A Single-Center, Randomized, Double-Blind, Placebo-Controlled, Phase I Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Dose Escalations of ACT500 (Formerly Known as NM6606) in Chinese Healthy Adult Participants
Overview
- Phase
- Phase 1
- Intervention
- ACT500 tablets
- Conditions
- Non-alcoholic Steatohepatitis
- Sponsor
- Xiamen Amoytop Biotech Co., Ltd.
- Enrollment
- 72
- Locations
- 1
- Primary Endpoint
- Serious Adverse Event
- Status
- Completed
- Last Updated
- 2 months ago
Overview
Brief Summary
This is a single-center, randomized, double-blind, placebo-controlled Phase I clinical study, divided into two parts. The first part is a single-dose escalation study (Part1,SAD study phase), and the second part is a multiple-dose escalation study (Part2,MAD study phase). It's aimed to evaluate the safety, tolerability, and pharmacokinetics (PK) of ACT500 in healthy adult participants, and to explore possible metabolites and biomarkers of ACT500.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participants are willing and able to sign a written informed consent form voluntarily before starting any study-related procedures and are willing to comply with all required study procedures;
- •Males or females between 18 and 55 years of age (inclusive) at the time of screening;
- •Body Mass Index (BMI) between 19-26 kg/m\^2 (inclusive) at the time of screening, with a weight of at least 50 kg;
- •Blood pressure within the normal range at the time of screening: systolic pressure: 90-139 mmHg, diastolic pressure: 60-89 mmHg (inclusive of the critical values);
- •Participants of men and women of childbearing potential willing to use highly effective contraceptive measures (condoms, contraceptive sponges, contraceptive gels, contraceptive films, intrauterine devices, oral or injectable contraceptives, subdermal implants, etc.) from the time of signatures of the informed consent form until 90 days after the last administration of the study medication; and women of childbearing potential must have a negative serum pregnancy tests at the time of screening and at the time of the D-1 examination;
Exclusion Criteria
- •Allergic to the study drug or any of its components;
- •Have previously used the study drug;
- •Have clinically significant diseases, including but not limited to abnormality in liver or kidney, blood, digestive (including bleeding, infection, obstruction, or diarrhea greater than grade 1), respiratory, cardiovascular and cerebrovascular, endocrine, metabolic disorders, nervous system diseases, etc., which assessed by the investigator unsuitable for inclusion;
- •Clinical significant abnormality in vital signs, physical examination, laboratory tests, or ECG at screening, as assessed by the investigator unsuitable for inclusion;
- •QTcF \> 450ms (males), QTcF \> 480ms (females) at screening \[Fridericia's formula: QTcF = QT/(RR)\^1/3\];
- •Estimated glomerular filtration rate (eGFR) \< 90 mL/min/1.73m\^2 at screening;
- •A history of unstable cardiovascular and cerebrovascular diseases within 6 months prior to screening, including acute myocardial infarction, stroke, arrhythmia, etc.;
- •Existing liver disease or unexplained elevation of liver function tests (alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), total bilirubin or direct bilirubin \> 1.5×ULN at screening or D-1, or D-1 test value is more than 50% higher than the screening test value);
- •Respiratory infections (upper and/or lower respiratory tract) treated with antibiotics within 12 weeks before screening;
- •Infectious diseases within the screening period (within 28 days before the first dose) that, in the investigator's judgment, would affect the participant's ability to participate in the trial;
Arms & Interventions
Part 1:ACT500 Tablets
Intervention: ACT500 tablets
Part 1: Placebo
Intervention: Placebo
Part 2:ACT500 Tablets
Intervention: ACT500 tablets
Part 2: Placebo
Intervention: Placebo
Outcomes
Primary Outcomes
Serious Adverse Event
Time Frame: SAD:Day1-8; MAD:Day1-22.
body temperature
Time Frame: SAD:Day1-5; MAD:Day1,Day7-22.
Adverse Event(AE)
Time Frame: SAD:Day1-8; MAD:Day1-22.
respiration
Time Frame: SAD:Day1-5; MAD:Day1,Day7-22.
pulse
Time Frame: SAD:Day1-5; MAD:Day1,Day7-22.
heart rate
Time Frame: SAD:Day1-5; MAD:Day1,Day7-22.
blood pressure
Time Frame: SAD:Day1-5; MAD:Day1,Day7-22.
Physical Examination
Time Frame: SAD:Day1,Day3-8; MAD:Day1,Day3-22.
Physical examination includes general condition, head and neck, lymph nodes, skin, chest, abdomen, and musculoskeletal system (including limbs and spine).
Number of Participants with 12-Lead Electrocardiogram Findings
Time Frame: SAD:Day-1,Day5 ; MAD:Day-1,Day3,Day8and D14.
Number of Participants with Dynamic electrocardiogram(ECG)Findings
Time Frame: SAD:Day1; MAD:Day1,Day7.
Number of Participants with Abnormal Laboratory Parameters Findings
Time Frame: SAD:Day1-8; MAD:Day1-22.
Secondary Outcomes
- Maximum concentration (Cmax)(SAD:Day1-5;)
- Time to maximum concentration(Tmax)(SAD:Day1-5;MAD:Day1-8)
- The area under the plasma concentration-time curve from the time of initial dosing to the time of the last measurable concentration point (AUC0-t)(SAD:Day1-5;)
- The area under the plasma concentration-time curve from the time of initial dosing to infinity (AUC0-∞)(SAD:Day1-5;)
- Apparent terminal elimination half-life (t1/2).(SAD:Day1-5;)
- Clearance (CL/F)(SAD:Day1-5;)
- Apparent Volume of Distribution (Vd/F)(SAD:Day1-5;)
- Elimination Rate Constant(Kel)(SAD:Day1-5;)
- Mean Residence Time(MRT)(SAD:Day1-5;)
- Steady-state trough concentration(Cmin,ss)(MAD:Day1-8;)
- Steady-state peak concentration(Cmax,ss)(MAD:Day1-8;)
- Average steady-state plasma concentration(Cav,ss)(MAD:Day1-8;)
- Elimination half-life(t1/2,ss)(MAD:Day1-8;)
- Clearance (CLss/F)(MAD:Day1-8;)
- Apparent Volume of Distribution (Vd/Fss)(MAD:Day1-8;)
- Accumulation Index (RAC)(MAD:Day1-8;)
- The area under the plasma concentration-time curve from the time of the last dose to the time of the last measurable concentration point (AUC0-t,ss)(MAD:Day1-8;)
- The area under the plasma concentration-time curve within one dosing interval after the last dose (AUC0-τ)(MAD:Day1-8;)
- The area under the plasma concentration-time curve extrapolated from the last dose to infinity (AUC0-∞,ss)(MAD:Day1-8;)
- Coefficient of Fluctuation (DF)(MAD:Day1-8;)
- Pharmacokinetic (PK):Plasma Concentrations of ACT500(SAD:Day1-4;MAD:Day1-8;)
- Changes of biomarkers after single and multiple oral dosing compared to baseline(SAD:Day1-5;MAD:Day1-8.)