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A Study to Investigate How the Study Drug SHP626 is Eliminated From the Body After One Dose

Primary Purpose

Non-Alcoholic Steatohepatitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SHP626
5.95 μCi RAD
Sponsored by
Mirum Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Non-Alcoholic Steatohepatitis focused on measuring ADME

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Age between 18 and 50 years, inclusive, at the time of consent.
  2. Must be considered healthy. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, hematology, thyroid panel (includes T3, T4 and TSH at Screening only), blood chemistry, coagulation and urinalysis
  3. Must have a body mass index between 18.0-30.0kg/m² inclusive with a body weight >50 kg (110 lbs).
  4. Ability to swallow all investigational product.
  5. A minimum of 1 bowel movement per day.

Exclusion Criteria:

  1. History of any hematological, hepatic, respiratory, cardiovascular, renal, neurological or psychiatric disease, gallbladder removal, gastric bypass surgery, ileal resection, any small intestinal resection,or current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments.
  2. Current or relevant history of physical or psychiatric illness.
  3. Known or suspected intolerance or hypersensitivity to the investigational product, or closely-related compounds, or any of the stated ingredients.
  4. Significant illness, as judged by the investigator, within 2 weeks of the dose of investigational product.
  5. Known history of alcohol or other substance abuse within the last year.
  6. Donation of blood or blood products (eg, plasma or platelets) within 60 days prior to the dose of investigational product.
  7. Within 30 days prior to the dose of investigational product:

    • Have used an investigational product (if elimination half-life is <6 days, otherwise 5 half-lives).
    • Have been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study.
    • Have had any substantial changes in eating habits, as assessed by the investigator.
  8. Confirmed systolic blood pressure >139mmHg or <89mmHg, and diastolic blood pressure >89mmHg or <49mmHg.
  9. Twelve-lead ECG demonstrating QTc >450 msec at screening. If QTc exceeds 450msec, the ECG should be repeated 2 more times and the average of the 3 QTc values should be used to determine the subject's eligibility.
  10. A positive screen for drugs of abuse at Screening or a positive screen for alcohol or drugs of abuse at Check-in (Day -1).
  11. Male subjects who consume more than 21 units of alcohol per week or 3 units of alcohol per day.
  12. A positive human immunodeficiency virus antibody screen, hepatitis B surface antigen, or hepatitis C virus antibody screen.
  13. Use of tobacco in any form
  14. Routine consumption of more than 2 units of caffeine per day
  15. Current use of any medication including over-the-counter, herbal, or homeopathic preparations
  16. An inability to follow a standardized diet and meal schedule or inability to fast
  17. Have participated in a [14C]-study within the last 6 months prior to the dose of investigational product.
  18. Exposure to clinically significant radiation within 12 months prior to the dose of investigational product

Sites / Locations

  • Covance Madison Clinical Research Unit

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental Drug

Arm Description

single oral dose radiolabelled 50mg of SHP626

Outcomes

Primary Outcome Measures

Pharmacokinetic parameters will be determined from the plasma and blood concentration time data of total radioactivity and from the plasma concentration-time data for SHP626 by non-compartmental analysis.
Total radioactivity (RAD) in whole blood and plasma
To determine the total RAD in urine and feces.
Maximum plasma concentration (Cmax) of 50mg [14C]-SHP626 and RAD occurring at time of maximum observed concentration (tmax)
Area under the plasma concentration curve (AUC0-t) of 50mg [14C]-SHP626 and RAD from the time of dosing to the last measurable concentration
Area under the plasma concentration curve (AUC0-∞ ) of 50mg [14C]-SHP626 and RAD extrapolated to infinity, calculated using the observed value of the last non-zero plasma concentration
First order rate constant associated with the terminal portion of the plasma curve terminal half-life (t½) for 50mg [14C]-SHP626 and RAD
Total body clearance (CL/F ) of 50mg [14C]-SHP626 and RAD for extravascular administration divided by the fraction of dose absorbed
Volume of distribution (Vz/F ) of 50mg [14C]-SHP626 and RAD associated with the terminal slope following extra-vascular administration divided by the fraction of dose absorbed
Cumulative amount (Aef )of RAD recovered in stool over the dosing interval
Excreted Percent of RAD recovered in stool over the dosing interval
Cumulative amount (Aeu ) of RAD recovered in urine over the dosing interval
Excreted Percent of RAD recovered in urine over the dosing interval
Renal Clearance (CLR ) of 50mg [14C]-SHP626

Secondary Outcome Measures

Characterize and identify metabolites of [14C]-SHP626 in plasma by accelerator mass spectrometry for radioactivity quantification
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Characterize and identify metabolites of [14C]-SHP626 in urine by accelerator mass spectrometry for radioactivity quantification
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Characterize and identify metabolites of [14C]-SHP626 in feces by liquid scintillation counting
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Assess the safety and tolerability of [14C]-SHP626 by adverse events (AEs) defined as changes, including changes from baseline in physical examination findings
AEs will be coded using the agreed upon version of MedDRA. The number of events, incidence, and percentage of TEAEs will be calculated overall, by system organ class and by preferred term. TEAEs will be further summarized by severity and relationship to investigational product. AEs related to investigational product, AEs leading to withdrawal, SAEs, and deaths will be similarly summarized/listed.
Changes from baseline in vital signs
Changes from baseline in ECGs
Changes from baseline in hematology
Changes from baseline in coagulation
Changes in baseline in urinalysis
Changes in baseline in chemistry

Full Information

First Posted
September 30, 2015
Last Updated
April 30, 2019
Sponsor
Mirum Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02571192
Brief Title
A Study to Investigate How the Study Drug SHP626 is Eliminated From the Body After One Dose
Official Title
A Phase 1, Open-label Study to Investigate the Absorption, Distribution, Metabolism, and Excretion of [14C]-SHP626 Following a Single Oral Dose in Healthy Male Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
October 1, 2015 (undefined)
Primary Completion Date
October 1, 2015 (Actual)
Study Completion Date
October 1, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mirum Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine how SHP626 is absorbed and excreted from the body in healthy males.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Alcoholic Steatohepatitis
Keywords
ADME

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental Drug
Arm Type
Experimental
Arm Description
single oral dose radiolabelled 50mg of SHP626
Intervention Type
Drug
Intervention Name(s)
SHP626
Intervention Description
single oral dose 50mg SHP626 with approximately 5.95 μCi RAD
Intervention Type
Radiation
Intervention Name(s)
5.95 μCi RAD
Primary Outcome Measure Information:
Title
Pharmacokinetic parameters will be determined from the plasma and blood concentration time data of total radioactivity and from the plasma concentration-time data for SHP626 by non-compartmental analysis.
Time Frame
Day 1 to day 10
Title
Total radioactivity (RAD) in whole blood and plasma
Time Frame
Day 1 to day 10
Title
To determine the total RAD in urine and feces.
Time Frame
Day 1 to day 10
Title
Maximum plasma concentration (Cmax) of 50mg [14C]-SHP626 and RAD occurring at time of maximum observed concentration (tmax)
Time Frame
Day 1 to day 10
Title
Area under the plasma concentration curve (AUC0-t) of 50mg [14C]-SHP626 and RAD from the time of dosing to the last measurable concentration
Time Frame
Day 1 to Day 10
Title
Area under the plasma concentration curve (AUC0-∞ ) of 50mg [14C]-SHP626 and RAD extrapolated to infinity, calculated using the observed value of the last non-zero plasma concentration
Time Frame
Day 1 to Day 10
Title
First order rate constant associated with the terminal portion of the plasma curve terminal half-life (t½) for 50mg [14C]-SHP626 and RAD
Time Frame
Day 1 to Day 10
Title
Total body clearance (CL/F ) of 50mg [14C]-SHP626 and RAD for extravascular administration divided by the fraction of dose absorbed
Time Frame
Day 1-10
Title
Volume of distribution (Vz/F ) of 50mg [14C]-SHP626 and RAD associated with the terminal slope following extra-vascular administration divided by the fraction of dose absorbed
Time Frame
Day 1-10
Title
Cumulative amount (Aef )of RAD recovered in stool over the dosing interval
Time Frame
Day 1-10
Title
Excreted Percent of RAD recovered in stool over the dosing interval
Time Frame
Day 1-10
Title
Cumulative amount (Aeu ) of RAD recovered in urine over the dosing interval
Time Frame
Day 1-10
Title
Excreted Percent of RAD recovered in urine over the dosing interval
Time Frame
Day 1-10
Title
Renal Clearance (CLR ) of 50mg [14C]-SHP626
Time Frame
Day 1 -10
Secondary Outcome Measure Information:
Title
Characterize and identify metabolites of [14C]-SHP626 in plasma by accelerator mass spectrometry for radioactivity quantification
Description
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Time Frame
Day 1 to day 10
Title
Characterize and identify metabolites of [14C]-SHP626 in urine by accelerator mass spectrometry for radioactivity quantification
Description
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Time Frame
Day 1 to day 10
Title
Characterize and identify metabolites of [14C]-SHP626 in feces by liquid scintillation counting
Description
Metabolites in the excreta and/or plasma will then be structurally identified by a combination of techniques such as co-chromatography with authentic reference standards, high performance liquid chromatography-mass spectrometry, and other spectroscopic techniques if necessary
Time Frame
Day 1 to day 10
Title
Assess the safety and tolerability of [14C]-SHP626 by adverse events (AEs) defined as changes, including changes from baseline in physical examination findings
Description
AEs will be coded using the agreed upon version of MedDRA. The number of events, incidence, and percentage of TEAEs will be calculated overall, by system organ class and by preferred term. TEAEs will be further summarized by severity and relationship to investigational product. AEs related to investigational product, AEs leading to withdrawal, SAEs, and deaths will be similarly summarized/listed.
Time Frame
Screening to day 7
Title
Changes from baseline in vital signs
Time Frame
Screening to day 7
Title
Changes from baseline in ECGs
Time Frame
Screening to day 7
Title
Changes from baseline in hematology
Time Frame
Screening to day 7
Title
Changes from baseline in coagulation
Time Frame
Screening to day 7
Title
Changes in baseline in urinalysis
Time Frame
Screening to day 7
Title
Changes in baseline in chemistry
Time Frame
Screening to day 7

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age between 18 and 50 years, inclusive, at the time of consent. Must be considered healthy. Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead ECG, hematology, thyroid panel (includes T3, T4 and TSH at Screening only), blood chemistry, coagulation and urinalysis Must have a body mass index between 18.0-30.0kg/m² inclusive with a body weight >50 kg (110 lbs). Ability to swallow all investigational product. A minimum of 1 bowel movement per day. Exclusion Criteria: History of any hematological, hepatic, respiratory, cardiovascular, renal, neurological or psychiatric disease, gallbladder removal, gastric bypass surgery, ileal resection, any small intestinal resection,or current or recurrent disease that could affect the action, absorption, or disposition of the investigational product, or clinical or laboratory assessments. Current or relevant history of physical or psychiatric illness. Known or suspected intolerance or hypersensitivity to the investigational product, or closely-related compounds, or any of the stated ingredients. Significant illness, as judged by the investigator, within 2 weeks of the dose of investigational product. Known history of alcohol or other substance abuse within the last year. Donation of blood or blood products (eg, plasma or platelets) within 60 days prior to the dose of investigational product. Within 30 days prior to the dose of investigational product: Have used an investigational product (if elimination half-life is <6 days, otherwise 5 half-lives). Have been enrolled in a clinical study (including vaccine studies) that, in the investigator's opinion, may impact this Shire-sponsored study. Have had any substantial changes in eating habits, as assessed by the investigator. Confirmed systolic blood pressure >139mmHg or <89mmHg, and diastolic blood pressure >89mmHg or <49mmHg. Twelve-lead ECG demonstrating QTc >450 msec at screening. If QTc exceeds 450msec, the ECG should be repeated 2 more times and the average of the 3 QTc values should be used to determine the subject's eligibility. A positive screen for drugs of abuse at Screening or a positive screen for alcohol or drugs of abuse at Check-in (Day -1). Male subjects who consume more than 21 units of alcohol per week or 3 units of alcohol per day. A positive human immunodeficiency virus antibody screen, hepatitis B surface antigen, or hepatitis C virus antibody screen. Use of tobacco in any form Routine consumption of more than 2 units of caffeine per day Current use of any medication including over-the-counter, herbal, or homeopathic preparations An inability to follow a standardized diet and meal schedule or inability to fast Have participated in a [14C]-study within the last 6 months prior to the dose of investigational product. Exposure to clinically significant radiation within 12 months prior to the dose of investigational product
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nicholas Siebers, MD
Organizational Affiliation
Covance Clinical Pharmacology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Covance Madison Clinical Research Unit
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53704
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28702877
Citation
Siebers N, Palmer M, Silberg DG, Jennings L, Bliss C, Martin PT. Absorption, Distribution, Metabolism, and Excretion of [14C]-Volixibat in Healthy Men: Phase 1 Open-Label Study. Eur J Drug Metab Pharmacokinet. 2018 Feb;43(1):91-101. doi: 10.1007/s13318-017-0429-7.
Results Reference
derived

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A Study to Investigate How the Study Drug SHP626 is Eliminated From the Body After One Dose

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