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Study to Assess Pharmacokinetics, Safety, and Tolerability of XC-8

Primary Purpose

Asthma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
XC8 (histamine glutarimide)
Placebo
Sponsored by
EURRUS Biotech GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Asthma focused on measuring Double-blind, Randomized, Dose-escalating, Placebo-controlled, Phase I, Healthy volunteers, Bronchial asthma, Histamine glutarimide, EURRUS

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Men and women aged 18 to 50 years;
  2. Generally good health;
  3. Body mass index of 19 to 30 kg/m² and >50 kg body weight;
  4. Female subjects who are post-menopausal (no menstrual period for a minimum of 1 year), or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy), or practice a highly effective method of birth control, i.e. resulting in a failure rate of less than 1% per year when used consistently and correctly (e.g. implants, injectables, combined oral contraceptives, some intra-uterine devices, sexual abstinence, or vasectomized partner). The birth control method must have been applied for at least 1 cycle before and until 3 months after administration of the study medication.
  5. Male subjects with a female partner of child-bearing potential agree to use a medically acceptable method of contraception (e.g. condoms, sexual abstinence, vasectomy) during the study, and until 3 months after the last intake of study medication.
  6. Subjects are willing and able (in the opinion of the investigator) to understand and comply with the procedures and evaluations of the study.
  7. Subjects must be willing and legally able to give written informed consent.

Exclusion Criteria:

  1. Hepatic or renal disease; any other disease, which may influence the clinical trial results or may lead to health worsening during the trial (according to the investigator's opinion);
  2. Clinically significant laboratory abnormalities;
  3. Use of any medication, including prophylaxis, within 1 month before screening (including herbal preparations and nutritional supplements);
  4. Positive test for human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus HBV at Screening;
  5. Irregular sleep (e.g. night work, sleep disturbances, insomnia, returning from another time zone, etc.);
  6. History or current evidence of alcohol or drug abuse; alcohol or drug intake within 4 days before Screening;
  7. History or current evidence of allergic reactions (including reactions to medications and food);
  8. History or current evidence of symptomatic rhinitis within 2 years before Screening (allergic rhinitis, non-allergic rhinitis, or hay fever, excluding short-term viral infection - cold or influenza);
  9. Blood or plasma donation, or surgery (in hospital) within 12 weeks of Screening;
  10. Lactating or pregnant females; a positive pregnancy test before the first administration of investigational medicinal product or breastfeeding;
  11. Current or previous (within 3 months of enrollment) treatment with another investigational drug and/or medical device or participation in another clinical study;
  12. Previous enrollment in this clinical study;
  13. Inability to understand or follow protocol instructions;
  14. Smoking within 3 months before screening or throughout the study;
  15. Lactose intolerance;
  16. History of allergic reactions to XC-8 or any inactive ingredients of the trial medication;
  17. Employees of the sponsor or subjects who are employees or relatives of the investigator;

Sites / Locations

  • Karl Landsteiner Institut für experimentelle und klinische Pneumologie, Wolkersbergenstraße 1
  • Fraunhofer Institut für Toxikologie und Experimentelle Medizin ITEM, Feodor-Lynen-Str.15

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

XC8 10mg

XC8 50mg

XC8 200mg

Placebo

Arm Description

Cohort 1: 8 subjects will be randomized in a 3:1 ratio to be treated either with 10mg XC8 (6 subjects) or placebo (2 subjects, see placebo arm)

Cohort 2: 8 subjects will be randomized in a 3:1 ratio to be treated either with 50mg XC8 (6 subjects) or placebo (2 subjects, see placebo arm)

Cohort 3: 16 subjects will be randomized in a 3:1 ratio to be treated either with 200mg XC8 (12 subjects) or placebo (4 subjects, see placebo arm)

Placebo comparator arm consists of 2 subjects in the cohorts 1 and 2 each and 4 subjects in the cohort 3.

Outcomes

Primary Outcome Measures

Number of Adverse events per treatment arm
Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects
Laboratory data
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Laboratory data
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Laboratory data
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Physical examination
Physical examination results will be listed for following: general appearance, skin, head, eyes, ears, nose, throat, neck (including thyroid), lymph nodes, chest, heart, abdomen (including liver examination), extremities, and nervous system.
Physical examination
Physical examination results will be listed for following: general appearance, skin, head, eyes, ears, nose, throat, neck (including thyroid), lymph nodes, chest, heart, abdomen (including liver examination), extremities, and nervous system.
12-lead ECG
12-lead ECG results will be analyzed descriptively
12-lead ECG
12-lead ECG results will be analyzed descriptively
Vital signs
Vital signs (blood pressure, respiratory rate, pulse, and temperature) results will be analyzed descriptively.

Secondary Outcome Measures

Pharmacokinetics of XC8 by assessing AUCinf
Area under the plasma concentration-time curve extrapolated to infinity
Pharmacokinetics of XC8 by assessing Cmax
Maximum plasma concentration
Pharmacokinetics of XC8 by assessing AUC0-tlast
Area under the plasma concentration-time curve up to the last sampling time with a concentration above the limit of quantification
Pharmacokinetics of XC8 by assessing AUC0-24
Area under the plasma concentration-time curve up to 24 hours after study drug administration
Pharmacokinetics of XC8 by assessing t1/2
Terminal elimination half-life
Pharmacokinetics of XC8 by assessing Tmax
Time to reach Cmax
Pharmacokinetics of XC8 by assessing λz
Apparent first order terminal elimination rate constant
Pharmacokinetics of XC8 by assessing Cav
Average concentration over one dosing interval
Pharmacodynamic analyses: blood eosinophils
Pharmacodynamic analyses: blood cytokines

Full Information

First Posted
August 1, 2016
Last Updated
May 17, 2017
Sponsor
EURRUS Biotech GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT02882217
Brief Title
Study to Assess Pharmacokinetics, Safety, and Tolerability of XC-8
Official Title
Double-blind, Randomized, Dose-escalating, Placebo-controlled Study to Assess Pharmacokinetics, Safety, and Tolerability of XC-8 After Single and Multiple Oral Doses in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
August 2016 (undefined)
Primary Completion Date
May 2017 (Actual)
Study Completion Date
May 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EURRUS Biotech GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study focusses on the evaluation of safety and tolerability of the XC8. The design of the study involves sequential dosing of cohorts (group of volunteers), taking increasing doses of the product after receiving conclusion and recommendation for further continuation of the study from the Dose Escalation Committee.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Double-blind, Randomized, Dose-escalating, Placebo-controlled, Phase I, Healthy volunteers, Bronchial asthma, Histamine glutarimide, EURRUS

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XC8 10mg
Arm Type
Active Comparator
Arm Description
Cohort 1: 8 subjects will be randomized in a 3:1 ratio to be treated either with 10mg XC8 (6 subjects) or placebo (2 subjects, see placebo arm)
Arm Title
XC8 50mg
Arm Type
Active Comparator
Arm Description
Cohort 2: 8 subjects will be randomized in a 3:1 ratio to be treated either with 50mg XC8 (6 subjects) or placebo (2 subjects, see placebo arm)
Arm Title
XC8 200mg
Arm Type
Active Comparator
Arm Description
Cohort 3: 16 subjects will be randomized in a 3:1 ratio to be treated either with 200mg XC8 (12 subjects) or placebo (4 subjects, see placebo arm)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo comparator arm consists of 2 subjects in the cohorts 1 and 2 each and 4 subjects in the cohort 3.
Intervention Type
Drug
Intervention Name(s)
XC8 (histamine glutarimide)
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Number of Adverse events per treatment arm
Description
Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects
Time Frame
Change from pre-dose up to Day 36
Title
Laboratory data
Description
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Time Frame
Changes from Day 1 (pre-dose) till Day 2
Title
Laboratory data
Description
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Time Frame
Changes from Day 8 (pre-dose) till Day 10
Title
Laboratory data
Description
Laboratory data (hematology, biochemistry and urinalysis) will be summarized by treatment arm. Changes from pre-dose will be presented using shift tables (employing the categories 'normal', 'abnormal, clinically not significant' and 'abnormal, clinically significant') and absolute changes in laboratory values, if appropriate.
Time Frame
Changes from Day 8 (pre-dose) till Day 15
Title
Physical examination
Description
Physical examination results will be listed for following: general appearance, skin, head, eyes, ears, nose, throat, neck (including thyroid), lymph nodes, chest, heart, abdomen (including liver examination), extremities, and nervous system.
Time Frame
Day 1
Title
Physical examination
Description
Physical examination results will be listed for following: general appearance, skin, head, eyes, ears, nose, throat, neck (including thyroid), lymph nodes, chest, heart, abdomen (including liver examination), extremities, and nervous system.
Time Frame
Day 8
Title
12-lead ECG
Description
12-lead ECG results will be analyzed descriptively
Time Frame
Change from pre-dose till Day 2
Title
12-lead ECG
Description
12-lead ECG results will be analyzed descriptively
Time Frame
Day 8
Title
Vital signs
Description
Vital signs (blood pressure, respiratory rate, pulse, and temperature) results will be analyzed descriptively.
Time Frame
Changes from pre-dose till Day 36
Secondary Outcome Measure Information:
Title
Pharmacokinetics of XC8 by assessing AUCinf
Description
Area under the plasma concentration-time curve extrapolated to infinity
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing Cmax
Description
Maximum plasma concentration
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing AUC0-tlast
Description
Area under the plasma concentration-time curve up to the last sampling time with a concentration above the limit of quantification
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing AUC0-24
Description
Area under the plasma concentration-time curve up to 24 hours after study drug administration
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing t1/2
Description
Terminal elimination half-life
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing Tmax
Description
Time to reach Cmax
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing λz
Description
Apparent first order terminal elimination rate constant
Time Frame
Day 1 and 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 2 and Day 22 (24 hours ±10 minutes post dose); Day 8 to 11, 13 and 15 (Pre dose)
Title
Pharmacokinetics of XC8 by assessing Cav
Description
Average concentration over one dosing interval
Time Frame
Day 8 to 11, 13 and 15 (Pre dose); Day 21 (Pre dose, and 20 min, 40 min, 1, 2, 4 and 8 hours post dose), Day 22 (24 hours ±10 minutes post dose)
Title
Pharmacodynamic analyses: blood eosinophils
Time Frame
changes from Day 1 (pre-dose) to Day 2 and Day 8 (pre-dose) to Day 22
Title
Pharmacodynamic analyses: blood cytokines
Time Frame
changes from Day 1 (pre-dose) to Day 2 and Day 8 (pre-dose) to Day 22

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women aged 18 to 50 years; Generally good health; Body mass index of 19 to 30 kg/m² and >50 kg body weight; Female subjects who are post-menopausal (no menstrual period for a minimum of 1 year), or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy), or practice a highly effective method of birth control, i.e. resulting in a failure rate of less than 1% per year when used consistently and correctly (e.g. implants, injectables, combined oral contraceptives, some intra-uterine devices, sexual abstinence, or vasectomized partner). The birth control method must have been applied for at least 1 cycle before and until 3 months after administration of the study medication. Male subjects with a female partner of child-bearing potential agree to use a medically acceptable method of contraception (e.g. condoms, sexual abstinence, vasectomy) during the study, and until 3 months after the last intake of study medication. Subjects are willing and able (in the opinion of the investigator) to understand and comply with the procedures and evaluations of the study. Subjects must be willing and legally able to give written informed consent. Exclusion Criteria: Hepatic or renal disease; any other disease, which may influence the clinical trial results or may lead to health worsening during the trial (according to the investigator's opinion); Clinically significant laboratory abnormalities; Use of any medication, including prophylaxis, within 1 month before screening (including herbal preparations and nutritional supplements); Positive test for human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus HBV at Screening; Irregular sleep (e.g. night work, sleep disturbances, insomnia, returning from another time zone, etc.); History or current evidence of alcohol or drug abuse; alcohol or drug intake within 4 days before Screening; History or current evidence of allergic reactions (including reactions to medications and food); History or current evidence of symptomatic rhinitis within 2 years before Screening (allergic rhinitis, non-allergic rhinitis, or hay fever, excluding short-term viral infection - cold or influenza); Blood or plasma donation, or surgery (in hospital) within 12 weeks of Screening; Lactating or pregnant females; a positive pregnancy test before the first administration of investigational medicinal product or breastfeeding; Current or previous (within 3 months of enrollment) treatment with another investigational drug and/or medical device or participation in another clinical study; Previous enrollment in this clinical study; Inability to understand or follow protocol instructions; Smoking within 3 months before screening or throughout the study; Lactose intolerance; History of allergic reactions to XC-8 or any inactive ingredients of the trial medication; Employees of the sponsor or subjects who are employees or relatives of the investigator;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Helmut Schmutz, Mag.iur.
Organizational Affiliation
EURRUS Biotech GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Karl Landsteiner Institut für experimentelle und klinische Pneumologie, Wolkersbergenstraße 1
City
Wien
ZIP/Postal Code
1130
Country
Austria
Facility Name
Fraunhofer Institut für Toxikologie und Experimentelle Medizin ITEM, Feodor-Lynen-Str.15
City
Hannover
ZIP/Postal Code
30625
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
31597083
Citation
Renner A, Romanova J, Ferko B, Schmutz H, Nebolsin V, Muller M, Badorrek P, Marth K, Pohl W. Safety, pharmacokinetics and pharmacodynamics of a novel anti-asthmatic drug, XC8, in healthy probands. Pulm Pharmacol Ther. 2019 Dec;59:101852. doi: 10.1016/j.pupt.2019.101852. Epub 2019 Oct 6.
Results Reference
derived

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Study to Assess Pharmacokinetics, Safety, and Tolerability of XC-8

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