A Phase 1, Sequential Drug Interaction Study to Evaluate the Effect of CYP3A4 and P-glycoprotein Inhibition by Itraconazole or Induction by Rifampicin on the Pharmacokinetics of Ecopipam and Its Metabolites in Healthy Subjects
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- AUC0-inf of ecopipam when administered without rifampicin
研究概览
简要总结
This is a single center, 2-Part, Phase 1, open-label, fixed-sequence, drug-drug interaction study designed to compare the PK of ecopipam when administered alone and in combination with itraconazole (Part 1) or rifampicin (Part 2) in healthy subjects.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Male subjects or femail subjects of non-childbearing potential
- •≥18 and ≤55 years of age
- •BMI >18.5 and <30.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females.
- •Subjects must be healthy, as determined by the Investigator, based on medical history, physical examination, ECG, vital signs, and standard panel of blood and laboratory tests at Screening.
- •Sexually active males must use a double barrier method of contraception during the study and for at least 90 days after the last dose of study drug.
- •Male subjects must be willing not to donate sperm until 90 days following the last study drug administration.
- •Willing to take off dentures or mouth piercing at the time of dosing.
排除标准
- •History of significant medical illness
- •Clinically significant abnormalities on screening tests/exams
- •History of or significant risk of committing suicide
- •Donation of plasma within 7 days prior to dosing
- •Donation or significant loss of blood within 8 weeks prior to the first dosing
- •Major surgery within 3 months or minor surgery within 1 month prior to admission
- •Use of prohibited prescription, over-the-counter medications or natural health products
- •Female subjects who are currently pregnant or lactating
- •Positive pregnancy test
- •Positive urine drug screen, urine cotinine test, or alcohol breath test
- •Use of tobacco or nicotine products within 1 month prior to Screening
- •Significant alcohol consumption
- •History of drug abuse within the previous year, or a positive drug screen
- •History of allergy to study medications
- •Part 1 only: Presence of orthodontic braces or orthodontic retention wires
- •Recent participation in a clinical research study
- •Not suitable for study in the opinion of the Principal Investigator
研究组 & 干预措施
Part 1
ecopipam 89.6 mg on Days 1 and 9 with repeat doses of itraconazole Days 6-16.
干预措施: Itraconazole (Drug)
Part 1
ecopipam 89.6 mg on Days 1 and 9 with repeat doses of itraconazole Days 6-16.
干预措施: Ecopipam (Drug)
Part 2
ecopipam 179.2 mg on Days 1 and 13 with repeat doses of rifampicin days 6-20.
干预措施: rifampicin (Drug)
Part 2
ecopipam 179.2 mg on Days 1 and 13 with repeat doses of rifampicin days 6-20.
干预措施: Ecopipam (Drug)
结局指标
主要结局
AUC0-inf of ecopipam when administered without rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-t of ecopipam when administered with rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-t of ecopipam when administered without rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of ecopipam when administered without itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
T½ el of ecopipam when administered with itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
T½ el of ecopipam when administered without itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-t of ecopipam when administered with itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-t of ecopipam when administered without itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-inf of ecopipam when administered with itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-inf of ecopipam when administered without itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
AUC0-inf of ecopipam when administered with rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of ecopipam when administered with rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of ecopipam when administered with itraconazole
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
Cmax of ecopipam when administered without rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
T½ el of ecopipam when administered with rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
T½ el of ecopipam when administered without rifampicin
时间窗: Up to Day 21
Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis
次要结局
- Safety and tolerability as demonstrated by AEs without itraconazole(Up to Day 30)
- Safety and tolerability as demonstrated by AEs with rifampicin(Up to Day 30)
- Respiratory rate pressure with itraconazole (breaths/minute)(Up to Day 21)
- Respiratory rate without itraconazole (breaths/minute)(Up to Day 21)
- Respiratory rate with rifampicin (breaths/minute)(Up to Day 21)
- T½ el of EBS-101-40853 glucuronide(Up to Day 21)
- AUC0-4 for ecopipam(Up to Day 21)
- AUC0-4 for EBS-101-40853(Up to Day 21)
- AUC0-inf of EBS-101-40853 glucuronide(Up to Day 21)
- AUC0-inf of EBS-101-40853(Up to Day 21)
- AUC0-inf of ecopipam glucuronide(Up to Day 21)
- AUC0-t of EBS-101-40853(Up to Day 21)
- Cmax of EBS-101-40853(Up to Day 21)
- Cmax of ecopipam glucuronide(Up to Day 21)
- Cmax of EBS-101-40853 glucuronide(Up to Day 21)
- Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) without rifampicin(mmHG)(Up to Day 21)
- Heart rate with itraconazole (beats/minute)(Up to Day 21)
- Heart rate without itraconazole (beats/minute)(Up to Day 21)
- Heart rate with rifampicin (beats/minute)(Up to Day 21)
- Respiratory rate without rifampicin (breaths/minute)(Up to Day 21)
- Oral temperature with itraconazole (degrees Celsius)(Up to Day 21)
- Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) with itraconazole (Milliseconds)(Up to Day 21)
- Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) with rifampicin (Milliseconds)(Up to Day 21)
- AUC0-4 for EBS 101-40853 glucuronide(Up to Day 21)
- AUC0-t of ecopipam glucuronide(Up to Day 21)
- AUC0-t of EBS-101-40853 glucuronide(Up to Day 21)
- T½ el of EBS-101-40853(Up to Day 21)
- T½ el of ecopipam glucuronide(Up to Day 21)
- AUC0-4 for ecopipam glucuronide(Up to Day 21)
- Minimum Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score(Up to Day 21)
- AUEC for Visual Analogue Scale (VAS)(Up to Day 21)
- Maximum sedation for Visual Analogue Scale (VAS)(Up to Day 21)
- AUEC for Reaction Time Index (RTI) score(Up to Day 21)
- Maximum sedation for Reaction Time Index (RTI) score(Up to Day 21)
- Safety and tolerability as demonstrated by AEs with itraconazole(Up to Day 30)
- Safety and tolerability as demonstrated by AEs without rifampicin(Up to Day 30)
- Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) with itraconazole (mmHG)(Up to Day 21)
- Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) without itraconazole(mmHG)(Up to Day 21)
- Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) with rifampicin(mmHG)(Up to Day 21)
- Heart rate without rifampicin (beats/minute)(Up to Day 21)
- Oral temperature without rifampicin (degrees Celsius)(Up to Day 21)
- Safety and tolerability as demonstrated by the Columbia Suicide Severity Rating Scale (C-SSRS)(Up to Day 21)
- Values of white blood cell (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils and platelets (1000/mm3)(Up to Day 21)
- Value of hemoglobin (g/dL)(Up to Day 21)
- Oral temperature without itraconazole (degrees Celsius)(Up to Day 21)
- Oral temperature with rifampicin (degrees Celsius)(Up to Day 21)
- Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) without itraconazole (Milliseconds)(Up to Day 21)
- Values of albumin and total protein (g/dL)(Up to Day 21)
- Values of urine protein(Up to Day 21)
- Values of urine ketones(Up to Day 21)
- Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) without rifampicin (Milliseconds)(Up to Day 21)
- Value of hematocrit (percent)(Up to Day 21)
- Red blood cell (RBC) count (M/mm3)(Up to Day 21)
- Values of urine glucose(Up to Day 21)
- Values of urine bilirubin and nitrite(Up to Day 21)
- Values of urobilinogen(Up to Day 21)
- Values of urine leukocyte esterase by dipstick(Up to Day 21)
- Values of sodium, potassium, chloride (mmol/L)(Up to Day 21)
- Values of urea, phosphorus, calcium, glucose, and total, direct and indirect bilirubin (mg/dL)(Up to Day 21)
- Values of alanine aminotransferase (ALT), aspartate aminotransferase (AST),alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), creatininephosphokinase (CPK), and creatinine (U/L)(Up to Day 21)
- Values of urine specific gravity(Up to Day 21)
- Values of urine pH(Up to Day 21)
- Values of urine blood(Up to Day 21)
