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A First in Human Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics Effects of OC514

Phase 1
Completed
Conditions
Cancer Cachexia
Interventions
Drug: OC514 (High dose)
Drug: OC514 (Low dose)
Drug: OC514 (Mid dose)
Other: Placebo
Registration Number
NCT05264038
Lead Sponsor
Oncocross Australia Pty Ltd.
Brief Summary

Oncocross is developing OC514, a drug-drug combination product containing 2 active pharmaceutical ingredients for cancer cachexia. This study is designed to assess the safety and tolerability of single and multiple oral doses of OC514 in healthy adult volunteers.

Detailed Description

This is a single-center study in which a total of 24 subjects will be enrolled into 1 of 3 dose level cohorts in an ascending fashion. Each cohort will consist of 8 subjects randomized to receive OC514 or matching placebo at a ratio of 3:1. Eligible subjects will be admitted to the clinical research unit (CRU) from Day -1 to 5 and again from Day 15 to Day 17 and will be discharged upon completion of post-dose assessment. The subjects will attend the CRU for outpatients visits on Day 8 and Day 12. The subjects will return for a follow-up visit on Day 19 and End of Study visit on Day 21.

The total study duration is up to 9 weeks consisting of up to 6 weeks of screening, 2 weeks of blinded treatment, and 1 week of safety follow-up.

Safety oversight will be provided by a Safety Review Committee (SRC).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria
  1. Healthy male or female volunteers, between 18 and 65 years of age, both inclusive.
  2. BMI between 18 and 32 kg/m2 (inclusive) with a bodyweight >/= 50 kg at screening.
  3. Medically healthy with no clinically significant medical history.
  4. Adequate venous access.
  5. Non-pregnant, non-lactating females.
  6. Must be able to comply with the requirements of the study.
Exclusion Criteria
  1. History of any clinically significant disease or disorder.
  2. History or presence of gastrointestinal, hepatic, or renal disease or any other condition or past surgical intervention (eg, cholecystectomy).
  3. Has creatinine clearance < 60 mL/min.
  4. Any current active infections, including localized infections, or any recent history (within 2 weeks prior to first IP administration) of active infections (including severe acute respiratory syndrome coronavirus 2 [SARS-COV-2]), cough or fever, or a history of recurrent or chronic infections.
  5. Lymphoma, leukemia, or any malignancy within the past 5 years except for fully resected basal cell or squamous epithelial carcinomas of the skin that have been fully treated for at least 1 year with no recurrence.
  6. Any positive laboratory-confirmed COVID-19 test at Screening or check-in.
  7. History of human immunodeficiency virus (HIV) antibody positive or tested positive for HIV; had a history of hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or other clinically active liver disease, or tested positive for HBsAg or anti-HCV at Screening.
  8. Had major surgery (general anesthetic) in the last 3 months or minor surgery (local anesthetic) in the last 1 month prior to Screening.
  9. History of narrow angle glaucoma.
  10. History of benign prostatic hyperplasia (BPH) with lower urinary tract symptoms.
  11. Any clinically significant medical or psychiatric condition, medical/surgical procedure, or trauma within 4 weeks prior to the first IP administration.
  12. Blood donation within 1 month of Screening or any blood donation/blood loss greater than 500 mL during the 3 months prior to Screening.
  13. Abnormal vital signs.
  14. Prolonged Fridericia QT correction formula (QTcF) > 450 msec or shortened QTcF < 340 msec or family history of long QT syndrome at the Screening and on Day -1.
  15. Positive screen for drugs of abuse or cotinine (≥ 500 ng/mL) or positive screen for alcohol at Screening or admission to the CRU on Day -1.
  16. History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, as judged by the Investigator, to any components in the IP.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Cohort 3OC514 (High dose)Participants will receive either high dose level of OC514 or placebo
Cohort 1PlaceboParticipants will receive either low dose level of OC514 or placebo
Cohort 1OC514 (Low dose)Participants will receive either low dose level of OC514 or placebo
Cohort 3PlaceboParticipants will receive either high dose level of OC514 or placebo
Cohort 2OC514 (Mid dose)Participants will receive either mid dose level of OC514 or placebo
Cohort 2PlaceboParticipants will receive either mid dose level of OC514 or placebo
Primary Outcome Measures
NameTimeMethod
Number of participants with abnormal clinically significant laboratory resultsDay 1 - Day 21

Clinical laboratory includes hematology, and biochemistry

Number of participants with abnormal urinalysisDay 1- Day 21

Dipstick test will be performed

Number of treatment-emergent adverse events (TEAEs) and treatment related TEAEsDay 1- Day 21

TEAEs will be measured as per the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0

Severity of TEAEs and treatment related TEAEsDay 1- Day 21

TEAEs will be measured as per the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0

Number of patients with abnormal vital signsDay 1- Day 21

Includes supine systolic and diastolic blood pressure, pulse rate, oxygen saturation, body temperature, and respiratory rate

Number of participants with abnormal and clinically significant electrocardiogram (ECG)Day 1 - Day 21

12-lead ECG will be taken

Number of participants with abnormal coagulation testDay 1- Day 21

Prothrombin time, International normalization ratio, Activated partial thromboplastin time

Secondary Outcome Measures
NameTimeMethod
CmaxDay 1-Day 4, Day 8, Day 16, Day 17

Maximum concentration of OC514 in blood plasma

λz or KelDay 1-Day 4, Day 8, Day 16, Day 17

Apparent terminal elimination rate

AUC (0-inf)Day 1 and Day 2

AUC from time zero to infinity

t1/2Day 1-Day 4, Day 8, Day 16, Day 17

Elimination half life

CL/F and CL/FssDay 1-Day 4, Day 8, Day 16, Day 17

Apparent clearance

TmaxDay 1-Day 4, Day 8, Day 16, Day 17

Time to maximum concentration

CminDay 1-Day 4, Day 8, Day 16, Day 17

Minimum concentration

AUC (0-12)Day 3-Day 16

AUC from time zero until 12 hours post dose

AUC (0-last)Day 1-Day 4, Day 8, Day 16, Day 17

Area under the time concentration curve from time zero to last measurable concentration

Vz/F and Vz/FssDay 1-Day 4, Day 8, Day 16, Day 17

Volume of distribution

Effect of OC514 administration on QT prolongationDay 4, Day 8, Day 12, Day 16, Day 17, day 19

12-lead ECG will be done

Trial Locations

Locations (1)

Nucleus network

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Melbourne, Australia

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