About this trial
This Phase 1/2A, randomized, double-blind study will evaluate the safety, tolerability, and pharmacokinetics (PK) of HT31-1 (hCitH3-mAb) in healthy adult volunteers and in patients with mild-to-moderate acute respiratory distress syndrome (ARDS) due to an infectious source.
The current trial (Part A) focuses on single ascending doses (SAD) in healthy volunteers to characterize the safety profile, PK parameters, and immunogenicity of HT31-1. Emerging data from this phase will inform dose selection for the subsequent Part B study in ARDS patients and help establish the recommended Phase 2 dose (RP2D). Additionally, exploratory pharmacodynamic and biomarker assessments will be performed to evaluate target engagement and potential early biological activity.
Eligibility criteria
Qualifiers
Age 18 to 65 years old, inclusive, at the time of consent.
Able and willing to provide written informed consent and to comply with all study procedures and requirements.
Healthy as determined by medical history, physical examination, and baseline investigations. No clinically significant abnormalities on physical exam.
Body Mass Index (BMI) between 18.0 and 32.0 kg/m², inclusive.
Disqualifiers
History of any severe allergy or hypersensitivity to drugs, or known hypersensitivity to any monoclonal antibody (including prior biologic therapy reactions).
Known autoimmune disease or immunodeficiency condition, including a positive test for HIV at screening.
Active or chronic viral hepatitis infection: positive screening test for hepatitis B surface antigen (HBsAg) or hepatitis C antibody.
History of tetanus infection, or receipt of tetanus toxoid vaccine within 6 months prior to first dose of study drug. (Rationale: CitH3 is associated with NETs, and recent tetanus immunization may confound immune status or antibody responses).
Trial design
Treatments tested in this trial
- HT31-1
- Saline (0.9%, sterile, for infusion)
Treatment groups
6
Treatment groupsSee each treatment group below.