A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.

<h4>Background</h4>Endogenous serine protease inhibitors are associated with anti-inflammatory and pro-survival signaling mediated via Low-density lipoprotein receptor-related protein 1 (LRP1) signaling. SP16 is a short polypeptide that mimics the LRP1 binding portion of alpha-1 antitryp...

Full description

Saved in:
Bibliographic Details
Main Authors: George F Wohlford, Leo F Buckley, Dinesh Kadariya, Taeshik Park, Juan Guido Chiabrando, Salvatore Carbone, Virginia Mihalick, Matthew S Halquist, Adam Pearcy, Dana Austin, Cohava Gelber, Antonio Abbate, Benjamin Van Tassell
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0247357&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832595658257727488
author George F Wohlford
Leo F Buckley
Dinesh Kadariya
Taeshik Park
Juan Guido Chiabrando
Salvatore Carbone
Virginia Mihalick
Matthew S Halquist
Adam Pearcy
Dana Austin
Cohava Gelber
Antonio Abbate
Benjamin Van Tassell
author_facet George F Wohlford
Leo F Buckley
Dinesh Kadariya
Taeshik Park
Juan Guido Chiabrando
Salvatore Carbone
Virginia Mihalick
Matthew S Halquist
Adam Pearcy
Dana Austin
Cohava Gelber
Antonio Abbate
Benjamin Van Tassell
author_sort George F Wohlford
collection DOAJ
description <h4>Background</h4>Endogenous serine protease inhibitors are associated with anti-inflammatory and pro-survival signaling mediated via Low-density lipoprotein receptor-related protein 1 (LRP1) signaling. SP16 is a short polypeptide that mimics the LRP1 binding portion of alpha-1 antitrypsin.<h4>Methods</h4>A pilot phase I, first-in-man, randomized, double blind, placebo-controlled safety study was conducted to evaluate a subcutaneous injection at three dose levels of SP16 (0.0125, 0.05, and 0.2 mg/kg [up to 12 mg]) or matching placebo in 3:1 ratio in healthy individuals. Safety monitoring included vital signs, laboratory examinations (including hematology, coagulation, platelet function, chemistry, myocardial toxicity) and electrocardiography (to measure effect on PR, QRS, and QTc).<h4>Results</h4>Treatment with SP16 was not associated with treatment related serious adverse events. SP16 was associated with mild-moderate pain at the time of injection that was significantly higher than placebo on a 0-10 pain scale (6.0+/-1.4 [0.2 mg/kg] versus 1.5+/-2.1 [placebo], P = 0.0088). No differences in vital signs, laboratory examinations and electrocardiography were found in those treated with SP16 versus placebo.<h4>Conclusion</h4>A one-time treatment with SP16 for doses up to 0.2 mg/kg or 12 mg was safe in healthy volunteers.
format Article
id doaj-art-09cf899d9c1a4cfdb253d9f03f50cf57
institution Kabale University
issn 1932-6203
language English
publishDate 2021-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-09cf899d9c1a4cfdb253d9f03f50cf572025-01-18T05:31:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01165e024735710.1371/journal.pone.0247357A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.George F WohlfordLeo F BuckleyDinesh KadariyaTaeshik ParkJuan Guido ChiabrandoSalvatore CarboneVirginia MihalickMatthew S HalquistAdam PearcyDana AustinCohava GelberAntonio AbbateBenjamin Van Tassell<h4>Background</h4>Endogenous serine protease inhibitors are associated with anti-inflammatory and pro-survival signaling mediated via Low-density lipoprotein receptor-related protein 1 (LRP1) signaling. SP16 is a short polypeptide that mimics the LRP1 binding portion of alpha-1 antitrypsin.<h4>Methods</h4>A pilot phase I, first-in-man, randomized, double blind, placebo-controlled safety study was conducted to evaluate a subcutaneous injection at three dose levels of SP16 (0.0125, 0.05, and 0.2 mg/kg [up to 12 mg]) or matching placebo in 3:1 ratio in healthy individuals. Safety monitoring included vital signs, laboratory examinations (including hematology, coagulation, platelet function, chemistry, myocardial toxicity) and electrocardiography (to measure effect on PR, QRS, and QTc).<h4>Results</h4>Treatment with SP16 was not associated with treatment related serious adverse events. SP16 was associated with mild-moderate pain at the time of injection that was significantly higher than placebo on a 0-10 pain scale (6.0+/-1.4 [0.2 mg/kg] versus 1.5+/-2.1 [placebo], P = 0.0088). No differences in vital signs, laboratory examinations and electrocardiography were found in those treated with SP16 versus placebo.<h4>Conclusion</h4>A one-time treatment with SP16 for doses up to 0.2 mg/kg or 12 mg was safe in healthy volunteers.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0247357&type=printable
spellingShingle George F Wohlford
Leo F Buckley
Dinesh Kadariya
Taeshik Park
Juan Guido Chiabrando
Salvatore Carbone
Virginia Mihalick
Matthew S Halquist
Adam Pearcy
Dana Austin
Cohava Gelber
Antonio Abbate
Benjamin Van Tassell
A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
PLoS ONE
title A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
title_full A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
title_fullStr A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
title_full_unstemmed A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
title_short A phase 1 clinical trial of SP16, a first-in-class anti-inflammatory LRP1 agonist, in healthy volunteers.
title_sort phase 1 clinical trial of sp16 a first in class anti inflammatory lrp1 agonist in healthy volunteers
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0247357&type=printable
work_keys_str_mv AT georgefwohlford aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT leofbuckley aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT dineshkadariya aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT taeshikpark aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT juanguidochiabrando aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT salvatorecarbone aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT virginiamihalick aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT matthewshalquist aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT adampearcy aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT danaaustin aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT cohavagelber aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT antonioabbate aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT benjaminvantassell aphase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT georgefwohlford phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT leofbuckley phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT dineshkadariya phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT taeshikpark phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT juanguidochiabrando phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT salvatorecarbone phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT virginiamihalick phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT matthewshalquist phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT adampearcy phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT danaaustin phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT cohavagelber phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT antonioabbate phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers
AT benjaminvantassell phase1clinicaltrialofsp16afirstinclassantiinflammatorylrp1agonistinhealthyvolunteers