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A Safety and PK Study of EC-18 in Healthy Subjects

Primary Purpose

Chemotherapy-induced Neutropenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
EC-18
Placebo
Sponsored by
Enzychem Lifesciences Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Chemotherapy-induced Neutropenia focused on measuring Healthy Volunteers, Phase I, Placebo controlled, Single Ascending Dose, PK, Oral administration, Softgel

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Females of childbearing potential must use an acceptable birth control method throughout the study and for 14 days after the dose of study drug.
  • Females of non-childbearing potential (defined as surgically sterilized [tubal ligation/hysterectomy/bilateral salpingo-oophorectomy] or postmenopausal for >2 years) with a negative urine human chorionic gonadotropin pregnancy test at the Screening Visit.
  • Males willing to practice contraception (condom + spermicide) during the study and for 14 days after completion of the study, or who have a female partner using barrier or oral contraception during that timeframe.
  • Body mass index (BMI) between 18 and 32 kg/m2, inclusive.
  • Ability to understand and give informed consent and provide authorization for use of protected health information (Health Insurance Portability and Accountability Act).
  • Willing and able to be confined to the research clinic as required by the protocol.

Exclusion Criteria:

  • Febrile (temperature ≥99.5°F/37.5°C) at the Screening Visit or at admission to the research clinic on Day -1.
  • Clinically significant laboratory findings at the Screening Visit defined as the following:

    • Alanine aminotransferase (ALT), aspartate aminotransferase (AST), bilirubin >1.5 x upper limit of normal (ULN)
    • Blood urea nitrogen (BUN), creatinine >1.25 x ULN
    • White blood cell (WBC) count <0.9 x lower limit of normal (LLN) or >1.1 x ULN
    • Hemoglobin or hematocrit <0.9 x LLN or >1.1 x ULN
    • Platelet count <0.9 x LLN or >1.1 x ULN
    • Glucose <0.9 x LLN or >1.25 x ULN
    • Thyroid-stimulating hormone (TSH) <0.75 x LLN or >1.25 x ULN or any other laboratory, ECG, vital sign, or physical abnormality that, in the investigator's opinion, unfavorably increases the risk of study participation.
  • Positivity for human immunodeficiency virus (HIV) or receiving active antiretroviral therapy, hepatitis B surface antigen positivity, or hepatitis C positivity.
  • History of drug or alcohol abuse within the past 2 years.
  • Females who are pregnant or intend to get pregnant over the next month.
  • Positive urine pregnancy test at the Screening Visit or at admission to the research clinic on Day -1.
  • Positive urine drug or breath alcohol test at the Screening Visit or at admission to the research clinic on Day -1. Subjects should be instructed not to drink alcohol within 12 hours of the screening assessment.
  • Intake of alcohol within 72 hours prior to study drug administration or intake of grapefruit or Seville oranges within 7 days prior to the administration of study drug.
  • Strenuous physical exercise within 48 hours prior to study drug administration.
  • Administration of any over-the-counter medication, dietary supplements, or vitamins within 7 days prior to study drug administration. Excluded from this list is nondaily use of acetaminophen at doses of ≤2 grams over a 24-hour period.
  • Administration of prescription drugs or herbal supplements within 14 days prior to study drug administration.

    -.Exposure to any investigational agent within 30 days prior to the Screening Visit.

  • Any current medical illness, signs, or symptoms that, in the investigator's opinion, could adversely affect subject safety or study integrity.

Sites / Locations

  • Carolina Phase I Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

500 mg EC-18 dose or placebo

1000 mg EC-18 dose orplacebo

2000 mg EC-18 dose or placebo

4000 mg EC-18 dose or placebo

Outcomes

Primary Outcome Measures

The primary endpoint of the study will be the number and severity of treatment emergent adverse events (TEAEs) following single doses of EC-18 and placebo.

Secondary Outcome Measures

To determine the composite pharmacokinetic (PK) parameters of EC-18 following sngle oral doses. AUC0-t, AUC0-24, Cmax, Tmax, 48-hour time period.
AUC0-t: Area under the plasma drug concentration versus time curve from time zero to time t; AUC0-24: Area under the plasma concentration versus time curve from time zero to 24 hours after dosing, Cmax: Maximum observed plasma drug concentration; Tmax: Time of maximum drug concentration

Full Information

First Posted
June 29, 2015
Last Updated
January 7, 2016
Sponsor
Enzychem Lifesciences Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02496143
Brief Title
A Safety and PK Study of EC-18 in Healthy Subjects
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Single-Ascending-Dose Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Oral Administration of EC-18 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
July 2015 (undefined)
Primary Completion Date
December 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enzychem Lifesciences Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if EC-18 is safe and tolerable in healthy subjects.
Detailed Description
This will be a randomized, double-blind, placebo-controlled study of the safety, tolerability, PK, and pharmacodynamics of single ascending doses of EC-18 or placebo. If no dose limiting toxicity (DLT) is observed in Cohort One, the dose of EC-18 will be increased to in Cohorts Two, Three, and Four, respectively. Dose escalation to each successive cohort of subjects will not occur until a review of the safety and tolerability data from the previous cohort is completed and the Investigator, Sponsor, and study Medical Monitor together confirm the safety and tolerability of EC-18 given at that dose level.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy-induced Neutropenia
Keywords
Healthy Volunteers, Phase I, Placebo controlled, Single Ascending Dose, PK, Oral administration, Softgel

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
500 mg EC-18 dose or placebo
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
1000 mg EC-18 dose orplacebo
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
2000 mg EC-18 dose or placebo
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
4000 mg EC-18 dose or placebo
Intervention Type
Drug
Intervention Name(s)
EC-18
Other Intervention Name(s)
EC-18 Softgel capsule
Intervention Description
EC-18 will be supplied as 500 mg Softgel capsules. The study will include up to four sequential dose cohorts. Six subjects in each cohort will be randomized to receive EC-18: 500, 1000, 2000, or 4000 mg by oral administration of 1, 2, 4, and 8 EC-18 capsules, for Cohorts 1, 2, 3 or 4, respectively.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo will be supplied as Softgel capsules. The study will include up to four sequential dose cohorts. Two subjects in each cohort will be randomized to placebo and will receive 1, 2, 4 or 8 placebo capsules for Cohorts 1, 2, 3 or 4, respectively.
Primary Outcome Measure Information:
Title
The primary endpoint of the study will be the number and severity of treatment emergent adverse events (TEAEs) following single doses of EC-18 and placebo.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
To determine the composite pharmacokinetic (PK) parameters of EC-18 following sngle oral doses. AUC0-t, AUC0-24, Cmax, Tmax, 48-hour time period.
Description
AUC0-t: Area under the plasma drug concentration versus time curve from time zero to time t; AUC0-24: Area under the plasma concentration versus time curve from time zero to 24 hours after dosing, Cmax: Maximum observed plasma drug concentration; Tmax: Time of maximum drug concentration
Time Frame
Predose [0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 48 hours post dose
Other Pre-specified Outcome Measures:
Title
To determine the pharmacodynamic effects of EC-18 on circulating leukocyte cell counts.
Time Frame
Day 5 after dosing.
Title
To determine the pharmacodynamic effects of EC-18 on red blood cell counts.
Time Frame
Day 5 after dosing.
Title
To determine the pharmacodynamic effects of EC-18 on reticulocyte counts.
Time Frame
Day 5 after dosing.
Title
To determine the pharmacodynamic effects of EC-18 on platelet counts.
Time Frame
Day 5 after dosing.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Females of childbearing potential must use an acceptable birth control method throughout the study and for 14 days after the dose of study drug. Females of non-childbearing potential (defined as surgically sterilized [tubal ligation/hysterectomy/bilateral salpingo-oophorectomy] or postmenopausal for >2 years) with a negative urine human chorionic gonadotropin pregnancy test at the Screening Visit. Males willing to practice contraception (condom + spermicide) during the study and for 14 days after completion of the study, or who have a female partner using barrier or oral contraception during that timeframe. Body mass index (BMI) between 18 and 32 kg/m2, inclusive. Ability to understand and give informed consent and provide authorization for use of protected health information (Health Insurance Portability and Accountability Act). Willing and able to be confined to the research clinic as required by the protocol. Exclusion Criteria: Febrile (temperature ≥99.5°F/37.5°C) at the Screening Visit or at admission to the research clinic on Day -1. Clinically significant laboratory findings at the Screening Visit defined as the following: Alanine aminotransferase (ALT), aspartate aminotransferase (AST), bilirubin >1.5 x upper limit of normal (ULN) Blood urea nitrogen (BUN), creatinine >1.25 x ULN White blood cell (WBC) count <0.9 x lower limit of normal (LLN) or >1.1 x ULN Hemoglobin or hematocrit <0.9 x LLN or >1.1 x ULN Platelet count <0.9 x LLN or >1.1 x ULN Glucose <0.9 x LLN or >1.25 x ULN Thyroid-stimulating hormone (TSH) <0.75 x LLN or >1.25 x ULN or any other laboratory, ECG, vital sign, or physical abnormality that, in the investigator's opinion, unfavorably increases the risk of study participation. Positivity for human immunodeficiency virus (HIV) or receiving active antiretroviral therapy, hepatitis B surface antigen positivity, or hepatitis C positivity. History of drug or alcohol abuse within the past 2 years. Females who are pregnant or intend to get pregnant over the next month. Positive urine pregnancy test at the Screening Visit or at admission to the research clinic on Day -1. Positive urine drug or breath alcohol test at the Screening Visit or at admission to the research clinic on Day -1. Subjects should be instructed not to drink alcohol within 12 hours of the screening assessment. Intake of alcohol within 72 hours prior to study drug administration or intake of grapefruit or Seville oranges within 7 days prior to the administration of study drug. Strenuous physical exercise within 48 hours prior to study drug administration. Administration of any over-the-counter medication, dietary supplements, or vitamins within 7 days prior to study drug administration. Excluded from this list is nondaily use of acetaminophen at doses of ≤2 grams over a 24-hour period. Administration of prescription drugs or herbal supplements within 14 days prior to study drug administration. -.Exposure to any investigational agent within 30 days prior to the Screening Visit. Any current medical illness, signs, or symptoms that, in the investigator's opinion, could adversely affect subject safety or study integrity.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Treva W Tyson, MD
Organizational Affiliation
Wake Research Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Carolina Phase I Clinical Research
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States

12. IPD Sharing Statement

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A Safety and PK Study of EC-18 in Healthy Subjects

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