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A Study to Assess the Safety, Tolerability and Pharmacokinetics of Lucerastat (CDP923) After Multiple Dosing in Healthy Subjects

Phase 1
Completed
Conditions
Healthy Subjects
Interventions
Drug: Lucerastat
Drug: Placebo
Registration Number
NCT02944474
Lead Sponsor
Actelion
Brief Summary

The objectives of this study were to evaluate the safety and tolerability of lucerastat and to determine its pharmacokinetic profile after multiple dosing. Also, the potential effect of food on the pharmacokinetics of lucerastat was explored following a single dose of 500 mg.

Detailed Description

The subjects were to be enrolled sequentially to three dose groups, starting with the lowest dose level. Subjects could participate in only one Group. Progression to an increased dose of lucerastat was permitted only after review of all data from the previous cohort suggested that it was safe to do so.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
37
Inclusion Criteria
  • Signed informed consent form.
  • Male subjects aged from 18 to 45 years at screening.
  • Body weight between 50 and 100 kg and body mass index (BMI) between 18.0 and 29.0 kg/m2 at screening.
  • Healthy on the basis of physical examination, cardiovascular assessments and laboratory tests.
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Exclusion Criteria
  • History or clinical evidence of any disease or medical / surgical condition or treatment, which may put the subject at risk of participation in the study or may interfere with the absorption, distribution, metabolism or excretion of the study treatments.
  • Serious adverse reaction or hypersensitivity to any drug.
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 2 (500 mg)LucerastatSix subjects received 500 mg of lucerastat as a single dose in the morning of Day 1 in fed conditions. After a 5-day washout, they received the same dose twice daily for 7 consecutive days in fasting conditions
Placebo cohorts 1 to 4PlaceboTwelve subjects received matched placebo (3 subjects per cohort, except for Cohort 3 where 4 subjects received placebo)
Cohort 1 (200 mg)LucerastatSix subjects received 200 mg of lucerastat twice daily for 7 consecutive days in fasting conditions
Cohort 3 (500 mg)LucerastatSix subjects received 500 mg of lucerastat twice daily for 7 consecutive days in fasting conditions
Cohort 4 (1000 mg)LucerastatSix subjects received 1 g of lucerastat for 7 consecutive days in fasting conditions
Primary Outcome Measures
NameTimeMethod
Food effect on lucerastat pharmacokinetics assessed by CmaxPK blood samples were collected on Day 1, at pre-dose and at scheduled time points up to 12 hours after the morning dose

Potential food effect on pharmacokinetic parameters of lucerastat was tested by comparing Cmax in fed vs fasted state in the 500 mg cohort (cohort 2)

Dose proportionality in lucerastat pharmacokinetics assessed by maximum plasma concentration (Cmax)PK blood samples were collected on Day 7, at pre-dose and at scheduled time points up to 48 hours after the morning dose

Cmax was used to assess dose proportionality across all dose groups

Dose proportionality in lucerastat pharmacokinetics assessed by area under the concentration-time curve (AUC)PK blood samples were collected on Day 7, at pre-dose and at scheduled time points up to 48 hours after the morning dose on Day 7

AUC from time zero to infinity \[AUC(0-inf)\] was used to assess dose proportionality across all dose groups

Terminal elimination half-life (t1/2)PK blood samples were collected on Day 7, at pre-dose and at scheduled time points up to 48 hours after the morning dose on Day 7

t1/2 was calculated from the plasma concentrations-time curves of lucerastat after multiple doses

Food effect on lucerastat pharmacokinetics assessed by AUCPK blood samples were collected on Day 1, at pre-dose and at scheduled time points up to 12 hours after the morning dose

Potential food effect on pharmacokinetic parameters of lucerastat was tested by comparing AUC in fed versus fasted state in the 500 mg cohort (cohort 2)

Number of participants with adverse events (AEs)From baseline up to Day 14 (end of study)

An AE was defined as any untoward medical occurrence in a clinical investigation subject, which did not necessarily have a causal relationship with the treatment

Change from baseline in haematology after multiple doses of lucerastatUp to Day 9
Change from baseline in clinical chemistry after mutliple doses of lucerastatUp to Day 9
Change from baseline in heart rate after mutliple doses of lucerastatUp to Day 9
Secondary Outcome Measures
NameTimeMethod
Change from baseline in body weight after multiple doses of lucerastatAt Day 9
Change from baseline in haematology after a single dose of lucerastatAt 24 hours post dose
Change from baseline in clinical chemistry after a single dose of lucerastatAt 24 hours post dose
Change from baseline in heart rate after a single dose of lucerastatAt 24 hours post dose
Change from baseline in blood pressure after a single dose of lucerastatUp to 24 hours post dose
Change from baseline in electrocardiogram (ECG) variables after a single dose of lucerastatUp to 24 hours post dose
Stool frequency after multiple doses of lucerastatEvery day up to Day 9

Trial Locations

Locations (1)

Investigator Site

🇬🇧

Edinburgh, United Kingdom

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