A Randomized, Double-blind, Placebo-Controlled, Four- Part Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ONO-5788 in Healthy Adult Volunteers
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Number of participants with treatment emergent adverse events by severity
研究概览
简要总结
This is a first in human study to determine the safety, tolerability, pharmacokinetics and pharmacodynamics of ONO-5788 in healthy adult volunteers. This study will be conducted in 4 parts: a single-ascending dose part, a multiple-ascending dose part, an elderly part and a proof of principle part.
详细描述
This single centre study will be comprised of 4 parts, Part A (SAD; up to 7 cohorts, 8 subjects per cohort and including an assessment of food effect), a multiple-dose part (up to 4 doses, 10 subjects per cohort); an elderly cohort (8 subjects per gender) and a proof of principle part.
The single ascending dose part (Part A) comprises of increasing doses of an oral solution or capsule, with an investigation of the potential for food effects.
The multiple ascending dose part (Part B, MAD; 14 days dosing) will be initiated after the PK and safety data are available from the single ascending dose part. Subjects in Part B will have ultrasound scans of the gallbladder during the study and at screening a HIDA scan will be performed. An evaluation of the PK in the elderly and any potential gender differences will also be evaluated in Part C. Subjects in Part C will have an ultrasound of the gallbladder at screening.
Part D will be a proof of principle evaluation where the effects of ONO-5788 to inhibit the GHRH and arginine-stimulated GH release will be evaluated. Octreotide acetate is a reference arm in this part of the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Double-blind (Parts A, B &C). Open-label (Part D only)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy, adult, male and female (women of non-child bearing potential, surgically sterile) volunteers, 18-55 years of age, inclusive, at screening (Parts A & B only).
- •Healthy, adult, males and female (women of non-child bearing potential), ≥65 years of age at screening (Part C only).
- •Healthy, adult, male, 18-40 years of age, inclusive, at screening (Part D only).
- •Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECG abnormalities (All Parts).
- •Body mass index (BMI) of ≥18.5 to ≤30 kg/m2 at screening (Parts A, B & C).
- •Body mass index (BMI) of ≥18.5 to <25 kg/m2 at screening (Part D only).
排除标准
- •History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
- •History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing.
- •History or presence of hypersensitivity or idiosyncratic reaction to the study drugs,excipients or related compounds.
- •History or presence of:
- •Gallstones, cholangitis, and/or cholecystitis or clinically significant findings on gallbladder ultrasound as determined by the Principal Investigator;
- •Pancreatitis;
- •Hypothyroidism;
- •Known diabetes mellitus type 1 or type 2;
- •Hypocalcaemia or hypokalemia;
- •Hypoglycemia or hyperglycemia or fasting blood glucose outside normal local range;
- •Thrombocytopenia or other clinically significant hematologic abnormalities;
- •Inflammatory bowel disease, irritable bowel syndrome, or abdominal surgery;
- •Known vitamin B12 deficiency.
- •Abnormal gallbladder ejection fraction on hepatobiliary iminodiacetic acid (HIDA) scan at screening (Part B only)
- •Positive urine drug, alcohol or cotinine results at screening or check in.
- •Clinically significant serum electrolyte (sodium, potassium, chloride, bicarbonate) abnormalities at screening or each check-in, in the estimation and clinical judgment of the PI or designee.
- •Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
- •Seated blood pressure is less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg (160/95 mmHg for Part C) at screening.
- •Has engaged in strenuous physical exercise in the 48 hours prior first dosing or intends to undergo strenuous physical exercise at any time throughout the study.
- •Donation of blood or significant blood loss within 56 days prior to the first dosing.
- •Plasma donation within 7 days prior to the first dosing.
研究组 & 干预措施
ONO-5788 Placebo Part C
Single doses of ONO-5788 or placebo in elderly female or elderly male healthy volunteers randomized 6 active : 2 placebo per group
干预措施: ONO-5788 Placebo (Drug)
ONO-5788 Part C
Single doses of ONO-5788 or placebo in elderly female or elderly male healthy volunteers randomized 6 active : 2 placebo per group
干预措施: ONO-5788 (Drug)
ONO-5788 Part A1
Single ascending doses of ONO-5788 or placebo in fasted healthy volunteers randomized 6 active : 2 placebo per group
干预措施: ONO-5788 (Drug)
ONO-5788 Placebo Part A1
Single ascending doses of ONO-5788 or placebo in fasted healthy volunteers randomized 6 active : 2 placebo per group
干预措施: ONO-5788 Placebo (Drug)
ONO-5788 Part A2
Single dose (1-2 groups) of ONO-5788 or placebo in healthy volunteers under fed conditions randomized 6 active : 2 placebo per group
干预措施: ONO-5788 (Drug)
ONO-5788 Placebo Part A2
Single dose (1-2 groups) of ONO-5788 or placebo in healthy volunteers under fed conditions randomized 6 active : 2 placebo per group
干预措施: ONO-5788 Placebo (Drug)
ONO-5788 Part B
Multiple ascending doses of ONO-5788 or placebo in healthy volunteers randomized 8 active : 2 placebo per group
干预措施: ONO-5788 (Drug)
ONO-5788 Placebo Part B
Multiple ascending doses of ONO-5788 or placebo in healthy volunteers randomized 8 active : 2 placebo per group
干预措施: ONO-5788 Placebo (Drug)
ONO-5788 Part D
Single doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
干预措施: ONO-5788 (Drug)
ONO-5788 Placebo Part D
Single doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
干预措施: ONO-5788 Placebo (Drug)
Octreotide Part D
Single doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
干预措施: Octreotide (Drug)
结局指标
主要结局
Number of participants with treatment emergent adverse events by severity
时间窗: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possible causal relationship.
Number of participants with ECG abnormalities
时间窗: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28
Number of participants with ECG abnormalities will be reported
Number of participants with clinical laboratory abnormalities
时间窗: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28
Number of participants with clinical laboratory abnormalities will be reported
Number of participants with clinically significant change in ultrasound of gallbladder
时间窗: Part B - up to day 21
Number of participants with clinically significant change in ultrasound of gallbladder will be reported
Number of participants with serious adverse events (SAEs)
时间窗: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28
An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged hospitalization, life-threatening experience or persistent disability.
Number of participants with clinically significant changes in vital signs
时间窗: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28
Number of participants with clinically significant changes in vital signs including pulse/heart rate, respiratory rate, and blood pressure will be reported.
次要结局
- Pharmacokinetics (AUC)(Day 1 through Day 14)
- Pharmacokinetics (T1/2)(Day 1 through Day 14)
- Pharmacodynamics (IGF-1)(Day 1 through Day 21)
- Pharmacodynamics (IGFBP3)(Day 1 through Day 21)
- Pharmacokinetics (AUC) - food effect(Day 1)
- Pharmacokinetics (Cmax)(Day 1 through Day 14)
- Pharmacokinetics (Cmax) - food effect(Day 1)
- Pharmacokinetics (Ctrough)(Day 1 through Day 14)
- Pharmacokinetics (Cave)(Day 1)
- Pharmacokinetics (Tmax)(Day 1 through Day 14)
- Pharmacokinetics (Tmax) - food effect(Day 1 through Day 14)
- Pharmacokinetics (CL/F)(Day 1)
- Pharmacodynamics (Growth Hormone)(Day 1)
- Pharmacokinetics (T1/2) - food effect(Day 1)
- Pharmacokinetics (CL/F) - food effect(Day 1)
