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Safety,PK/PD, Food Effect Study of Orally Administered HM71224 in Healthy Adult Male Volunteers

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
HM71224 single ascending dose
HM71224 food effect
HM71224 Multiple ascending dose
Sponsored by
Hanmi Pharmaceutical Company Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Rheumatoid Arthritis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Gender : male
  2. Age : 18-65 years, inclusive
  3. BMI : 18.5 - 30.0 kg/m2
  4. Ability and willingness to abstain from alcohol, methylxanthine-containing beverages or food (coffee, tea, cola, chocolate, energy drinks), and grapefruit (juice) from 48 h prior to entry in the clinical research center until discharge
  5. Medical history without major pathology
  6. Normal resting supine blood pressures and pulse rate, showing no clinically relevant deviations as judged by the MI
  7. Computerized (12-lead) electrocardiogram (ECG) recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the MI
  8. Willingness to use adequate contraception from the time of dosing until 90 days after the follow-up visit
  9. All values for hematology and for clinical chemistry tests of blood and urine within the normal range or showing no clinically relevant deviations as judged by the MI
  10. Willingness to sign the written Informed Consent Form (ICF)

Exclusion Criteria:

  1. Previous participation in the current study
  2. Evidence of clinically relevant pathology
  3. Mental handicap
  4. History of relevant drug and/or food allergies
  5. Regular/routine treatment with non-topical medications within 30 days prior to entry into the clinical research center
  6. Use of tobacco products within 60 days prior to drug administration
  7. History of alcohol abuse or drug addiction (including soft drugs like cannabis products)
  8. Use of concomitant medication, except for acetaminophen (paracetamol), which is allowed up to 3 days before entry into the clinical research center. Multivitamins and vitamin C are allowed up to 7 days before entry into the clinical research center. All other medication (including over the counter medication, health supplements, and herbal remedies such as St. John's Wort extract) must have been stopped at least 14 days prior to entry into the clinical research center. The use of a limited amount of acetaminophen during the study is permitted.
  9. Participation in a drug study within 60 days prior to drug administration. Participation in more than 3 other drug studies in the 10 months preceding the start of this study (this is the first administration of study drug).
  10. Donation of more than 50 mL of blood within 60 days prior to drug administration. Donation of more than 1.5 liters of blood in the 10 months preceding the start of this study (this is the first administration of study drug).
  11. Positive drug screen (opiates, methadone, cocaine, amphetamines, cannabinoids, barbiturates, benzodiazepines, and alcohol)
  12. Intake of more than 24 units of alcohol per week (one unit of alcohol equals approximately 250 mL of beer, 100 mL of wine or 35 mL of spirits)
  13. Positive screen on Hepatitis B Surface Antigen (HBsAg), anti-Hepatitis C Virus (HCV) or anti-Human Immunodeficiency Virus (HIV) 1/2
  14. Illness within 5 days prior to the first drug administration
  15. Non-willingness to consume the FDA breakfast (Part B only)

Sites / Locations

  • PRA Clinical research center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Treatment A Period 2

Treatment B Period1

Treatment A Period1

Treatment B Period2

TreatmentA Period3

TreatmentB Period3

Food effect period1

Food effect period2

TreatmentC

TreatmentD

TreatmentE

Arm Description

40mg HM71224 single dose

20mg HM71224 single dose

10mg HM71224 single dose

80mg HM71224 single dose

160mg HM71224 single dose

200mg HM71224 single dose

active 4subjects + placebo 4subjects

active 4subjects + placebo 4subjects

HM71224 Xmg multiple dose for 14days

HM71224 Ymg 14days multiple dose

HM71224 Zmg 14days multiple dose

Outcomes

Primary Outcome Measures

To investigate safety and tolerability
Number of participants with AE occurrence, clinically significant clinical lab,vital sign, and/or ECG change.

Secondary Outcome Measures

To determine plasma PK parameters
Cmax, C trough, tmax, kel, t1/2, AUC, CL/F, Vz, Rac, Ae, CLr, Fe% of HM71224 and selected metabolites M1, M2 following single and multiple oral dose administration of HM71224
To determine urine PK parameters
Cmax, C trough, tmax, kel, t1/2, AUC, %AUC, CL/F, Vz, Rac, Ae, CLr, Fe% of of HM71224 and selected metabolites M1, M2 following single and multiple oral dose administration of HM71224

Full Information

First Posted
January 7, 2013
Last Updated
May 15, 2015
Sponsor
Hanmi Pharmaceutical Company Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01765478
Brief Title
Safety,PK/PD, Food Effect Study of Orally Administered HM71224 in Healthy Adult Male Volunteers
Official Title
A Phase1 Study, to Determine the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of Single and Multiple Doses of Orally Administered HM71224 in Healthy, Adult Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hanmi Pharmaceutical Company Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
HM71224 is a potent small molecule inhibitor of Bruton's tyrosine kinase (BTK). BTK is a member of the Tec family of non-receptor protein tyrosine kinases. BTK is mostly expressed in hematopoietic cells such as B cells, mast cells and macrophages. BTK plays key roles in multiple cell signaling pathways including B-Cell Receptor (BCR) and Fc receptor (FcR) signaling cascades and is an essential mediator not only in B-cell dependent but also in myeloid cell dependent inflammatory arthritis. HM71224 has been selected as a novel therapeutic agent for the treatment of autoimmune diseases such as rheumatoid arthritis (RA). In view of the above, further development of HM71224 for the treatment of RA is warranted. In this first-in-man (FIM) study, a single and multiple dose escalation design will be employed, in which the primary objective is to evaluate the safety and tolerability of the compound. The biomarkers included as pharmacodynamic (PD) variables are chosen as they are indicators for any effects of HM71224 on the expected mode of action (pBTK, pPLCγ, and pERK).
Detailed Description
Primary objective To evaluate the safety and tolerability, and if possible maximum tolerated dose (MTD) of HM71224 after single and multiple ascending dose administration in healthy subjects. Secondary objective To determine the PK of HM71224 and selected metabolites (M1 and M2) following single and multiple oral dose administration of HM71224. To assess the PD effects of HM71224 on the biomarkers pBTK, pPLCγ, and pERK. To assess whether the PK of HM71224 is affected by food.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
Rheumatoid Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
62 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Treatment A Period 2
Arm Type
Experimental
Arm Description
40mg HM71224 single dose
Arm Title
Treatment B Period1
Arm Type
Experimental
Arm Description
20mg HM71224 single dose
Arm Title
Treatment A Period1
Arm Type
Experimental
Arm Description
10mg HM71224 single dose
Arm Title
Treatment B Period2
Arm Type
Experimental
Arm Description
80mg HM71224 single dose
Arm Title
TreatmentA Period3
Arm Type
Experimental
Arm Description
160mg HM71224 single dose
Arm Title
TreatmentB Period3
Arm Type
Experimental
Arm Description
200mg HM71224 single dose
Arm Title
Food effect period1
Arm Type
Experimental
Arm Description
active 4subjects + placebo 4subjects
Arm Title
Food effect period2
Arm Type
Experimental
Arm Description
active 4subjects + placebo 4subjects
Arm Title
TreatmentC
Arm Type
Experimental
Arm Description
HM71224 Xmg multiple dose for 14days
Arm Title
TreatmentD
Arm Type
Experimental
Arm Description
HM71224 Ymg 14days multiple dose
Arm Title
TreatmentE
Arm Type
Experimental
Arm Description
HM71224 Zmg 14days multiple dose
Intervention Type
Drug
Intervention Name(s)
HM71224 single ascending dose
Intervention Type
Drug
Intervention Name(s)
HM71224 food effect
Intervention Type
Drug
Intervention Name(s)
HM71224 Multiple ascending dose
Primary Outcome Measure Information:
Title
To investigate safety and tolerability
Description
Number of participants with AE occurrence, clinically significant clinical lab,vital sign, and/or ECG change.
Time Frame
3days
Secondary Outcome Measure Information:
Title
To determine plasma PK parameters
Description
Cmax, C trough, tmax, kel, t1/2, AUC, CL/F, Vz, Rac, Ae, CLr, Fe% of HM71224 and selected metabolites M1, M2 following single and multiple oral dose administration of HM71224
Time Frame
3days
Title
To determine urine PK parameters
Description
Cmax, C trough, tmax, kel, t1/2, AUC, %AUC, CL/F, Vz, Rac, Ae, CLr, Fe% of of HM71224 and selected metabolites M1, M2 following single and multiple oral dose administration of HM71224
Time Frame
3days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Gender : male Age : 18-65 years, inclusive BMI : 18.5 - 30.0 kg/m2 Ability and willingness to abstain from alcohol, methylxanthine-containing beverages or food (coffee, tea, cola, chocolate, energy drinks), and grapefruit (juice) from 48 h prior to entry in the clinical research center until discharge Medical history without major pathology Normal resting supine blood pressures and pulse rate, showing no clinically relevant deviations as judged by the MI Computerized (12-lead) electrocardiogram (ECG) recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the MI Willingness to use adequate contraception from the time of dosing until 90 days after the follow-up visit All values for hematology and for clinical chemistry tests of blood and urine within the normal range or showing no clinically relevant deviations as judged by the MI Willingness to sign the written Informed Consent Form (ICF) Exclusion Criteria: Previous participation in the current study Evidence of clinically relevant pathology Mental handicap History of relevant drug and/or food allergies Regular/routine treatment with non-topical medications within 30 days prior to entry into the clinical research center Use of tobacco products within 60 days prior to drug administration History of alcohol abuse or drug addiction (including soft drugs like cannabis products) Use of concomitant medication, except for acetaminophen (paracetamol), which is allowed up to 3 days before entry into the clinical research center. Multivitamins and vitamin C are allowed up to 7 days before entry into the clinical research center. All other medication (including over the counter medication, health supplements, and herbal remedies such as St. John's Wort extract) must have been stopped at least 14 days prior to entry into the clinical research center. The use of a limited amount of acetaminophen during the study is permitted. Participation in a drug study within 60 days prior to drug administration. Participation in more than 3 other drug studies in the 10 months preceding the start of this study (this is the first administration of study drug). Donation of more than 50 mL of blood within 60 days prior to drug administration. Donation of more than 1.5 liters of blood in the 10 months preceding the start of this study (this is the first administration of study drug). Positive drug screen (opiates, methadone, cocaine, amphetamines, cannabinoids, barbiturates, benzodiazepines, and alcohol) Intake of more than 24 units of alcohol per week (one unit of alcohol equals approximately 250 mL of beer, 100 mL of wine or 35 mL of spirits) Positive screen on Hepatitis B Surface Antigen (HBsAg), anti-Hepatitis C Virus (HCV) or anti-Human Immunodeficiency Virus (HIV) 1/2 Illness within 5 days prior to the first drug administration Non-willingness to consume the FDA breakfast (Part B only)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Salah Hadi, MD MSc
Organizational Affiliation
PRA Health Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
PRA Clinical research center
City
Zuidlaren
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
34548595
Citation
Byun JY, Koh YT, Jang SY, Witcher JW, Chan JR, Pustilnik A, Daniels MJ, Kim YH, Suh KH, Linnik MD, Lee YM. Target modulation and pharmacokinetics/pharmacodynamics translation of the BTK inhibitor poseltinib for model-informed phase II dose selection. Sci Rep. 2021 Sep 21;11(1):18671. doi: 10.1038/s41598-021-98255-7.
Results Reference
derived

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Safety,PK/PD, Food Effect Study of Orally Administered HM71224 in Healthy Adult Male Volunteers

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