ClinicalTrials.gov record NCT05318534
Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study in Healthy Male and Female Subjects and Safety, Tolerability, Pharmacokinetics, and Pilot Efficacy Biomarkers in Subjects With Cold Agglutinin Disease
GL-0719 - A Phase 1, Double-blind, Placebo-controlled, Single Ascending Intravenous and Subcutaneous Injection Dose, Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study in Healthy Male and Female Subjects and an Open-label Evaluation of Safety, Tolerability, Pharmacokinetics, and Pilot Efficacy Biomarkers in Subjects With Cold Agglutinin Disease
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AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
This Phase 1 study gives single ascending intravenous or subcutaneous doses of the investigational drug GL-0719. Healthy adult cohorts are randomized, double-blind, and include placebo; small open-label cohorts will evaluate people with cold agglutinin disease (CAD). The study collects safety and tolerability data, blood levels of the drug (pharmacokinetics), drug effects on biomarkers (pharmacodynamics), and pilot efficacy biomarkers in CAD.
What it is studying. The study is testing the safety and tolerability of single IV and subcutaneous doses of GL-0719, how the body handles the drug (pharmacokinetics), and how the drug affects biological markers (pharmacodynamics). In people with CAD, it also evaluates pilot efficacy biomarkers and similar safety and PK measures.
What the researchers hope to learn. To characterize safety and tolerability of single doses of GL-0719; to measure pharmacokinetic parameters (AUC, Cmax, tmax, half-life); to measure pharmacodynamic effects including inhibition of the classical complement pathway; to assess incidence of anti-drug antibodies; and to collect pilot efficacy biomarker data in CAD.
What this study is about
The study's own summary, as published on ClinicalTrials.gov. Underlined terms have a short explanation.
The purpose of this first-in-human (FIH) study is to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GL-0719 following single intravenous (IV) and subcutaneous injection (SC) doses in healthy adult male and female subjects. In addition, safety, tolerability, PK, and pilot efficacy biomarkers will be evaluated in subjects with cold agglutinin disease (CAD).
Interventions being studied
Being studied in this trial does not mean the treatment or procedure is approved or available for this condition.
- Drug
- GL-0719
- Placebo
Eligibility
The criteria exactly as listed on ClinicalTrials.gov. Only the study team can say whether they apply to you.
Inclusion criteria
- for Cohorts 1 to 7
- Healthy female or male subjects who, at the time of screening, are between the ages of 18 and 65 years, inclusive.
- Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
- Body mass index of 18.0 to 32.0 kg/m\^2, inclusive; and a total body weight > 50 kg up to a maximum of 110 kg.
- Study subjects must have received a quadrivalent meningococcal conjugate vaccine (meningococcal serogroups A, C, W, and Y) within the past 5 years or vaccination a minimum of 14 days prior to initial study drug administration.
- The subject must be capable of understanding the investigational nature, potential risks and benefits of the study and capable of providing valid informed consent.
- Inclusion Criteria for Cohorts 8 to 9
- Female or male subjects who, at the time of screening, are at least 18 years of age with a total body weight of ≥ 50 kg.
- Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
- The subject must be capable of understanding the investigational nature, potential risks and benefits of the study and capable of providing valid informed consent.
- The subject must be willing to return to the study center for study treatment and study-related follow-up procedures as required by the protocol.
- Study subjects must have received a quadrivalent meningococcal conjugate vaccine (meningococcal serogroups A, C, W, and Y) within the past 5 years or vaccination a minimum of 14 days prior to initial study drug administration.
- The Participant Identification Center (PIC) site will have provided evidence that the PIC site used to confirm diagnosis of Cold Agglutinin Disease (CAD)
- Primary Cold Agglutinin Disease (CAD) or CAD secondary to active lymphoid or other hematologic malignancy (Cold Agglutinin Syndrome).
- Hemoglobin level < 105 gram per liter (g/L).
- Bilirubin level above the normal reference range.
- Key
Exclusion criteria
- for Cohorts 1 to 7
- History of any clinically significant (as determined by the investigator) cardiac, endocrine, hematological, hepatic, immunological, metabolic, urological, pulmonary, neurological, dermatological, psychiatric, renal, or other major disease.
- Evidence of clinically significant medical condition or other condition that might significantly interfere with the absorption, distribution, metabolism, or excretion of study drug, or place the subject at an unacceptable risk as a participant in this study.
- Signs and symptoms of, or diagnosis consistent with a chronic autoimmune disorder and/or positive antinuclear antibodies (ANA) test by indirect immunofluorescence confirmed by ANA titer ≥ 1:160.
- Documented history of autoimmune disease, or history of a syndrome that required systemic steroids or immunosuppressive medications, except for subjects with vitiligo or resolved childhood asthma/atopy.
- Any underlying medical condition that, in the opinion of the investigator, renders the subject a poor candidate for this study or could confound the results of the study or put the subject at undue risk.
- Key Exclusion Criteria for Cohorts 8 to 9
- CAD secondary to infection or an autoimmune disorder.
- CAD secondary to active lymphoid or other hematologic malignancy not meeting the inclusion criteria.
- Diagnosis of any other malignancy except for adequately treated basal or squamous cell skin cancer, curatively treated in situ disease, or other cancer from which the subject has been disease-free for ≥ 5 years.
- Clinically relevant infection of any kind within the month preceding enrollment (example, active hepatitis C, pneumonia).
- Clinical diagnosis of Systemic Lupus Erythematosus (SLE), other autoimmune disorders, or ANA titer > 1:160 at Screening.
- Positive hepatitis panel and/or positive HIV (Human Immuno Deficiency) test. Subjects whose results are compatible with prior immunization may be included at the discretion of the investigator.
- Positive HIV antibody at Screening.
- Treatment with an investigational drug within 90 days or five half-lives preceding the first dose of IP (whichever is longer), with the exception of subjects who received GL-0719 in this study in Cohort 8, who cannot be re-enrolled in Cohort 9 within 60 days after their last dose of GL-0719.
- Concurrent plasma exchange therapy.
- Other protocol defined inclusion/exclusion criteria may apply.
Study description and what participation involves
The registry record has no detailed description beyond the summary above.
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AI-written from the registry record, not the study's own wording. May contain errors or omissions. Check the registry text on this page and the original record ↗ before acting on it.
Participants receive a single dose of study drug by intravenous infusion or by subcutaneous injection. Healthy cohorts (1–7) are randomized 3:1 to GL-0719 or placebo; CAD patient cohorts (8–9) are open-label and receive GL-0719. Study visits include blood tests for safety and drug levels, tests of pharmacodynamic markers (including measures of complement pathway activity and cytokines), ECGs, physical exams, monitoring and recording of adverse events, and anti-drug antibody testing. Follow-up is through about Day 31 after dosing (Day 31 ±2); the study team will give exact visit and testing details.
How the study is structured. Phase 1 interventional trial. Healthy cohorts receive single, escalating doses of GL-0719 or matching placebo in a randomized 3:1 ratio; dosing is given by intravenous infusion or subcutaneous injection under double‑blind conditions. Two small patient cohorts with CAD are open‑label and receive single doses of GL-0719. The study uses a sequential single‑ascending dose design with follow‑up for safety and laboratory monitoring to about 31 days.
Questions you could ask
These questions are suggestions for a conversation with the study team or your own clinician, not advice.
- Some participants receive a placebo. How is that decided, and what happens for placebo-group participants when the study ends?
- This is an early-phase study, mainly about safety and dose. What is already known about this treatment?
- The listed sites are in United Kingdom. Is any of them reachable for me, and does the study help with travel?
- Which of the eligibility criteria would need to be checked with tests before I could join?
More on cold agglutinin disease
Important dates
- Study start
- Apr 8, 2022
- Primary completion
- Jun 30, 2026 (estimated)
- Study completion
- Jun 30, 2026 (estimated)
- Target enrollment
- 70 participants (estimated)
- Last updated on registry
- Mar 6, 2026
- Data verified
- Oct 10, 2026
Sponsor and research team
The lead sponsor funds and oversees the trial. A pharmaceutical or biotech company sponsor typically means the study is testing that company's drug or device; a hospital, university, or government agency usually indicates investigator-initiated or publicly funded research.
- Lead sponsor
- Gliknik Inc.
Central study contact
If you're interested in participating, the central contact can answer general questions about the study — including eligibility requirements and how to find a recruiting site near you. Actual eligibility is determined by the site's medical team.
- Gliknik Clinical Trials Group 📞 410-665-0662 ✉ gliknikclinicaltrialinquiries@gliknik.com
Participating sites (1)
- Fortrea Clinical Research Unit LtdRecruiting
Leeds, LS2 9LH · United Kingdom
- Jim Bush, MBChB, PhD · 01133013500
- Jim Bush, MBChB, PhD
Terms used on this page · explanations by MedicalUpdates.ai
- first-in-human
- The first study in which a treatment is given to people. Safety is the main question and the number of participants is usually small.
- pharmacokinetics
- How the body absorbs, distributes, breaks down and removes a drug. It is studied by measuring drug levels or related substances at set times after a dose.
- pharmacodynamics
- What a drug does to the body, for example how it changes a blood marker or a symptom, and how that relates to the dose.
- biomarkers
- Something measurable in the body, such as a blood test result or an imaging finding, that indicates how a condition or treatment is behaving.
- childbearing potential
- Studies often ask participants who could become pregnant, or could father a child, to use contraception during the study and for a period afterwards, because the effect of the treatment on a pregnancy is unknown.
- study drug
- A treatment that is being tested and has not been approved for this use. It may be approved for a different condition. Being studied does not mean it works or is available outside the study.
- informed consent
- The process of explaining a study, including its risks and what participation involves, so that a person can decide freely whether to take part. Consent is usually documented in writing, and a participant can choose to leave the study later.
- Inclusion Criteria
- The conditions a person must meet to be considered for the study, for example a confirmed diagnosis, an age range or a test result.
- follow-up
- The period after treatment or enrolment during which participants are observed or contacted, for example to record side effects or outcomes.
- immunosuppressive
- A medicine that reduces the activity of the immune system. Studies of autoimmune conditions often require a stable dose, a prior failure, or a washout of such medicines.
- Key Exclusion Criteria
- The conditions that rule a person out even if they meet the inclusion criteria, for example other illnesses, certain medicines or pregnancy.
- enrollment
- The number of participants a study plans to include, or has included. 'Estimated' means the planned number; 'actual' means the number who joined.
- at Screening
- The checks done before enrolment to see whether a person qualifies, such as tests, scans or a review of medical history.
- five half-lives
- The time it takes for the amount of a drug in the body to fall by half. 'Five half-lives' is often used as the point at which a previous drug has essentially left the body.
- Cohort
- A group of people who share a characteristic, such as a diagnosis, and are studied together. 'Prospective' means they are followed forward from enrolment; 'retrospective' means existing records are reviewed.
The study record on this page is reproduced from ClinicalTrials.gov, a database of the U.S. National Library of Medicine, where it was submitted by the study sponsor. MedicalUpdates.ai does not own this content, is not affiliated with or endorsed by ClinicalTrials.gov, NIH, or the U.S. Government, and does not verify the record. Plain-language notes, the glossary and the questions above are added by this site; text in the boxes marked "AI summary" was written by an AI model and may contain errors. Registry records change over time. Check the original record for the current version and discuss eligibility or participation with a qualified healthcare professional.
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