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A Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti-Orthopoxvirus Compound Tecovirimat (SIGA246-008)

Primary Purpose

Smallpox

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
tecovirimat
Placebo
Sponsored by
SIGA Technologies
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Smallpox focused on measuring Treatment, orthopoxvirus, smallpox

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 18 to 80 years old, inclusive
  • Available for clinical follow-up for the duration of the study
  • Able and willing to give informed consent
  • In good general health without clinically significant medical history; not have been hospitalized for a chronic medical condition for the last 2 years
  • Able to comply with dietary requirements throughout the study drug dosing period
  • Adequate venous access for those individuals participating in PK testing
  • PE and laboratory results without clinically significant findings within the 14 days before receipt of study drug
  • Agree not to drink alcohol from the beginning of the Screening Period through the completion of the Day 28 Follow up Visit
  • Agree not to use any nicotine products, including electronic vapor cigarettes, nicotine patches or nicotine gum for at least 30 days before the Day 1 Visit and through completion of the Day 15 Dosing complete Visit
  • Agree not to consume caffeine during all study visits, including overnight stays if participating in PK subset
  • Agree not to receive any immunizations/vaccinations
  • Agree not to take herbal products
  • Able and willing to refrain from taking any prescriptions and nonprescription medications with exceptions
  • For women of childbearing potential, negative serum and urine pregnancy testing
  • If male, agree not to donate sperm
  • Meet 1 of the following criteria: The subject or their partner has undergone surgical sterilization; the subject is postmenopausal; the subject agrees to be abstinent; the subject agrees to consistently use a method of approved birth control.

Exclusion Criteria:

  • Pregnant or breast-feeding or planning pregnancy
  • Have a history of any clinically significant conditions
  • Have any limitation of activity related to cardiac disease
  • Have a bleeding disorder diagnosed by a doctor, or a history of significant bruising or bleeding with intramuscular injections or blood draws
  • Currently using certain medications
  • Have a malignancy that is active or a treated malignancy for which there is no reasonable assurance of sustained cure, or malignancy that is likely to recur during the study
  • Have a history of seizure
  • Have a clinically significant blood dyscrasia
  • Have a history of drug allergy that contraindicates participation in the trial
  • Have a medical, psychiatric, or social condition or any occupational reason, or other responsibility that in the judgment of the investigator would render the subject unable to comply with the protocol
  • Have an inability to swallow medication
  • Have a clinically significant abnormal ECG
  • Have participated in a clinical trials within 30 days of study entry or planning to participate in any experimental treatment study during the study period
  • Have a history or current drug or alcohol abuse
  • Have received immunizations/vaccines
  • Have a current clinically significant acute bacterial, fungal, or mycobacterial infection requiring administration of systemic antibiotics
  • Have known chronic bacterial, mycobacterial, fungal, parasitic, or protozoal infection with the exception of clinically significant dermal infections
  • Have known hepatitis B or C infection, or positive test result
  • Have known HIV infection or AIDS or a positive test for HIV
  • Have a current clinically significant viral infection
  • Have known clinically significant chronic viral infection
  • have received treatment with greater than 20 mg prednisone or equivalent dose or any immunosuppressant or immunomodulary medication
  • Have abnormal laboratory testing during screening
  • Have a greater than or equal than 20% risk of suffering a major cardiovascular event
  • Have been previously enrolled in this or any clinical trial involving tecovirimat

Sites / Locations

  • Coastal Clinical Research, Inc.
  • Paradigm Research
  • Paradigm Research
  • Johnson County Clinical Trials
  • Heartland Research Associates, LLC
  • Center for Pharmaceutical Research
  • Sundance Clinical Research LLC
  • Meridien Clinical Research
  • Medical Research South
  • Benchmark Research
  • Benchmark Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Active

Placebo

Arm Description

600 mg tecovirimat capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects

matching placebo capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects

Outcomes

Primary Outcome Measures

To Determine the Number of Participants With Adverse Events
To determine the safety and tolerability of oral tecovirimat

Secondary Outcome Measures

Full Information

First Posted
June 1, 2015
Last Updated
October 20, 2017
Sponsor
SIGA Technologies
Collaborators
Biomedical Advanced Research and Development Authority
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1. Study Identification

Unique Protocol Identification Number
NCT02474589
Brief Title
A Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti-Orthopoxvirus Compound Tecovirimat
Acronym
SIGA246-008
Official Title
An Expanded Double-Blind, Placebo Controlled, Multicenter Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti Orthopoxvirus Compound Tecovirimat When Administered Orally for 14 Days in Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
June 19, 2015 (Actual)
Primary Completion Date
August 24, 2016 (Actual)
Study Completion Date
August 24, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SIGA Technologies
Collaborators
Biomedical Advanced Research and Development Authority

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Multicenter, double-blind, placebo controlled, Phase 3 study to determine the safety and tolerability of oral tecovirimat, an anti orthopoxvirus compound, in subjects.
Detailed Description
Pharmacokinetics and safety and tolerability data will be collected.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Smallpox
Keywords
Treatment, orthopoxvirus, smallpox

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
449 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Active Comparator
Arm Description
600 mg tecovirimat capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
matching placebo capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects
Intervention Type
Drug
Intervention Name(s)
tecovirimat
Other Intervention Name(s)
ST-246
Intervention Description
Study is based on Animal Regulatory Rule
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Does not apply
Primary Outcome Measure Information:
Title
To Determine the Number of Participants With Adverse Events
Description
To determine the safety and tolerability of oral tecovirimat
Time Frame
45 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 18 to 80 years old, inclusive Available for clinical follow-up for the duration of the study Able and willing to give informed consent In good general health without clinically significant medical history; not have been hospitalized for a chronic medical condition for the last 2 years Able to comply with dietary requirements throughout the study drug dosing period Adequate venous access for those individuals participating in PK testing PE and laboratory results without clinically significant findings within the 14 days before receipt of study drug Agree not to drink alcohol from the beginning of the Screening Period through the completion of the Day 28 Follow up Visit Agree not to use any nicotine products, including electronic vapor cigarettes, nicotine patches or nicotine gum for at least 30 days before the Day 1 Visit and through completion of the Day 15 Dosing complete Visit Agree not to consume caffeine during all study visits, including overnight stays if participating in PK subset Agree not to receive any immunizations/vaccinations Agree not to take herbal products Able and willing to refrain from taking any prescriptions and nonprescription medications with exceptions For women of childbearing potential, negative serum and urine pregnancy testing If male, agree not to donate sperm Meet 1 of the following criteria: The subject or their partner has undergone surgical sterilization; the subject is postmenopausal; the subject agrees to be abstinent; the subject agrees to consistently use a method of approved birth control. Exclusion Criteria: Pregnant or breast-feeding or planning pregnancy Have a history of any clinically significant conditions Have any limitation of activity related to cardiac disease Have a bleeding disorder diagnosed by a doctor, or a history of significant bruising or bleeding with intramuscular injections or blood draws Currently using certain medications Have a malignancy that is active or a treated malignancy for which there is no reasonable assurance of sustained cure, or malignancy that is likely to recur during the study Have a history of seizure Have a clinically significant blood dyscrasia Have a history of drug allergy that contraindicates participation in the trial Have a medical, psychiatric, or social condition or any occupational reason, or other responsibility that in the judgment of the investigator would render the subject unable to comply with the protocol Have an inability to swallow medication Have a clinically significant abnormal ECG Have participated in a clinical trials within 30 days of study entry or planning to participate in any experimental treatment study during the study period Have a history or current drug or alcohol abuse Have received immunizations/vaccines Have a current clinically significant acute bacterial, fungal, or mycobacterial infection requiring administration of systemic antibiotics Have known chronic bacterial, mycobacterial, fungal, parasitic, or protozoal infection with the exception of clinically significant dermal infections Have known hepatitis B or C infection, or positive test result Have known HIV infection or AIDS or a positive test for HIV Have a current clinically significant viral infection Have known clinically significant chronic viral infection have received treatment with greater than 20 mg prednisone or equivalent dose or any immunosuppressant or immunomodulary medication Have abnormal laboratory testing during screening Have a greater than or equal than 20% risk of suffering a major cardiovascular event Have been previously enrolled in this or any clinical trial involving tecovirimat
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dennis Hruby, Ph.D.
Organizational Affiliation
SIGA Technologies, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Coastal Clinical Research, Inc.
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Paradigm Research
City
Redding
State/Province
California
ZIP/Postal Code
96001
Country
United States
Facility Name
Paradigm Research
City
San Diego
State/Province
California
ZIP/Postal Code
92117
Country
United States
Facility Name
Johnson County Clinical Trials
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States
Facility Name
Heartland Research Associates, LLC
City
Newton
State/Province
Kansas
ZIP/Postal Code
67114
Country
United States
Facility Name
Center for Pharmaceutical Research
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64114
Country
United States
Facility Name
Sundance Clinical Research LLC
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
Meridien Clinical Research
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68134
Country
United States
Facility Name
Medical Research South
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
Country
United States
Facility Name
Benchmark Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Benchmark Research
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76135
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
29972742
Citation
Grosenbach DW, Honeychurch K, Rose EA, Chinsangaram J, Frimm A, Maiti B, Lovejoy C, Meara I, Long P, Hruby DE. Oral Tecovirimat for the Treatment of Smallpox. N Engl J Med. 2018 Jul 5;379(1):44-53. doi: 10.1056/NEJMoa1705688.
Results Reference
derived

Learn more about this trial

A Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti-Orthopoxvirus Compound Tecovirimat

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