PMID- 29952004 OWN - NLM STAT- MEDLINE DCOM- 20191015 LR - 20231213 IS - 1532-6535 (Electronic) IS - 0009-9236 (Linking) VI - 105 IP - 1 DP - 2019 Jan TI - Randomized Phase I Healthy Volunteer Study of UTTR1147A (IL-22Fc): A Potential Therapy for Epithelial Injury. PG - 177-189 LID - 10.1002/cpt.1164 [doi] AB - Most treatments for epithelial injury target hematopoietic mechanisms, possibly causing immunosuppression. Interleukin (IL)-22 promotes tissue regeneration, acting directly on epithelial cells. UTTR1147A, a human IL-22Fc (immunoglobulin G (IgG)4) fusion protein, activates IL-22 signaling. This phase I placebo-controlled trial of single, ascending, i.v. (1-120 mug/kg) and s.c (3-120 mug/kg) doses of UTTR1147A analyzed its effects on safety, tolerability, pharmacokinetics, and pharmacodynamic biomarkers in healthy volunteers. Most adverse events (AEs) were mild or moderate. The maximum tolerated i.v. dose in healthy volunteers was 90 mug/kg. Predominant AEs were dose-dependent reversible skin effects consistent with IL-22 pharmacology. UTTR1147A exposure increased approximately dose-proportionally, with a half-life of ~1 week. IL-22 biomarkers (regenerating islet protein 3A (REG3A), serum amyloid A (SAA), and C-reactive protein (CRP)) increased dose-dependently. Neither inflammatory symptoms and signs nor cytokines increased with CRP elevations. UTTR1147A demonstrated acceptable safety, pharmacokinetics, and IL-22R engagement, supporting further clinical development. CI - (c) 2018 The American Society for Clinical Pharmacology and Therapeutics. FAU - Rothenberg, Michael E AU - Rothenberg ME AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Wang, Yehong AU - Wang Y AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Lekkerkerker, Annemarie AU - Lekkerkerker A AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Danilenko, Dimitry M AU - Danilenko DM AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Maciuca, Romeo AU - Maciuca R AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Erickson, Rich AU - Erickson R AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Herman, Ann AU - Herman A AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Stefanich, Eric AU - Stefanich E AD - Genentech, Inc., South San Francisco, California,, USA. FAU - Lu, Timothy T AU - Lu TT AD - Genentech, Inc., South San Francisco, California,, USA. LA - eng SI - EudraCT/2014-002252-10 PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180812 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Immunoglobulin G) RN - 0 (Interleukins) RN - 0 (Recombinant Fusion Proteins) SB - IM MH - Adolescent MH - Adult MH - Dose-Response Relationship, Drug MH - Epithelial Cells/*drug effects/metabolism/pathology MH - Female MH - Healthy Volunteers MH - Humans MH - Immunoglobulin G/*administration & dosage/metabolism MH - Interleukins/*administration & dosage/metabolism MH - Male MH - Middle Aged MH - Recombinant Fusion Proteins/*administration & dosage/metabolism MH - Single-Blind Method MH - Young Adult MH - Interleukin-22 EDAT- 2018/06/29 06:00 MHDA- 2019/10/16 06:00 CRDT- 2018/06/29 06:00 PHST- 2018/05/08 00:00 [received] PHST- 2018/06/19 00:00 [accepted] PHST- 2018/06/29 06:00 [pubmed] PHST- 2019/10/16 06:00 [medline] PHST- 2018/06/29 06:00 [entrez] AID - 10.1002/cpt.1164 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2019 Jan;105(1):177-189. doi: 10.1002/cpt.1164. Epub 2018 Aug 12.