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Single Ascending Oral Dose Phase I Study With Px-102

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Placebo
Registration Number
NCT01998659
Lead Sponsor
Phenex Pharmaceuticals AG
Brief Summary

The purpose of this study is to assess the safety and tolerability of the FXR agonist Px-102 in healthy subjects after single oral dosing.

Detailed Description

The study is a single-centre, double-blind, randomized, placebo-controlled, parallel group phase I study with healthy male subjects receiving ascending single oral oral doses of Px-102 to assess the safety and tolerability, pharmacokinetics and pharmacodynamics.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
54
Inclusion Criteria
  • Healthy male subject of caucasian origin 18 to 45 years of age
  • Good state of health (mentally and physically) as determined by medical history, physical examination, vital signs, ECG recording and clinical lab results.
  • BMI in between 20-29 kg/m² with absolute weight in between 70-120 kg.
  • Serum triglyceride, total cholesterol and liver enzyme levels (alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyltransferase (GGT), alkaline phosphatase (AP)) strictly within the normal ranges at screening and on Day -1.
  • HbA1c ≤ 6.5 %
  • Subject has been informed both verbally and in writing and has given written consent to participation in the study prior to start and any study-related procedure
  • Negative results for HIV- and Hepatitis-B and -C serology at screening
Exclusion Criteria
  • Female gender
  • Use of prescription or non-prescription drugs within 7 days (30 if the drug is a possible enzyme inducer) prior to administration of study medication. Use of drugs known to induce steatosis (e.g. valproate, amiodarone or prednisone) or to affect body weight and carbohydrate metabolism
  • Any acute or chronic illness or clinically relevant finding at screening and at base line examination which may jeopardize the subject's participation in the study
  • History or presence of biliary obstruction or biliary disease, hepatic encephalopathy, advanced ascites, portal hypertension, esophageal/gastric variceal bleeding, hepatocellular carcinoma, previous liver transplantation or any other chronic liver disease
  • Renal dysfunction, e.g. glomerular filtration rate ≤ 80 ml/min/1,73m2 (as determined by the formula of Cockroft-Gault)
  • Type I or II Diabetes
  • Any clinically relevant abnormality on screening medical assessment, laboratory examination, 12-lead ECG Any clinically relevant finding in the baseline telemetry
  • Marked baseline prolongation of QT/QTc interval (QTc interval > 440 ms) in the 12-lead ECG using the Fridericia method for QTc analysis
  • Heart rate < 50 bpm.
  • Allergies (except for mild forms of hay fever) or history of hypersensitivity reactions
  • Smoking (regular or irregular) > 5 cigarettes (or equivalent) per day.
  • Excessive alcohol drinking (more than approximately 20 g alcohol per day), unable to refrain from alcohol drinking from 48 h prior to dosing until the last pharmacokinetic blood sample has been withdrawn
  • Positive test for drugs or alcohol at screening or prior to the dosing session
  • History of alcoholism or drug/chemical/substance abuse within past 2 years
  • Investigator deems the subject unable or unwilling to comply fully with the study protocol
  • Has received clinical study medication within the last 30 days prior to this study
  • Donation or loss of 400 ml or more of blood within eight (8) weeks prior to dosing
  • Allergic to any of the active or inactive ingredients in the study medication
  • Any other reason which the Investigator considers unsuitable for the subject to participate
  • All subjects (including male subjects with partners of childbearing potential) who do not use a highly effective method of birth control (failure rate less than 1 % per year when used consistently and correctly), e.g. implants, injectables, combined oral contraceptives in combination with a barrier method, some intrauterine contraceptive devices or sexual abstinence
  • Any condition or previous disease leading to puritus or itching of the skin.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo drinking solution, single dose
Px-102Px-102Px-102 drinking solution, single dose
Primary Outcome Measures
NameTimeMethod
Safety and tolerability of Px-10224h

Adverse event monitoring, laboratory values, cardiovascular monitoring. Comparison of active vs. placebo

Secondary Outcome Measures
NameTimeMethod
Pharmacokinetics of Px-102 and metabolitespre-dose (0 hours), 15 min, 30 min, 1, 1.5, 2, 4, 6, 8, 12, 24 hours after dosing

Plasma, Urine and fecal concentrations (ng/mL) of Px-102 and metabolites measured by LC-MS/MS. AUC, Cmax and other pk parameters, dose proportionality

Pharmacodynamicspre-dose (0 hours) and 1, 2, 4, 8, 12, and 24 hours

Markers for FXR activation (e.G. FGF19 concentrations (pg/mL) measured by ELISA); comparison active vs. placebo

Trial Locations

Locations (1)

FOCUS Clinical Drug Development GmbH

🇩🇪

Neuss, Germany

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