The Safety, Tolerability and Pharmacokinetic Study of ZSP1273 in Healthy Volunteers.
- Conditions
- Influenza
- Interventions
- Drug: ZSP1273 High DoseDrug: ZSP1273 900 mgDrug: ZSP1273 100 mgDrug: ZSP1273 200 mgDrug: ZSP1273 400 mgDrug: ZSP1273 600 mgDrug: ZSP1273 1200 mgDrug: ZSP1273 Low DoseDrug: ZSP1273 Median DoseDrug: Placebo 1200 mgDrug: Placebo 600 mgDrug: PlaceboDrug: Placebo 200 mgDrug: Placebo 400 mgDrug: Placebo 900 mgDrug: Placebo 100 mg
- Registration Number
- NCT03679143
- Lead Sponsor
- Guangdong Zhongsheng Pharmaceutical Co., Ltd.
- Brief Summary
This is a single center,double-blind,randomized,parallel design, single and multiple dose trial to evaluate the pharmacokinetics(PK), safety and tolerability of ZSP1273,and the effect of food on ZSP1273 Pharmacokinetics.
- Detailed Description
The study will be divided in 3 parts :
Study Part I(Single Ascending Dosing, SAD) will be a single ascending dose to be run at a maximum of 6 dose levels. Subjects included in this part of the study will receive only one dose level to limit the exposure to ZSP1273. Four subjects are planned to be included in the first group while 10 subjects are enrolled in every following cohort.
Study Part II(Multiple Ascending Dosing, MAD) will start after completion of some Cohorts of Study Part I. Study Part II will be a multiple ascending dose to be run at a maximum of 3 dose levels. Subjects included in this part of the study will receive only one dose level. This part also enrolls 10 subjects in every cohort.
Study Part III(Food Effect study, FE) will consists of 2 periods,and subjects will receive a single dose ranged from 100-600mg on fasting and postprandial states respectively. There will be a 7-day wash out period between treatment periods.A total of 12 to 18 subjects will be included.
All the 3 parts will be run in healthy subjects.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 103
Subjects are required to meet the following criteria in order to be included in the trial:
- Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment.
- Subjects must be willing and able to adhere to the visit schedule and protocol requirements and be available to complete the study.
- Subjects (including partners) must use reliable methods of contraception during the study and until 6 months following the last dose of investigational product.
- Males and female subjects between 18-50 years (Both inclusive).
- Body weight is no less than 50 kg in males and no less than 45 kg in females. Body mass index (BMI) 18≤BMI≤28 kg/m2; BMI is determined by the following equation: BMI = weight/height2 (kg/m2).
- Physical condition and vital signs: Normal or abnormality has no clinical significance.
Eligible subjects must not meet any of the following exclusion criteria:
- Known hypersensitivity and/or allergy to some drugs and food, especially for the composition that is similar to the investigative product;
- The average daily smoking are more than 5 cigarettes within 3 months prior to screening.
- Known history of drug or alcohol abuse.(defined as consumption of 14 units of alcohol per week: 1 unit = 285 ml of beer; or the equivalent of 25 ml of spirit, or 100 ml of wine )
- Subjects who donated blood or bleeding profusely (> 400 mL) in the 3 months preceding study screening.
- Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs, include a history of frequent nausea or vomit causes by any etiology.
- History or presence of any disease or condition known to increase the risk of bleeding , eg. acute gastritis, duodenal ulcer, etc.
- Participant with any history of clinically significant skin disease such as, but not limited to, dermatitis, eczema, drug rash, psoriasis, or urticaria.
- Subjects with recent significant change in diet or exercise.
- Participated in another clinical research study and received any investigational products within 3 months prior to dosing.
- Concomitant therapy with any drugs with known hepatic enzyme-inducing or inhibiting agents prior to screening or during the study, including strong inhibitory agents and inducers that affect metabolic enzymes (see appendix 6 for specific drug information).
- Use of any prescription or over-the-counter (OTC) medications, vitamins and herbal or dietary supplements within 14 days prior to screening.
- History of having any special food (including dragon fruit, mango, grapefruit, etc.), strenuous exercises, or other factors may interfere with the absorption, distribution, metabolism, or excretion of drug within 14 days prior to screening.
- Inability to consume the food provided in the study ( a high fat, high calorie meal includes two eggs , a piece of butter bacon toast, a box of fried potatoes, and a glass of whole milk).This requirement only applies to subjects under fed condition.
- Presence of clinically significant abnormalities in ECG or QTcB>470ms in males, or QTcB>480ms in females.
- Pregnancy or breastfeeding at screening and during the study. All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial.
- Any clinically significant abnormality upon physical examination or presence of a clinically significant gastrointestinal, renal, hepatic, neurologic, hematic, endocrine, neoplastic, pulmonary, immune, psychiatric or cardiovascular and cerebrovascular disorder(s)(but not limited to above disorders) in the 6 months preceding study screening.
- Positive hepatitis B surface antigen, hepatitis C virus antibody,human immunodeficiency virus (HIV) or treponema pallidum antibodies at screening.
- Any acute illness or concomitant medication from screening to first dosing.
- Have chocolate, any food or beverage that contains caffeine or xanthine within 24 hours prior to dosing.
- Positive for urine drug screening or history of substance and drug abuse for a period of 5 consecutive years before screening.
- Subjects who may not complete the study for other reasons or should not be included in the study in the opinion of the investigator.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ZSP1273(single dose)-1200 mg(Cohort 6) Placebo 1200 mg ZSP1273 1200 mg/Placebo Enrollment into Cohort 6 will begin upon assurance of tolerance for Cohort 5. ZSP1273(single dose)-600 mg(Cohort 4) Placebo 600 mg ZSP1273 600 mg/Placebo Enrollment into Cohort 4 will begin upon assurance of tolerance for Cohort 3. ZSP1273(multiple doses)-High Dose(Cohort 10) ZSP1273 High Dose while fasted or fed according to the results of Cohort FE ZSP1273/Placebo for 5 Days. ZSP1273(Food Effect)-Cohort 7 Placebo Drug:ZSP1273 /Placebo； Period 1 (Day1 to Day5): Subjects receive ZSP1273/Placebo under the fasting or fed condition ,respectively on Day1. Period 2 (Day 8 to Day12): Subjects receive ZSP1273/Placebo under the fed or fasting condition, respectively on Day 8. ZSP1273(single dose)-900 mg(Cohort 5) ZSP1273 900 mg Drug:ZSP1273 900 mg/Placebo 900mg； Enrollment into Cohort 5 will begin upon assurance of tolerance for Cohort 4. ZSP1273(single dose)-100 mg(Cohort 1) ZSP1273 100 mg ZSP1273 100 mg /Placebo ZSP1273(single dose)-200 mg(Cohort 2) ZSP1273 200 mg ZSP1273 200mg/Placebo Enrollment into Cohort 2 will begin upon assurance of tolerance for Cohort 1. ZSP1273(single dose)-200 mg(Cohort 2) Placebo 200 mg ZSP1273 200mg/Placebo Enrollment into Cohort 2 will begin upon assurance of tolerance for Cohort 1. ZSP1273(single dose)-400 mg(Cohort 3) Placebo 400 mg ZSP1273 400mg/Placebo Enrollment into Cohort 3 will begin upon assurance of tolerance for Cohort 2. ZSP1273(single dose)-400 mg(Cohort 3) ZSP1273 400 mg ZSP1273 400mg/Placebo Enrollment into Cohort 3 will begin upon assurance of tolerance for Cohort 2. ZSP1273(multiple doses)-Low Dose(Cohort 8) Placebo while fasted or fed according to the results of Cohort FE ZSP1273 /Placebo for 5 Days. ZSP1273(single dose)-900 mg(Cohort 5) Placebo 900 mg Drug:ZSP1273 900 mg/Placebo 900mg； Enrollment into Cohort 5 will begin upon assurance of tolerance for Cohort 4. ZSP1273(single dose)-100 mg(Cohort 1) Placebo 100 mg ZSP1273 100 mg /Placebo ZSP1273(single dose)-600 mg(Cohort 4) ZSP1273 600 mg ZSP1273 600 mg/Placebo Enrollment into Cohort 4 will begin upon assurance of tolerance for Cohort 3. ZSP1273(single dose)-1200 mg(Cohort 6) ZSP1273 1200 mg ZSP1273 1200 mg/Placebo Enrollment into Cohort 6 will begin upon assurance of tolerance for Cohort 5. ZSP1273(multiple doses)-Low Dose(Cohort 8) ZSP1273 Low Dose while fasted or fed according to the results of Cohort FE ZSP1273 /Placebo for 5 Days. ZSP1273(Food Effect)-Cohort 7 ZSP1273 Drug:ZSP1273 /Placebo； Period 1 (Day1 to Day5): Subjects receive ZSP1273/Placebo under the fasting or fed condition ,respectively on Day1. Period 2 (Day 8 to Day12): Subjects receive ZSP1273/Placebo under the fed or fasting condition, respectively on Day 8. ZSP1273(multiple doses)-Median Dose(Cohort 9) ZSP1273 Median Dose while fasted or fed according to the results of Cohort FE ZSP1273/Placebo for 5 Days. ZSP1273(multiple doses)-Median Dose(Cohort 9) Placebo while fasted or fed according to the results of Cohort FE ZSP1273/Placebo for 5 Days. ZSP1273(multiple doses)-High Dose(Cohort 10) Placebo while fasted or fed according to the results of Cohort FE ZSP1273/Placebo for 5 Days.
- Primary Outcome Measures
Name Time Method Number and severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE) At day 5, 9, 12 days post first dosing for SAD, MAD, FE part respectively Number of participants with TEAEs as assessed by CTCAE v5.0.
- Secondary Outcome Measures
Name Time Method Cmax UP to 5, 9, 12 days for SAD, MAD, FE part respectively Maximum concentration (Cmax)
CL/F UP to 5, 9, 12 days for SAD, MAD, FE part respectively CL/F is defined as the ratio of total clearance(Cl) to bioavailability(F).
Multiple-dose plasma PK parameter: DF of ZSP1273 at steady state Up to 9 days DF is defined as the percentage of fluctuation in steady state is 100 \* (Cmax, ss - Cmin, ss)/Cavg, ss.
AUClast（AUC0-t） UP to 5, 9, 12 days for SAD, MAD, FE part respectively AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
Tmax UP to 5, 9, 12 days for SAD, MAD, FE part respectively The time after dosing when Cmax occurs (Tmax)
Food Effect PK Parameter: Fe0-t UP to 12 days Fe0-t is defined as the cumulative excretion rate of the drug in urine and feces.
Multiple-dose plasma PK parameter: Rac of ZSP1273 at steady state Up to 9 days Rac (Accumulation Index) is defined as the ratio between AUC0-XX in Day XX and AUC0-XX in Day1
t1/2z UP to 5, 9, 12 days for SAD, MAD, FE part respectively t1/2z is defined as the time to decline half of the drug concentration in plasma.
AUCinf（AUC0-∞） UP to 5, 9, 12 days for SAD, MAD, FE part respectively Area under the curve extrapolated until time is infinity (AUCinf)
λz UP to 5, 9, 12 days for SAD, MAD, FE part respectively λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound.
CLr UP to 5, 9, 12 days for SAD, MAD, FE part respectively CLr is defined as how many milliliters of plasma in which some substance can be completely eliminated in the unit time (per minute) of two kidneys.
Food Effect PK Parameter: Ae UP to 12 days Ae is defined as the amount of unchanged drug excreted in urine or faeces after administration.
Multiple-dose plasma PK parameter: Cmin of ZSP1273 at steady state Up to 9 days Cmin is defined as the minimum observed concentration of drug in plasma at steady state.
Trial Locations
- Locations (1)
The First Hospital of Jilin University
🇨🇳Changchun, Jilin, China