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Tolerability and Steady-state Pharmacokinetics of BIA 6-512

Phase 1
Completed
Conditions
Parkinson Disease
Interventions
Drug: Placebo
Registration Number
NCT03093389
Lead Sponsor
Bial - Portela C S.A.
Brief Summary

To investigate the tolerability and safety of four multiple-dose regimens of BIA 6-512 (25 mg, 50 mg, 100 mg, and 150 mg 6 times daily) in healthy volunteers and to characterise the steady-state pharmacokinetic profiles of BIA 6-512 (25 mg, 50 mg, 100 mg, and 150 mg 6 times daily) in healthy volunteers.

Detailed Description

Single-centre, double-blind, randomised, placebo-controlled study of four multiple-rising doses in four sequential groups of 10 healthy volunteers each. Eligible subjects were admitted to the UFH on the day (Day 0) prior to receiving the first dose of study medication. On the morning of the next day (Day 1), subjects started receiving BIA 6-512/Placebo at 4 h intervals (6 times/day) for 48 h (13 investigational product administrations, in total). Subjects remained confined in the UFH from admission (Day 0) until at least 24 h post last dose (Day 4); then, they were discharged and were requested to return for the follow-up visit. At given time-points, subjects were submitted to vital signs recording, brief neurological examination, and 12-lead ECG. Blood samples for plasma drug assays were taken at the following times: Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose; Doses 2, 3, 4, 5, 7, 8, 9, 10, 11: pre-dose; Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Male or female subjects aged between 18 and 45 years, inclusive.
  • Subjects of body mass index (BMI) between 19 and 30 kg/m2, inclusive.
  • Subjects who were healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination and 12-lead ECG.
  • Subjects who had clinical laboratory test results clinically acceptable at screening and admission.
  • Subjects who had negative tests for HBsAg, anti-HCVAb and HIV-1 and HIV-2 Ab at screening.
  • Subjects who had a negative screen for alcohol and drugs of abuse at screening and admission.
  • Subjects who were non-smokers or who smoke ≤ 10 cigarettes or equivalent per day.
  • Subjects who were able and willing to give written informed consent.
  • (If female) She was not of childbearing potential by reason of surgery or, if of childbearing potential, she used one of the following methods of contraception: double barrier, intrauterine device or abstinence.
  • (If female) She had a negative urine pregnancy test at screening and admission.
Exclusion Criteria
  • Subjects who did not conform to the above inclusion criteria, or
  • Subjects who had a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders.
  • Subjects who had a clinically relevant surgical history.
  • Subjects who had a clinically relevant family history.
  • Subjects who had a history of relevant drug or food hypersensitivity.
  • Subjects who had a history of alcoholism or drug abuse.
  • Subjects who consumed more than 21 units of alcohol a week.
  • Subjects who had a significant infection or known inflammatory process on screening or admission.
  • Subjects who had acute gastrointestinal symptoms at the time of screening or admission (e.g., nausea, vomiting, diarrhoea, heartburn).
  • Subjects who had used medicines within 2 weeks of first admission that, in the opinion of the investigator, may affect the safety or other study assessments.
  • Subjects who had used any investigational drug or participated in any clinical trial within 2 months of their admission.
  • Subjects who had donated or received any blood or blood products within the previous 2 months prior to screening.
  • Subjects who were vegetarians, vegans or have medical dietary restrictions.
  • Subjects who cannot communicate reliably with the investigator.
  • Subjects who were unlikely to co-operate with the requirements of the study.
  • Subjects who were unwilling or unable to give written informed consent.
  • (If female) She was pregnant or breast-feeding.
  • (If female) She was of childbearing potential and she did not use an approved effective contraceptive method (double-barrier, intra-uterine device or abstinence) or she used oral contraceptives.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
BIA 6-512 50 mg or PlaceboBIA 6-5121 capsule of BIA 6-512 50 mg or 1 capsule of placebo.
BIA 6-512 100 mg or PlaceboBIA 6-5121 capsule of BIA 6-512 100 mg or 1 capsule of placebo.
BIA 6-512 100 mg or PlaceboPlacebo1 capsule of BIA 6-512 100 mg or 1 capsule of placebo.
BIA 6-512 25 mg or PlaceboBIA 6-5121 capsule of BIA 6-512 25 mg or 1 capsule of placebo.
BIA 6-512 150 mg or PlaceboPlacebo1 capsule of BIA 6-512 150 mg or 1 capsule of placebo.
BIA 6-512 25 mg or PlaceboPlacebo1 capsule of BIA 6-512 25 mg or 1 capsule of placebo.
BIA 6-512 50 mg or PlaceboPlacebo1 capsule of BIA 6-512 50 mg or 1 capsule of placebo.
BIA 6-512 150 mg or PlaceboBIA 6-5121 capsule of BIA 6-512 150 mg or 1 capsule of placebo.
Primary Outcome Measures
NameTimeMethod
Cmax - the maximum plasma concentration - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

tmax - the time of occurrence of Cmax - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

AUC0-t - the area under the plasma concentration-time curve from time zero to the last sampling time at which concentrations are at or above the limit of quantification, calculated by the linear trapezoidal rule - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

t½ - the apparent elimination half-life, calculated from ln 2/lz - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

AUC0-¥ - the area under the plasma concentration versus time curve from time zero to infinity, calculated from AUC0-t + (Clast/lz), where Clast is the last quantifiable concentration and lz the apparent terminal rate constant - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

tmax - the time of occurrence of Cmax - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

AUC0-τ - the area under the plasma concentration versus time curve over the dosing interval (4 h), calculated by the linear trapezoidal rule - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

AUC0-τ - the area under the plasma concentration versus time curve over the dosing interval (4 h), calculated by the linear trapezoidal rule - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

AUC0-¥ - the area under the plasma concentration versus time curve from time zero to infinity, calculated from AUC0-t + (Clast/lz), where Clast is the last quantifiable concentration and lz the apparent terminal rate constant - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

AUC0-t - the area under the plasma concentration-time curve from time zero to the last sampling time at which concentrations are at or above the limit of quantification, calculated by the linear trapezoidal rule - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

t½ - the apparent elimination half-life, calculated from ln 2/lz - first dose (dose 1)Dose 1: pre-dose and ¼, ½, ¾, 1, 1½, 2, and 3 hours post-dose

BIA 6-512 pharmacokinetic parameters following the first dose (Dose 1)

Cmax - the maximum plasma concentration - last dose (dose 13)Dose 13: pre-dose and ¼, ½, ¾, 1, 1½, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

BIA 6-512 pharmacokinetic parameters following the last dose (Dose 13)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Human Pharmacology Unit (UFH) - BIAL - Portela & Cª, SA

🇵🇹

S. Mamede do Coronado, Portugal

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