Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Dr Sylvia Vetrhus
+47 922 01 571
sylvia.vetrhus@arxxtx.com


Prof Dave Singh
+44 (0)161 946 4073
dsingh@meu.org.uk


Dr Jonas Hallén
+47 92826003
jonas.hallen@arxxtx.com


Study Location:

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Be Part of Research - Trial Details - A first-in-human single and multiple ascending dose study of AX-202

A first-in-human single and multiple ascending dose study of AX-202

Not Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Healthy volunteers and patients with mild to moderate chronic plaque psoriasis


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


The Sponsor, Arxx Therapeutics, is developing a new experimental medication called AX-202 for the purpose of treating inflammatory diseases (when the immune system attacks the body's own tissues, resulting in inflammation) and fibrotic diseases (diseases caused by the thickening or scarring of tissue). Psoriasis is a chronic, relapsing inflammatory disease of the skin affecting approximately 1-3% of the world’s population. The most common form is plaque psoriasis representing 80-90% of all cases. Plaque psoriasis is defined by well-defined red, scaly plaques or patches which can occur anywhere on the body. The immune system normally defends the body against harmful substances, diseases and infections. However, in people who have an autoimmune disease such as psoriasis, the immune system becomes overactive and attacks its own healthy cells. S100A4 is a protein released in the body which can cause harm, contributing to over-activation of the immune system (inflammation) and tissue damage in diseases like psoriasis. AX-202 is a type of medication called a ‘monoclonal antibody’, which are antibodies designed to specifically bind to a disease-causing protein. AX-202 binds to and blocks the activity of S100A4, so may reduce inflammation and tissue damage in psoriasis.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

17 Apr 2023 24 Jan 2024

This is the first study with AX-202 in humans and is designed to determine whether the drug is safe and well tolerated in healthy participants (Part A) and people with plaque psoriasis (Part B). The following will also be investigated:
1. Pharmacokinetic blood analysis (levels of AX-202 in the body)
2. Immunogenicity in the blood (to see if the body is making antibodies against AX-202)
3. Target engagement in blood and urine (interaction of AX-202 with its target protein ‘S100A4’)
4. Biomarker analysis (which looks at specific biological features of the blood and skin)
5. Disease activity in patients will be assessed using scoring systems (Part B only)


Adult healthy volunteers and patients with mild to moderate chronic plaque psoriasis

You can take part if:



You may not be able to take part if:


Current exclusion criteria as of 03/03/2023:Part A1. History/presence of any clinically relevant acute or chronic medical or psychiatric condition that could interfere with the subject’s safety or expose the subject to undue risk as judged by the Investigator.2. Current or previous use of tobacco, nicotine products or e-cigarettes in the past 6 months.3. Smoking history of > 5 pack years. 4. Positive urine cotinine test at screening or Day -1.

Part B1. History/presence of any clinically relevant acute or chronic medical or psychiatric condition other than psoriasis that could interfere with the patient’s safety or expose the patient to undue risk as judged by the Investigator.2. A diagnosis of non-plaque psoriasis.3. Plaque psoriasis restricted to the scalp, palms, soles and face.4. Pustular, erythrodermic, inverse and guttate psoriasis.5. Drug-induced psoriasis.6. Diagnosis of psoriatic arthritis, uveitis, inflammatory bowel disease, or other immune-mediated conditions that are commonly associated with psoriasis for which a patient requires current systemic immunosuppressant medical treatment.7. Presence of other skin conditions that could interfere with psoriasis evaluation or assessments. 8. Sunbed use in the 4 weeks prior to screening or planned use prior to the final study visit. 9. Any clinically significant infection requiring antimicrobial treatment in the 2 weeks prior to Day 1.

Parts A & B1. After a min 10 minutes supine rest at the time of screening or on Day -1: 1.1. Systolic blood pressure <90 or >140 mmHg, or 1.2. Diastolic blood pressure <50 or >90 mmHg, or 1.3. Pulse <40 or >90 bpm 2. Any clinically significant abnormalities in ECG at the time of screening or on Day -1 incl. prolonged QTcF (>450 ms for males; >470 ms for females) and cardiac arrhythmias, as judged by the Investigator.3. Clinically significant abnormalities in renal function at screening including:eGFR <60 mL/min4. Clinically significant abnormalities in liver function at screening including:4.1. Bilirubin >1.0 x ULN4.2. Aminotransferases >1.0 x ULN4.3. ALP >1.0 x ULN 5. Haemoglobin <130 g/l for males or <120 g/l for females at screening6. Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first dose of IMP.7. Malignancy within the past 5 years of screening with the exception of in situ removal of basal cell carcinoma or resected benign colonic polyps. 8. Any planned major surgery within the duration of the study or in the 30 days following study completion.9. History of latent or active tuberculosis or a positive Quantiferon test at screening. Patients with an indeterminate result at screening will be allowed one retest; if not negative on retesting, the subject will be excluded.10. Females who are pregnant, breastfeeding, lactating or plan to be pregnant during the study period or 120 days after. 11. Female subjects with a positive serum or urine pregnancy test at screening or on Day -1. 12. Positive serum HBsAg, HCVAb or HIV 1 and/or 2 antibodies at screening. 13. A Positive test for active COVID-19 prior to dosing on Day 1. 14. History of any drug and/or alcohol abuse in the 2 years prior to screening.15. Regular alcohol consumption of >14 units per week.16. Positive urine drugs of abuse test and/or alcohol breath test at screening or on Day -1 that cannot be accounted for by concomitant medication in the opinion of the Investigator. 17. Receiving any of the prohibited concomitant medications.18. Plasma donation within one month of screening, blood donation (or corresponding blood loss) ≥400ml during the three months prior to screening or planned donation during the study until 4 months after the final study visit.19. Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the Investigator or designee at screen.20. Subject has dietary restrictions incompatible with the diet that can be provided by the study site, in the opinion of the Investigator or is unwilling to refrain from consuming restricted foods and beverages during the study.21. Regular excessive caffeine consumption defined as a daily intake of >5 cups of caffeine-containing beverages. 22. Known history of intolerance or hypersensitivity to AX-202 or to any other component of the formulation.23. Known history of intolerance to placebo or excipients.24. Clinically significant serious adverse reaction, allergy or serious hypersensitivity, including to any drug or food, as judged by the Investigator.25. Involvement in the planning and conduct of the study.26. Participation in another clinical study with an experimental drug within 3 months (non-biologic), 6 months (biologic) or 5 half-lives, whichever is longer, before the administration of IMP.27. Considered unsuitable for entry into the study in any other way at the discretion of the Investigator, e.g. Investigator considers the patient unlikely to comply with study procedures, restrictions and requirements.

Previous exclusion criteria:Part A1. History/presence of any clinically relevant acute or chronic medical or psychiatric condition that could interfere with the subject’s safety or expose the subject to undue risk as judged by the Investigator.2. Current or previous use of tobacco, nicotine products or e-cigarettes in the past 6 months.3. Smoking history of > 5 pack years. 4. Positive urine cotinine test at screening or Day -1.

Part B 1. History/presence of any clinically relevant acute or chronic medical or psychiatric condition other than psoriasis that could interfere with the patient’s safety or expose the patient to undue risk as judged by the Investigator.2. A diagnosis of non-plaque psoriasis.3. Plaque psoriasis restricted to the scalp, palms, soles and face.4. Pustular, erythrodermic, inverse and guttate psoriasis.5. Drug-induced psoriasis.6. Diagnosis of psoriatic arthritis, uveitis, inflammatory bowel disease, or other immune-mediated conditions that are commonly associated with psoriasis for which a patient requires current systemic immunosuppressant medical treatment.7. Presence of other skin conditions that could interfere with psoriasis evaluation or assessments. 8. Sunbed use in the 4 weeks prior to screening or planned use prior to the final study visit. 9. Any clinically significant infection requiring antimicrobial treatment in the 2 weeks prior to Day 1.

Parts A & B1. After a min 10 minutes supine rest at the time of screening or on Day -1: 1.1. Systolic blood pressure <90 or >150 mmHg, or 1.2. Diastolic blood pressure <50 or >95 mmHg, or 1.3. Pulse <40 or >90 bpm 2. Any clinically significant abnormalities in ECG at the time of screening or on Day -1 incl. prolonged QTcF (>450 ms for males; >470 ms for females) and cardiac arrhythmias, as judged by the Investigator.3. Clinically significant abnormalities in renal function at screening including:eGFR <60 mL/min4. Clinically significant abnormalities in liver function at screening including:4.1. Bilirubin >1.5 x ULN4.2. Aminotransferases >1.5 x ULN (Part A) or > 2 x ULN (Part B)4.3 ALP >1.5 x ULN5. Haemoglobin < 10 g/dL at screening.6. Any clinically significant illness, medical/surgical procedure or trauma within 4 weeks of the first dose of IMP.7. Malignancy within the past 5 years of screening with the exception of in situ removal of basal cell carcinoma or resected benign colonic polyps. 8. Any planned major surgery within the duration of the study or in the 30 days following study completion.9. History of latent or active tuberculosis or a positive Quantiferon test at screening. Patients with an indeterminate result at screening will be allowed one retest; if not negative on retesting, the subject will be excluded.10. Females who are pregnant, breastfeeding, lactating or plan to be pregnant during the study period or 120 days after. 11. Female subjects with a positive serum or urine pregnancy test at screening or on Day -1. 12. Positive serum HBsAg, HCVAb or HIV 1 and/or 2 antibodies at screening. 13. A Positive test for active COVID-19 prior to dosing on Day 1. 14. History of any drug and/or alcohol abuse in the 2 years prior to screening.15. Regular alcohol consumption of >14 units per week.16. Positive urine drugs of abuse test and/or alcohol breath test at screening or on Day -1 that cannot be accounted for by concomitant medication in the opinion of the Investigator. 17. Receiving any of the prohibited concomitant medications.18. Plasma donation within one month of screening, blood donation (or corresponding blood loss) ≥400ml during the three months prior to screening or planned donation during the study until 4 months after the final study visit.19. Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the Investigator or designee at screen.20. Subject has dietary restrictions incompatible with the diet that can be provided by the study site, in the opinion of the Investigator or is unwilling to refrain from consuming restricted foods and beverages during the study.21. Regular excessive caffeine consumption defined as a daily intake of >5 cups of caffeine-containing beverages. 22. Known history of intolerance or hypersensitivity to AX-202 or to any other component of the formulation.23. Known history of intolerance to placebo or excipients.24. Clinically significant serious adverse reaction, allergy or serious hypersensitivity, including to any drug or food, as judged by the Investigator.25. Involvement in the planning and conduct of the study.26. Participation in another clinical study with an experimental drug within 3 months (non-biologic), 6 months (biologic) or 5 half-lives, whichever is longer, before the administration of IMP.27. Considered unsuitable for entry into the study in any other way at the discretion of the Investigator, e.g. Investigator considers the patient unlikely to comply with study procedures, restrictions and requirements.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Medical Evaluations Unit Ltd
    The Langley Building Southmoor Road Wythenshawe
    Greater Manchester
    M23 9QZ

Participants will be informed about potential side effects and risks of AX-202/study procedures and that they have the right to withdraw at any time, without giving a reason and without their medical care or legal rights being affected. Participants will be monitored for possible side effects and will be asked to contact their Study Doctor/GP ASAP if they think they are having a medical problem/side effect/change in their condition/health. They will be told to seek immediate medical treatment if they are unable to contact the Study Doctor/GP, or if they feel it’s an emergency.
Part A of this study is the first time AX-202 is being administrated to humans, therefore, side effects in humans are unknown. There is a chance that an unexpected or serious side effect may happen when taking AX-202 or any other drug. The participant will be asked to report any new symptoms/signs of illness to the study staff.
1. Side effects associated with the development of ADAs: Immunogenicity sampling will take place to monitor this.
2. Infusion-related reactions: Participants will be monitored for 72 hours post-dose for signs of treatment-related toxicity or intolerability of AX-202. Site staff are trained appropriately and will have access to medications/devices needed to manage medical emergencies.
Other drugs that work in a similar way to AX-202 may cause increased susceptibility to infections. This risk has not been identified in AX-202, however, as a precautionary measure, participants will be monitored for signs of infection.
There is a chance the participant may experience an allergic reaction after taking the drug however this is unlikely. If this does occur the drug will be stopped and appropriate treatment will be given.
AX-202 is a biological which is not metabolised in the liver, therefore the risk of interaction with other medications is low. The importance of keeping to the restrictions and telling the study doctor about medication use while on the study will be highlighted.
Unknown risks:
As with any investigational drug, there may be side effects that are not known, and current knowledge regarding all potential harms and the probability of the occurrence of all harm is limited.
Reproductive risks
It is not known if AX-202 will affect an unborn baby.
Males who are sexually active with women of childbearing potential must use, with their partner, a condom and an approved method of highly effective contraception from consent until 120 days after the last dose.
Females who are pregnant/lactating/breastfeeding are excluded. Females who are sexually active and of childbearing potential must use an approved method of highly effective contraception from consent until 120 days after the last dose. Female participants of non-childbearing potential do not need to use contraception.
There is a risk of drug exposure through ejaculation that might be harmful to the sexual partners. Therefore, a condom should be used by all male participants during the study and for 120 days after the last dose. Males should not donate sperm and females should not donate ova/oocytes during the study and for at least 120 days after the last dose.
In the population selected for this study, AX-202 and all study procedures do not pose any significant risks. All staff are competent in the study procedures.
Blood sampling: On days when several samples are taken a cannula may be used. Placing a cannula and drawing blood via a needle may cause some discomfort/bleeding/bruising. Rarely, fainting, local inflammation or infection may occur.
ECGs: The electrodes used for this test may cause skin irritation. The sites of the body where the pads are placed need to be clean and sometimes hair may have to be shaved to ensure they stick firmly.
Skin Biopsy: Skin biopsies can cause the following;
Scarring: It is impossible to cut the skin without scarring. Some people have an abnormal response to skin healing and may have a larger scar.
Bleeding: The overall risk of bleeding is 2%. The doctor will make sure any bleeding has stopped before the participant is discharged.
Infection: The overall risk of infection is 1%. The participant will be advised to keep the wound clean and dressings will be provided. If the wound becomes infected the participant will be advised to contact the site or a GP.
Allergic reaction: Allergic reactions to dressings, gloves, antiseptics, and anaesthetics are unusual. Participants will be asked about any allergies.
Participants will be advised to report immediately to the study doctor any unusual symptoms or undesirable effects.
In case of emergencies, an experienced physician will be available. Trained medical staff and the necessary equipment/medication are available at the unit, or at a nearby hospital.


The study is sponsored by Arxx Therapeutics and funded by Arxx Therapeutics.




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Read full details for Trial ID: ISRCTN79668046
Last updated 24 July 2024

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