PMID- 31758576 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20240328 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 86 IP - 4 DP - 2020 Apr TI - First-in-human, randomized dose-escalation study of the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of PF-06480605 in healthy subjects. PG - 812-824 LID - 10.1111/bcp.14187 [doi] AB - AIMS: Human genetic, tissue expression, proteomics, transcriptomics and nonclinical studies implicate tumour necrosis factor alpha-like ligand 1A (TL1A) as a novel target in inflammatory bowel disease (IBD). PF-06480605, a fully human immunoglobulin G1 monoclonal antibody, targets TL1A. This first-in-human, Phase 1, dose-escalation study assessed safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of intravenous (IV) and subcutaneous (SC) PF-06480605 in healthy subjects (NCT01989143). METHODS: Ninety-two subjects were randomized to single ascending doses (SAD), PF-06480605 1 mg, 3 mg, 10 mg, 30 mg, 100 mg, 300 mg, 600 mg or 800 mg IV, or multiple ascending doses (MAD), PF-06480605 3 x 500 mg IV, or 3 x 30 mg, 3 x 100 mg, or 3 x 300 mg SC every 2 weeks for three doses, or placebo. Safety, tolerability, pharmacokinetics, immunogenicity profiles and total TL1A, anti-drug antibody (ADA) and neutralizing antibody (NAb) levels were assessed at pre-determined times. RESULTS: PF-06480605 SAD up to 800 mg IV and MAD up to 300 mg x3 SC and 500 mg x3 IV were well tolerated. Overall, there were 45 and 44 treatment-emergent adverse events in SAD and MAD cohorts, respectively, and no deaths or serious adverse events. PF-06480605 exposure generally increased dose-dependently. ADA and NAb levels did not impact safety, pharmacokinetics, or pharmacodynamics at higher doses. Target engagement was demonstrated through dose-dependent differences in serum total soluble TL1A concentrations for PF-06480605 vs placebo cohorts. CONCLUSIONS: PF-06480605 was generally well tolerated, and binding of soluble TL1A was maintained throughout the dose interval, supporting further study of PF-06480605 in patients with IBD and other inflammatory conditions. CI - (c) 2019 The British Pharmacological Society. FAU - Banfield, Christopher AU - Banfield C AD - Pfizer Inc, Cambridge, Massachusetts. FAU - Rudin, Dan AU - Rudin D AD - Pfizer Inc, New Haven, Connecticut. FAU - Bhattacharya, Indranil AU - Bhattacharya I AD - Pfizer Inc, Cambridge, Massachusetts. FAU - Goteti, Kosalaram AU - Goteti K AD - Pfizer Inc, Cambridge, Massachusetts. FAU - Li, Gang AU - Li G AD - Pfizer Inc, Collegeville, Pennsylvania. FAU - Hassan-Zahraee, Mina AU - Hassan-Zahraee M AD - Pfizer Inc, Cambridge, Massachusetts. FAU - Brown, Lisa S AU - Brown LS AD - Pfizer Inc, Collegeville, Pennsylvania. FAU - Hung, Kenneth E AU - Hung KE AD - Pfizer Inc, Cambridge, Massachusetts. FAU - Pawlak, Sylvester AU - Pawlak S AD - Pfizer Inc, New Haven, Connecticut. FAU - Lepsy, Christopher AU - Lepsy C AD - Pfizer Inc, Andover, Massachusetts. LA - eng SI - ClinicalTrials.gov/NCT01989143 GR - Pfizer Inc/International PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20200128 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neutralizing) RN - 0 (Antineoplastic Agents, Immunological) SB - IM MH - Administration, Intravenous MH - Antibodies, Monoclonal MH - *Antibodies, Neutralizing MH - *Antineoplastic Agents, Immunological MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Healthy Volunteers MH - Humans PMC - PMC7098865 OTO - NOTNLM OT - Phase 1 OT - clinical trials OT - inflammation OT - monoclonal antibodies OT - pharmacodynamic OT - pharmacokinetic EDAT- 2019/11/24 06:00 MHDA- 2021/07/29 06:00 PMCR- 2021/04/01 CRDT- 2019/11/24 06:00 PHST- 2019/04/29 00:00 [received] PHST- 2019/10/25 00:00 [revised] PHST- 2019/10/29 00:00 [accepted] PHST- 2019/11/24 06:00 [pubmed] PHST- 2021/07/29 06:00 [medline] PHST- 2019/11/24 06:00 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - BCP14187 [pii] AID - 10.1111/bcp.14187 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2020 Apr;86(4):812-824. doi: 10.1111/bcp.14187. Epub 2020 Jan 28.