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A Pharmacokinetic Study of TP-05 in Healthy Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Placebo
Drug: TP-05 (lotilaner oral capsules)
Registration Number
NCT05138796
Lead Sponsor
Tarsus Pharmaceuticals, Inc.
Brief Summary

A Phase 1, Randomized, Double-Blind, Single- and Multiple-Ascending Dose Study Evaluating the Safety, Tolerability, Food-Effect and Pharmacokinetics of TP-05 in Healthy Subjects

Detailed Description

This Phase 1 study is a randomized, double-blind, single- and multiple-ascending dose trial to evaluate the safety, tolerability, food-effect, and pharmacokinetics of TP-05 in healthy subjects. Subjects will be enrolled in 5 sequential, ascending single dose cohorts and 3 multiple, ascending dose cohorts. Dose escalation will be approved by a safety monitoring committee before beginning the next cohort. The Safety Review Committee (SRC) will evaluate if any dose-limiting adverse events (AEs) through Day 15 (in Cohorts 1-5) or through Day 36 (in Cohorts 6-8) occurred in a cohort before proceeding to dosing in the next dose level. In addition, the SRC will review selected PK parameters after selected cohorts. Skin punch biopsies, and venous, capillary, and urine samples may be collected at various timepoints for pharmacokinetic analysis. Safety assessments include monitoring of adverse events, clinical laboratory testing, vital sign measurements, physical examinations, and ECGs. A blood sample may also be collected to evaluate tick mortality upon exposure.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
67
Inclusion Criteria
  1. Provision of signed and dated informed consent form (ICF)
  2. Have no clinically significant diseases captured in the medical history or evidence of clinically significant findings on the physical examination (including vital signs) and/or ECG, as determined by an investigator
Exclusion Criteria
  1. Female who is pregnant or lactating
  2. Presence or history of significant gastrointestinal, metabolic, liver or kidney disease, or surgery that may affect drug bioavailability (excluding appendectomy and cholecystectomy)
  3. History of significant cardiovascular, pulmonary, hematologic, neurological, psychiatric, endocrine, immunologic, or dermatologic disease
  4. Have a history of a malignancy (or active malignancy), with the exception of treated basal cell or squamous cell carcinoma
  5. Use of any prescription drugs (with the exception of hormonal contraceptives or hormone replacement therapy) within 14 days prior to or use of any over-the-counter drugs in the 7 days prior to the first study drug administration
  6. Positive urine alcohol test result and/or drugs of abuse at Screening or prior to the first drug administration (including cotinine, cannabinoids, amphetamines, barbiturates, cocaine, opiates, phencyclidine and benzodiazepines)
  7. Positive test results for HIV-1/HIV-2 Antibodies, Hepatitis B surface Antigen (HBsAg) or Hepatitis C Antibody (HCVAb)
  8. Treatment with an investigational drug within 30 days or 5 times the half-life (whichever is longer) prior to Screening
  9. Blood donation (excluding plasma donation) of approximately 500 mL within 56 days prior to Screening
  10. Plasma donation within 7 days prior to screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Placebo MADPlaceboFour doses of Placebo
TP-05 SADTP-05 (lotilaner oral capsules)Single dose of TP-05 (lotilaner oral capsules) at 4 dose levels in ascending order
Placebo SADPlaceboSingle dose of Placebo
TP-05 MADTP-05 (lotilaner oral capsules)Four doses of TP-05 (lotilaner oral capsules) at 3 dose levels in ascending order
TP-05 FastedTP-05 (lotilaner oral capsules)Single dose of TP-05 (lotilaner oral capsules) in a fasted state
Placebo FastedPlaceboSingle dose of placebo in a fasted state
Primary Outcome Measures
NameTimeMethod
Incidence of treatment emergent adverse events (TEAEs)up to 151 days

Evaluate the safety of TP-05 through the incidence rate of TEAEs

Clinically significant changes from Baseline chemistry laboratory testsup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline chemistry laboratory tests

Clinically significant changes from Baseline hematology laboratory testsup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline hematology laboratory tests

Clinically significant changes from Baseline general appearanceup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline general appearance

Clinically significant changes from Baseline physical examination of head, ears, nose, and throatup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of head, ears, nose, and throat

Clinically significant changes from Baseline physical examination of neck (thyroid)up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of neck (thyroid)

Clinically significant changes from Baseline physical examination of respiratory systemup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of respiratory system

Clinically significant changes from Baseline physical examination of cardiovascular systemup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of cardiovascular system

Clinically significant changes from Baseline physical examination of gastrointestinal systemup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of gastrointestinal system

Clinically significant changes from Baseline physical examination of neurological systemup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examinations of neurological system

Clinically significant changes from Baseline physical examination of musculoskeletal system (extremities)up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examination of musculoskeletal system (extremities)

Clinically significant changes from Baseline physical examination of skinup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline physical examination of skin

Clinically significant changes from Baseline vital signsup to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline vital signs (including temperature \[degrees Celsius\], pulse rate \[beats per minute\], respiration rate \[breaths per minute\], and changes in systolic and diastolic blood pressure \[mmHg\])

Clinically significant changes from Baseline vital signs (temperature [degrees Celsius])up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline vital signs including temperature \[degrees Celsius\]

Clinically significant changes from Baseline vital signs (pulse rate [beats per minute])up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline vital signs including pulse rate \[beats per minute\]

Clinically significant changes from Baseline vital signs (respiration rate [breaths per minute])up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline vital signs including respiration rate \[breaths per minute\]

Clinically significant changes from Baseline vital signs (systolic and diastolic blood pressure [mmHg])up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline vital signs including changes in systolic and diastolic blood pressure \[mmHg\])

Clinically significant changes from Baseline electrocardiograms (ECGs)up to 151 days

Evaluate the safety of TP-05 through clinically significant changes from Baseline ECGs (including changes in mean ventricular rate \[beats/min\], pulse rate \[msec\], QRS duration \[msec\], QT interval \[msec\], QTcF interval \[msec\])

Secondary Outcome Measures
NameTimeMethod
Impact of fasting on the PK of lotilanerup to 151 days

PK parameters will be evaluated for lotilaner following dosing with food and under fasting conditions. Parameters include Ctrough at various times

Exposure and PK of lotilaner in whole bloodup to 151 days

PK parameters for whole blood sampling methods following dose administration will be evaluated and include Ctrough at various times

Urine exposure and renal PK of lotilaner3 days

PK parameters for urine sampling methods will be evaluated and include CLr0-48.

Trial Locations

Locations (1)

Altasciences

🇺🇸

Overland Park, Kansas, United States

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