course of the study.

2. Is sexually abstinent

3. Is monogamous with a vasectomized partner (> 3 months prior)

4. Is postmenopausal (i.e., no cycle for at least the previous 12 months, is of
menopausal age (> 45 years) and has a negative urine pregnancy test prior to
enrollment into the study and a negative serum pregnancy test on Day -1)

5. Is surgically sterilized (confirmed by medical record review)

6. Has had a total hysterectomy a minimum of 3 months prior to dosing on Day 1
(confirmed by medical record review)

7. Sexually active male subjects may be enrolled if one of the following criteria
applies:

1. Has had a vasectomy (> 3 months prior to study entry, confirmed by medical record
review)

2. Using condoms and whose partner is using an acceptable form of contraception
(IUD, oral contraceptives, birth control patch or vaginal ring, injectable or
implanted contraceptives, or tubal ligation [surgical sterilization]) for the
duration of the study

3. Is sexually abstinent

8. Female subjects must have a negative urine pregnancy test at study Screening and a
negative serum pregnancy test on admission to the Phase I unit at Day -1

9. Female subjects using injectable, transdermal, vaginal ring, oral contraceptives, or
an IUD must agree to also use a barrier method (i.e. male condom, female condom,
diaphragm, cervical cap) for the duration of their participation in the study.

10. Agreement to not receive any vaccinations from Day -1 through to 31 days post Valortim
dosing. Vaccination against B. anthracis is prohibited during the study.

11. Body Mass Index (BMI) ≥ 19 and ≤ 30 (see Appendix C)

12. Abstinence from alcohol for 24 hours prior to study drug administration until
discharge from the Phase I unit

Exclusion Criteria:

1. Prior known or suspected exposure to B. anthracis

2. Prior vaccination for B. anthracis

3. Any participants in the original FTIH study of Valortim.

4. History of drug or alcohol abuse i.e. having been treated either in an in-patient or
out-patient facility within 12 months of study Screening

5. Positive drug result and/or positive alcohol result at time of study Screening or at
Day -1

6. Smoke more than 10 cigarettes per day for the last 6 months

7. Treatment with an investigational agent within 30 days or 5 half-lives (whichever is
longer) of study Screening

8. Use of systemic immunosuppressive agents within 12 months of study Screening.
Individuals who have received prednisone or its equivalent in doses of less than 20
mg/day for 14 days or less, as long as it occurred more than 1 month prior to them
entering the study and as long as there is no clinical or laboratory evidence of
immunosuppression, may be considered for enrollment

9. Use of laxatives within 24 hours prior to dosing

10. Use of proton pump inhibitors within 72 hours prior to dosing

11. History of asthma requiring any use of inhaled or oral medication within the previous
5 years

12. History of hepatic or renal impairment or diabetes

13. Clinically significant medical or psychiatric condition that, in the opinion of the
Investigator, may impair study participation to include ongoing recent illness, new
medications prescribed in the previous 6 weeks or use of immunosuppressive agents

14. Electrocardiogram with evidence of clinically significant conduction abnormalities or
active ischemia (as determined by the Principal Investigator) at the time of study
screening

15. Donation of one or more pints of blood 30 days prior to study Screening visit or
donation prior to completion of Day 34 of the study

16. Donation of plasma within 14 days prior to study Screening visit or donation prior to
completion of Day 34 of the study

17. Vaccinations within 30 days prior to Day -1 through to 31 days post Valortim dosing on
Day 6.

18. Prior known serum positivity for human immunodeficiency virus (HIV) antibodies,
hepatitis B (surface antigen) or hepatitis C as determined at study Screening

19. Prior known allergy or allergic reaction to doxycycline or any of the group of
antibiotics known as tetracyclines

20. Current treatment with, or use of, anticoagulants, antibiotics, barbiturates and
anti-epileptic drugs

21. Diagnosis of photosensitivity, including, but not limited to, a history of phototoxic
and/or photoallergic reactions to medications