A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Doses of TLC-2716 in Healthy Subjects
Overview
- Phase
- Phase 1
- Intervention
- TLC-2716
- Conditions
- Healthy Subjects
- Sponsor
- OrsoBio, Inc
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Number of subjects with treatment-emergent adverse events (TEAEs) in single ascending dose (SAD) compared to placebo
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This phase 1 study is designed to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of TLC-2716 after single- and multiple-ascending doses in healthy subjects.
Detailed Description
This study is a randomized, placebo-controlled, sponsor-unblinded, and comprised of three parts: Part A (single-ascending dose), Part B (multiple-ascending dose), and Part C (adaptive single- and/or multiple-ascending dose).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Non-smoking, healthy male or female subject between 18 and 55 years of age, inclusive
- •Body mass index from 19 to 35 kg/m2, inclusive
- •Estimated glomerular filtration rate ≥ 80 mL/min
- •Normal liver biochemistry tests
- •Screening laboratory evaluations (hematology, chemistry, and urinalysis) must fall within the normal range of the local laboratory's reference ranges unless the results have been determined by the investigator to have no clinical significance
- •Subject must have either a normal 12-lead electrocardiogram (ECG) or one with abnormalities that are considered clinically insignificant by the investigator
- •Females of childbearing potential must have a negative pregnancy test at Screening and clinic admission
- •Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception
- •Must, in the opinion of the investigator, be in good health based upon medical history and physical examination, including vital signs
Exclusion Criteria
- •Pregnant or lactating subjects
- •Subjects with triglycerides ≥ 500 mg/dL
- •Subjects with low-density lipoprotein ≥ 190 mg/dL
- •Subjects who have any serious or active medical or psychiatric illness (including depression) that, in the opinion of the investigator, would interfere with the subject's treatment, assessment, or compliance with the protocol
- •Subjects who have received any investigational compound within 30 days or 5 half-lives, whichever is longer, prior to study drug dosing
- •Current alcohol abuse that is judged by the investigator to potentially interfere with the subject's compliance or safety
- •Current substance abuse that is judged by the investigator to potentially interfere with the subject's compliance or safety
- •A positive test result for human immunodeficiency virus (HIV-1) antibody, hepatitis B (HBV) surface antigen, or hepatitis C (HCV) antibody
- •Subjects who have taken any prescription medications or over-the-counter medications, including herbal products, within 28 days prior to start of study drug dosing, with the exception of vitamins, acetaminophen (paracetamol), ibuprofen, and/or hormonal contraceptive medications
- •Subjects who have been treated with systemic steroids, immunosuppressant therapies, or chemotherapeutic agents within 3 months prior to Screening or expected to receive these agents during the study (e.g., corticosteroids, immunoglobulins, and other immune- or cytokine-based therapies)
Arms & Interventions
Part A: Single Ascending Dose (SAD)
Part A will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive a single oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level).
Intervention: TLC-2716
Part A: Single Ascending Dose (SAD)
Part A will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive a single oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level).
Intervention: Placebo
Part B: Multiple Ascending Dose (MAD)
Part B will be comprised of up to 50 healthy participants over 5 cohorts of 10. Each participant will receive 14 oral doses of TLC-2716 or placebo over 14 days (given once daily) at different dose levels (1 cohort per dose level).
Intervention: TLC-2716
Part B: Multiple Ascending Dose (MAD)
Part B will be comprised of up to 50 healthy participants over 5 cohorts of 10. Each participant will receive 14 oral doses of TLC-2716 or placebo over 14 days (given once daily) at different dose levels (1 cohort per dose level).
Intervention: Placebo
Part C: Adaptive SAD and/or MAD
Part C is an adaptive style where the dosing level is a single- or multiple-ascending dose design. Based on safety and pharmacokinetic data from Parts A and B, doses for Part C will be chosen. Part C will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive an oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level).
Intervention: TLC-2716
Part C: Adaptive SAD and/or MAD
Part C is an adaptive style where the dosing level is a single- or multiple-ascending dose design. Based on safety and pharmacokinetic data from Parts A and B, doses for Part C will be chosen. Part C will be comprised of up to 50 participants over 5 cohorts of 10. Each participant will receive an oral dose of TLC-2716 or placebo at different dose levels (1 cohort per dose level).
Intervention: Placebo
Outcomes
Primary Outcomes
Number of subjects with treatment-emergent adverse events (TEAEs) in single ascending dose (SAD) compared to placebo
Time Frame: Up to Day 15
TEAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment.
Number of subjects with clinically significant change from Baseline in vital signs in SAD
Time Frame: Day 1-Day 4, and Follow-up (after 11 days)
Vital signs include blood pressure, heart rate, respiratory rate, and temperature.
Number of subjects with electrocardiogram (ECG) abnormalities in SAD
Time Frame: Up to 15 days
12-lead ECG.
Number of subjects with TEAEs in multiple ascending dose (MAD) compared to placebo
Time Frame: Up to Day 28
TEAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment.
Number of subjects with laboratory abnormalities in SAD
Time Frame: Up to 15 days
Hematology and serum chemistry.
Number of subjects with clinically significant change from Baseline in vital signs in MAD
Time Frame: Day 1 - Day 3, Day 5, Day 7, Day 10, Day 14, Day 17, and Follow-up (after 11 days)
Vital signs include blood pressure, heart rate, respiratory rate, and temperature.
Number of subjects with laboratory abnormalities in MAD
Time Frame: Up to 28 days
Hematology and serum chemistry.
Number of subjects with ECG abnormalities in MAD
Time Frame: Up to 28 days
12-lead ECG
Secondary Outcomes
- Plasma concentration of each dose of study drug to determine Tlast in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine t1/2 in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine λz in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine AUClast in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine AUCinf in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine %AUCexp in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine CL/F in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine Cmax in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine Tmax in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine Clast in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine Tlast in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine t1/2 in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine λz in SAD(Day 1: 0 (pre-dose), 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 12, 24, 48, and 72 hours post-dose)
- Plasma concentration of each dose of study drug to determine AUClast in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine AUCtau in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine Ctau in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine CLss/F in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine Cmax in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine Tmax in MAD(Day 1, Day 3, Day 7, Day 14)
- Plasma concentration of each dose of study drug to determine Clast in MAD(Day 1, Day 3, Day 7, Day 14)