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临床试验/NCT05935917
NCT05935917已完成1 期

A Phase 1, Open-label, Single-dose, Randomized, Two-period, Crossover Study Evaluating the Bioequivalence of Brincidofovir Form H and Form II Tablets in Healthy Adult Participants

Emergent BioSolutions1 个研究点 分布在 1 个国家目标入组 44 人开始时间: 2023年5月30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
已完成
入组人数
44
试验地点
1
主要终点
Incidence of treatment adverse events (AEs)

研究概览

简要总结

The goal of this clinical trial is to evaluate whether both Form H and Form II, 100mg brincidofovir tablets are bioequivalent, when given under fasting conditions in healthy adults.

Participants will be randomized to each receive one tablet of Form H and one tablet of Form II,14 days apart and undergo pharmacokinetic testing pre-dose and post-dose to evaluate safety. This is an open-label, single-dose, randomized, two-period, crossover study.

详细描述

Primary Objectives:

  • To evaluate the bioequivalence (BE) of brincidofovir (BCV) hydrate (Form H) tablet and the Form II tablet when administered under fasting conditions in healthy adult participants.
  • To characterize plasma BCV pharmacokinetics (PK) following single doses of BCV when administered in healthy adult participants.

Safety Objective:

  • To evaluate the safety of BCV following administration of single dose of 100 mg BCV Form H and BCV Form II tablet in healthy adult participants.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Able and willing to provide informed consent voluntarily signed by participant.
  • Male or female between 18 to 70 years of age, inclusive at screening.
  • Body mass index (BMI) from 18 to 32 kg/m² with a minimum body weight of ≥ 50 kg, inclusive at screening.
  • Women must be of nonchildbearing potential, i.e., postmenopausal woman (defined as spontaneous amenorrhea for 1-year prior to Period 1 Day 1) with a confirmed follicle stimulating hormone (FSH) level in laboratory's "postmenopausal" reference range; or a premenopausal woman documented as surgically sterile following either a hysterectomy and/or bilateral oophorectomy, bilateral salpingectomy, tubal ligation.
  • Males must be surgically sterilized (confirmed by documented azoospermia at least 90 days after procedure).
  • Overtly healthy as determined by medical evaluation and judgment of the investigator including medical history, physical examination (PE), laboratory tests, vital signs (VS), and eletrocardiogram (ECG) at screening and Day -
  • [Note: hematology, serum chemistry, and urinalysis parameters must fall within the laboratory's normal reference ranges or have been determined by the investigator to have no clinical significance in the context of this study.] Except:
  • Alanine transaminase (ALT), aspartate aminotransferase (AST) and gammaglutamyl transferase (GGT) x ≤1.5 upper limit of normal reference range (ULN)
  • Total Bilirubin x ≤1.5 ULN
  • Hemoglobin (Hb) ≥10.5 g/dL for females or ≥12 g/dL for males
  • Able to comply with the dosing instructions and available to complete the study schedule of assessments.

排除标准

  • History or current symptoms of any serious psychiatric illness, including addiction, which could interfere with participant treatment, assessment, or compliance with the protocol.
  • History of chronic liver disease or hepatic impairment, including but not limited to alcoholic liver disease, chronic viral hepatitis, autoimmune hepatitis, steatosis, or hemochromatosis. Note: A remote (≥12 months prior to screening) history of hepatitis A infection will not be cause for exclusion.
  • History of Gilbert's syndrome or current evidence of the disease based on laboratory information at screening visit or Day -
  • History of hematological disorders, including disorders such as a bleeding disorder or a risk of gastrointestinal bleeding.
  • Clinically significant history of difficulty with blood donation, including vasovagal syncope (fainting), and/or poor venous access for the purposes of phlebotomy.
  • Positive (reactive) serological test result at the screening evaluation consistent with possible infection with Hepatitis B virus (HBV), Hepatitis C virus (HCV), or Human immunodeficiency virus type 1 or 2 (HIV).
  • Positive test for drugs of abuse and/or alcohol at either screening or check-in days.
  • Clinically significant infection (e.g., COVID-19, cold, flu, or febrile illness) within 14 days prior to Period 1 Day
  • Donated a unit of blood or had clinically significant blood loss within 30 days prior to Period 1 Day 1 or donated plasma within 14 days prior to Period 1 Day
  • Received any investigational drug, agent, or device within 30 days prior to Period 1 Day 1, or current participation in another interventional study.
  • Consumed any fruit juice including grapefruit juice, pomegranate juice, cranberry juice, orange juice, and Seville orange juice (also known as sour, bitter or bigarade orange) within 3 days prior to Period 1 Day 1 and throughout the study, unless prior approval is granted by both the investigator and the medical monitor.
  • Received any medication or herbal product (e.g., St. John's wort) known to induce or inhibit hepatic metabolizing enzymes and/or transporters within 30 days or 5 half-lives of the compound, whichever is longer, prior to Period 1 Day 1 and throughout the study, unless approval is granted by both the investigator and the medical monitor.
  • Received any vaccines (including COVID-19 vaccine) within 14 days prior to Period 1 Day 1 and throughout the study, unless approval is granted by both the investigator and the medical monitor.
  • Any condition or set of circumstances that, in the judgment of the investigator, could interfere with the participant's ability to comply with the dosing schedule and completion of the study evaluations (e.g., participants who are unable to communicate or cooperate with the investigator).

研究组 & 干预措施

Treatment AB - Form H (test tablet) first

Active Comparator

Treatment AB:

Participants assigned to Treatment AB in Period 1, will be given a single 100 mg tablet of Form H (test tablet). In Period 2, participants will be given a single 100 mg tablet of Form II (reference tablet) after a 14 day washout period.

干预措施: Brincidofovir (Drug)

Treatment BA - Form II (reference tablet) first

Active Comparator

Treatment BA:

Participants assigned to Treatment BA in Period 1, will be given a single 100 mg tablet of Form II (reference tablet). In Period 2, participants will be given a single 100 mg tablet of Form H (test tablet) after a 14 day washout period.

干预措施: Brincidofovir (Drug)

结局指标

主要结局

Incidence of treatment adverse events (AEs)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Incidence of treatment-emergent AEs, treatment-related AEs, severe AEs, AEs leading to withdrawal and serious adverse events

PK endpoint - AUCinf

时间窗: Through 96 hours post-dose

Assess area under the plasma concentration-time curve from time 0 to infinity (AUC 0 - inf) of Brincidofovir

Descriptive statistical summary abnormal Heart Rate

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of abnormal heart rate

Descriptive statistical summary abnormal Body Temperature (Celsius)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of abnormal body temperature

Chemistry parameters: Total Protein, Albumin, Globulin (g/dL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of Total Protein, Albumin, Globulin

Chemistry parameter: Creatinine (g/24h)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of creatinine

Hematology parameters: proportion of basophils, eosinophils, lymphocytes, monocytes and neutrophils

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of basophils/leukocytes, eosinophils//leukocytes, lymphocytes//leukocytes, monocytes//leukocytes and neutrophils//leukocytes

PK endpoint - AUClast

时间窗: Through 96 hours post-dose

Assess area under the plasma concentration-time curve from time 0 to time of the last measurable concentration (AUC 0 - last) of Brincidofovir

Chemistry parameters: bilirubin (total and direct), BUN, serum calcium, glucose (random), serum phosphate, serum uric acid and serum magnesium (mg/dL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of bilirubin (total and direct), BUN, serum calcium, glucose (random), serum phosphate, serum uric acid and serum magnesium

Hematology parameter: erythrocytes mean corpuscular volume (MCV) (fL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of erythrocytes MCV

PK endpoint - Peak Plasma Concentration (Cmax)

时间窗: Through 96 hours post-dose

Assess maximum observed plasma concentration of Brincidofovir

Descriptive statistical summary abnormal Systolic Blood Pressure and Diastolic Blood Pressure (mmHg)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of abnormal Systolic Blood Pressure

Chemistry parameters: serum chloride, CO2, serum sodium and serum potassium (mmol/L)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of serum chloride, CO2, serum sodium and serum potassium

Hematology parameters: basophils, eosinophils, lymphocytes, monocytes and neutrophils (cells/uL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of basophils, eosinophils lymphocytes, monocytes and neutrophils

Descriptive statistical summary abnormal Respiratory Rate

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of abnormal respiratory rate

Chemistry parameters: alkaline phosphatase, ALT, AST, GGT and Creatine phosphokinase (U/L)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of alkaline phosphatase, ALT, AST, GGT and Creatine phosphokinase

Chemistry parameter: eGFR (ml/min)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of eGFR

Chemistry parameter: LDH (units/L)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of LDH

Hematology parameters: leukocytes and platelets (thousand/uL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of leukocytes and platelets

Hematology parameter: erythrocytes (million/uL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of erythrocytes

Chemistry parameter: Albumin/Globulin ratio

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of albumin/globulin ratio

Hematology parameter: hematocrit (%)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of hematocrit

Hematology parameter: hemoglobin (g/dL)

时间窗: Through end of study visit (within 14 days after 2nd dose)

Descriptive statistical summary (summarized by treatment, study day, and time) of hemoglobin

次要结局

未报告次要终点

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (1)

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