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A Study to Assess S-309309 in Healthy and Obese Participants

Phase 1
Completed
Conditions
Obesity
Interventions
Registration Number
NCT05247970
Lead Sponsor
Shionogi
Brief Summary

The primary aim of the study is to assess the safety and tolerability of S-309309 after oral administration in healthy adult or obese but otherwise healthy adult participants. The secondary aim of the study is to assess the pharmacokinetics of S-309309 and the effects on ECG parameters after oral administration in healthy or obese but otherwise healthy participants.

Detailed Description

This study will consist of 2 Parts. Part 1 will include healthy participants who will be assigned to a dose group. Participants will then be randomized to receive a single oral administration of S-309309 or placebo in a fasted state. Administration will be initiated in the lowest dose group, and administration in the next dose group will not occur until a review of safety and tolerability has been completed for the preceding group.

Part 2 will include 2 groups. Healthy participants and obese but otherwise healthy participants will receive multiple oral administrations of S-309309 or placebo in a fed state.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
74
Inclusion Criteria
  • Healthy as determined by medical evaluation including medical history, physical examination, clinical laboratory tests, vital sign measurements, and 12-lead ECG at the Screening Visit and upon admission to the clinical research unit (CRU).
  • Body weight ≥50 kilograms (kg), and body mass index (BMI) within the range ≥18.5 to <30.0 kilogram/meter square (kg/m^2) for all groups except Group G-2. For Group G-2, BMI ≥ 30 to < 40 kg/m2 at the Screening Visit.
Exclusion Criteria
  • History or presence of/significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.
  • Lymphoma, leukemia, or any malignancy within the past 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
  • Breast cancer within the past 10 years.
  • Unable to swallow capsules.
  • Chronic history of or current liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part 2: S-309309 and MidazolamMidazolamParticipants will receive S-309309 and Midazolam at specific timepoints fed state.
Part 2: S-309309 and MidazolamS-309309Participants will receive S-309309 and Midazolam at specific timepoints fed state.
Part 1: S-309309S-309309Participants will receive S-309309 at specific timepoints in a fasted state.
Part 1 and 2: PlaceboPlaceboParticipants will receive a matching placebo to S-309309 at specific timepoints in either a fed or fasted state.
Primary Outcome Measures
NameTimeMethod
Part 1 and 2: Number of Participants with Treatment Emergent Adverse Events (TEAEs)Up to Day 28
Secondary Outcome Measures
NameTimeMethod
Part 1: Apparent Total Clearance (CL/F) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Time to Maximum Plasma Concentration (Tmax) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Renal Clearance (CLR) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Change From Baseline of Electrocardiogram (ECG) Parameters: QT Interval Corrected for Heart Rate Using Fridericia's Formula (QTcF), Pulse Rate (PR) Interval, and Combination of the Q, R, and S Waves (QRS) DurationBaseline, Day 2, 5, 7 and 16
Part 1: Terminal Elimination Half-Life (t1/2,z) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Placebo-Corrected Change From Baseline of ECG Parameters: QTcF, PR Interval, and QRS DurationBaseline, Day 2, 5, 7 and 16
Part 2: Cmax of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 2: AUC of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 2: λz of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 1: Terminal Elimination Rate Constant (λz) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Area Under the Plasma Concentration-Time Curve (AUC) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Maximum Plasma Concentration (Cmax) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Mean Residence Time (MRT) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Number of Participants With Categorical Outlier Values for HR, QTcF, PR, and QRSBaseline up to Day 16
Part 2: CL/F of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 1: Apparent Volume of Distribution (Vz/F) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Fraction of Dose Excreted in Urine (Feu) of S-3093090 (predose) up to 144 hours postdose on Day 1 to Day 21
Part 1: Placebo-Corrected Change From Baseline of ECG Parameter: HRBaseline, Day 2, 3, 4, 5, 6, 7 and 16
Part 2: t1/2,z of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 2: Vz/F of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 1: Change From Baseline of ECG Parameter: Heart Rate (HR)Baseline, Day 2, 3, 4, 5, 6, 7 and 16
Part 2: Number of Participants with TEAEs After Coadministration with MidazolamUp to Day 28
Part 1: Number of Participants With Treatment-Emergent Changes for T-wave Morphology and Presence of U-waveBaseline up to Day 16
Part 2: Tmax of S-309309 and Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16
Part 2: MRT of Midazolam0 (predose) up to 24 hours postdose on Day -2 to Day 16

Trial Locations

Locations (1)

ICON Early Phase Services, LLC

🇺🇸

San Antonio, Texas, United States

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