Safety, Tolerability, Pharmacokinetic and Absolute Bioavailability Study of JNJ-63623872 Administered as an Intravenous Infusion and a 600-Milligram (mg) Oral Dose in Healthy Adults

Phase 1

Completed

• Conditions: Healthy
• Interventions: Drug: JNJ-63623872; Drug: Placebo

• Registration Number: NCT02860806
• Lead Sponsor: Janssen-Cilag International NV

Brief Summary

The purpose of this study is to characterize the single-dose pharmacokinetic (PK) of single escalating intravenous (IV) doses of JNJ-63623872 administered as a continuous infusion; to evaluate the safety and tolerability of single escalating IV doses of JNJ-63623872 administered as a continuous infusion; to characterize the single-dose PK of JNJ-63623872 of one selected dose administered as a continuous IV infusion at various durations and to characterize the single- and repeat-dose PK of JNJ-63623872 administered as a continuous infusion.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-08-05
• Study First Submitted QC: 2016-08-05
• Study Start: 2016-08-08
• Study First Posted: 2016-08-09
• Primary Completion: 2017-06-06
• Study Completion: 2017-06-10
• Status Verified: 2018-01
• Last Update Submitted: 2018-01-26
• Last Update Posted: 2018-01-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• A female participant (except if postmenopausal) must have a negative serum beta- human chorionic gonadotropin (beta-hCG) pregnancy test at screening and on Day -1 of each treatment period
• A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of 90 days after discontinuation of study drug
• During the study and for a minimum of 1 spermatogenesis cycle (defined as approximately 90 days) after receiving the last dose of study drug, in addition to the highly effective method of contraception in the female partner, a man regardless of having been vasectomized: 1) who is sexually active with a woman of childbearing potential must agree to use a barrier method of contraception (example, condom with spermicidal foam/gel/film/cream/suppository), 2) must agree not to donate sperm and 3) who is sexually active with a pregnant women must use a condom
• Must have a Body Mass Index (BMI); weight kilogram [kg]/height^2 [m]^2) between 18.0 and 30.0 kilogram per meter square (kg/m^2) (extremes included) at Screening
• Must have a blood pressure (supine after at least 5 minutes rest and standing after at least 1 minute standing) between 90 and 140 mmHg systolic, inclusive, and no higher than 90 mmHg diastolic at Screening

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Exclusion Criteria

• Has a history of current clinically significant medical illness including (but not limited to) cardiac arrhythmias or other cardiac disease, hematologic disease, coagulation disorders (including any abnormal bleeding or blood dyscrasias), lipid abnormalities, significant pulmonary disease, including bronchospastic respiratory disease, diabetes mellitus, hepatic or renal insufficiency, thyroid disease, neurologic or psychiatric disease, infection, or any other illness that the investigator considers should exclude the participant or that could interfere with the interpretation of the study results
• With a past history of heart arrhythmias (extrasystoli, tachycardia at rest), history of risk factors for Torsade de Pointes syndrome (example, hypokalemia, family history of long QT Syndrome)
• Has known allergies, hypersensitivity, or intolerance to JNJ-63623872 or its excipients
• With any history of clinically significant skin disease such as, but not limited to, dermatitis, eczema, drug rash, psoriasis, food allergy, or urticaria
• With a history of clinically significant drug allergy such as, but not limited to, sulfonamides and penicillins, or drug allergy diagnosed in previous studies with experimental drugs
• Has a history of hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or other clinically active liver disease, or tests positive for HBsAg or anti-HCV at Screening
• Has a history of human immunodeficiency virus (HIV) antibody positive, or tests positive for HIV at Screening

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Part 1: Period 2 (JNJ-63623872 200 mg or Placebo)	Placebo	Participants will receive a single IV infusion of JNJ-63623872 200 mg (3 mg/mL solution) (Treatment B) or matching placebo (Treatment D) over 120 minutes.
Part 1: Period 1 (JNJ-63623872 100 mg or Placebo)	Placebo	Participants will receive a single intravenous (IV) infusion of JNJ-63623872 100 milligram (mg) \[3 milligram per milliliters (mg/mL) solution\] (Treatment A) or matching placebo (Treatment D) over 120 minutes.
Part 1: Period 3 (JNJ-63623872 300 mg or Placebo)	Placebo	Participants will receive a single IV infusion of JNJ-63623872 300 mg (3 mg/mL solution) (Treatment C) or matching placebo (Treatment D) over 120 minutes.
Part 1: Period 1 (JNJ-63623872 100 mg or Placebo)	JNJ-63623872	Participants will receive a single intravenous (IV) infusion of JNJ-63623872 100 milligram (mg) \[3 milligram per milliliters (mg/mL) solution\] (Treatment A) or matching placebo (Treatment D) over 120 minutes.
Part 1: Period 3 (JNJ-63623872 300 mg or Placebo)	JNJ-63623872	Participants will receive a single IV infusion of JNJ-63623872 300 mg (3 mg/mL solution) (Treatment C) or matching placebo (Treatment D) over 120 minutes.
Part 1: Period 2 (JNJ-63623872 200 mg or Placebo)	JNJ-63623872	Participants will receive a single IV infusion of JNJ-63623872 200 mg (3 mg/mL solution) (Treatment B) or matching placebo (Treatment D) over 120 minutes.
Part 2: Group 1 (EFG)	JNJ-63623872	Participants will receive a single IV 300-mg infusion of JNJ-63623872 (3 mg/mL solution) over x minutes (Treatment E) followed by a single IV 300-mg infusion of JNJ-63623872 (3 mg/mL solution) over y minutes (Treatment F), then a single oral 600-mg dose (2\* 300 mg tablets) of JNJ-63623872 under fasted conditions (Treatment G). Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 2: Group 3 (GEF)	JNJ-63623872	Participants will receive Treatment G, then Treatment E followed by Treatment F. Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 2: Group 2 (FGE)	JNJ-63623872	Participants will receive Treatment F, then Treatment G followed by Treatment E. Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 2: Group 4 (GFE)	JNJ-63623872	Participants will receive Treatment G, then Treatment F, followed by Treatment E. Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 2: Group 5 (FEG)	JNJ-63623872	Participants will receive Treatment F, then Treatment E followed by Treatment G. Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 2: Group 6 (EGF)	JNJ-63623872	Participants will receive Treatment E, then Treatment G followed by Treatment F. Study drug administration in subsequent treatment periods will be separated by a washout period of at least 7 days.
Part 3: JNJ-63623872 300 mg	JNJ-63623872	Participants will receive multiple IV infusions of JNJ-63623872 300 mg (3 mg/mL) solution every 12 hours on Days 1 to 10, with only a morning dose on Day 10. Duration of infusion and dose will be selected after Part 2 of this study is completed.

Primary Outcome Measures

Name	Time	Method
Maximum Observed Analyte Concentration (Cmax)	Up to 10 days	The Cmax is the maximum observed analyte concentration.
Time to Reach the Maximum Observed Analyte Concentration (Tmax)	Up to 10 days	The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.
Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to 12 Hour (AUC [0-12])	Up to 10 days	The (AUC \[0-12\]) is the area under the plasma concentration-time curve from time 0 to 12 hour post dose, calculated by linear-linear trapezoidal summation.
Fluctuation Index (FI)	Up to 10 days	FI is defined as the percentage fluctuation between the Ctrough, morning analyte concentration and the maximum analyte concentration.
Apparent Terminal Elimination Half-life (t1/2term)	Up to 10 days	Apparent terminal elimination half-life is defined as 0.693/Lambda\[z\].
Volume of Distribution (Vd)	Up to 10 days	The Vd is defined as volume of distribution, following single dose intravenous administration.
Apparent Volume of Distribution (Vd/F)	Up to 10 days	Vd/F is defined as apparent volume of distribution, following single dose extravascular administration.
Observed Accumulation Index (RA abs)	Up to 10 days	Observed Accumulation Index is calculated by AUC12h, steady state/(AUC12h, single dose).
Morning Trough Analyte Concentration (Ctrough, morning)	Up to 10 days	Ctrough, morning is defined as observed analyte concentration just prior to the beginning of a dosing interval.
Apparent Clearance (CL/F)	Up to 10 days	CL/F is the total apparent clearance, following extravascular administration.
Evening Trough Analyte Concentration (Ctrough, evening)	Up to 10 days	Ctrough, evening is defined as observed analyte concentration at the end of a dosing interval.
Number of Participants With Adverse Events (AEs) as a Measure of Safety and Tolerability	Up to End of Study (Day 14)
Area Under the Plasma Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC [0-last])	Up to 10 days	The (AUC \[0-last\]) is the area under the plasma concentration-time curve (AUC) from time 0 to the time of the last measurable (non-below quantification limit \[non-BQL\]) concentration, calculated by linear-linear trapezoidal summation.
Average Analyte Concentration (Cavg)	Up to 10 days	The Cavg is an average analyte concentration at steady-state over the dosing interval.
Area Under the Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity])	Up to 10 days	The AUC (0-infinity) is the area under the plasma concentration-time curve from time 0 to infinity, calculated as the sum of AUC(last) and C(last)/lambda(z), where Clast is the last observed measurable (non-BQL) concentration; extrapolations of more than 20.00 percent (%) of the total AUC are reported as approximations.
Elimination Rate Constant (Lambda[z])	Up to 10 days	Lambda(z) is apparent terminal elimination rate constant, determined by linear regression using the terminal log-linear phase of the log transformed concentration-time curve.
Volume of Distribution at Steady-State (Vss)	Up to 10 days	Vss is defined as apparent volume of distribution at steady-state following intravenous administration.
Systemic Clearance (CL)	Up to 10 days	CL is the total systemic clearance, following intravenous administration.

Secondary Outcome Measures

Name	Time	Method
Absolute Bioavailability (F[abs])	Up to 10 days	The F(abs) is calculated as AUC (0-infinity), oral/ AUC (0-infinity), intravenous (iv)\*Dose, iv/Dose, oral\*100 %, where AUC (0-infinity) is area under the concentration-time curve from time zero to extrapolated infinite time, and D is the dose of administered drug.