A Phase I, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of Single Ascending Oral Doses of J147 in Healthy Young Volunteers and Healthy Elderly Volunteers
Overview
- Phase
- Phase 1
- Intervention
- J147
- Conditions
- Alzheimer's Disease
- Sponsor
- Abrexa Pharmaceuticals, Inc.
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Incidence of clinically significant changes in urine biomarker levels in a standard urinalysis panel
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This Phase I clinical study is a randomized, double-blind, placebo-controlled, parallel-design study to thoroughly assess the safety profile and PK properties of J147 in healthy subjects. The study will include single ascending dose (SAD) in healthy young and elderly subjects.
Detailed Description
This Phase I clinical study is a randomized, double-blind, placebo-controlled, parallel-design study to thoroughly assess the safety profile and PK properties of J147 in healthy subjects and to perform a preliminary assessment of the effect of food on safety and PK parameters of J147. The study will include single ascending dose (SAD) in healthy young and elderly subjects. Approximately 64 subjects may be included in the study, with an additional 24 to be added depending on the emerging data. Six cohorts of 8 healthy young male subjects and 2 cohorts of 8 healthy elderly male and female subjects are planned. Depending on emerging safety, tolerability and PK data, 2 additional cohorts of 8 healthy young male subjects in each cohort and 1 additional cohort of 8 elderly male and female subjects may be enrolled. In each cohort, 6 subjects will be randomized to receive a single dose of J147 orally and 2 subjects will be randomized to receive a matching dose of placebo. All cohorts will consist of 2 sentinel subjects of whom 1 subject will receive J147 and 1 subject will receive matching placebo. The remaining 6 subjects of whom 5 subjects will receive J147 and 1 subject will receive matching placebo will be dosed at least 24 hours following the sentinel subjects. Healthy elderly subjects will receive doses that have been found to be safe in healthy young subjects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Provide voluntarily agreement to participate in this study and signs an IRB/IEC-approved informed consent prior to performing any of the screening procedures
- •Healthy male subjects, between 18 to 50 years of age, inclusive, at the time of signing the informed consent; OR, Healthy male and female subjects, between 60 to 85 years of age, inclusive, at the time of signing the informed consent
- •If male, subjects with partners of child bearing potential must be practicing abstinence, part of an abstinent life style or agree to use a highly effective contraception method during the intervention period and for at least 3 months after the last dose of study medication and refrain from donating sperm during this period. Because of the unacceptable failure rate of barrier (chemical and/or physical) methods, the barrier method of contraception must only be used in combination with a highly effective method. Post coital methods of contraception are not permitted.
- •If female, must not be pregnant, must not be lactating, and must be of non-childbearing potential (surgically sterile \[hysterectomy or bilateral tubal ligation\] or postmenopausal ≥ 1 year.
- •Body mass index (BMI) between 18.0 and 30.0 kg/m2, inclusive, at screening with a weight of at least 50 kg
- •Nonsmokers (or other nicotine use) as determined by history (no nicotine use over the past year) and by urine cotinine concentration (\< 200 ng/mL) at the screening visit and admission
Exclusion Criteria
- •Has clinically significant history or evidence of cardiovascular, endocrine, hematologic, immune, gastrointestinal, genitourinary or other body system disease as determined by an Investigator
- •Has clinically significant history or evidence of disease or dysfunction in neurological or psychiatric system that is likely to affect the results of the study in the opinion of an Investigator
- •Has any disorder that would interfere with the absorption, distribution, metabolism or excretion of drugs
- •Subject has any concurrent disease or condition that, in the opinion of the Principal Investigator, would make the subject unsuitable for participation in the clinical study
- •Has positive test for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV) or human immunodeficiency virus (HIV) antibodies
- •Has a urine blood test for ethanol or cotinine at the screening visit or admission
- •Has a positive urine drug test (e.g., cocaine, amphetamines, barbiturates, opiates, benzodiazepines, cannabinoids) at the screening visit or admission
- •Females who are breastfeeding
- •Is unwilling to or has not avoided consumption of grapefruit, grapefruit juice, Seville oranges, Seville orange marmalade or other products containing grapefruit or Seville oranges within 14 days of dosing with study medication
- •Has history of alcohol and/or illicit drug abuse within 1 year of entry or is unwilling to avoid use of alcohol or alcohol-containing foods, medications or beverages, within 48 hours prior to admission until discharge from the clinical unit
Arms & Interventions
Study Drug
Healthy young male subjects will receive a single ascending oral dose of J147 following an overnight fast of at least 8 hours. Healthy elderly subjects will receive doses that have been found to be safe in healthy young subjects.
Intervention: J147
Placebo
Subjects will receive a single oral dose of placebo with 240 mL non-carbonated water in the morning following an overnight fast of at least 8 hours.
Intervention: Placebo
Outcomes
Primary Outcomes
Incidence of clinically significant changes in urine biomarker levels in a standard urinalysis panel
Time Frame: from pre-dose to 7+/-2 days post dose
Changes in standard urinalysis measures will be assessed.
Number of patients exhibiting changes in standard Physical Examination results
Time Frame: from pre-dose to 7+/-2 days post dose
Number of patients exhibiting changes in standard Neurological Examination results
Time Frame: from pre-dose to 7+/-2 days post dose
Incidence of treatment-emergent adverse events
Time Frame: from pre-dose to 7+/-2 days post dose
Nature, frequency and severity of adverse events
Number of subjects with abnormal electrocardiogram
Time Frame: from pre-dose to 7+/-2 days post dose
12-lead electrocardiogram measurement
Incidence of clinically significant changes in serum biomarker levels in a standard serum chemistry panel
Time Frame: from pre-dose to 7+/-2 days post dose
Changes in standard serum chemistry measures will be assessed.
Incidence of clinically significant changes in hematological biomarker levels in a standard hematology panel
Time Frame: from pre-dose to 7+/-2 days post dose
Changes in standard hematology measures will be assessed.
Secondary Outcomes
- Terminal rate constant(0-48 hours post dose)
- Terminal half-life (t1/2)(0-48 hours post dose)
- Apparent plasma clearance (CL/F)(0-48 hours post dose)
- Renal clearance (CLr)(0-48 hours post dose)
- Area under the plasma concentration vs. time curve (AUC)(0-48 hours post dose)
- Maximum plasma concentration (Cmax)(0-48 hours post dose)
- Time to Cmax (Tmax)(0-48 hours post dose)