Comparative Pharmacokinetics and Safety Assessment of 1st- and 2nd-Generation Zinpentraxin Alfa Drug Products in Healthy Volunteers: A Randomized Crossover Study

Clin Pharmacol Drug Dev. 2024 Jun;13(6):655-664. doi: 10.1002/cpdd.1403. Epub 2024 Apr 23.

Abstract

Zinpentraxin alfa is a recombinant form of the human pentraxin-2 that was studied in idiopathic pulmonary fibrosis (IPF). To improve the purity and yield of the drug material, a 2nd-generation drug product was developed. To characterize and compare the pharmacokinetic (PK) properties of the 1st- and 2nd-generation zinpentraxin alfa, PK studies were conducted in healthy volunteers (HVs). In a phase 1 randomized, double-blind, 2-sequence crossover, sequential 2-stage study (ISRCTN59409907), single intravenous (IV) doses of 1st- and 2nd-generation zinpentraxin alfa at 10 mg/kg were studied with a blinded interim analysis (IA) at the end of stage 1. Bioequivalence (BE) was achieved for the maximum observed plasma concentration (Cmax), but the overall exposure was higher for the 2nd- compared to the 1st-generation zinpentraxin alfa. The study was stopped after stage 1 as the gating criteria were met based on the result of the blinded IA. Safety profiles were similar for the 1st- and 2nd-generation drug products, and antidrug antibody (ADA) was not observed in this study.

Keywords: bioequivalence; comparability; idiopathic pulmonary fibrosis; pharmacokinetics; zinpentraxin alfa.

Publication types

  • Randomized Controlled Trial
  • Clinical Trial, Phase I
  • Comparative Study

MeSH terms

  • Administration, Intravenous
  • Adult
  • Area Under Curve
  • C-Reactive Protein / analysis
  • C-Reactive Protein / metabolism
  • Cross-Over Studies*
  • Double-Blind Method
  • Female
  • Healthy Volunteers*
  • Humans
  • Male
  • Middle Aged
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / adverse effects
  • Recombinant Proteins / pharmacokinetics
  • Serum Amyloid P-Component* / metabolism
  • Therapeutic Equivalency*
  • Young Adult

Substances

  • Serum Amyloid P-Component
  • Recombinant Proteins
  • C-Reactive Protein
  • PTX3 protein