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A Multiple Dose Study of Debio 1450 [Intravenous (IV) and Oral] in Healthy Volunteers

Phase 1
Completed
Conditions
Bacterial Infections
Interventions
Drug: Debio 1450 Tablet
Drug: Debio 1450 IV Solution
Drug: Placebo IV Solution
Drug: Debio 1450 Capsule
Drug: Placebo Tablet or Capsule
Drug: Debio 1450 Oral Solution
Registration Number
NCT02214433
Lead Sponsor
Debiopharm International SA
Brief Summary

Debio 1450-103 is a trial to study the pharmacokinetics (PK) of an experimental drug called Debio 1450 in healthy adult volunteers. Originally, Part A was registered separately (in NCT02214355). The registrations have been revised so all parts of this single trial (Parts A-C) are now included in this single registration (NCT02214433).

The primary purpose of each part is provided below:

* 10 volunteers participate in PART A to assess the PK of a single oral dose of Debio 1450 (tablet formulation) under varying gastric conditions

* 40 volunteers participate in PART B to assess the safety, tolerability and PK of multiple ascending doses of Debio 1450, administered sequentially IV and orally, once or twice daily.

* An additional 10 volunteers participate in PART C which is designed to assess the absolute bioavailability of various formulations of Debio 1450 under varying gastric conditions

The dose administered during Part A is based on the safety, tolerability and PK data from study Debio 1450-102 \[NCT02162199\], a single ascending dose (SAD) study, in which single oral doses up to 800 mg/day are being investigated. Doses are adjusted during Parts B and C based on the available safety and PK data from preceding cohorts.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Meets protocol-specified criteria for qualification and/or contraception
  • Is willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related to food, drink and medications
  • Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures
Exclusion Criteria
  • Has a history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters

  • Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:

    1. the safety or well-being of the participant or study staff
    2. the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding)
    3. the analysis of results

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part A Period 2 Debio 1450 TabletDebio 1450 TabletDebio 1450 Tablet oral dosing once on Day 5, after fasting
Part B Debio 1450 Cohort 1Debio 1450 IV SolutionDebio 1450 IV solution, once daily on days 1-5, then Debio 1450 Tablet, once daily on days 6-10
Part B Debio 1450 Cohort 4Debio 1450 CapsuleDebio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Part B Debio 1450 Cohort 2bDebio 1450 IV SolutionDebio 1450 IV solution, once daily on days 1-5, then Debio 1450 Capsule, once daily on days 6-10
Part A Period 3 Debio 1450 TabletDebio 1450 TabletDebio 1450 Tablet oral dosing once on Day 9, 30 minutes after a high calorie, high fat breakfast, after fasting
Part A Period 4 Debio 1450 TabletDebio 1450 TabletAfter preparation with Pantoprazole, Pantoprazole taken with Debio 1450 Tablet oral dosing once on Day 14, after fasting
Part B Placebo All CohortsPlacebo IV SolutionPlacebo IV solution on days 1-5 and then Placebo Tablet or Capsule on Days 6-10, according to the cohort dosing schedule
Part B Placebo All CohortsPlacebo Tablet or CapsulePlacebo IV solution on days 1-5 and then Placebo Tablet or Capsule on Days 6-10, according to the cohort dosing schedule
Part B Debio 1450 Cohort 1Debio 1450 TabletDebio 1450 IV solution, once daily on days 1-5, then Debio 1450 Tablet, once daily on days 6-10
Part B Debio 1450 Cohort 4Debio 1450 IV SolutionDebio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Part A Period 1 Debio 1450 IV SolutionDebio 1450 IV SolutionPart A Debio 1450 IV solution infused over two hours on Day 1 after fasting
Part B Debio 1450 Cohort 2aDebio 1450 IV SolutionDebio 1450 IV solution, once daily on day 1
Part B Debio 1450 Cohort 3Debio 1450 IV SolutionDebio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Part B Debio 1450 Cohort 3Debio 1450 CapsuleDebio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Part C Debio 1450Debio 1450 CapsuleDebio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).
Part B Debio 1450 Cohort 2bDebio 1450 CapsuleDebio 1450 IV solution, once daily on days 1-5, then Debio 1450 Capsule, once daily on days 6-10
Part C Debio 1450Debio 1450 IV SolutionDebio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).
Part C Debio 1450Debio 1450 Oral SolutionDebio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).
Part A Period 4 Debio 1450 TabletPantoprazoleAfter preparation with Pantoprazole, Pantoprazole taken with Debio 1450 Tablet oral dosing once on Day 14, after fasting
Part C Debio 1450PantoprazoleDebio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).
Primary Outcome Measures
NameTimeMethod
Number of participants with clinically significant change from baseline in safety parameterswithin 10 days post-dose

Categories: vital signs, 12-lead electrocardiogram (ECG), clinical laboratory parameters, adverse events, pulmonary function, physical examination, concomitant medication

Maximum observed plasma concentration (Cmax) of Debio 1450 (prodrug) and Debio 1452 (active moiety)within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Time of maximum observed plasma concentration (tmax) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Area under the plasma concentration-time curve (AUC) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Percentage of AUC(0-o) that is due to extrapolation beyond the last quantifiable concentration measurement (%AUCex) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Elimination half-life (t1/2) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Terminal elimination rate constant (Az) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Mean residence time (MRT) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Apparent clearance following oral administration (CL/F) of Debio 1450 and Debio 1452within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Apparent volume of distribution of Debio 1450 and Debio 1452 during terminal phase (Vz/F)within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae)within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Renal clearance following oral administrationwithin 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Percentage of cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae%)within 60 hours post-dose, depending on the assessment schedule for the cohort

Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Early Phase Clinical Unit

🇺🇸

Baltimore, Maryland, United States

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