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Drug-Drug Interaction Study of Intravenous Administration of SyB V-1901 and Cyclosporine in Japanese Healthy Subjects

Phase 1
Completed
Conditions
Drug Drug Interaction
Interventions
Registration Number
NCT04542252
Lead Sponsor
SymBio Pharmaceuticals
Brief Summary

To evaluate the effect of coadministered cyclosporine on the pharmacokinetics of brincidofovir following simultaneous administration of SyB V-1901 with cyclosporine, or coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion in healthy adult subjects

Detailed Description

This study is an open-label, randomized and crossover study designed to evaluate the effect of cyclosporine on the pharmacokinetics of SyB V-1901. Healthy adult subjects will receive an IV dose of SyB V-1901 alone, simultaneous administration of SyB V-1901 with cyclosporine, and coadministration of cyclosporine at 2 hours after completion of SyB V-1901 infusion. Eligible subjects will be randomized to one of two groups, to receive the treatment sequence of assigned group.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
13
Inclusion Criteria
  • Healthy adult male aged between 20 to 55 years at informed consent
  • BMI from 18 to 32 kg/m2 with a body weight of ≥ 50 kg
  • Creatinine Clearance ≥ 60 mL/min at screening
  • Judged to be in good general health, based on the review of medical history and the screening and Pre-Day1 examination

Main

Exclusion Criteria
  • Positive for HIV antibody, or HBs antigen, or HCV antibody at the screening or within 6 months prior to the start of screening
  • Have a history of infection of SARS-CoV-2, or subjects who have close contact with infected patients of SARS-CoV-2 within 2 weeks prior to screening or visit to epidemic area of SARS-CoV-2 infection in outside of Japan or have close contact with person who visit to epidemic area of SARS-CoV-2 infection within 2 weeks prior to screening
  • Positive for SARS-CoV-2 polymerase chain reaction (PCR) in lower respiratory tract specimens, nasopharyngeal swabs or saliva and so on at screening or have a fever ≥ 37.5 °C and respiratory symptoms
  • Have a history of drug abuse or alcohol dependence within 2 years prior to the start of screening
  • Have a history of gastrointestinal disorders or cholecystectomy etc., which could interfere with the absorption of cyclosporine or could interfere with normal gastrointestinal anatomy or motility, but except for uncomplicated appendectomy.
  • Have a history or symptoms of cardiovascular disease, including but not limited to coronary artery disease, hypertension, congestive heart disease, and clinically significant cardiac disorder.
  • Have a history of hematological disorders or have a risk of gastrointestinal bleeding
  • Have a history of chronic liver disease or hepatic impairment, including but not limited to alcoholic liver disease, chronic viral hepatitis, autoimmune hepatitis, steatosis or hemochromatosis.
  • Have increased Alanine aminotransferase (ALT) or Aspartate aminotransferase (AST) greater than ULN at screening or Pre-Day1
  • History of Gilbert's syndrome or increased total bilirubin greater than 1.5x the upper limit of the normal range at screening or Pre-Day1
  • Have symptoms of infection within 2 weeks prior to Pre-Day1
  • Have clinically significant abnormal hemoglobin at the screening or Pre-Day1, or a clinically significant iron deficiency
  • Have a history of blood donation or had clinically significant blood loss within 30 days prior to Day 1, or platelet/plasma donation within 7 days prior to Day 1
  • Have received any investigational drug, or device within 30 days prior to Day1
  • History of tobacco- or nicotine-containing product use within 6 months prior to Day1

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Group 1SyB V-1901SyB V-1901 alone, Simultaneous administration of SyB V-1901 and cyclosporine, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
Group 2CyclosporineSimultaneous administration of SyB V-1901 and cyclosporine, SyB V-1901 alone, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
Group 1CyclosporineSyB V-1901 alone, Simultaneous administration of SyB V-1901 and cyclosporine, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
Group 2SyB V-1901Simultaneous administration of SyB V-1901 and cyclosporine, SyB V-1901 alone, Coadministration of cyclosporine at 2 hours after the completion of SyB V-1901 infusion
Primary Outcome Measures
NameTimeMethod
Maximum Plasma Concentration (Cmax) of brincidofovir (BCV)From initiation of SyB V-1901 administration though 16 days
Area under the plasma concentration versus time curve (AUC) of BCVFrom initiation of SyB V-1901 administration though 16 days
Secondary Outcome Measures
NameTimeMethod
Number of subjects with abnormal findings for heart rateFollow up 22 days post dose
Number of subjects with abnormal findings for temperatureFollow up 22 days post dose
Cmax of cidofovir (CDV)From initiation of SyB V-1901 administration though 16 days
AUC of CDVFrom initiation of SyB V-1901 administration though 16 days
Cmax of cyclosporine in bloodFrom initiation of cyclosporine administration though 16 days
Number of subjects with adverse events (AE)Follow up 22 days post dose
Number of subjects with abnormal findings for laboratory parametersFollow up 22 days post dose
AUC of Intercellular CDV-PP in PBMCsFrom initiation of SyB V-1901 administration though 18 days
Number of subjects with severity of AEsFollow up 22 days post dose
Cmax of Intercellular Cidofovir diphosphate (CDV-PP) in Peripheral Blood Mononuclear Cells (PBMCs)From initiation of SyB V-1901 administration though 18 days
AUC of cyclosporine in bloodFrom initiation of cyclosporine administration though 16 days
Number of subjects with abnormal findings for blood pressureFollow up 22 days post dose
Number of subjects with abnormal findings for respiratory rateFollow up 22 days post dose

Trial Locations

Locations (1)

Research Site

🇯🇵

Hachioji-shi, Tokyo, Japan

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