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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/NCT05121246




Registration number
NCT05121246
Ethics application status
Date submitted
4/11/2021
Date registered
16/11/2021
Date last updated
4/10/2023

Titles & IDs
Public title
Pharmacokinetic Study Comparing MB05 (Proposed Palivizumab Biosimilar), EU-sourced Synagis® and US-sourced Synagis® in Healthy Volunteers.
Scientific title
FANTASY-A Randomised, Double-Blind, 3-arm Parallel Study to Compare the Pharmacokinetics, Safety, Immunogenicity and Tolerability of MB05 (Proposed Palivizumab Biosimilar), EU-sourced Synagis® and US-sourced Synagis®, Administered as a Single Dose Intramuscular Injection in Healthy Volunteers.
Secondary ID [1] 0 0
MB05-A-01-21
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Healthy Volunteers 0 0
Condition category
Condition code

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - MB05 (Proposed palivizumab biosimilar)
Treatment: Drugs - EU-Synagis®
Treatment: Drugs - US-Synagis®

Experimental: MB05 (Proposed palivizumab biosimilar) - Sterile vial 100mg/1ml, single-dose 3mg/kg administered as intramuscular injection on day 1.

Active Comparator: EU-Synagis® - Sterile vial 100mg/1ml, single-dose 3mg/kg administered as intramuscular injection on day 1

Active Comparator: US-Synagis® - Sterile vial 100mg/1ml, single-dose 3mg/kg administered as intramuscular injection on day 1


Treatment: Drugs: MB05 (Proposed palivizumab biosimilar)
Single IM dose of 3 mg/kg

Treatment: Drugs: EU-Synagis®
Single IM dose of 3 mg/kg

Treatment: Drugs: US-Synagis®
Single IM dose of 3 mg/kg
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Pharmacokinetics (PK)- (AUC[0-8])
Timepoint [1] 0 0
Day 1 - Day 100
Primary outcome [2] 0 0
Pharmacokinetics (PK) - (Cmax)
Timepoint [2] 0 0
Day 1 - Day 100
Secondary outcome [1] 0 0
Other PK Parameters (tmax)
Timepoint [1] 0 0
Day 1 - Day 100
Secondary outcome [2] 0 0
Other PK parameters (t1/2)
Timepoint [2] 0 0
Day 1 - Day 100
Secondary outcome [3] 0 0
Other PK parameters (Vz)
Timepoint [3] 0 0
Day 1- Day 100
Secondary outcome [4] 0 0
Other PK parameters (CL)
Timepoint [4] 0 0
Day 1- Day 100
Secondary outcome [5] 0 0
Safety and Tolerability
Timepoint [5] 0 0
Day 1- Day 100
Secondary outcome [6] 0 0
Immunogenicity
Timepoint [6] 0 0
Day 1- Day 100

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 on Day 1):

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 55 years of age (inclusive).

3. Body mass index (calculated) within the range of 18 to 30 kg/m2 inclusive and total
body weight between 50 and 95 kg, inclusive, at screening and check-in.

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

4. Normal body temperature 35.1 to 37.6°C (inclusive) (Tympanic temperature).

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. Adequate bone marrow function defined by absolute neutrophil count, platelet
count and haemoglobin levels within normal ranges (per local laboratory
standard).

7. Adequate liver function as defined by:

• Alanine aminotransferase (ALT) aspartate aminotransferase (AST), alkaline
phosphatase (ALP) and bilirubin = 1.5 x upper limit of normal (ULN). Note:
Bilirubin > 1.5 x ULN is acceptable if bilirubin is fractionated and direct
bilirubin is < 35%.

8. Adequate coagulation, as defined by:

• Prothrombin time (PT) / International Normalised Ratio (INR), thrombin time
(TT), or activated partial thromboplastin time (aPTT) = 1.5 x ULN.

9. Adequate renal function, as defined by:

• Creatinine or measured or calculated creatinine clearance = 1.5 x ULN. Note.
Glomerular filtration rate (GFR) can be used in place of creatinine or CrCl.

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

Note. The above assessments may be repeated once, if abnormal values were recorded in
the first instance, at the discretion of the Investigator.

5. No prior history of chronic alcohol abuse or excessive alcohol intake, at the
discretion of the PI, within 12 weeks prior to screening, and negative alcohol test
results (at screening and on Day -1). Excessive alcohol intake is defined as regular
consumption of > 12 standard units of alcohol 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]).

6. No prior history of substance abuse or drug addiction within 12 months prior to first
study drug administration and negative drug test results (at screening and on Day -1).

7. Female volunteers must:

1. Be of non-childbearing 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 [FSH] level indicative of postmenopausal status per local laboratory
definition), OR

2. If of childbearing potential:

- Must have a negative serum pregnancy test at the screening visit and a
negative urine pregnancy test within 24 hours prior to dose administration
on Day 1

- Must not be breastfeeding, lactating or planning pregnancy during the study
period

- Must agree not to attempt to become pregnant

- If not exclusively in same-sex relationships, must agree to use adequate
contraception (which is defined as use of a condom by the male partner
combined with the use of a highly effective method of contraception per
APPENDIX 4) from 30 days prior to dosing until at least 190 days after the
last dose of study drug.

- Must agree not to donate ova for at least 190 days after the last dose of
study drug.

8. Male volunteers, must agree not to donate sperm for at least 190 days after the last
dose of study drug, and if engaging in sexual intercourse, must agree to:

1. use a condom, PLUS

2. when engaging in sexual intercourse with a female who may become pregnant, must
agree to have the female use an acceptable form of contraception (refer to
APPENDIX 4) from 30 days prior to dosing until at least 190 days 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
55 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 any time after check-in on Day -1 (prior to dose administration
on Day 1):

1. Prior exposure to Synagis® (palivizumab).

2. Have a history of hypersensitivity or allergic reactions (either spontaneous or
following drug administration) to any drug compound or its excipients, food, or other
substance. Minor (non-anaphylactic) reactions to food substances (non-excipients) may
be permitted, at the discretion of the Investigator.

3. Significant history or clinical manifestation of any metabolic, allergic,
dermatological, hepatic, renal, haematological, pulmonary, cardiovascular,
gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder,
deemed to be clinically relevant as determined by the Investigator (or designee).

4. 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.

5. Have a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus
(HCV) or human immunodeficiency virus (HIV). Screening only.

6. Have a positive test result for COVID-19 (polymerase chain reaction [PCR] or antigen
test) within 72 hours prior to dose administration.

7. If subject smokes, subject is unwilling to abstain from smoking for 7 days prior to
admission and during the confinement period.

8. Positive serum pregnancy test for women of childbearing potential (WOCBP) 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 surgically resected basal cell carcinoma or squamous cell carcinomas 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. Any clinically significant infection, in the opinion of the Investigator, ongoing at
screening or admission to the clinical unit.

13. Prior exposure to any investigational monoclonal antibody within 6 months or 5
half-lives of the previous drug (if known), whichever is longer, prior to study drug
administration.

14. Have been dosed in another clinical study with 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.

15. Have had major surgery within 30 days prior to screening or will have an operation
between screening and the end of study visit.

16. Have donated > 100 mL blood or plasma within 4 weeks prior to the administration of
the study drug. Participant must also agree to refrain from donating blood or blood
products throughout the duration of the study.

17. 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.

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

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

18. Has received (or plans to receive) a vaccine within the following timeframes:

1. Live or attenuated vaccine within 3 months prior to dose administration on Day 1
or plans to receive a live or live attenuated vaccine during the study.

2. Other vaccines (including COVID-19 vaccines) within 14 days prior to dose
administration on Day 1 or plans to receive other vaccines within 14 days
following dose administration on Day 1.

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

20. 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
Other
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 administering the treatment/s

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
15/06/2022
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
31/03/2023
Sample size
Target
Accrual to date
Final
141
Recruitment in Australia
Recruitment state(s)
QLD
Recruitment hospital [1] 0 0
Nucleus Network. Q-Pharm Pty Ltd - Brisbane
Recruitment postcode(s) [1] 0 0
4006 - Brisbane
Recruitment outside Australia
Country [1] 0 0
New Zealand
State/province [1] 0 0
Auckland
Country [2] 0 0
New Zealand
State/province [2] 0 0
Christchurch

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
mAbxience Research S.L.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Randomized, double blind, parallel group, single dose, 3 arm study to investigate and compare
the pharmacokinetics (PK), safety, immunogenicity and tolerability of MB05 with US and EU
Synagis® in healthy subjects.

During the course of the study, the similarity in pharmacokinetics will be assessed by
sampling the levels of drug in the blood, and by comparing these levels among the different
administration arms. Safety, tolerability, and immunologic response to the administered drugs
will also be evaluated throughout.
Trial website
https://clinicaltrials.gov/ct2/show/NCT05121246
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
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