跳至主要内容
临床试验/NCT06617546
NCT06617546终止1 期

A Randomized, Double-Blind, Placebo-Controlled, First-in-Human Study to Assess Safety, Tolerability, Pharmacokinetics, and Immunogenicity of Single and Multiple Ascending Doses of FTX-101 After Subcutaneous Injection of FTX-101 in Healthy Male Subjects

Find Therapeutics1 个研究点 分布在 1 个国家目标入组 49 人开始时间: 2024年10月14日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
入组人数
49
试验地点
1
主要终点
Frequency of adverse events

研究概览

简要总结

This is a Phase 1, first-in-human (FIH), single-center, randomized, double-blind, placebo-controlled study in healthy male subjects. The study will include the following 2 parts:

  • Part A: Single Ascending Dose (SAD) in healthy male subjects
  • Part B: Multiple Ascending Dose (MAD) in healthy male subjects

详细描述

Study Rationale:

FTX-101 is a first-in-class, synthetic peptide with a novel mechanism of action designed to promote the self-repair of myelin. FTX-101 is a highly selective modulator of the PlexinA1/Neuropilin 1 receptor system and displays no significant activity on any other target. FTX-101 interferes with the heterodimerization of the coreceptor system and, ultimately, with the activation of second messenger signaling pathways shown to inhibit both the differentiation and migration of oligodendrocyte precursor cells (OPCs) and oligodendrocytes (OLs). Through this mechanism, FTX-101 disinhibits both the differentiation of OPCs to OLs and migration of OPCs into lesions, favorably promoting the remyelination process. The study is designed to evaluate the safety, tolerability and pharmacokinetic profile of single ascending doses and multiple ascending doses of FTX-101 subcutaneous injection in healthy male subjects. The study will characterize the pharmacokinetics of FTX-101 following SAD and MAD SC injection of FTX-101. The study will also evaluate the immunogenic potential of FTX-101 and will also explore the relationship between FTX-101 concentration and the change from baseline corrected QT interval.

Detailed Description:

This is a Phase 1, first-in-human (FIH), single-center, randomized, double-blind, placebo-controlled study in healthy male subjects. The study will include the following 2 parts:

  • Part A: SAD in healthy male subjects
  • Part B: MAD in healthy male subjects

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Basic Science
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 59 Years(Adult)
性别
Male
接受健康志愿者

入选标准

  • Willingness to comply with all study procedures and availability for the duration of the study
  • Healthy adult male
  • Aged at least 18 years but not older than 59 years
  • Body mass index (BMI) within 18.5 kg/m^2 to 32.0 kg/m^2, inclusively
  • Non- or ex-smoker
  • Have no clinically significant diseases captured in the medical history or evidence of clinically significant findings on the physical examination (including vital signs) and/or ECG.

排除标准

  • Supine or semi-supine pulse rate less than 45 beats per minute (bpm) or more than 100 bpm
  • Supine or semi-supine blood pressure below 90/50 mmHg
  • Supine or semi-supine blood pressure higher than 150/95 mmHg
  • History of significant hypersensitivity to FTX-101 or any related products (including excipients of the formulations) as well as severe hypersensitivity reactions (like angioedema) to any drugs
  • Presence or history of significant gastrointestinal, liver or kidney disease, or surgery that may affect drug bioavailability
  • History of significant cardiovascular, pulmonary, hematologic, neurological, psychiatric, endocrine, immunologic or dermatologic disease
  • Showing suicidal tendency from 6 months prior to screening
  • Presence of out-of-range cardiac intervals at screening defined as:
  • PR < 110 msec, PR > 200 msec
  • QRS < 60 msec, QRS >110 msec)
  • QT Interval Corrected for Heart Rate using Fridericia's Correction Formula (QTcF): • > 450 msec
  • History of additional risk factors for torsade's de pointes
  • Use of concomitant medications that prolong the QT/ corrected QT (QTc) interval
  • Current use (in the last 6 months) of alcohol (> 3 units of alcohol per day, intake of excessive alcohol, acute or chronic)
  • Any history of substance or alcohol use disorder within the past 2 years and/or current maintenance therapy (within the past 2 years) for treatment of substance use disorder
  • Use of any prescription drugs in the 28 days or 5 half-lives, whichever is longer, prior to the first study treatment administration, that in the opinion of an investigator would put into question the status of the participant as healthy
  • Use of St. John's wort in the 28 days prior to the first study treatment administration
  • Positive screening results to HIV Ag/Ab combo, hepatitis B surface Ag or hepatitis C virus tests
  • Intake of an investigational product (IP) in the 28 days prior to the first study treatment administration or within 5 times the elimination half-life of the IP, whichever is longer
  • Donation of plasma in the 7 days prior to the first study treatment administration
  • Donation of 1 unit of blood to American Red Cross or equivalent organization or donation of over 500 mL of blood in the 56 days prior to the first study treatment administration

研究组 & 干预措施

Part A (SAD): Cohort A1

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A1

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part A (SAD): Cohort A2

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A2

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part A (SAD): Cohort A3

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A3

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part A (SAD): Cohort A4

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A4

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part A (SAD): Cohort A5

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A5

Experimental

Single dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part A (SAD): Cohort A6

Experimental

Optional cohort to receive additional single ascending intermediate (lower) or equivalent dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part A (SAD): Cohort A6

Experimental

Optional cohort to receive additional single ascending intermediate (lower) or equivalent dose (as 1, 2 or 4 SC injection[s]) of FTX-101 or placebo in a 3:1 ratio

干预措施: Placebo (Drug)

Part B (MAD): Cohort B1

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part B (MAD): Cohort B1

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: Placebo (Drug)

Part B (MAD): Cohort B2

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part B (MAD): Cohort B2

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: Placebo (Drug)

Part B (MAD): Cohort B3

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part B (MAD): Cohort B3

Experimental

Once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: Placebo (Drug)

Part B (MAD): Cohort B4

Experimental

Optional cohort to receive once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: FTX-101 (Drug)

Part B (MAD): Cohort B4

Experimental

Optional cohort to receive once daily dose (as 1 or 2 SC injection[s]) of FTX-101 or placebo for 14 days in a 3:1 ratio

干预措施: Placebo (Drug)

结局指标

主要结局

Frequency of adverse events

时间窗: Part A (SAD): Days -1-15; Part B (MAD): Days -1-28

Frequency of AE will be collected through AE monitoring.

Severity of adverse events

时间窗: Part A (SAD): Days -1-15; Part B (MAD): Days -1-28

Severity of AE will be collected through AE monitoring. AEs will be graded per the current National Cancer Institute's Common Terminology Criteria for Adverse Events.

Number of patients with a change in general biochemistry, hematology, coagulation and urinalysis clinical laboratory parameters

时间窗: Part A (SAD): Days -1, 4 and 15; Part B (MAD): Days -1, 5, 9, 13, 17, 28

Frequency of abnormal general biochemistry, hematology, coagulation, and urinalysis clinical laboratory values.

Number of patients with a change in vital signs

时间窗: Part A (SAD): Days -1-4 and 15; Part B (MAD): Days -1-17 and 28

Frequency of abnormal vital sign measurements.

Number of patients with a change in 12-lead safety electrocardiogram (ECG)

时间窗: Part A (SAD): Days -1-2, and 15; Part B (MAD): Days -1, 1, 3, 5, 7, 9, 11, 14, 28

Frequency of abnormal 12-lead ECG parameters including PR, RR, QRS, QT and QTcF.

Number of patients with a change in physical examination findings

时间窗: Part A (SAD): Days -1-4, and 15; Part B (MAD): Days -1-17, 28

Frequency of abnormal physical examination findings.

Number of patients with a change in neurological examination findings

时间窗: Part A (SAD): Days 1, 2, 4, and 15; Part B (MAD): Days 1, 2, 5, 9, 14, 15, 17, and 29

Frequency of abnormal neurological examination findings.

Frequency of injection site reactions

时间窗: Part A (SAD): Days 1, 2, and 15; Part B (MAD): Days 1-14, and 28

Evaluation of pain, tenderness, erythema/redness, swelling/induration or itching at the injection site will be rated mild (Grade 1), moderate (Grade 2), Severe (Grade 3), or potentially life-threatening (Grade 4)

Change in Columbia Suicide Severity Rating Scale (C-SSRS) score

时间窗: Part A (SAD): Days -1-4, and 15; Part B (MAD:) Days -1-17, and 28

Frequency of positive results for suicidality. The C-SSRS is a questionnaire designed for the assessment of suicidal ideation and behavior in adolescents and adults.

次要结局

  • Plasma Cmax(Part A (SAD): Days 1-4; Part B (MAD): Days 1-2)
  • Plasma Tmax(Part A (SAD): Days 1-4; Part B (MAD): Days 1-2)
  • Plasma AUC0-last(Part A (SAD): Days 1-4; Part B (MAD): Days 1-2)
  • Plasma Vz/F (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUC0-∞ (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUC0-last/∞ (Part A)(Part A (SAD): Days 1-4)
  • Plasma λz(Part A (SAD): Days 1-4; Part B (MAD): Day 14-17)
  • Plasma CL/F (Part A)(Part A (SAD): Days 1-4)
  • Plasma Thalf (Part A)(Part A (SAD): Days 1-4)
  • Plasma Cmax/D (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUC0-last/D (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUC0-∞/D (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUMC0-last (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUMC∞ (Part A)(Part A (SAD): Days 1-4)
  • Plasma AUC0-24 (Part B MAD)(Days 1-2)
  • Plasma Ctrough (Part B MAD)(Days 11 to 13)
  • Plasma Cmin,ss (Part B MAD)(Days 14-17)
  • Plasma Cmax,ss (Part B MAD)(Days 14-17)
  • Plasma AUC0-τ (Part B MAD)(Days 14-17)
  • Plasma Tmax,ss (Part B MAD)(Days 14-17)
  • Plasma Thalf (Part B MAD)(Days 14-17)
  • Plasma Cav (Part B MAD)(Days 14-17)
  • Plasma Fluctuation (Part B MAD)(Days 14-17)
  • Plasma Swing (Part B MAD)(Days 14-17)
  • Plasma Rac(Cmax) (Part B MAD)(Days 1-2, and 14-17)
  • Plasma Rac(AUC) (Part B MAD)(Days 1-2, and 14-17)
  • Urine Ae(0-last)(Part A (SAD): Days 1-4; Part B (MAD): Days 1, 2, and 14-17)
  • Urine fe(Part A (SAD): Days 1-4; Part B (MAD): Days 1, 2, and 14-17)
  • Urine CLR(Part A (SAD): Days 1-4; Part B (MAD): Days 1, 2, and 14-17)
  • Plasma CLss/F (Part B MAD)(Part B (MAD): Days 14-17)
  • Plasma Vz/F (Part B MAD)(Part B (MAD): Days 14-17)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

Loading locations...

相似试验