A Phase I Study to Evaluate the Safety, Tolerability and Pharmacokinetics, Pharmacodynamics of Oral HRS5091 in Healthy Subjects With Single or Multiple Dose and Chronic Hepatitis B Patients With Multiple Dose, and Food Effects of HRS5091 in Healthy Subjects
Overview
- Phase
- Phase 1
- Intervention
- HRS5091
- Conditions
- Chronic Hepatitis B
- Sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Enrollment
- 108
- Locations
- 1
- Primary Endpoint
- Maximum Plasma Concentration [Cmax]
- Last Updated
- 4 years ago
Overview
Brief Summary
The study is a randomized, Double-Blind, Placebo-Controlled study to evaluate the safety, tolerability and pharmacokinetics, pharmacodynamics and food effect of HRS5091. The study will be conducted in three parts sequentially:
Part 1a will consist of 58 healthy subjects, 5 groups. The purpose of this part is to explore the safety, tolerability and pharmacokinetics of single doses of HRS5091 tablet in healthy subjects.
Part 1b will consist of 18 healthy subjects and it is one of groups in Part 1a.The purpose of this part is to explore food effect of HRS5091 in healthy subjects.
Part 1c will consist of 10 healthy subjects, 1 groups. The purpose of this part is to explore the safety, tolerability and pharmacokinetics of multiple doses of HRS5091 tablet in healthy subjects.
Part 2 will consist of 30 CHB patients.The purpose of this part is to explore the safety, tolerability and pharmacokinetics, pharmacodynamics of multiple doses of HRS5091 tablet in naïve and treatment-discontinued chronic hepatitis B (CHB) patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy subjects
- •Signed informed consent.
- •Body weight ≥ 50 kg for male; ≥ 45 kg for female, body mass index (BMI) between 18 to 28 kg/m².
- •Vital signs, physical examination, laboratory results are within normal range or considered not clinically significant.
- •Female subjects (including partner) of childbearing potential must be using a medically acceptable form of birth control.
- •CHB subjects
- •Signed informed consent.
- •CHB subjects should meet one of the following two criteria:
- •IgM(immunoglobulin M) HBcAb negative and HBsAg positive.
- •Two recorded HBsAg positive, and the time interval between the two tests was at least 6 months, one of which was the result of this screening
Exclusion Criteria
- •Healthy subjects
- •Currently suffering from cardiovascular, liver, kidney, digestive, nervous, blood, thyroid or mental diseases.
- •Have a digestive system disease or a medical history of severe digestive system disease at present or in the past month.
- •Have severe infection, severe trauma or major surgical operations within 3 months. Plan to receive surgery during the trial and within two weeks after the end of the trial.
- •12-ECG test have clinical significant abnormality or the QT interval (QTc) \> 470 ms(male)/QTc)\> 480 ms(male) or\<300ms(female).
- •Have a medical history of immune-mediated diseases.
- •Screening for infectious diseases is positive,Including HBsAg, Anti-HCV(hepatitis C virus), TPPA(Treponema pallidum particle agglutination assay), Anti-HIV.Treponema pallidum antibody screen positive, at the investigator's discretion in conjunction with RPR(rapid plasma reagin assay) results.
- •Suspected allergy to any ingredient in the study drug.
- •Have any drug that inhibits or induces liver metabolism within 1 month.
- •Take any prescription drugs, over-the-counter drugs and Chinese herbal medicines within 14 days before taking the study drug, or plan to take other drugs during the test period.
Arms & Interventions
Part 1a Treatment group 1
Intervention: Drug1: HRS5091, dose 1; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 1a Treatment group 2
Intervention: Drug1: HRS5091, dose 2; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 1a Treatment group 3
Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 1a Treatment group 4
Intervention: Drug1: HRS5091, dose 4; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 1a Treatment group 5
Intervention: Drug1: HRS5091, dose 5; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 1b Treatment group 3
Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects Food effect
Intervention: HRS5091
Part 1c Treatment group 6
Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo Healthy subjects
Intervention: HRS5091
Part 2 Treatment group 7
Intervention: Drug1: HRS5091, dose 3; Drug2: Placebo CHB subjects
Intervention: HRS5091
Part 2 Treatment group 8
Intervention: Drug1: HRS5091, dose 4; Drug2: Placebo CHB subjects
Intervention: HRS5091
Part 2 Treatment group 9
Intervention: Drug1: HRS5091, dose 5; Drug2: Placebo CHB subjects
Intervention: HRS5091
Outcomes
Primary Outcomes
Maximum Plasma Concentration [Cmax]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
Apparent volume of distribution [Vz/F(Vd)]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
Mean retention time [MRT]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
Area under the concentration time curve [AUC]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
Half-time [t1/2]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
The incidence and severity of treatment-related
Time Frame: 29 DAYS for Group 1.2.4.5; 58 DAYS for Group 3; 42 DAYS for Group 6;56 DAYS for Group 7-9;
adverse events as assessed by CTCAE v5.0
Time to maximum plasma concentration [Tmax]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma
Apparent clearance [CL/F]
Time Frame: 0-672 hours after each dose for Group 1-9
Pharmacokinetic parameters of HRS5091, main metabolite and identified major metabolites in plasma