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Updated: Jan 22, 2026

An Intestine/Liver Microphysiological System for Drug Pharmacokinetic and Toxicological Assessment
Published on: December 3, 2020
First-In-Human Study to Assess the Pharmacokinetics and Safety of DS-6016a After Single Subcutaneous Injection in
Kei Okita1, Hidetoshi Furuie2, Akifumi Kurata1
1Quantitative Clinical Pharmacology Department, Daiichi Sankyo Co., Ltd, Tokyo, Japan.
Abstract:
Fibrodysplasia ossificans progressiva is a rare, progressive autosomal dominant genetic disease caused by an activin receptor-like kinase 2 (ALK2) mutation with a need for effective prophylactic therapies. This single-center, randomized, double-blind, placebo-controlled study evaluated the pharmacokinetics and safety of DS-6016a, a novel humanized monoclonal anti-ALK2 antibody, in healthy Japanese adults. In each of the 5-1000 mg DS-6016a or placebo single subcutaneous dose cohorts, eight male participants were randomly assigned at a 3:1 ratio. DS-6016a had median times to maximum plasma concentration of 144-240 h and elimination half-lives of 391-844 h. The increase in DS-6016a exposure was greater than dose-proportional across the dose range of 5-1000 mg. The incidence of study drug-related treatment-emergent adverse events (TEAEs) was 17% in the placebo group and 11% across all DS-6016a groups; all were mild and resolved without treatment. No deaths, serious or severe TEAEs, or TEAEs leading to study discontinuation were reported. Ferritin showed a statistically significant dose-dependent decrease from baseline, while serum iron showed no clear dose-dependency. No relationship was observed between DS-6016a dose and the development of anti-drug antibodies. DS-6016a had an acceptable safety profile at single subcutaneous doses of 5-1000 mg.
Insights
This study assessed DS-6016a, an anti-activin receptor-like kinase 2 (ALK2) antibody, for Fibrodysplasia Ossificans Progressiva. DS-6016a demonstrated an acceptable safety profile in healthy adults, with mild adverse events.
Area of Science:
- Pharmacology
- Immunology
- Genetics
Background:
- Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder caused by activin receptor-like kinase 2 (ALK2) mutations.
- Effective prophylactic therapies are needed for FOP, highlighting the importance of novel treatment strategies.
Purpose of the Study:
- To evaluate the pharmacokinetics and safety of DS-6016a, a humanized monoclonal anti-ALK2 antibody.
- To assess the safety and tolerability of single subcutaneous doses of DS-6016a in healthy Japanese adults.
Main Methods:
- A single-center, randomized, double-blind, placebo-controlled study.
- Healthy male Japanese adults received single subcutaneous doses of DS-6016a (5-1000 mg) or placebo in cohorts.
- Pharmacokinetic parameters, adverse events, and changes in ferritin and serum iron were monitored.
Main Results:
- DS-6016a exhibited median times to maximum plasma concentration of 144-240 hours and elimination half-lives of 391-844 hours.
- Exposure to DS-6016a was greater than dose-proportional across the tested range.
- Treatment-emergent adverse events were mild, with a lower incidence in DS-6016a groups (11%) compared to placebo (17%); no serious adverse events were reported.
Conclusions:
- DS-6016a demonstrated an acceptable safety profile in healthy adults at single subcutaneous doses from 5 to 1000 mg.
- The study provides a foundation for further investigation of DS-6016a as a potential prophylactic therapy for Fibrodysplasia Ossificans Progressiva.
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