Phase 2 double blind study of INBRX-101 compared to A1PI therapy

  • Research type

    Research Study

  • Full title

    A PHASE 2, DOUBLE-BLIND, RANDOMIZED, ACTIVE-CONTROL, PARALLEL GROUP STUDY TO ASSESS THE PHARMACOKINETICS, PHARMACODYNAMICS, IMMUNOGENICITY, AND SAFETY OF INBRX-101 COMPARED TO PLASMA DERIVED ALPHA1-PROTEINASE INHIBITOR (A1PI) AUGMENTATION THERAPY IN ADULTS WITH ALPHA-1 ANTITRYPSIN DEFICIENCY (AATD) EMPHYSEMA

  • IRAS ID

    1008715

  • Contact name

    David Kao

  • Contact email

    davidk@inhibrx.com

  • Sponsor organisation

    Inhibrx, Inc.

  • Eudract number

    2022-002234-14

  • Clinicaltrials.gov Identifier

    NCT05856331

  • Research summary

    Study to assess the pharmacokinetic (PK, how the body affects the medication) and pharmacodynamics (PD, how the medication affects the body), immunogenicity (how the immune system reacts to the medication) and safety of the study medication, INBRX-101 and another treatment for alpha 1 antitrypsin deficiency (AATD) emphysema (lung disease, causing shortness of breath) called an alpha 1-proteinase inhibitor (A1PI) also known as Zemaira.

    This study will be a randomised double blind study meaning that participants that enter this study will be randomly assigned to receive either INBHRX-101 or Zemaira and that neither the study doctor nor the participants will know if they are receiving INBRX-101 or Zemaira.

    Participants with AATD emphysema have significantly lower blood level of the protein alpha 1 antitrypsin (AAT), AAT has an important function protecting the lungs. INBRX-101 is expected to raise the AAT level in the blood to ‘normal’ physiological levels. Current A1PI therapies fail to achieve normal levels. INBRX-101 differs from other AATD treatments as it has a special modification designed to prevent loss of the AAT activity over time, meaning the AAT is more stable and so remains in the lungs to function for longer, creating a clear unmet need for INBRX-101.

    In this study participants will undergo screening (up to 7 weeks), washout if currently taking other A1PI medicines (5 weeks), before starting in the treatment period (32 treatment weeks ), to receive either INHRX-101 every 3 or 4 weeks, or A1PI therapy (Zemaira)weekly. Some participants will also be invited to participate in PK and/or bronchoscopy (tube into lungs from nose or mouth) sub-studies. The sub-studies will only take place at certain study sites. A 12= week follow up period will then commence.

    Assessments will include assessment of vital signs as well as blood/urine tests, electrocardiogram, questionnaires, lung function tests, and a CT scan.

  • REC name

    South Central - Hampshire A Research Ethics Committee

  • REC reference

    23/SC/0400

  • Date of REC Opinion

    3 Jan 2024

  • REC opinion

    Further Information Favourable Opinion