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Safety, Tolerability and Pharmacokinetics of AD16 Tablets After MAD in Healthy Chinese Adult Subjects

Phase 1
Completed
Conditions
Alzheimer Disease
Interventions
Drug: AD16 30mg、40mg
Drug: AD16 Placebo 30mg、40mg
Registration Number
NCT05806177
Lead Sponsor
South China Center For Innovative Pharmaceuticals
Brief Summary

This single-center, randomized, placebo-controlled, double-blind, dose-increasing study was designed to evaluate the safety, tolerability, and pharmacokinetics of multiple successive dosing in healthy Chinese adult subjects.In this study, 20 healthy adult subjects were enrolled in a multi-dose study in the 30mg and 40mg groups.

Detailed Description

In this study, subjects were given multiple doses in the corresponding dose group

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Healthy subjects were aged 18-45 years (including boundary values), male and female.
  2. Weight ≥50kg (male) or ≥45kg (female), and body mass index (BMI) of 19-24kg/m2 (including the boundary values at both ends).
  3. Have fully understood this study, voluntarily participated in it, and signed the Informed Consent.
  4. Subjects are able to communicate well with researchers and complete the study according to protocol.
  5. The subjects were deemed to be in good health based on physical examination, medical history, vital signs, electrocardiogram, chest X-ray, abdominal ultrasound, and laboratory tests.
  6. Subject (including partner) is willing to have no pregnancy plan for the next 30 days (female subject) or 90 days (male subject) and is willing to use effective contraception.
Exclusion Criteria
  1. Positive for hepatitis B surface antigen, hepatitis C antibody, syphilis antibody or HIV antibody.
  2. The patient has symptoms or related history of any serious disease, including but not limited to heart, liver, kidney, or other acute or chronic digestive tract or respiratory tract diseases, as well as diseases of the blood, endocrine, neurological, psychiatric and other systems, or any other disease or physiological condition that can interfere with the study results.
  3. A history of postural hypotension with frequent episodes.
  4. A history of frequent nausea or vomiting due to any cause.
  5. Any clear history of drug or food allergies, especially allergies to ingredients similar to the drugs in this study.
  6. Have special dietary requirements and cannot comply with the uniform diet provided by the clinical research center.
  7. Previous drug abuse history or positive urine drug screening during screening period.
  8. Smokers who smoked more than 5 cigarettes a day in the 3 months before the test.
  9. Heavy drinkers or regular drinkers in the 6 months prior to the study screening, who drank more than 14 units of alcohol per week (1 unit of alcohol ≈360 mL beer or 45 mL 40% spirits or 150 mL wine) or had a positive alcohol breath test during the screening period.
  10. Excessive consumption of tea, coffee (more than 6 cups) and/or caffeinated beverages (more than 1L) per day.
  11. Take food or drink rich in xanthine, grapefruit or alcohol, caffeine (e.g., dragon fruit, mango, grapefruit, chocolate, coffee or tea) within 48 hours before administration.
  12. Surgical procedures, transfusions of blood or blood components in the month prior to study screening.
  13. Blood loss or donation of more than 400 mL in the 2 months prior to screening.
  14. Participated in other clinical studies and took experimental drugs within 3 months prior to study screening.
  15. Study participants who had received any medication in the 28 days prior to screening.
  16. Pregnant or lactating women or women who have had unprotected sex within 14 days

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AD16AD16 30mg、40mgAD16 tablets should be administered only in the morning on the day of the first dose and on the ninth day after the first dose. Fasting is required for at least 10 h before administration.Two dosing cohorts received AD16 From the third day to the eighth day, the medicine was administered twice a day, 1 h before breakfast, 1 h before dinner or 2 h after dinner, with a 12 h interval (time window ±1 h).The duration of oral AD16 tablets was nine days.
AD16 placeboAD16 Placebo 30mg、40mgAD16 placebo tablets should be administered only in the morning on the day of the first dose and on the ninth day after the first dose. Fasting is required for at least 10 h before administration.Two dosing cohorts received AD16 placebo From the third day to the eighth day, the medicine was administered twice a day, 1 h before breakfast, 1 h before dinner or 2 h after dinner, with a 12 h interval (time window ±1 h).The duration of oral AD16 placebo tablets was nine days.
Primary Outcome Measures
NameTimeMethod
Adverse eventsday-7 to day11

The number of adverse events

Serious adverse eventsday-7 to day11

The number of serious adverse events

Number of participants with abnormal laboratory test resultsScreening period (day-7 to day-2) and day11

Laboratory tests include Blood routine, blood biochemistry, coagulation function and urine routine, etc.

Number of participants with abnormal vital signsScreening period(day-7 to day-1)、days1、4、5、6、8、9

Pulse, blood pressure, body temperature and respiratory rate were observed at different time points before and after medication.

Number of participants with abnormal physical examination findingsScreening period(day-7 to day-2)、days11

The skin, mucosa, lymph nodes, head, neck, chest, abdomen, spine/limbs and nervous system were observed at different time points before and after medication.

Number of participants with abnormal 12-lead electrocardiogram readingsScreening period(day-7 to day-2)、days1、6、11

Abnormal12-lead electrocardiogram

Concomitant medicationUp to day 11

Any concomitant medication

Secondary Outcome Measures
NameTimeMethod
AUC 0-t of AD16Up to day 11

Area under the plasma concentration-time curve(AUC) from time zero to time t

Vd/F of AD16Up to day 11

Apparent volume of distribution after non-intravenous administration

CL/F of AD16Up to day 11

CL/F is defined as the ratio of total clearance(CL) to bioavailability(F).

λz of AD16Up to day 11

Terminal disposition rate constant/terminal rate constant

AUC 0-48h of AD16Up to day 11

Area under the plasma concentration-time curve from time zero to time 48h

AUC_%Extrap of AD16Up to day 11

AUC_%Extrap is residual area percentage

Tmax,ss of AD16Up to day 11

Time to reach the maximum (peak) plasma concentration following drug administration at steady state

Cmax, ss of AD16Up to day 11

Maximum (peak) steady-state plasma drug concentration during a dosage interval

Cavg,ss of AD16Up to day 11

Cavg,ss is the steady-state mean concentration

t1/2,ss of AD16Up to day 11

Elimination half-life(steady state )

AUC 0-τ,ss of AD16Up to day 11

The area under the plasma concentration-time curve during a dosing interval at steady state

AUC 0-48h,ss of AD16Up to day 11

Area under the plasma concentration-time curve from the last dose to 48 h

AUC 0-∞,ss of AD16Up to day 11

The area under the plasma concentration-time curve is extrapolated from the last dose to infinity

CL/F,ss of AD16Up to day 11

CL/F is defined as the ratio of total clearance(CL) to bioavailability(F)(steady state )

Tmax of AD16Up to day 11

Time to reach the maximum (peak) plasma concentration following drug administration

Cmax of AD16Up to day 11

Maximum (peak) plasma drug concentration

t1/2z of AD16Up to day 11

Elimination half-life (to be used in a one-compartment or noncompartmental model)

AUC 0-∞ of AD16Up to day 11

Area under the plasma concentration-time curve(AUC) from time zero to infinity

Rac of AD16Up to day 11

Rac is accumulation ratio

DF of AD16Up to day 11

Degree of fluctuation(DF)Percentage fluctuation in steady state = 100 × (Cmax,ss -Cmin,ss)/Cavg,ss

Vd/F,ss of AD16Up to day 11

Apparent volume of distribution after non-intravenous administration (steady state )

Trial Locations

Locations (1)

The Central South University Xiang Ya Hospital

🇨🇳

Changsha, China

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