Cargando…

A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers

L‐asparaginase has been an important component of acute lymphoblastic leukemia (ALL) therapy for over 40 years, and is standard therapy during ALL induction and consolidation treatment. L‐asparaginases are immunogenic and can induce hypersensitivity reactions; inability to receive asparaginase has b...

Descripción completa

Detalles Bibliográficos
Autores principales: Lin, Tong, Hernandez‐Illas, Martha, Rey, Andres, Jenkins, Jack, Chandula, Reddy, Silverman, Jeffrey A., Choi, Mi Rim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212713/
https://www.ncbi.nlm.nih.gov/pubmed/33278328
http://dx.doi.org/10.1111/cts.12947
_version_ 1783709691061207040
author Lin, Tong
Hernandez‐Illas, Martha
Rey, Andres
Jenkins, Jack
Chandula, Reddy
Silverman, Jeffrey A.
Choi, Mi Rim
author_facet Lin, Tong
Hernandez‐Illas, Martha
Rey, Andres
Jenkins, Jack
Chandula, Reddy
Silverman, Jeffrey A.
Choi, Mi Rim
author_sort Lin, Tong
collection PubMed
description L‐asparaginase has been an important component of acute lymphoblastic leukemia (ALL) therapy for over 40 years, and is standard therapy during ALL induction and consolidation treatment. L‐asparaginases are immunogenic and can induce hypersensitivity reactions; inability to receive asparaginase has been associated with poor patient outcomes. There are L‐asparaginases of varied bacterial origins, with the most commonly used being Escherichia coli (E. coli); therefore, to ensure that patients who develop hypersensitivity to E. coli‐derived asparaginases receive an adequate therapeutic course, alternative preparations are warranted. JZP‐458 is a recombinant Erwinia asparaginase produced using a novel Pseudomonas fluorescens expression platform that yields an enzyme with no immunologic cross‐reactivity to E. coli‐derived asparaginases. To evaluate the safety, tolerability, and pharmacokinetics (PK) of a single dose of JZP‐458, a randomized, single‐center, open‐label, phase I study was conducted with JZP‐458 given via i.m. injection or i.v. infusion to healthy adult volunteers. At the highest doses tested for each route of administration (i.e., 25 mg/m(2) i.m. and 37.5 mg/m(2) i.v.), JZP‐458 achieved serum asparaginase activity (SAA) levels ≥ 0.1 IU/mL at 72 hours postdose for 100% of volunteers. Bioavailability for i.m. JZP‐458 was estimated at 36.8% based on SAA data. All dose levels were well‐tolerated, with no unanticipated adverse events (AEs), no serious AEs, and no grade 3 or higher AEs. Based on PK and safety data, the recommended JZP‐458 starting dose for the pivotal phase II/III study in adult and pediatric patients is 25 mg/m(2) i.m. and 37.5 mg/m(2) i.v. on a Monday/Wednesday/Friday dosing schedule.
format Online
Article
Text
id pubmed-8212713
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-82127132021-06-25 A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers Lin, Tong Hernandez‐Illas, Martha Rey, Andres Jenkins, Jack Chandula, Reddy Silverman, Jeffrey A. Choi, Mi Rim Clin Transl Sci Research L‐asparaginase has been an important component of acute lymphoblastic leukemia (ALL) therapy for over 40 years, and is standard therapy during ALL induction and consolidation treatment. L‐asparaginases are immunogenic and can induce hypersensitivity reactions; inability to receive asparaginase has been associated with poor patient outcomes. There are L‐asparaginases of varied bacterial origins, with the most commonly used being Escherichia coli (E. coli); therefore, to ensure that patients who develop hypersensitivity to E. coli‐derived asparaginases receive an adequate therapeutic course, alternative preparations are warranted. JZP‐458 is a recombinant Erwinia asparaginase produced using a novel Pseudomonas fluorescens expression platform that yields an enzyme with no immunologic cross‐reactivity to E. coli‐derived asparaginases. To evaluate the safety, tolerability, and pharmacokinetics (PK) of a single dose of JZP‐458, a randomized, single‐center, open‐label, phase I study was conducted with JZP‐458 given via i.m. injection or i.v. infusion to healthy adult volunteers. At the highest doses tested for each route of administration (i.e., 25 mg/m(2) i.m. and 37.5 mg/m(2) i.v.), JZP‐458 achieved serum asparaginase activity (SAA) levels ≥ 0.1 IU/mL at 72 hours postdose for 100% of volunteers. Bioavailability for i.m. JZP‐458 was estimated at 36.8% based on SAA data. All dose levels were well‐tolerated, with no unanticipated adverse events (AEs), no serious AEs, and no grade 3 or higher AEs. Based on PK and safety data, the recommended JZP‐458 starting dose for the pivotal phase II/III study in adult and pediatric patients is 25 mg/m(2) i.m. and 37.5 mg/m(2) i.v. on a Monday/Wednesday/Friday dosing schedule. John Wiley and Sons Inc. 2021-03-23 2021-05 /pmc/articles/PMC8212713/ /pubmed/33278328 http://dx.doi.org/10.1111/cts.12947 Text en © 2020 The Authors. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of the American Society for Clinical Pharmacology and Therapeutics. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research
Lin, Tong
Hernandez‐Illas, Martha
Rey, Andres
Jenkins, Jack
Chandula, Reddy
Silverman, Jeffrey A.
Choi, Mi Rim
A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title_full A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title_fullStr A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title_full_unstemmed A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title_short A Randomized Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Recombinant Erwinia Asparaginase (JZP‐458) in Healthy Adult Volunteers
title_sort randomized phase i study to evaluate the safety, tolerability, and pharmacokinetics of recombinant erwinia asparaginase (jzp‐458) in healthy adult volunteers
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212713/
https://www.ncbi.nlm.nih.gov/pubmed/33278328
http://dx.doi.org/10.1111/cts.12947
work_keys_str_mv AT lintong arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT hernandezillasmartha arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT reyandres arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT jenkinsjack arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT chandulareddy arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT silvermanjeffreya arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT choimirim arandomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT lintong randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT hernandezillasmartha randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT reyandres randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT jenkinsjack randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT chandulareddy randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT silvermanjeffreya randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers
AT choimirim randomizedphaseistudytoevaluatethesafetytolerabilityandpharmacokineticsofrecombinanterwiniaasparaginasejzp458inhealthyadultvolunteers