Study of INBRX-101 Compared to Plasma-derived A1PI Therapy in Adults With AATD Emphysema (ELEVAATE)
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ClinicalTrials.gov Identifier: NCT05856331 |
Recruitment Status :
Recruiting
First Posted : May 12, 2023
Last Update Posted : May 31, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Alpha 1-Antitrypsin Deficiency Emphysema | Drug: INBRX-101 Drug: Zemaira | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 90 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Double-blind, randomized, active-control, parallel group interventional study |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | 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 |
Estimated Study Start Date : | May 2023 |
Estimated Primary Completion Date : | November 2024 |
Estimated Study Completion Date : | March 2025 |

Arm | Intervention/treatment |
---|---|
Experimental: INBRX-101 Q3W
IV every 3-weeks (Q3W) and placebo (normal saline)
|
Drug: INBRX-101
A1PI, Recombinant, Bivalent Fc Fusion Protein |
Experimental: INBRX-101 Q4W
IV every 4-weeks (Q4W) and placebo (normal saline)
|
Drug: INBRX-101
A1PI, Recombinant, Bivalent Fc Fusion Protein |
Active Comparator: Zemaira (A1PI)
60 mg/kg IV once weekly (QW) and placebo (normal saline)
|
Drug: Zemaira
Alpha1-Proteinase Inhibitor (Human) |
- Serum functional AAT (fAAT) levels at steady-state [ Time Frame: 32 Weeks ]To assess the mean change in average fAAT concentration as measured by anti-neutrophil elastase capacity [ANEC] from baseline to average serum trough fAAT concentration at steady-state (Ctrough,ss) in patients treated with INBRX-101 compared to A1PI
- fAAT Concentration changes [ Time Frame: 32 Weeks ]Mean change in fAAT concentration from baseline to fAAT average concentration at steady-state (Cavg, ss) in patients treated with INBRX-101 compared to A1PI.
- Days with fAAT above the lower limit of the normal range [ Time Frame: 32 weeks ]Percentage of days with fAAT above the lower limit of the normal range during steady-state dosing in patients treated with INBRX-101 compared to A1PI.
- Incidence of TEAEs [ Time Frame: 32 Weeks ]Incidence of all treatment-emergent adverse events (TEAEs), TEAEs ≥ Grade 3, serious adverse events (SAEs), TEAEs requiring withdrawal from IP treatment, and infusion reactions will be determined.
- Anti-drug antibodies [ Time Frame: 32 Weeks ]Frequency of anti-drug antibodies (ADA) against INBRX-101 and endogenous AAT, as well as neutralizing ADA (NAb) against INBRX-101 and endogenous AAT will be determined.
- Population Pharmacokinetics: Clearance [ Time Frame: 32 Weeks ]Modeling by means of appropriate software to characterize the pharmacokinetic profile of INBRX-101 via estimation of the parameter clearance
- Population Pharmacokinetics: Volume of Distribution [ Time Frame: 32 Weeks ]Modeling by means of appropriate software to characterize the pharmacokinetic profile of INBRX-101 via estimation of the parameter volume of distribution
- Covariate Analysis: Biometric Values: Weight [ Time Frame: 32 Weeks ]Assessment of the impact of patient's weight [in kg] on the pharmacokinetic profile of INBRX-101
- Covariate Analysis: Biometric Values: Height [ Time Frame: 32 Weeks ]Assessment of the impact of patient's height [in cm] on the pharmacokinetic profile of INBRX-101
- Covariate Analysis: Biometric Values: Age [ Time Frame: 32 Weeks ]Assessment of the impact of patient's age [in years] on the pharmacokinetic profile of INBRX-101
- Covariate Analysis: Biometric Values: Sex [ Time Frame: 32 Weeks ]Assessment of the impact of patient's sex [male or female] on the pharmacokinetic profile of INBRX-101

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Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Males or females 18-80 years of age, inclusive, at the time of screening
- Diagnosis of AATD
- Evidence of emphysema secondary to AATD
- FEV1 of ≥ 30% and ≤ 80% predicted at screening
- Current non-smoking status.
Exclusion Criteria:
- Receipt of A1PI augmentation therapy within 5 weeks prior to the first dose of study drug
- Known or suspected allergy to components of INBRX-101, A1PI or human IgG
- Known selective or severe Immunoglobulin A (IgA) deficiency
- Known or suspected diagnosis of type 1 diabetes or diagnosed with uncontrolled type 2 diabetes
- Received IV immunoglobulins, monoclonal antibodies and/or other biologic therapies within 30 days
- On waiting list for lung or liver transplant
- Acute respiratory tract infection or COPD exacerbation within 4 weeks prior to or during screening
- Evidence of decompensated cirrhosis
- Active cancers or has a history of malignancy within 5 years prior to screening
- History of unstable cor pulmonale
- Clinically significant congestive heart failure

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05856331
Contact: Gabe Berman | 858-500-7833 | clinicaltrials@inhibrx.com |

Study Director: | James Kalabus | Inhibrx, Inc. |
Responsible Party: | Inhibrx, Inc. |
ClinicalTrials.gov Identifier: | NCT05856331 |
Other Study ID Numbers: |
INBRX101-01-201 |
First Posted: | May 12, 2023 Key Record Dates |
Last Update Posted: | May 31, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
AATD Alpha 1-Antitrypsin Deficiency Emphysema |
INBRX-101 A1PI AAT |
Alpha 1-Antitrypsin Deficiency Pulmonary Emphysema Emphysema Pathologic Processes Pulmonary Disease, Chronic Obstructive Lung Diseases, Obstructive Lung Diseases Respiratory Tract Diseases Chronic Disease Disease Attributes |
Liver Diseases Digestive System Diseases Genetic Diseases, Inborn Subcutaneous Emphysema Alpha 1-Antitrypsin Trypsin Inhibitors Serine Proteinase Inhibitors Protease Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |