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A Multiple Dose Study of Debio 1450 [Intravenous (IV) and Oral] in Healthy Volunteers

Primary Purpose

Bacterial Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo IV Solution
Debio 1450 IV Solution
Placebo Tablet or Capsule
Debio 1450 Tablet
Debio 1450 Capsule
Debio 1450 Oral Solution
Pantoprazole
Sponsored by
Debiopharm International SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Bacterial Infections focused on measuring Antibiotic, Antibiotic Resistant Bacterial Infection

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Meets protocol-specified criteria for qualification and/or contraception
  • Is willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related to food, drink and medications
  • Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures

Exclusion Criteria:

  • Has a history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters
  • Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:

    1. the safety or well-being of the participant or study staff
    2. the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding)
    3. the analysis of results

Sites / Locations

  • Early Phase Clinical Unit

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

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A Period 1 Debio 1450 IV Solution

Part A Period 2 Debio 1450 Tablet

Part A Period 3 Debio 1450 Tablet

Part A Period 4 Debio 1450 Tablet

Part B Placebo All Cohorts

Part B Debio 1450 Cohort 1

Part B Debio 1450 Cohort 2a

Part B Debio 1450 Cohort 3

Part B Debio 1450 Cohort 4

Part B Debio 1450 Cohort 2b

Part C Debio 1450

Arm Description

Part A Debio 1450 IV solution infused over two hours on Day 1 after fasting

Debio 1450 Tablet oral dosing once on Day 5, after fasting

Debio 1450 Tablet oral dosing once on Day 9, 30 minutes after a high calorie, high fat breakfast, after fasting

After preparation with Pantoprazole, Pantoprazole taken with Debio 1450 Tablet oral dosing once on Day 14, after fasting

Placebo IV solution on days 1-5 and then Placebo Tablet or Capsule on Days 6-10, according to the cohort dosing schedule

Debio 1450 IV solution, once daily on days 1-5, then Debio 1450 Tablet, once daily on days 6-10

Debio 1450 IV solution, once daily on day 1

Debio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10

Debio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10

Debio 1450 IV solution, once daily on days 1-5, then Debio 1450 Capsule, once daily on days 6-10

Debio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).

Outcomes

Primary Outcome Measures

Number of participants with clinically significant change from baseline in safety parameters
Categories: vital signs, 12-lead electrocardiogram (ECG), clinical laboratory parameters, adverse events, pulmonary function, physical examination, concomitant medication
Maximum observed plasma concentration (Cmax) of Debio 1450 (prodrug) and Debio 1452 (active moiety)
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time of maximum observed plasma concentration (tmax) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Area under the plasma concentration-time curve (AUC) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Percentage of AUC(0-o) that is due to extrapolation beyond the last quantifiable concentration measurement (%AUCex) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Elimination half-life (t1/2) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Terminal elimination rate constant (Az) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Mean residence time (MRT) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Apparent clearance following oral administration (CL/F) of Debio 1450 and Debio 1452
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Apparent volume of distribution of Debio 1450 and Debio 1452 during terminal phase (Vz/F)
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae)
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Percentage of cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae%)
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Renal clearance following oral administration
Categories: Placebo Tablet or Capsule, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution

Secondary Outcome Measures

Full Information

First Posted
August 8, 2014
Last Updated
February 24, 2015
Sponsor
Debiopharm International SA
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1. Study Identification

Unique Protocol Identification Number
NCT02214433
Brief Title
A Multiple Dose Study of Debio 1450 [Intravenous (IV) and Oral] in Healthy Volunteers
Official Title
A Phase 1 Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Ascending Doses of Debio 1450 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
August 2014 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
February 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Debiopharm International SA

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Debio 1450-103 is a trial to study the pharmacokinetics (PK) of an experimental drug called Debio 1450 in healthy adult volunteers. Originally, Part A was registered separately (in NCT02214355). The registrations have been revised so all parts of this single trial (Parts A-C) are now included in this single registration (NCT02214433). The primary purpose of each part is provided below: 10 volunteers participate in PART A to assess the PK of a single oral dose of Debio 1450 (tablet formulation) under varying gastric conditions 40 volunteers participate in PART B to assess the safety, tolerability and PK of multiple ascending doses of Debio 1450, administered sequentially IV and orally, once or twice daily. An additional 10 volunteers participate in PART C which is designed to assess the absolute bioavailability of various formulations of Debio 1450 under varying gastric conditions The dose administered during Part A is based on the safety, tolerability and PK data from study Debio 1450-102 [NCT02162199], a single ascending dose (SAD) study, in which single oral doses up to 800 mg/day are being investigated. Doses are adjusted during Parts B and C based on the available safety and PK data from preceding cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections
Keywords
Antibiotic, Antibiotic Resistant Bacterial Infection

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A Period 1 Debio 1450 IV Solution
Arm Type
Experimental
Arm Description
Part A Debio 1450 IV solution infused over two hours on Day 1 after fasting
Arm Title
Part A Period 2 Debio 1450 Tablet
Arm Type
Experimental
Arm Description
Debio 1450 Tablet oral dosing once on Day 5, after fasting
Arm Title
Part A Period 3 Debio 1450 Tablet
Arm Type
Experimental
Arm Description
Debio 1450 Tablet oral dosing once on Day 9, 30 minutes after a high calorie, high fat breakfast, after fasting
Arm Title
Part A Period 4 Debio 1450 Tablet
Arm Type
Experimental
Arm Description
After preparation with Pantoprazole, Pantoprazole taken with Debio 1450 Tablet oral dosing once on Day 14, after fasting
Arm Title
Part B Placebo All Cohorts
Arm Type
Placebo Comparator
Arm Description
Placebo IV solution on days 1-5 and then Placebo Tablet or Capsule on Days 6-10, according to the cohort dosing schedule
Arm Title
Part B Debio 1450 Cohort 1
Arm Type
Experimental
Arm Description
Debio 1450 IV solution, once daily on days 1-5, then Debio 1450 Tablet, once daily on days 6-10
Arm Title
Part B Debio 1450 Cohort 2a
Arm Type
Experimental
Arm Description
Debio 1450 IV solution, once daily on day 1
Arm Title
Part B Debio 1450 Cohort 3
Arm Type
Experimental
Arm Description
Debio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Arm Title
Part B Debio 1450 Cohort 4
Arm Type
Experimental
Arm Description
Debio 1450 IV solution, twice daily on days 1-5, then Debio 1450 Capsule, twice daily on days 6-10
Arm Title
Part B Debio 1450 Cohort 2b
Arm Type
Experimental
Arm Description
Debio 1450 IV solution, once daily on days 1-5, then Debio 1450 Capsule, once daily on days 6-10
Arm Title
Part C Debio 1450
Arm Type
Experimental
Arm Description
Debio 1450 (IV formulation in Period 1, capsule formulation in Periods 2, 4 and 5 (with Pantoprazole), and Debio 1450 oral solution in Period 3).
Intervention Type
Drug
Intervention Name(s)
Placebo IV Solution
Intervention Description
A sterile IV solution of 5% dextrose in water
Intervention Type
Drug
Intervention Name(s)
Debio 1450 IV Solution
Intervention Description
A white to off-white powder (40 mg Debio 1450 per vial) to be reconstituted and formulated in a sterile IV solution of 5% dextrose in water
Intervention Type
Drug
Intervention Name(s)
Placebo Tablet or Capsule
Intervention Description
Placebo tablet or capsule, matching Debio 1450 coated tablet or capsule
Intervention Type
Drug
Intervention Name(s)
Debio 1450 Tablet
Intervention Description
Debio 1450 40 mg coated tablets
Intervention Type
Drug
Intervention Name(s)
Debio 1450 Capsule
Intervention Description
Debio 1450 40 mg capsules
Intervention Type
Drug
Intervention Name(s)
Debio 1450 Oral Solution
Intervention Description
Lyophilized Debio 1450 (40 mg per vial) reconstituted in 5% dextrose in water
Intervention Type
Drug
Intervention Name(s)
Pantoprazole
Intervention Description
Pantoprazole 40 mg orally
Primary Outcome Measure Information:
Title
Number of participants with clinically significant change from baseline in safety parameters
Description
Categories: vital signs, 12-lead electrocardiogram (ECG), clinical laboratory parameters, adverse events, pulmonary function, physical examination, concomitant medication
Time Frame
within 10 days post-dose
Title
Maximum observed plasma concentration (Cmax) of Debio 1450 (prodrug) and Debio 1452 (active moiety)
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Time of maximum observed plasma concentration (tmax) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Area under the plasma concentration-time curve (AUC) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Percentage of AUC(0-o) that is due to extrapolation beyond the last quantifiable concentration measurement (%AUCex) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Elimination half-life (t1/2) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Terminal elimination rate constant (Az) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Mean residence time (MRT) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Apparent clearance following oral administration (CL/F) of Debio 1450 and Debio 1452
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Apparent volume of distribution of Debio 1450 and Debio 1452 during terminal phase (Vz/F)
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae)
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Percentage of cumulative amount of unchanged Debio 1450 and Debio 1452 excreted in urine (Ae%)
Description
Categories: Placebo Tablet or Capsule, Placebo IV Solution, Debio 1450 IV solution, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort
Title
Renal clearance following oral administration
Description
Categories: Placebo Tablet or Capsule, Debio 1450 Tablet, Debio 1450 Capsule, Debio 1450 oral solution
Time Frame
within 60 hours post-dose, depending on the assessment schedule for the cohort

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Meets protocol-specified criteria for qualification and/or contraception Is willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related to food, drink and medications Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures Exclusion Criteria: Has a history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise: the safety or well-being of the participant or study staff the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding) the analysis of results
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frederick Wittke, MD
Organizational Affiliation
Debiopharm International SA
Official's Role
Study Director
Facility Information:
Facility Name
Early Phase Clinical Unit
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21225
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Multiple Dose Study of Debio 1450 [Intravenous (IV) and Oral] in Healthy Volunteers

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