A study to determine the safety of higher doses of OMS906 in healthy volunteers

ISRCTN ISRCTN16253842
DOI https://doi.org/10.1186/ISRCTN16253842
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Integrated Research Application System (IRAS) 1008854
Protocol serial number OMS906-NHV-004
Sponsor Omeros Corporation (United States)
Funder Omeros Corporation
Submission date
22/02/2024
Registration date
23/02/2024
Last edited
15/12/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The purpose of this study was to test a drug called OMS906 that is being developed for the treatment of inflammatory and autoimmune diseases, such as paroxysmal nocturnal haemoglobinuria (PNH). PNH is a rare blood condition where blood cells are attacked and destroyed by the immune system (the body’s defence mechanism against infections and diseases). This was a study in healthy volunteers to investigate the safety of higher doses of OMS906. The other aims of the study were to see how the body absorbs and removes the study drug and to assess the effect of the study drug on the body.

Who can participate?
People who met certain criteria could participate, but in general, participants were male or female healthy volunteers aged between 18 and 60 years old, with a body mass index of between 18.0 and 30.0 kg/m2 and weight between 50 and 110 kg.

What does the study involve?
Participation in the study lasted approximately 29 weeks, with up to 13 visits to a Clinical Research Unit (including one 4 night stay). Participants either received a single dose of OMS906 or placebo (dummy drug) and had various tests including ECG, blood and urine tests.

What are the possible benefits and risks of participating?
There were no benefits to participating, apart from contribution to scientific knowledge which may lead to the expansion of treatment options for people with PNH. Risks from taking OMS906 included bacterial infections, temporary increases in heart rate, liver enzymes and white and red blood cell counts. There were also risks associated with drawing blood, taking ECGs and risks associated with vaccines for meningitis, which may have needed to be administered before the study start.

Where is the study run from?
MAC Clinical Research (UK)

When is the study starting and how long is it expected to run for?
The study started in March 2024 and ended in April 2025

Who is funding the study?
Omeros Corporation (USA)

Who is the main contact?
MAC Clinical Research

Contact information

Dr Omeros Corporation
Public, Scientific

201 Elliott Avenue West
Seattle
98119
United States of America

Phone +1 206-676-5000
Email ctinfo@omeros.com
Dr Ashley Brooks
Principal investigator

Citylabs 1.0, Nelson Street
Manchester
M13 9NQ
United Kingdom

Phone +44 0161 274 1603
Email ashleybrooks@macplc.com

Study information

Primary study designInterventional
Study designRandomized double-blind single-centre placebo-controlled single-dose study in two sequential groups of healthy male and/or female subjects each
Secondary study designRandomised controlled trial
Scientific titleA Phase I study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of higher doses of OMS906 by single dose intravenous administration in healthy subjects
Study acronymOMS906-NHV-004
Study objectivesThe primary objective of the study is to assess the safety and tolerability of single dose 8 mg/kg and 10 mg/kg or 12 mg/kg intravenous OMS906.

The secondary objectives of the study were:
1. To assess the pharmacokinetics of OMS906.
2. To assess the pharmacodynamics of OMS906.
3. To assess anti-drug antibodies (ADAs) following single dose 8 mg/kg and 10 mg/kg or 12 mg/kg IV OMS906.
Ethics approval(s)

1. Approved 11/01/2024, Wales Research Ethics Committee 1 (Health and Care Research Wales, Castlebridge 4, 15-19 Cowbridge Road East, Cardiff, CF11 9AB, United Kingdom; +44 2920 785738; Wales.REC1@wales.nhs.uk), ref: 23/WA/0330

2. Approved 12/01/2024, MHRA (10 South Colonnade, Canary Wharf, London, E14 4PU, United Kingdom; +44 (0) 20 3080 6000;; info@mhra.gov.uk), ref: 49709/0006/001-0001

Health condition(s) or problem(s) studiedOMS906 is being developed to treat inflammatory and autoimmune diseases, such as paroxysmal nocturnal haemoglobinuria (PNH), a rare blood condition where blood cells are attacked and destroyed by the immune system
InterventionOMS906 and placebo are administered by IV infusion over 30 minutes. Each subject receives a single dose of either OMS906 (8 mg/kg or 12 mg/kg) or placebo on Day 0 of the study and are followed up for approximately 140 days. A simple randomisation schedule has been produced using Statistical Analysis System Procedure (SAS PROC) PLAN and code break envelopes are available for the Investigator to open in an emergency.
Intervention typeDrug
PhasePhase I
Drug / device / biological / vaccine name(s)Zaltenibart (OMS906)
Primary outcome measure(s)

1. Safety and tolerability measured using Adverse Event monitoring at Day -1 to Day 140
2. Safety and tolerability measured using vital signs at Day -1, 0, 1, 2, 3, 4-6, 7, 28, 56, 84, 112, 140
3. Safety and tolerability measured using 12-lead ECGs at Day 0, 1, 2, 3, 4-6, 7, 28, 56, 84, 112, 140
4. Safety and tolerability measured using clinical laboratory tests at Day -1, 3, 7, 28, 56, 84, 112, 140

Key secondary outcome measure(s)

1. OMS906 pharmacokinetics (PK) measured using serum OMS906 concentrations for PK parameters at Day 0, 1, 2, 3, 4-6, 7, 28, 56, 84, 112, 140
2. OMS906 pharmacodynamics measured using change from baseline in MASP-3 and mature CFD in plasma at Day 0, 1, 2, 3, 4-6, 7, 28, 56, 84, 112, 140
3. Anti-Drug Antibodies (ADAs) measured using incidence of subjects with ADAs in serum at Day 0, 28, 56, 84, 112, 140

Completion date30/04/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit60 Years
SexAll
Target sample size at registration16
Total final enrolment16
Key inclusion criteria1. Healthy male or female aged ≥18 and ≤60 years at Screening.
2. Body mass index (BMI) ≥18.0 and ≤30.0 kg/m2 and total body weight ≥50 kg and ≤110 kg at Screening.
3. Non pregnancy of female participants confirmed. Male and female contraceptive requirements.
4. Cessation of all prescribed medications (excluding the contraceptive pill) at least 14 days prior to admission to the Clinical Research Unit (CRU).
5. Cessation of all over the counter medications, vitamin preparations and other food supplements or herbal medications at least 7 days prior to admission to the CRU (except paracetamol/acetaminophen, which was permitted up to admission to the CRU).
6. Ability and willingness to abstain from alcohol use for the 48 hours prior to admission to the CRU and throughout confinement.
7. Good physical and mental health based on medical history, physical examination, clinical laboratory, ECG, and vital signs, as judged by the Investigator.
8. Mandatory documentation of prior N. meningitidis vaccination (MenABCWY), otherwise participant was to start vaccinations or receive boosters during Run-In.
Key exclusion criteria1. Receipt of a complement inhibitor within 6 months of Screening.
2. History of any significant allergic, medical, haematologic, neurologic, or psychiatric disorder or social reason that in the opinion of the Investigator would have made the subject unsuitable for participation in the study.
3. Subjects with values greater than the upper limit of normal (ULN) for the following laboratory tests: creatinine, creatine phosphokinase (CPK), LDH, alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin and direct bilirubin that remained elevated on repeat sampling and analysis
4. Significant active bacterial or viral infection or acute illness within 2 weeks prior to Screening including coronavirus disease 2019 (COVID-19) infection.
5. Positive screen for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antigen on nasal swab, or the hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies, or human immunodeficiency virus (HIV) 1 and 2 antibodies in blood.
6. Plasma or platelet donation within 14 days prior to Day 0.
7. History of asplenia, hyposplenism, or splenectomy.
8. History of significant autoimmune disease.
Date of first enrolment06/03/2024
Date of final enrolment10/12/2024

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

MAC Clinical Research Manchester
Citylabs 1.0
Nelson St
Manchester
M13 9NQ
England

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 15/12/2025 15/12/2025 No No

Additional files

ISRCTN16253842_BasicResults_15Dec2025.pdf
Basic results

Editorial Notes

15/12/2025: The information for which publication was previously deferred has been added to the following fields:
1. Public title
2. Scientific title
3. Study acronym
4. Study objectives
5. Study design
6. Health condition(s) or problem(s) studied
7. Interventions
8. Intervention type
9. Phase
10. Drug/device/biological/vaccine name(s)
11. Primary and secondary outcome measures
12. Key inclusion and exclusion criteria
13. Lower and upper age limits and units
14. Final enrolment
15. Plain English summary of protocol
16. Basic results uploaded
17. The date of first enrolment was changed from 29/02/2024 to 06/03/2024
18. The date of final enrolment was changed from 30/10/2024 to 10/12/2024
19. The completion date was changed from 30/10/2024 to 30/04/2025
20. The study contacts and study participating centres were updated.
22/02/2024: Trial's existence confirmed by Wales Research Ethics Committee 1.