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Trial registered on ANZCTR
Registration number
ACTRN12625000229471
Ethics application status
Approved
Date submitted
10/02/2025
Date registered
31/03/2025
Date last updated
31/03/2025
Date data sharing statement initially provided
31/03/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Phase 1, First in Human, Randomised, Double-Blind, Placebo-controlled, Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Study to Investigate the Safety, Tolerability and Pharmacokinetics of GB-7624 administered subcutaneously in Healthy Adult participants
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Scientific title
A Phase 1, First in Human, Randomised, Double-Blind, Placebo-controlled, Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Study to Investigate the Safety, Tolerability and Pharmacokinetics of GB-7624 administered subcutaneously in Healthy Adult participants
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Secondary ID [1]
313709
0
GB-7624-101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atopic Dermatitis (AD)
336303
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Eczema
336780
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Condition category
Condition code
Skin
332835
332835
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0
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Dermatological conditions
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Inflammatory and Immune System
332836
332836
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0
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Allergies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a randomised, double-blinded, placebo-controlled first in human (FIH) trial to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and immunogenicity of GB-7624. The trial will have two parts: a SAD component and a MAD component.
Part A (SAD): a total of 24 healthy volunteers are planned to be enrolled across 3 SAD cohorts and will involve the administration of a single subcutaneous (SC) dose of GB-7624 (300 mg, 600 mg, or 1200 mg) or placebo on Day 1 in cohorts A1, A2, and A3.
Part B (MAD): a total of 16 healthy volunteers are planned to be enrolled across 2 MAD cohorts and will involve the administration of multiple SC doses of GB-7624 (300 mg on Day 1 and Day 15 or 600 mg on Day 1 and Day 15) or placebo in cohorts B1 and B2.
The decision to escalate between dose levels in the SAD (Part A) and the MAD (Part B) as well as the decision to proceed from Part A to Part B will be based on safety review committee (SRC) review of prior cohorts, blinded available safety, tolerability and PK data.
Study drug will be administered at the study site by trained study site personnel to ensure compliance. The administration of all trial intervention will be recorded in eCRF. Compliance will be assured by direct supervision and witnessing of trial intervention administration.
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Intervention code [1]
330304
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Treatment: Drugs
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Comparator / control treatment
Placebo (0.9% sodium chloride) administered SC
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Composite Outcome: To assess the safety and tolerability of single doses of GB-7624 administered subcutaneously (SC) in healthy volunteers.
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Assessment method [1]
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• Participant incidence and severity of treatment-emergent adverse events (TEAEs), serious AEs (SAEs), and TEAEs leading to discontinuation of study treatment. • Clinically significant (CS) changes from baseline in: o Clinical laboratory results (haematology, clinical chemistry, coagulation and urinalysis) o Vital signs o Twelve-lead electrocardiograms (ECGs)
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Timepoint [1]
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Adverse events will be coded using Medical Dictionary for Regulatory Activities (MedDRA®) version 25.1 or later and AE severity will be graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0 and assessed continuously as observed and reviewed daily from Day 1 until Day 360 End of Study/Early Termination Visit (EoS/ETV). Clinical laboratory and blood and urine samples will be collected from Screening, Day -1, Day 2, 8, 15, 22, 29, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV). Vital signs (blood pressure assessed using digital sphygmomanometer, heart rate and respiratory rate assessed using pulse oximeter, and temperature assessed using digital thermometer) will be assessed from Screening, Day -1, pre-dose Day 1 - 1, 2 and 6 hrs post-dose and Day 2, 8, 15, 22, 29, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV). ECG's will be conducted in triplicate at Screening, single readings to be taken Day -1, pre-dose Day 1 - 1 and 4 hrs post-dose, Day 8, 29, 85, 169 and Day 360 (EoS/ETV).
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Primary outcome [2]
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Composite Outcome: To assess the safety and tolerability of multiple doses of GB-7624 administered SC in healthy volunteers.
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Assessment method [2]
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• Participant incidence and severity of treatment-emergent AEs (TEAEs), serious AEs (SAEs), and TEAEs leading to discontinuation of study treatment. • Clinically significant (CS) changes from baseline in: o Clinical laboratory results (haematology, clinical chemistry, coagulation and urinalysis) o Vital signs o Twelve-lead electrocardiograms (ECGs)
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Timepoint [2]
340370
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Adverse events will be coded using Medical Dictionary for Regulatory Activities (MedDRA®) version 25.1 or later and AE severity will be graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0 and assessed continuously as observed and reviewed daily from Day 1 until Day 360 End of Study/Early Termination Visit (EoS/ETV). Clinical laboratory and blood and urine samples will be collected from Screening, Day -1, Day 2, 3, 4, 8, 14, 16, 17, 22, 29, 43, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV). Vital signs (blood pressure assessed using digital sphygmomanometer, heart rate and respiratory rate assessed using pulse oximeter, and temperature assessed using digital thermometer) will be assessed from Screening, Day -1, pre-dose Day 1 - 1, 2 and 6 hrs post-dose and post-dose Days 2, 3, 4 and Day 8, pre-dose Day 15 - 1, 2 and 6 hrs post-dose then post-dose Days 16, 17, 22, 29, 43, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV). ECG's will be conducted in triplicate at Screening, single readings to be taken Day -1, pre-dose Day 1 - 1 and 4 hrs post-dose, Day 8 and 14, pre-dose Day 15 - 1 and 4 hrs post-dose then post-dose Days 29, 85, 169 and Day 360 (EoS/ETV).
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Secondary outcome [1]
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To characterise the pharmacokinetics (PK) of GB-7624 following single doses of GB-7624 administered SC in healthy volunteers.
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Assessment method [1]
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The following PK parameters will be estimated: - Cmax, Tmax, AUC, AUClast, AUCinf, t½, CL/F, V/F
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Timepoint [1]
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Blood serum samples will be taken pre-dose Day 1 - 4, 8, 24, 48 and 72 hours post-dose, then on Day 8, 15, 22, 29, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV).
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Secondary outcome [2]
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To characterise the PK of GB-7624 following multiple doses of GB-7624 administered SC in healthy volunteers.
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Assessment method [2]
443893
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The following PK parameters will be estimated: - Cmax, Tmax, AUC, AUClast, AUCinf, t½, CL/F, V/F
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Timepoint [2]
443893
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Blood serum samples will be taken pre-dose Day 1 - 4, 8, 24, 48 and 72 hours post-dose, then on Day 8 and 14, pre-dose Day 15 - 4, 8, 24, 48 and 72 hours post-dose, then on Day 22, 29, 43, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV).
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Secondary outcome [3]
443894
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To assess the immunogenicity of GB-7624 following single doses of GB-7624 administered SC in healthy volunteers.
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Assessment method [3]
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Anti-drug antibodies (ADA)s reported as incidence rate and titers, measured before and after administration of GB-7624
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Timepoint [3]
443894
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ADA samples will be assessed pre-dose Day 1 and on Days 15, 29, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV).
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Secondary outcome [4]
443895
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To assess the immunogenicity of GB-7624 following multiple doses of GB-7624 administered SC in healthy volunteers.
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Assessment method [4]
443895
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Anti-drug antibodies (ADA)s reported as incidence rate and titers, measured before and after administration of GB-7624
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Timepoint [4]
443895
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ADA samples will be assessed pre-dose on Day 1 and Day 15 and on Days 29, 57, 85, 113, 141, 169, 253 and Day 360 (EoS/ETV).
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Eligibility
Key inclusion criteria
1. Participants must have given written informed consent before any trial-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. Adults, 18 to 65 years of age (inclusive) at the screening visit.
3. Body mass index (BMI) greater than or equal to 18.0 and less than or equal to 32.0 kg/m2 (inclusive)
4. Medically healthy as determined by medical history, vital signs, physical examination (no CS findings), ECG and clinical laboratory tests at screening and pre-dose on Day -1 or Day 1. This includes the following:
a. Systolic blood pressure (BP) in the range of 90 to 140 mmHg (inclusive) and diastolic BP in the range of 4050 to 90 mmHg (inclusive) after 5 minutes in seated, semi-recumbent, or supine position
b. Heart rate (HR) in the range of 40 to 100 bpm (inclusive) after 5 minutes rest in seated, semi-recumbent, or supine position
c. Body temperature, between 35.5°C and 37.5°C (inclusive)
d. Electrocardiogram (ECG) without CS abnormalities including QT interval corrected for Fredericia (QTcF) <450 msec for male participants and <470 msec for female participants.
e. In the opinion of the investigator, no significant findings in serum chemistry, haematology, coagulation and urinalysis tests.
5. Female volunteers must:
a. Be of non-child-bearing potential i.e., surgically sterilised (hysterectomy, bilateral salpingectomy, bilateral oophorectomy) at least 6 months 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 consistent with postmenopausal status, per local laboratory guidelines), or
b. A woman of childbearing potential (WOCBP) must have a negative pregnancy test at Screening (blood test) and before the first trial drug administration (Day -1 urine test). They must agree not to attempt to become pregnant or donate ova and to use protocol-defined methods of contraception from one month prior to screening until at least 360 days after the last dose of study drug.
c. Women who are currently lactating, breastfeeding, receiving hormone therapy with the intention of having children, planning to donate ova or planning to become pregnant during the trial and within 360 days after last dose of trial drug, are excluded from participation.
6. Male participants (including vasectomised males and those with documented azoospermia): must agree to not donate sperm and, if engaging in sexual intercourse with a WOCBP, must agree to use a condom in addition to using use protocol-defined methods of contraception and agree to refrain from donating sperm from screening through at least 360 days after the last dose of trial drug. If engaging in sexual intercourse with a female partner who is not of childbearing potential or a same-sex partner, agree to use a condom from signing the consent form until at least 360 days after the last dose of study drug.
7. Have suitable venous access for blood sampling.
8. Be willing and able to comply with all trial assessments and adhere to the protocol schedule and restrictions.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. History or presence of significant cardiovascular, pulmonary (excluding resolved childhood asthma, at the discretion of the PI or delegate), hepatic, renal, haematological, neoplastic, gastrointestinal, endocrine, immunologic, dermatologic, neurological (excluding migraine, at the discretion of the PI or delegate), ocular or psychiatric disease (excluding non-hospitalised depression and anxiety, at the discretion of the PI or delegate), including any acute illness or surgery within the past 3 months determined by the PI (in consultation with the MM/SMR) to be clinically relevant. Participants with a history of malignant disease in the last 5 years (excludes localised, non-melanoma skin cancers treated with curative intent and not on active therapy).
2. Current infection or acute illness or fever within 3 days before trial enrolment (enrolment may be delayed for full recovery if acceptable to the investigator), that requires antibiotic, antifungal or antiviral medications.
3. Diagnosed active helminth infection or travel in last 3 months to areas at high risk of these infections.
4. Positive testing for human immunodeficiency virus (HIV)-1 and 2, hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibodies at the screening visit.
5. Current smokers or ex-smokers who have given up smoking for less than or equal to 3 months. Social/casual smokers (defined as 1.5-fold above the upper limit of normal (ULN) for bilirubin (total, conjugated and unconjugated), alkaline phosphatase (ALP), aspartate aminotransferase (AST) or alanine aminotransferase (ALT).
6. Positive cotinine testing at Day -1.
7. Presence or history of substance abuse, alcohol abuse or excessive intake of alcohol within 2 years prior to screening (refer to exclusion criterion 9 and 10).
8. Positive drug or alcohol testing at screening and/or Day -1.
9. Regular consumption of more than 10 standard alcoholic drinks/week and/or more than 4 standard alcoholic drinks on any one day, 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], or 30 mL spirit [40% Alc/Vol]).
10. History of any severe allergic reactions (necessitating hospitalisation, oxygen and/or epinephrine use),which in the opinion of the PI (or delegate), would interfere with the volunteer’s ability to participate in the study.
11. Use of any prescription within 14 days prior to admission to the study site (Day -1) and/or non-prescription, over-the-counter (OTC) medication (including dietary or herbal supplements) within 7 days or5 half-lives of the medication (whichever is longer) prior to admission to the study site (Day –1), except use of contraceptives or hormone replacement therapy and the use of paracetamol (up to 2 g per day).Vitamins may be permitted in discussion with the Sponsor.
12. History of risk factors for torsade de pointes (including a family history of long QT syndrome or sudden cardiac death) or a known arrythmia.
13. Liver function test results elevated >1.5-fold above the upper limit of normal (ULN) for bilirubin (total, conjugated and unconjugated), alkaline phosphatase (ALP), aspartate aminotransferase (AST) or alanine aminotransferase (ALT).
14. Estimated creatinine clearance (Cr Cl) < 60 mL/min using the Cockcroft-Gault formula or serum creatinine >1.5-fold above the ULN.
15. History of sensitivity to any of the trial medications, or its components, or a history of drug reaction or other allergies that, in the opinion of the PI or MM, contradict their participation.
Note: This includes any previous allergic reaction to biologic agents.
16. Presence or evidence of recent sunburn, scar tissue, tattoos, open sores, or dermatological conditions, that in the opinion of the PI (or delegate) would interfere with the intended SC injection site or evaluation of the participant’s response to the study drug and ability to assess for any injection site reactions.
17. Receipt of any live attenuated vaccinations within 30 days prior to admission to the study site (Day –1) and non-live vaccines within 14 days prior to admission to the study site (Day –1).
Note: Influenza and pneumococcal vaccines permitted up to 7 days prior to admission to the study site (Day -1).
18. Donation of whole blood within 30 days prior to admission to the study site (Day –1), or loss of whole blood of more than 500 mL within 30 days prior to admission to the study site (Day –1). Receipt of a blood transfusion within 1 year of the admission to the study site (Day –1).
19. Donation of plasma within 1 week prior to screening visit.
20. Receipt of any biological drugs such as monoclonal antibodies, immunoglobulin or other blood products within 3 months or 5 half-lives (whichever is longer) of admission to the study site (Day –1).
21. Participation in another investigational clinical trial with the EOS visit for the trial within 30 days prior to admission to the study site (Day -1) or within 5 half-lives of the previous investigational drug (whichever is longer).
22. Any other condition or prior therapy, which, in the opinion of the PI, would make the participant unsuitable for this trial, including unable to cooperate fully with the requirements of the trial protocol or likely to be non-compliant with any trial requirements.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All study participants who sign an informed consent form at Screening will receive a unique sequential number (a Screening Number). Participants to be dosed in either Part A or Part B will be assigned a randomization number pre-dose on Day 1, which corresponds to a study treatment (GB-7624 or placebo) in accordance with the randomization schedule. The randomization schedules will be maintained under controlled access. A sealed envelope that contains the study drug assignment for each participant will be provided to the Investigator. The sealed envelope will be retained by the Investigator (or representative) in a secured area..
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The allocation to GB-7624 or placebo will be performed using a block randomization algorithm and will be documented in the study randomization schedule.
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
28/03/2025
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
27489
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Q-Pharm Pty - Clive Berghofer Research Centre (CBCRC) - Herston
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Recruitment postcode(s) [1]
43598
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4007 - Herston
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Funding & Sponsors
Funding source category [1]
318175
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Commercial sector/Industry
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Name [1]
318175
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Generate Biomedicines Inc.
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Address [1]
318175
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Country [1]
318175
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Generate Biomedicines Inc.
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Address
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Country
United States of America
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Secondary sponsor category [1]
320560
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Commercial sector/Industry
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Name [1]
320560
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Avance Clinical Pty Ltd
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Address [1]
320560
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Country [1]
320560
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Research Ethics Committee D
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Ethics committee address [1]
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https://bellberry.com.au/
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Ethics committee country [1]
316826
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Australia
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Date submitted for ethics approval [1]
316826
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29/01/2025
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Approval date [1]
316826
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26/02/2025
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Ethics approval number [1]
316826
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Summary
Brief summary
This is a double-blind, placebo-controlled study to assess the safety of GB-7624 and how this drug acts in the body in healthy volunteers. GB-7624 may be indicated for use in patients with atopic dermatitis, but a trial of the drug in healthy volunteers is needed before trials in atopic dermatitis patients can proceed. Who is it for? You may be eligible for this study if you are aged 18 to 65 years and are in good general health without a clinically significant medical history. Study details All healthy volunteer participants who choose to enrol in this study will be assigned by chance to receive single or multiple doses of GB-7624 or placebo. All participants will have their vital signs checked (heart rate, blood pressure, temperature, etc). and will provide blood and urine samples for testing. It is hoped this research will determine the maximum dose of GB-7624 that can be administered safely without causing severe reactions. Once the dose of GB-7624 has been determined in healthy volunteers, a trial investigating the efficacy of GB-7624 as a treatment for patients with atopic dermatitis may proceed.
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Trial website
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Trial related presentations / publications
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Public notes
Eligibility Criteria: 8. Positive coronavirus disease 2019 (COVID-19) test on Day -1. 18. Receipt of any live attenuated vaccinations within 30 days prior to admission to the study site (Day –1)and non-live vaccines within 14 days prior to admission to the study site (Day –1). Note: Influenza, COVID-19 and pneumococcal vaccines permitted up to 7 days prior to admission to the study site (Day -1).
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Contacts
Principal investigator
Name
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Dr Michael Wong
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Address
139122
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Level 5, Clive Berghofer Cancer Research Centre, 300C Herston Road, Herston, QLD, 4006
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Country
139122
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Australia
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Phone
139122
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+61 477 181 119
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Fax
139122
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Email
139122
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[email protected]
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Contact person for public queries
Name
139123
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Michael Wong
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Address
139123
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Level 5, Clive Berghofer Cancer Research Centre, 300C Herston Road, Herston, QLD, 4006
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Country
139123
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Australia
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Phone
139123
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+61 477 181 119
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Fax
139123
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Email
139123
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[email protected]
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Contact person for scientific queries
Name
139124
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Michael Wong
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Address
139124
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Level 5, Clive Berghofer Cancer Research Centre, 300C Herston Road, Herston, QLD, 4006
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Country
139124
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Australia
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Phone
139124
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+61 477 181 119
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Fax
139124
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Email
139124
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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