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Study to Evaluate the Safety, Tolerability and PK of EC-18 After Oral Administration in Healthy Volunteers

Primary Purpose

Chemotherapy-Induced Neutropenia

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
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 treatment trial for Chemotherapy-Induced Neutropenia focused on measuring EC-18, Hematology, Cancer, Neutropenia

Eligibility Criteria

19 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult male aged between 19 and 45 years, inclusive, at the time of providing the informed consent form
  • Body weight ≥ 50 kg, and calculated BMI in the range of 18.5 kg/m2 ≤ BMI < 25.0 kg/m2 ☞ BMI(body mass index) = Body weight (kg)/[height (m)]2
  • No inherited or chronic disease and pathologic symptoms or findings from internal examinations
  • Eligible subject based on findings from clinical laboratory tests, such as hematology, blood chemistry, urinalysis and immunoserology, and ECG, as conducted by a responsible doctor depending on characteristics of the drug
  • Written consent on voluntary decision of participation and compliance with precautions after being fully informed of and completely understanding this trial
  • Consent to practice medically acceptable contraception during the trial

Exclusion Criteria:

  • Hypersensitivity to a drug containing an ingredient of the investigational product (EC-18) or similar ingredient (e.g., deer antler) or other drugs (e.g., aspirin, antibiotics) or medical history of clinically significant hypersensitivity
  • Active infection such as chronic or local infection based on screening tests or inquiry, verifiable medical records
  • Serious infection that required hospitalization or use of antibiotics within 30 days prior to the first dose of the investigational product, based on an inquiry or verifiable medical records
  • Presence of a clinically significant hepatic, renal, gastrointestinal, respiratory, musculoskeletal, endocrine, nervous, blood, cardiovascular, urogenital, psychiatric disorder or its prior history
  • (1) Presenting tuberculosis or prior history of tuberculosis or (2) positive results from a QuantiFERON® -TB Gold in Tube Assay conducted due to a contact with a tuberculosis patient within the past 3 months or signs and symptoms of suspected tuberculosis
  • Prior history of a gastrointestinal disorder (e.g., Crohn's disease, ulcer) or surgery (except for simple appendectomy or hernia surgery) that may affect drug absorption, etc.

Sites / Locations

  • Yonsei University Health System, Severance Hospital

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 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Single dose group-Group 1-Experimental

Single dose group-Group 1-Placebo

Single dose group-Group 2-Experimental

Single dose group-Group 2-Placebo

Single dose group-Group 3-Experimental

Single dose group-Group 3-Placebo

Single dose group-Group 4-Experimental

Single dose group-Group 4-Placebo

Multiple dose group-Group 1-Experimental

Multiple dose group-Group 1-Placebo

Multiple dose group-Group 2-Experimental

Multiple dose group-Group 2-Placebo

Multiple dose group-Group 3-Experimental

Multiple dose group-Group 3-Placebo

Multiple dose group-Group 4-Experimental

Multiple dose group-Group 4-Placebo

Arm Description

Single dose, 500mg of Study drug(EC-18)

Single dose, 500mg of Placebo

Single dose, 1000mg of Study drug(EC-18)

Single dose, 1000mg of Placebo

Single dose, 2000mg of Study drug (EC-18)

Single dose, 2000mg of Placebo

Single dose, 4000mg of Study drug (EC-18)

Single dose, 4000mg of Placebo

Multiple dose, Study drug(EC-18) 500mg, Once daily, for 14 days

Multiple dose, Placebo 500mg, Once daily, for 14 days

Multiple dose, Study drug(EC-18) 1000mg, Once daily, for 14 days

Multiple dose, Placebo 1000mg, Once daily, for 14 days

Multiple dose, Study drug(EC-18) 2000mg, Once daily, for 14 days

Multiple dose, Placebo 2000mg, Once daily, for 14 days

Multiple dose, Study drug(EC-18) 4000mg, Once daily, for 14 days

Multiple dose, Placebo 4000mg, Once daily, for 14 days

Outcomes

Primary Outcome Measures

No. and severity of Adverse event as a Measure of Safety and Tolerability
Vital signs, physical examination, clinical laboratory tests, ECG as a Measure of Safety and Tolerability

Secondary Outcome Measures

Pharmacokinetic parameters of EC-18 following single oral dose: Cmax (Maximum observed plasma drug concentration)
Pharmacokinetic parameters of EC-18 following single oral dose: Tmax (Time of maximum drug concentration)
Pharmacokinetic parameters of EC-18 following single oral dose: AUClast (Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration)
Pharmacokinetic parameters of EC-18 following single oral dose: AUCinf (Area under the plasma concentration-time curve from time zero extrapolated to the infinite time)
Pharmacokinetic parameters of EC-18 following single oral dose: t1/2 (Half-life)
Pharmacokinetic parameters of EC-18 following single oral dose: CL/F (Apparent total clearance of the drug from plasma after oral administration)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmax,ss (Maximum (peak) steady-state plasma drug concentration during a dosage interval)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmin,ss (Minimum steady-state plasma drug concentration during a dosage interval)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cavg,ss (Average steady-state plasma drug concentration during multiple-dose administration)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Fluctuation
Pharmacokinetic parameters of EC-18 following multiple oral doses: t1/2 (half-life)
Pharmacokinetic parameters of EC-18 following multiple oral doses: AUCτ (Area under the plasma concentration-time curve from time zero to time t)
Pharmacokinetic parameters of EC-18 following multiple oral doses: AUCinf (Area under the plasma concentration-time curve from time zero to infinity)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmax (Maximum (peak) plasma drug concentration)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Tmax (Time to reach maximum (peak) plasma concentration following drug
Pharmacokinetic parameters of EC-18 following multiple oral doses: CL/F (Apparent total clearance of the drug from plasma after oral administration)
Pharmacokinetic parameters of EC-18 following multiple oral doses: Accumulation index

Full Information

First Posted
August 4, 2015
Last Updated
January 25, 2016
Sponsor
Enzychem Lifesciences Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02532712
Brief Title
Study to Evaluate the Safety, Tolerability and PK of EC-18 After Oral Administration in Healthy Volunteers
Official Title
A Dose Block-randomized, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Escalation, Phase I Clinical Trial to Evaluate the Safety, Tolerability and PK of EC-18 After Oral Administration in Healthy Male Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2016
Overall Recruitment Status
Completed
Study Start Date
March 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
This study is a Dose block-randomized, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Escalation, Phase I clinical trial to assess the safety, tolerability and pharmacokinetics of single-dose and multiple-dose oral administration of the investigational product, EC-18 (study drug) in healthy adult male volunteers.
Detailed Description
In vitro and in vivo efficacy studies and clinical trials have shown that EC-18 has a mode of action of improving neutropenia by promoting neutrophil production from hematopoietic stem cells and at the same time, efficiently controlling STAT6/Complement 3(C3), suggesting its potential to be developed as an orally administered new drug for treatment of neutropenia resulting from decreased neutrophils caused by administration of an anticancer agent. This study is a Dose block-randomized, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Escalation, Phase I clinical trial to assess the safety, tolerability and pharmacokinetics of single-dose and multiple-dose oral administration of the investigational product, EC-18 (study drug) in healthy adult male volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy-Induced Neutropenia
Keywords
EC-18, Hematology, Cancer, Neutropenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single dose group-Group 1-Experimental
Arm Type
Experimental
Arm Description
Single dose, 500mg of Study drug(EC-18)
Arm Title
Single dose group-Group 1-Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose, 500mg of Placebo
Arm Title
Single dose group-Group 2-Experimental
Arm Type
Experimental
Arm Description
Single dose, 1000mg of Study drug(EC-18)
Arm Title
Single dose group-Group 2-Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose, 1000mg of Placebo
Arm Title
Single dose group-Group 3-Experimental
Arm Type
Experimental
Arm Description
Single dose, 2000mg of Study drug (EC-18)
Arm Title
Single dose group-Group 3-Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose, 2000mg of Placebo
Arm Title
Single dose group-Group 4-Experimental
Arm Type
Experimental
Arm Description
Single dose, 4000mg of Study drug (EC-18)
Arm Title
Single dose group-Group 4-Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose, 4000mg of Placebo
Arm Title
Multiple dose group-Group 1-Experimental
Arm Type
Experimental
Arm Description
Multiple dose, Study drug(EC-18) 500mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 1-Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple dose, Placebo 500mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 2-Experimental
Arm Type
Experimental
Arm Description
Multiple dose, Study drug(EC-18) 1000mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 2-Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple dose, Placebo 1000mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 3-Experimental
Arm Type
Experimental
Arm Description
Multiple dose, Study drug(EC-18) 2000mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 3-Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple dose, Placebo 2000mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 4-Experimental
Arm Type
Experimental
Arm Description
Multiple dose, Study drug(EC-18) 4000mg, Once daily, for 14 days
Arm Title
Multiple dose group-Group 4-Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple dose, Placebo 4000mg, Once daily, for 14 days
Intervention Type
Drug
Intervention Name(s)
EC-18
Other Intervention Name(s)
EC18 Soft-capsule
Intervention Description
EC-18 Soft-capsule (500mg/1 capsule)
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo for EC-18 (Sofe-capsule)
Intervention Description
Placebo with same shape and size
Primary Outcome Measure Information:
Title
No. and severity of Adverse event as a Measure of Safety and Tolerability
Time Frame
From date of D-1 until Follow-up visit: up to 30 days
Title
Vital signs, physical examination, clinical laboratory tests, ECG as a Measure of Safety and Tolerability
Time Frame
From date of screening until Follow-up visit: up to 60 days
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters of EC-18 following single oral dose: Cmax (Maximum observed plasma drug concentration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following single oral dose: Tmax (Time of maximum drug concentration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following single oral dose: AUClast (Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following single oral dose: AUCinf (Area under the plasma concentration-time curve from time zero extrapolated to the infinite time)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following single oral dose: t1/2 (Half-life)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following single oral dose: CL/F (Apparent total clearance of the drug from plasma after oral administration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 14, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmax,ss (Maximum (peak) steady-state plasma drug concentration during a dosage interval)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmin,ss (Minimum steady-state plasma drug concentration during a dosage interval)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cavg,ss (Average steady-state plasma drug concentration during multiple-dose administration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Fluctuation
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: t1/2 (half-life)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: AUCτ (Area under the plasma concentration-time curve from time zero to time t)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: AUCinf (Area under the plasma concentration-time curve from time zero to infinity)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Cmax (Maximum (peak) plasma drug concentration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Tmax (Time to reach maximum (peak) plasma concentration following drug
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: CL/F (Apparent total clearance of the drug from plasma after oral administration)
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose
Title
Pharmacokinetic parameters of EC-18 following multiple oral doses: Accumulation index
Time Frame
[0], 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 16, 24, 36, 48 hours post dose

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male aged between 19 and 45 years, inclusive, at the time of providing the informed consent form Body weight ≥ 50 kg, and calculated BMI in the range of 18.5 kg/m2 ≤ BMI < 25.0 kg/m2 ☞ BMI(body mass index) = Body weight (kg)/[height (m)]2 No inherited or chronic disease and pathologic symptoms or findings from internal examinations Eligible subject based on findings from clinical laboratory tests, such as hematology, blood chemistry, urinalysis and immunoserology, and ECG, as conducted by a responsible doctor depending on characteristics of the drug Written consent on voluntary decision of participation and compliance with precautions after being fully informed of and completely understanding this trial Consent to practice medically acceptable contraception during the trial Exclusion Criteria: Hypersensitivity to a drug containing an ingredient of the investigational product (EC-18) or similar ingredient (e.g., deer antler) or other drugs (e.g., aspirin, antibiotics) or medical history of clinically significant hypersensitivity Active infection such as chronic or local infection based on screening tests or inquiry, verifiable medical records Serious infection that required hospitalization or use of antibiotics within 30 days prior to the first dose of the investigational product, based on an inquiry or verifiable medical records Presence of a clinically significant hepatic, renal, gastrointestinal, respiratory, musculoskeletal, endocrine, nervous, blood, cardiovascular, urogenital, psychiatric disorder or its prior history (1) Presenting tuberculosis or prior history of tuberculosis or (2) positive results from a QuantiFERON® -TB Gold in Tube Assay conducted due to a contact with a tuberculosis patient within the past 3 months or signs and symptoms of suspected tuberculosis Prior history of a gastrointestinal disorder (e.g., Crohn's disease, ulcer) or surgery (except for simple appendectomy or hernia surgery) that may affect drug absorption, etc.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Min-Soo Park, Professor
Organizational Affiliation
Yonsei University Health System, Severance Hospital (Seoul)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Yonsei University Health System, Severance Hospital
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
I will update the status when it is decided.

Learn more about this trial

Study to Evaluate the Safety, Tolerability and PK of EC-18 After Oral Administration in Healthy Volunteers

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