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Safety, Tolerability, and Pharmacokinetics of a Single Oral Dose of SKI-O-703 in Healthy Volunteers

Primary Purpose

Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SKI-O-703 capsule
Placebo capsule
Sponsored by
Oscotec Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Rheumatoid Arthritis focused on measuring rheumatoid arthritis, healthy volunteers, moderately to severely active

Eligibility Criteria

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

Inclusion Criteria:

  • Willing and able to provide written informed consent for participation prior to completing any study procedures
  • Considered by the investigator to be in good health as determined by the absence of clinically significant diseases or clinically significant abnormal values as determined by a detailed medical history review, complete physical examination, and clinical laboratory assessments. Clinical significance for any out-of-range laboratory test results will be determined by the principal investigator
  • Male subjects and female subjects of non-childbearing potential between the ages of 18 and 55 years, inclusive
  • Female subjects of non-childbearing potential are those who are surgically sterile at least 6 months or postmenopausal at least 2 years and have follicle-stimulating hormone serum levels consistent with postmenopausal status.
  • Male subjects must agree to use a condom with spermicide or abstain from sexual intercourse for 90 days after dosing
  • Male subjects must agree not to donate sperm for 90 days after dosing
  • Female subjects must have negative serum pregnancy test results at Screening and Day -1
  • Subject must have a body mass index (BMI) between 18.0 and 30.0 kg/m2, inclusive, and weight โ‰ฅ50 kg
  • Subject must be able to understand the study and any risks to participation and able to communicate with the investigator

Exclusion Criteria:

  • History of any clinically significant disease or disorder that may put the subject at risk if he/she participates in the study, might affect the subject's ability to participate in the study, or influence the study results
  • History or presence of any gastrointestinal, hepatic or renal disease, or any other condition known to interfere with the absorption, distribution, metabolism, or excretion (ADME) of drugs
  • Any surgical or medical conditions possibly affecting drug ADME (eg, bariatric procedure)
  • Any medical/surgical procedure or trauma within 4 weeks of Day -1 as determined by the investigator
  • Any clinically significant infection within 3 months of Day -1 as determined by the investigator
  • Any of the following abnormal laboratory values upon repeat testing at Screening or check-in:

    • Hemoglobin <the lower limit of normal (LLN)
    • Platelet count <LLN
    • Absolute neutrophil count <LLN or >the upper limit of normal (ULN)
    • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >ULN
    • Creatinine or blood urea nitrogen >ULN
    • Other clinically significant abnormal laboratory results in the opinion of the investigator
  • Use of concomitant medications from 30 days or 5 half-lives prior to Day -1 (whichever is longer), including prescription medications, nutritional supplements, herbal remedies, and over-the-counter medications
  • Receipt of any investigational medication within 30 days or 5 half-lives prior to Day -1, whichever is longer
  • Use of tobacco or nicotine-containing products within 30 days prior to Day -1 and through the End-of-Study visit
  • Use of cytochrome P450 3A isozyme (CYP3A) inducers and inhibitors (including St. John's wort) within 30 days of dosing
  • Food or beverage containing alcohol, grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (eg, kale, broccoli, watercress, collard greens, kohlrabi, brussels sprouts, mustard), and charbroiled meats within 1 week prior to dosing
  • History of substance abuse, drug addiction, or alcoholism
  • Positive urine drug or urine alcohol test result at screening or Day -1 or unable to abstain from alcohol from 72 hours prior to study entry to the End-of-Study visit
  • Unable to abstain from caffeine and xanthine-containing products from 72 hours prior to dosing through discharge from the study site
  • Female subjects who are pregnant or lactating or have a positive serum pregnancy test result at Screening
  • Positive test results at Screening for human immunodeficiency virus, hepatitis B surface antigen (HBsAg), hepatitis C virus antibody, or hepatitis B core antibody and negative for HBsAg
  • Recent (past 5 years) history of malignancy except successfully treated basal cell carcinoma
  • High blood pressure, defined as >140 millimeters of mercury (mm Hg) systolic blood pressure or >90 mm Hg diastolic blood pressure upon repeat confirmation
  • Cardiac arrhythmias or clinically significant ECG findings upon repeat confirmation by the investigator
  • Corrected QT interval (QTc) >450 milliseconds or deemed clinically significant by the investigator
  • Family history of long QT syndrome
  • Blood loss or blood donation >450 mL within 4 weeks of study drug dosing
  • History of sensitivity to drugs with chemical similarity to the study drug, its components, or excipients

Sites / Locations

  • PPD Development, LP

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

SKI-O-703 50 mg

SKI-O-703 100 mg

SKI-O-703 200 mg

SKI-O-703 400 mg

SKI-O-703 600 mg

SKI-O-703 800 mg

Placebo

Arm Description

SKI-O-703 capsule (2x25 mg)

SKI-O-703 capsule (4x25 mg)

SKI-O-703 capsule (1x200 mg)

SKI-O-703 capsule (2x200 mg)

SKI-O-703 capsule (3x200 mg)

SKI-O-703 capsule (4x200 mg)

Placebo capsule

Outcomes

Primary Outcome Measures

Number of participants (Healthy Volunteers) with reported adverse events receiving single dose of SKI-O-703 as assessment of safety and tolerability.
Safety and tolerability of SKI-O-703 as measured by subject incidence of treatment-related Adverse Events.

Secondary Outcome Measures

Area under the concentration versus time curve from time 0 to the last quantifiable concentration (AUC0-t) for estimating the pharmacokinetic parameters of SKI-O-592 (the free base of SKI-O-703) and its metabolites.
AUC0-t will be reported
Area under the concentration versus time curve from time 0 extrapolated to infinity (AUC0-inf)
AUC0-inf will be reported
Maximum observed plasma concentration (Cmax)
Cmax will be reported
Time to reach the maximum observed plasma concentration (Tmax)
Tmax will be reported
Apparent terminal elimination half-life (T1/2)
T1/2 will be reported
Apparent volume of distribution (Vd/F) (SKI-O-592, free base of SKI-O-703)
Vd/F will be reported
Apparent oral clearance (CL/F) (SKI-O-592 only)
CL/F will be reported.
Terminal elimination rate constant (Kel)
Kel will be reported.
Mean residence time (MRT)
MRT will be reported.
Metabolite ratio (Rmet), calculated as AUC0-t (metabolite) / AUC0-t (parent) (metabolites M1, M2 and M4 only).
Rmet will be reported.
Renal clearance (SKI-O-592, free base of SKI-O-703 only)
Renal clearance will be reported.
Amount of drug excreted in urine over the collection intervals of 0 to 4 hours (Ae0-4), 4 to 8 hours, 8 to 12 hours, 12 to 24 hours, 24 to 48 hours, and 48 to 72 hours post dose.
Ae will be reported

Full Information

First Posted
March 4, 2016
Last Updated
February 26, 2018
Sponsor
Oscotec Inc.
Collaborators
PPD
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1. Study Identification

Unique Protocol Identification Number
NCT02717988
Brief Title
Safety, Tolerability, and Pharmacokinetics of a Single Oral Dose of SKI-O-703 in Healthy Volunteers
Official Title
A Phase 1, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Assess the Safety, Tolerability, and Pharmacokinetics of a Single Oral Dose of SKI-O-703 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
September 2015 (Actual)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oscotec Inc.
Collaborators
PPD

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This double-blind, placebo-controlled, single ascending dose study is designed to demonstrate safety, tolerability and pharmacokinetics of SKI-O-703 in healthy volunteers. The results of this study will guide selection of dose levels for future multiple dose studies in healthy volunteers and adult patients with moderately to severely active rheumatoid arthritis.
Detailed Description
This is a double-blind, placebo-controlled study in healthy adult volunteers that will be conducted to evaluate the safety, tolerability, and pharmacokinetics of ascending single doses of SKI-O-703. A total of 48 subjects are planned to participate in 6 cohorts (8 subjects each). In each cohort, 6 subjects will be randomly assigned to receive SKI-O-703 and 2 subjects will be randomly assigned to matching placebo. Dosing will be initiated in the 50 mg dose cohort and sequentially escalated to the 100 mg, 200 mg, 400 mg, 600 mg, and 800 mg cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
rheumatoid arthritis, healthy volunteers, moderately to severely active

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SKI-O-703 50 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (2x25 mg)
Arm Title
SKI-O-703 100 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (4x25 mg)
Arm Title
SKI-O-703 200 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (1x200 mg)
Arm Title
SKI-O-703 400 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (2x200 mg)
Arm Title
SKI-O-703 600 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (3x200 mg)
Arm Title
SKI-O-703 800 mg
Arm Type
Experimental
Arm Description
SKI-O-703 capsule (4x200 mg)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsule
Intervention Type
Drug
Intervention Name(s)
SKI-O-703 capsule
Intervention Description
SKI-O-703 25 mg capsule or 200 mg capsule without excipient
Intervention Type
Drug
Intervention Name(s)
Placebo capsule
Intervention Description
Placebo 180 mg capsule filled with microcrystalline cellulose
Primary Outcome Measure Information:
Title
Number of participants (Healthy Volunteers) with reported adverse events receiving single dose of SKI-O-703 as assessment of safety and tolerability.
Description
Safety and tolerability of SKI-O-703 as measured by subject incidence of treatment-related Adverse Events.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Area under the concentration versus time curve from time 0 to the last quantifiable concentration (AUC0-t) for estimating the pharmacokinetic parameters of SKI-O-592 (the free base of SKI-O-703) and its metabolites.
Description
AUC0-t will be reported
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Area under the concentration versus time curve from time 0 extrapolated to infinity (AUC0-inf)
Description
AUC0-inf will be reported
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Maximum observed plasma concentration (Cmax)
Description
Cmax will be reported
Time Frame
Days 0 (pre-dose), 1 (dosing), and post-dose at days 2, 3 and 4
Title
Time to reach the maximum observed plasma concentration (Tmax)
Description
Tmax will be reported
Time Frame
Day 0 (pre-dose), Day1 (dosing), and post-dose at days 2, 3 and 4
Title
Apparent terminal elimination half-life (T1/2)
Description
T1/2 will be reported
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Apparent volume of distribution (Vd/F) (SKI-O-592, free base of SKI-O-703)
Description
Vd/F will be reported
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Apparent oral clearance (CL/F) (SKI-O-592 only)
Description
CL/F will be reported.
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Terminal elimination rate constant (Kel)
Description
Kel will be reported.
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Mean residence time (MRT)
Description
MRT will be reported.
Time Frame
Day 0 (pre-dose), Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Metabolite ratio (Rmet), calculated as AUC0-t (metabolite) / AUC0-t (parent) (metabolites M1, M2 and M4 only).
Description
Rmet will be reported.
Time Frame
Day 0 (pre-dose), Day 1 (dosing) and post-dose at Days 2, 3 and 4
Title
Renal clearance (SKI-O-592, free base of SKI-O-703 only)
Description
Renal clearance will be reported.
Time Frame
Day 1 (dosing), and post-dose at days 2, 3 and 4
Title
Amount of drug excreted in urine over the collection intervals of 0 to 4 hours (Ae0-4), 4 to 8 hours, 8 to 12 hours, 12 to 24 hours, 24 to 48 hours, and 48 to 72 hours post dose.
Description
Ae will be reported
Time Frame
Day 1 (dosing), and post-dose at days 2, 3 and 4
Other Pre-specified Outcome Measures:
Title
The pharmacodynamics variable will be the change in the percentage of activated gp53/CD63+ basophils and will be evaluated from serial blood samples collected from subjects who have received SKI-O-703 or placebo.
Description
changes in the percentage of activated gp53/CD63+ basophils will be reported
Time Frame
Pre-dose, Day 1(dosing) and post-dose at Day 2

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: Willing and able to provide written informed consent for participation prior to completing any study procedures Considered by the investigator to be in good health as determined by the absence of clinically significant diseases or clinically significant abnormal values as determined by a detailed medical history review, complete physical examination, and clinical laboratory assessments. Clinical significance for any out-of-range laboratory test results will be determined by the principal investigator Male subjects and female subjects of non-childbearing potential between the ages of 18 and 55 years, inclusive Female subjects of non-childbearing potential are those who are surgically sterile at least 6 months or postmenopausal at least 2 years and have follicle-stimulating hormone serum levels consistent with postmenopausal status. Male subjects must agree to use a condom with spermicide or abstain from sexual intercourse for 90 days after dosing Male subjects must agree not to donate sperm for 90 days after dosing Female subjects must have negative serum pregnancy test results at Screening and Day -1 Subject must have a body mass index (BMI) between 18.0 and 30.0 kg/m2, inclusive, and weight โ‰ฅ50 kg Subject must be able to understand the study and any risks to participation and able to communicate with the investigator Exclusion Criteria: History of any clinically significant disease or disorder that may put the subject at risk if he/she participates in the study, might affect the subject's ability to participate in the study, or influence the study results History or presence of any gastrointestinal, hepatic or renal disease, or any other condition known to interfere with the absorption, distribution, metabolism, or excretion (ADME) of drugs Any surgical or medical conditions possibly affecting drug ADME (eg, bariatric procedure) Any medical/surgical procedure or trauma within 4 weeks of Day -1 as determined by the investigator Any clinically significant infection within 3 months of Day -1 as determined by the investigator Any of the following abnormal laboratory values upon repeat testing at Screening or check-in: Hemoglobin <the lower limit of normal (LLN) Platelet count <LLN Absolute neutrophil count <LLN or >the upper limit of normal (ULN) Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >ULN Creatinine or blood urea nitrogen >ULN Other clinically significant abnormal laboratory results in the opinion of the investigator Use of concomitant medications from 30 days or 5 half-lives prior to Day -1 (whichever is longer), including prescription medications, nutritional supplements, herbal remedies, and over-the-counter medications Receipt of any investigational medication within 30 days or 5 half-lives prior to Day -1, whichever is longer Use of tobacco or nicotine-containing products within 30 days prior to Day -1 and through the End-of-Study visit Use of cytochrome P450 3A isozyme (CYP3A) inducers and inhibitors (including St. John's wort) within 30 days of dosing Food or beverage containing alcohol, grapefruit or grapefruit juice, apple or orange juice, vegetables from the mustard green family (eg, kale, broccoli, watercress, collard greens, kohlrabi, brussels sprouts, mustard), and charbroiled meats within 1 week prior to dosing History of substance abuse, drug addiction, or alcoholism Positive urine drug or urine alcohol test result at screening or Day -1 or unable to abstain from alcohol from 72 hours prior to study entry to the End-of-Study visit Unable to abstain from caffeine and xanthine-containing products from 72 hours prior to dosing through discharge from the study site Female subjects who are pregnant or lactating or have a positive serum pregnancy test result at Screening Positive test results at Screening for human immunodeficiency virus, hepatitis B surface antigen (HBsAg), hepatitis C virus antibody, or hepatitis B core antibody and negative for HBsAg Recent (past 5 years) history of malignancy except successfully treated basal cell carcinoma High blood pressure, defined as >140 millimeters of mercury (mm Hg) systolic blood pressure or >90 mm Hg diastolic blood pressure upon repeat confirmation Cardiac arrhythmias or clinically significant ECG findings upon repeat confirmation by the investigator Corrected QT interval (QTc) >450 milliseconds or deemed clinically significant by the investigator Family history of long QT syndrome Blood loss or blood donation >450 mL within 4 weeks of study drug dosing History of sensitivity to drugs with chemical similarity to the study drug, its components, or excipients
Facility Information:
Facility Name
PPD Development, LP
City
Austin
State/Province
Texas
ZIP/Postal Code
78744
Country
United States

12. IPD Sharing Statement

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Safety, Tolerability, and Pharmacokinetics of a Single Oral Dose of SKI-O-703 in Healthy Volunteers

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