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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04843631




Registration number
NCT04843631
Ethics application status
Date submitted
23/03/2021
Date registered
13/04/2021
Date last updated
25/03/2022

Titles & IDs
Public title
Bioequivalence Phase I Study of BFI-751 Compared With EU and US-STELARA® in Healthy Adults
Scientific title
Bioequivalence Randomised, Double-blind, 3-parallel -Group Phase I Study of BFI-751 Compared With EU-STELARA® and US-STELARA® in Healthy Adult Volunteers
Secondary ID [1] 0 0
BFTA-AU-001
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Psoriasis 0 0
Condition category
Condition code
Skin 0 0 0 0
Dermatological conditions
Skin 0 0 0 0
Other skin conditions

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - BFI-751
Treatment: Drugs - EU-STELARA®
Treatment: Drugs - US-STELARA®

Experimental: Arm A: BFI-751 - On Day 1, participants will be randomised to receive a single SC dose of 45 mg/0.5mL BFI-751

Active Comparator: Arm B: EU-STELARA® - On Day 1, participants will be randomised to receive a single SC dose of 45 mg/0.5mL EU- STELARA®

Active Comparator: Arm C: US-STELARA®. - On Day 1, participants will be randomised to receive a single SC dose of 45 mg/0.5mL US- STELARA®


Treatment: Drugs: BFI-751
Single use vial, solution

Treatment: Drugs: EU-STELARA®
Pre-filled syringe, solution

Treatment: Drugs: US-STELARA®
Pre-filled syringe, solution
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Bioequivalence- Cmax
Timepoint [1] 0 0
From Baseline to Day 85
Primary outcome [2] 0 0
Bioequivalence-Tmax
Timepoint [2] 0 0
From Baseline to Day 85
Primary outcome [3] 0 0
Bioequivalence - Area under the concentration-time curve from time zero to the last measurable concentration (AUC0-tlast)
Timepoint [3] 0 0
From Baseline to Day 85
Primary outcome [4] 0 0
Bioequivalence - Total AUC after extrapolation from time t to time infinity (AUC0-inf)
Timepoint [4] 0 0
From Baseline to Day 85
Primary outcome [5] 0 0
BioEquivalence - Elimination rate constant (Kel)
Timepoint [5] 0 0
From Baseline to Day 85
Primary outcome [6] 0 0
Bioequivalence - Apparent terminal elimination half-life (t1/2)
Timepoint [6] 0 0
From Baseline to Day 85
Primary outcome [7] 0 0
Bioequivalence - Volume of distribution (Vz)
Timepoint [7] 0 0
From Baseline to Day 85
Primary outcome [8] 0 0
Bioequivalence - Apparent clearance (CL)
Timepoint [8] 0 0
From Baseline to Day 85
Secondary outcome [1] 0 0
Safety and tolerability - Incidence, type and severity of Adverse Events
Timepoint [1] 0 0
From Baseline to Day 85
Secondary outcome [2] 0 0
Safety and tolerability - Changes from baseline in clinical laboratory results (haematology, serum chemistry, coagulation, and urinalysis)
Timepoint [2] 0 0
From Baseline to Day 85
Secondary outcome [3] 0 0
Changes from baseline in vital signs parameter - systolic and diastolic blood pressure in mmHg
Timepoint [3] 0 0
From Baseline to Day 85
Secondary outcome [4] 0 0
Changes from baseline in vital signs parameter - heart rate in beats per minute
Timepoint [4] 0 0
From Baseline to Day 85
Secondary outcome [5] 0 0
Changes from baseline in vital signs parameter - respiratory rate in breaths per minute
Timepoint [5] 0 0
From Baseline to Day 85
Secondary outcome [6] 0 0
Changes from baseline in vital signs parameter - body temperature in degrees Celsius
Timepoint [6] 0 0
From Baseline to Day 85
Secondary outcome [7] 0 0
Changes from baseline in physical examination findings - height in centimeters
Timepoint [7] 0 0
From Baseline to Day 85
Secondary outcome [8] 0 0
Changes from baseline in physical examination findings - weight in kilograms
Timepoint [8] 0 0
From Baseline to Day 85
Secondary outcome [9] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) Ventricular HR
Timepoint [9] 0 0
From Baseline to Day 85
Secondary outcome [10] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) PR Interval
Timepoint [10] 0 0
From Baseline to Day 85
Secondary outcome [11] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) RR interval
Timepoint [11] 0 0
From Baseline to Day 85
Secondary outcome [12] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QRS duration
Timepoint [12] 0 0
From Baseline to Day 85
Secondary outcome [13] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QT interval
Timepoint [13] 0 0
From Baseline to Day 85
Secondary outcome [14] 0 0
Changes from baseline in triplicate 12-lead electrocardiograms (ECG) QTcF
Timepoint [14] 0 0
From Baseline to Day 85
Secondary outcome [15] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [15] 0 0
From Baseline to Day 85
Secondary outcome [16] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [16] 0 0
From Baseline to Day 85
Secondary outcome [17] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [17] 0 0
From Baseline to Day 85
Secondary outcome [18] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [18] 0 0
From Baseline to Day 85
Secondary outcome [19] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [19] 0 0
From Baseline to Day 85
Secondary outcome [20] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [20] 0 0
From Baseline to Day 85
Secondary outcome [21] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [21] 0 0
From Baseline to Day 85
Secondary outcome [22] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [22] 0 0
From Baseline to Day 85
Secondary outcome [23] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [23] 0 0
From Baseline to Day 85
Secondary outcome [24] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [24] 0 0
From Baseline to Day 85
Secondary outcome [25] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [25] 0 0
From Baseline to Day 85
Secondary outcome [26] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [26] 0 0
From Baseline to Day 85
Secondary outcome [27] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [27] 0 0
From Baseline to Day 85
Secondary outcome [28] 0 0
Occurence of any clinical significant (CS) physical examination findings
Timepoint [28] 0 0
From Baseline to Day 85
Secondary outcome [29] 0 0
Safety and Tolerability - Incidence, type and severity of injection site reactions.
Timepoint [29] 0 0
From Baseline to Day 85
Secondary outcome [30] 0 0
Immunogenicity - incidence of antidrug antibody (ADA)
Timepoint [30] 0 0
From Baseline to Day 85
Secondary outcome [31] 0 0
Immunogenicity - incidence of neutralising antibody (nAb)
Timepoint [31] 0 0
From Baseline to Day 85

Eligibility
Key inclusion criteria
- Healthy volunteers will be included in the study if they meet all of the following
criteria at screening, and after check-in on Day -1, prior to dose administration:

1. Must have given written informed consent before any study-related activities are
carried out and must be able to understand the full nature and purpose of the
trial, including possible risks and adverse effects.

2. Adult male and female volunteers, 18 to 50 years of age (inclusive).

3. Subjects who smoke no more than 2 cigarettes or equivalent per week can be
included in the study but must be willing to abstain from smoking 7 days prior to
admission and during the confinement period. Subjects must have a negative test
for cotinine prior to check-in on Day -1.

4. Body mass index (calculated) within the range of 18 to 32 kg/m2 inclusive.

5. Body weight = 50 kg and = 100 kg inclusive.

6. Medically healthy without clinically significant abnormalities, including:

1. Physical examination without any clinically significant findings, in the
opinion of the Investigator.

2. Systolic blood pressure (BP) in the range of 90 to 145 mm Hg (inclusive) and
diastolic BP in the range of 50 to 90 mm Hg (inclusive) after at least 5
minutes in the supine position.

3. Heart rate (HR) in the range of 40 to 100 beats/min (inclusive) after at
least 5 minutes rest in a supine position.

4. Normal body temperature 35.5 to 37.7°C (inclusive).

5. Triplicate 12-lead electrocardiogram (ECG), taken after the volunteer has
been supine for at least 5 minutes, with a QT interval corrected using the
Fridericia method (QTcF) = 450 msec for males and = 470 msec for females and
no clinically significant abnormalities, in the opinion of the Investigator.

6. No clinically significant findings in serum chemistry, haematology,
coagulation and urinalysis examinations, in the opinion of the Investigator.

Assessments may be repeated once, if abnormal values were recorded in the first
instance, at the discretion of the Investigator.

7. Female volunteers must:

1. Be of non-child-bearing potential i.e., surgically sterilised (hysterectomy,
bilateral salpingectomy, bilateral oophorectomy at least 6 weeks before the
Screening visit) or postmenopausal (where postmenopausal is defined as no
menses for 12 months without an alternative medical cause and a
follicle-stimulating hormone level indicative of postmenopausal status per
local laboratory definition), OR

2. If of childbearing potential, must agree not to donate ova, not to attempt
to become pregnant, and, if engaging in sexual intercourse with a male
partner must agree to use an acceptable method of contraception for from
signing the consent form until at least 15 weeks after the last dose of
study drug.

8. Male volunteers, must agree not to donate sperm and if engaging in sexual
intercourse with a female partner who could become pregnant, must agree to use an
acceptable form of contraception from signing the consent form until at least 15
weeks after the last dose of study drug.

9. Have suitable venous access for blood sampling.

10. Be willing and able to comply with all study assessments and adhere to the
protocol schedule and restrictions.
Minimum age
18 Years
Maximum age
50 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
- Healthy volunteers will be excluded from the study if there is evidence of any of the
following at screening or after check-in on Day -1, prior to dose administration:

1. 1. Prior exposure to STELARA® (Ustekinumab).

2. Have a history of hypersensitivity or allergic reactions (either spontaneous or
following drug administration) to any of the active or formulation ingredients of
the study treatments components.

3. Have a history of or presence of disease determined by the PI to be clinically
significant including:

1. gastrointestinal (including diverticulitis, stomach ulcers, inflammatory
intestinal disease, gastrointestinal perforations/fistulae/intra-abdominal
abscess).

2. any other internal, non-gastrointestinal fistulae that is at an increased
risk of bleeding.

3. haematological (including pancytopenia, aplastic anaemia or blood
dyscrasia).

4. renal, hepatic, pulmonary, neurologic, psychiatric, metabolic (including
known diabetes mellitus), or

5. allergic disease excluding mild asymptomatic seasonal allergies.

4. Have a history of prolonged immunosuppressant therapy, or photochemotherapy
treatment.

5. Presence or evidence of recent sunburn, scar tissue, tattoo (more than 25% of
body area), open sore or branding that, in the opinion of the Investigator, would
interfere with interpretation of skin adverse reactions.

6. Have a history of and/or current cardiac disease defined as one of the following:

1. History of congestive heart failure; angina pectoris requiring anti-anginal
medication.

2. Evidence of transmural infarction on ECG.

3. History of sustained hypertension (systolic > 180 mmHg and/or diastolic >
100 mmHg) or hypertensive crisis or hypertension encephalopathy.

4. Clinically significant valvular heart disease, or severe arterial
thromboembolic events.

7. Have a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C
virus, human immunodeficiency virus (HIV) or history of active, latent or
inadequately treated tuberculosis (TB) infection.

8. Positive serum pregnancy test for women of childbearing potential at the
Screening visit or positive urine pregnancy test with confirmatory serum
pregnancy test prior to dosing on Day 1.

9. Females who are breastfeeding.

10. Have a history of cancer including lymphoma, leukaemia and skin cancer
(volunteers with a maximum of 1 surgically resected basal cell carcinoma or
squamous cell carcinoma are permitted).

11. Have an illness within 30 days prior to screening, or prior to dosing, that is
classed as clinically significant by the Investigator.

12. Prior exposure to any investigational monoclonal antibody within 12 months or 5
half-lives of the previous drug (if known), whichever is longer, prior to study
drug administration.

13. Have participated in another clinical study of an investigational drug (excluding
monoclonal antibody) within 30 days or 5 half-lives of the investigational drug
(whichever is longer) prior to the administration of the study drug, or are
currently participating in another clinical study of an investigational drug, or
intending to participate in another clinical study of an investigational drug
before completion of all scheduled evaluations in this clinical study.

14. Any clinically significant infection, in the opinion of the Investigator, ongoing
at screening or admission to the clinical unit.

15. Have had major surgery within 30 days prior to screening or will have an
operation between screening and the end of study visit, or have any unhealed
wound, including wound dehiscence and wound healing complications requiring
medical intervention.

16. Have received any vaccine(s) within 14 days prior to check in on Day -1, or is
planning to receive any vaccine with 14 days following dose administration on Day
1.

17. Have received a Bacillus Calmette-Guerin (BCG) vaccination within 1 year prior to
dose administration, or is planning to receive a BCG vaccination within 1 year
following dose administration.

18. History of alcohol abuse (defined as more than 12 standard drinks per week or
more than 4 standard drinks on > 3 days per week; where 1 standard drink is 10 g
of pure alcohol and is equivalent to 285 mL beer [4.9% Alc./Vol], 100 mL wine
[12% Alc./Vol], 30 mL spirit [40% Alc./Vol]) within 12 weeks prior to the
screening visit.

19. Positive drug or alcohol test results. In the event the urinary drug test is
positive, the test may be repeated once (at the discretion of the PI) to confirm
eligibility.

20. Have donated > 100 mL blood within 4 weeks prior to the administration of the
study drug.

21. Abnormal or irregular bowel movements, in the opinion of the Investigator.

22. Any history of non-traumatic haemorrhage (i.e. any haemorrhage requiring medical
intervention) or any condition which may increase bleeding risk including
clotting disorders, thrombocytopenia (platelet count < 150, 000 per µL) or an
international normalised ratio higher than 1.5.

23. Impaired liver function as determined by a serum alanine aminotransferase (ALT)
and/or aspartate aminotransferase (AST)> 1.5 x upper limit of normal (ULN) at
screening or admission. Subjects with values between ULN and 1.5 x ULN may be
included in the study if considered not clinically significant by the
Investigator.

24. Use of any prescription or over-the-counter medication (including herbal
products, diet aids, and hormone supplements) within 10 days or 5 half-lives of
the medication (whichever is longer) prior to the first study drug
administration, which, in the opinion of the Investigator, could affect the
outcome of the study. The following exceptions apply:

1. Contraceptives for WOCBP are permitted.

2. Paracetamol (up to a maximum of 4 doses of 500 mg per day, and no more than
3g per week) is permitted.

3. Ibuprofen (up to a maximum of 4 doses of 200 mg per day) is permitted.

25. Consumption of any foods containing poppy seeds within 48 hours prior to
screening and admission to the clinical centre.

26. Presence of proteinuria (other than trace amounts i.e., +, ++/+++).

27. Personal history of venous thromboembolic events or idiopathic venous
thromboembolic events in a first degree relative.

28. Any person who is an employee of an Investigator or Sponsor, or an immediate
relative of an Investigator.

29. Any other condition or prior therapy that in the opinion of the Investigator
would make the volunteer unsuitable for this study, including inability to
cooperate fully with the requirements of the study protocol or likelihood of
noncompliance with any study requirements.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s

The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/04/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
8/12/2021
Sample size
Target
Accrual to date
Final
216
Recruitment in Australia
Recruitment state(s)
QLD,SA
Recruitment hospital [1] 0 0
Nucleus Network - Brisbane
Recruitment hospital [2] 0 0
CMAX - Adelaide
Recruitment postcode(s) [1] 0 0
4029 - Brisbane
Recruitment postcode(s) [2] 0 0
5000 - Adelaide
Recruitment outside Australia
Country [1] 0 0
New Zealand
State/province [1] 0 0
Auckland

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
BioFactura Australia Pty Ltd.
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
Avance Clinical Pty Ltd.
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
BFI-751 is being developed by BioFactura Australia Pty Ltd as a biosimilar drug to Stelara®
(EU licenced and US licenced) (ustekinumab) is a prescription biologic medicine used to treat
people with Crohn's disease, Ulcerative Colitis, plaque psoriasis and psoriatic arthritis.
Stelara® is an immune suppressant that reduces the effects of inflammatory proteins within
the body.

This is the first time BFI-751 will be given to humans. The primary purpose of this study is
to compare the pharmacokinetics (the study of what the body does to the drug, referring to
the movement of any drug going into, through, and out of the body) by checking to see if the
blood levels of 751-BFI are comparable with US-Stelara® and EU-Stelara® following a single
injection under the skin.

The secondary purposes of this study are:

- to assess the safety of BFI-751,

- study how well the healthy volunteers tolerate it and

- to also assess the immune response to it in healthy volunteers.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04843631
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Jeffrey N Hausfeld, MD
Address 0 0
BioFactura Australia Pty Ltd.
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries