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Benapenem PK Phase Ib Multiple-dose Study

Phase 1
Completed
Conditions
Health, Subjective
Interventions
Drug: Banapenem
Registration Number
NCT03578588
Lead Sponsor
Sihuan Pharmaceutical Holdings Group Ltd.
Brief Summary

A single-center, randomized, open-label, three-period and three-crossover trial design is adopted in the single-dose pharmacokinetic study. 12adult volunteers, are assigned to 3 groups, B1(250mg), B2 (500mg), and B3 (1000mg). Each group of subjects receive single-dose test drug at different dosages in each period.

The tolerability and pharmacokinetic studies are performed simultaneously. Two doses, 250 mg and 500 mg, are proposed for multiple-dose tolerability and pharmacokinetic studies. The subjects are divided into two groups, C1 and C2, 12 subjects in each group, half males and half females. 250 mg group is performed first. Each subject receives only one dose, intravenous drip, once daily, for 7 consecutive days

Detailed Description

A single-center, randomized, open-label, three-period and three-crossover trial design is adopted in the single-dose pharmacokinetic study. Twelve healthy adult volunteers, half male and female, are enrolled and randomly assigned to three groups, B1, B2, and B3. The subjects in three groups receive three doses, 250 mg, 500 mg and 1000 mg. Each group of subjects receive single-dose test drug at different dosages in each period.

A single-center, randomized, open- label, and dose escalation trial design is used in the multiple-dose tolerability and pharmacokinetic studies. The tolerability and pharmacokinetic studies are performed simultaneously. Two doses, 250 mg and 500 mg, are proposed for multiple-dose tolerability and pharmacokinetic studies. The subjects are divided into two groups, C1 and C2, 12 subjects in each group, half males and half females. 250 mg group is performed first. After completion of observation and confirming that the drug can be safely tolerated, study on 500 mg group is then performed. Each subject receives only one dose, intravenous drip, once daily, for 7 consecutive days

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Male or female healthy subjects, aged 18 ~ 45;
  • Body weight ≥ 50 kg and body mass index 19.0 ~ 24.0 kg/m2;
  • Prior to the test, physical examination, blood routine, urine routine, liver and kidney functions, and related examinations normal, or mild abnormalities in indicators while without clinical significance as indicated by the investigator
  • Normal or mild abnormalities without clinical significance in the standard 12-lead ECG;
  • Signing informed consent form
Exclusion Criteria
  • Regular smoking, alcohol abuse, and drug abuse;
  • Use of drugs with known damage to an organ within three months;
  • History of specific allergies, or history of drug allergy, especially those allergic to lactams and excipients of test drug;
  • Febrile illnesses within three days before the screening;
  • Patients with mental illness or psychotic disorder in the past;
  • Past mental and nervous system diseases (epilepsy, stroke, cerebrovascular disorder, etc.), gastrointestinal disorder (such as stomach ulcers, gastritis, etc.) or disorder of other systems (such as cardiovascular, respiratory, hematological, or endocrine system, etc.) diseases or medical history.
  • Taking any medication, including traditional Chinese medicine;
  • Having taken any medication that may affect test results within two weeks before the screening, such as antibiotics, NSAIDs, aluminum- or magnesium-containing antacids, diuretics, anticoagulants, central nervous system depressants, and any drug that may affect the drug absorption;
  • Having participated in other investigational drug trial in the preceding three months;
  • Blood donation for 360 ml or more within three months before the screening;
  • Heart rate<50 bpm or >100 bpm;
  • Systolic blood pressure < 90 mmHg or ≥ 140 mmHg, diastolic blood pressure ≥ 90 mmHg or < 60 mmHg;
  • Women who are pregnant or breastfeeding, or who may be pregnant without adopting acceptable contraception, or who have a positive result in serum pregnancy test;
  • Women who are planning to become pregnant within 6 months, or male subjects who are planning to make his spouse pregnant within 6 months;
  • HBsAg, HCV antibody, HIV antibody, and Treponema Pallidum antibody positive;
  • Urine drug-of-abuse testing positive;
  • Any other factor that makes the subject not suitable for the trial as indicated by the investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Banapenem B2groupBanapenemDose in the 1st period 500mg; Dose in the 2nd period 1000mg; Dose in the 3rd period 250mg
Banapenem B3groupBanapenemDose in the 1st period 1000mg; Dose in the 2nd period 250mg; Dose in the 3rd period 500mg
Banapenem C1groupBanapenem250mg Once daily for 7 consecutive days
Banapenem B1 groupBanapenemDose in the 1st period 250mg; Dose in the 2nd period 500mg; Dose in the 3rd period 1000mg
Banapenem C2groupBanapenem500mg Once daily for 7 consecutive days
Primary Outcome Measures
NameTimeMethod
Maximum observed plasma concentration (Cmax) of BenapenemPre dose and 0.25,0.5,0.75,1,1.5, 2, 2.5, 3, 4, 6,8,12, 24,36,48 hours after Dosing

Maximum observed plasma concentration (Cmax) of following in healthy subjects

Time to maximum observed plasma concentration (tmax) of BenapenemPre dose and 0.25,0.5,0.75,1,1.5, 2, 2.5, 3, 4, 6,8,12, 24,36,48 hours after Dosing

Time to maximum observed plasma concentration (tmax)

Time to elimination half-life (t1/2) of BenapenemPre dose and 0.25,0.5,0.75,1,1.5, 2, 2.5, 3, 4, 6,8,12, 24,36,48 hours after Dosing

Time to elimination half-life (t1/2)

AUC(0-24) of BenapenemPre dose and 0.25,0.5,0.75,1,1.5, 2, 2.5, 3, 4, 6,8,12, 24,36,48 hours after Dosing

AUC(0-24) is the area under the curve from time 0 to 24 hours

Secondary Outcome Measures
NameTimeMethod
Number of subjects with clinically significant findings in vital signsScreening and Day1, Day 2, Day4 after dosing

Vitals signs such as systolic and diastolic blood pressure, heart rate, and pulse rate will be measured in a semi-supine position after 5 minutes of rest

Number of subjects with clinically significant findings in laboratory parametersScreening and Day1, Day 2, Day4 after dosing

Hematology and Clinical Chemistry and Urine routine abnormalities will be monitored

Number of subjects with adverse events and serious adverse eventsScreening and Day1, Day 2, Day4 after dosing
Number of subjects with clinically significant 12-lead ECGsScreening and Day1, Day 2, Day4 after dosing

Single 12-lead ECGs will be obtained using an ECG machine that automatically calculates the heart rate and measures PR, QRS, and QT intervals.

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