search
Back to results

A Study of EDP 305 in Healthy Subjects and Subjects With Presumptive NAFLD

Primary Purpose

Presumptive NAFLD

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
EDP 305
Placebo
Sponsored by
Enanta Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Presumptive NAFLD focused on measuring First-in-human, Single Ascending Dose, Multiple Ascending Dose

Eligibility Criteria

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

Inclusion Criteria for all SAD and MAD Subjects::

  • An informed consent document signed and dated by the subject.
  • Healthy male and female subjects of any ethnic origin between the ages of 18 and 55 years, inclusive.
  • Female subjects must be of non-childbearing potential.
  • All male participants who have not had a vasectomy must use effective contraception from Day -1 to 90 days after their last dose of study drug.
  • For healthy volunteers only (see below for Subjects with presumptive NAFLD): Body mass index of 18 to 30 kg/m2 with a minimum body weight of 50 kg.

Additional Inclusion Criteria for MAD Subjects with Presumptive NAFLD:

  • Body mass index of >28 and <35 kg/m2 at screening.

WITH or WITHOUT one of the following:

  • Type 2 diabetes mellitus diagnosed by one of the following methods:

    • As defined by the American Diabetes Association (ADA), as one of the following criteria: a) symptoms of diabetes plus casual plasma glucose concentration >200 mg/dL (11.1 mmol/L) OR b) Fasting plasma glucose >126 mg/dL (7.0 mmol/L) OR c) 2-hour post-load glucose >200 mg/dL (11.1 mmol/L) during a 75 g oGTT.
    • HbA1c of at least 6.5%. --- OR---
  • Prediabetes diagnosed as defined by the ADA as a) an HbA1c of 5.7% - 6.4% OR b) fasting blood glucose of 100-125 mg/dL OR c) an oGTT 2-hour blood glucose of 140 mg/dL - 199 mg/dL.

Exclusion Criteria:

  • Clinically relevant evidence or history of illness or disease.
  • Pregnant or nursing females.
  • History of febrile illness within 7 days prior to the first dose of study drug or subjects with evidence of active infection.
  • A positive urine drug screen at screening or Day -1.
  • Current tobacco smokers or use of tobacco within 3 months prior to screening.
  • Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy).
  • History of regular alcohol consumption
  • Participation in a clinical trial within 30 days prior to study drug administration.
  • Use of prescription drugs, non-prescription drugs, dietary supplements including Vitamin E herbal supplements, hormonal therapy/replacement or CYP3A4 substrates, inducers and inhibitors within 14 days prior to the first dose of study medication.

Additional Exclusion Criteria for MAD Subjects with Presumptive NAFLD:

  • Subjects taking any antidiabetic medication.
  • Subjects with unstable proliferative retinopathy, macular oedema (fundus examination performed in the previous year will be considered relevant on Investigator's judgement).
  • Subject has taken fibrates, statins, and/or Vitamin E within 6 weeks prior to the first dose administration.
  • Subjects with a history of bariatric surgery and any other gastrointestinal surgery relative to weight loss.
  • Subjects with common causes of secondary hepatic steatosis.

Sites / Locations

  • Pharmaceutical Research Associates, Inc.,

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Arm Label

EDP 305 SAD Cohorts

EDP 305 MAD Cohorts

EDP 305 SAD Placebo Cohort

EDP 305 MAD Placebo Cohort

Arm Description

EDP 305 Dose 1, Dose 2, Dose 3, Dose 4, Dose 5, and Dose 6 oral suspension, once daily in one single administration

EDP 305 Dose 1, Dose 2, Dose 3, Dose 4, Dose 5 and Dose 6 oral suspension, once daily for 14 days

Matching placebo, oral suspension, once daily in one single administration

Matching placebo, oral suspension, once daily for 14 days

Outcomes

Primary Outcome Measures

Safety data including but not limited to adverse events, physical exams, vital signs, 12-lead ECGs and clinical lab results (including chemistry, hematology, and urinalysis).

Secondary Outcome Measures

Cmax
EDP 305
Cmax
EDP 305
AUC
EDP 305
AUC
EDP 305

Full Information

First Posted
August 29, 2016
Last Updated
August 16, 2017
Sponsor
Enanta Pharmaceuticals, Inc
Collaborators
Pharmaceutical Research Associates
search

1. Study Identification

Unique Protocol Identification Number
NCT02918929
Brief Title
A Study of EDP 305 in Healthy Subjects and Subjects With Presumptive NAFLD
Official Title
A Randomized, Double-Blind, Placebo-Controlled, First-In-Human Study of Orally Administered EDP-305 to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single Ascending Doses (SAD), Multiple Ascending Doses (MAD) and the Effect of Food on EDP-305 Pharmacokinetics in Healthy Subjects, and of Multiple Ascending Doses (MAD) in Subjects With Presumptive NAFLD
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Enanta Pharmaceuticals, Inc
Collaborators
Pharmaceutical Research Associates

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This randomized, double-blind, placebo-controlled study will assess the safety, tolerability, and pharmacokinetics of single and multiple orally administered doses of EDP-305 in healthy adult subjects, and adult subjects with presumptive NAFLD (i.e., obese subjects with or without prediabetes or T2DM).
Detailed Description
The first phase assesses single ascending doses for EDP 305 (active drug or placebo) in healthy subjects. A "fasted" and "fed" two-part cohort will also assess food effect. The second phase assesses multiple ascending doses (active drug or placebo) for 14-days in healthy subjects and also in subjects with presumptive NAFLD (i.e., obese subjects with or without prediabetes or T2DM). Each cohort within each phase will enroll a total of 8 subjects who will be randomized to receive EDP-305 or placebo. The cohort assessing food effect will enroll 10 subjects randomized to receive EDP-305 or placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Presumptive NAFLD
Keywords
First-in-human, Single Ascending Dose, Multiple Ascending Dose

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
146 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EDP 305 SAD Cohorts
Arm Type
Experimental
Arm Description
EDP 305 Dose 1, Dose 2, Dose 3, Dose 4, Dose 5, and Dose 6 oral suspension, once daily in one single administration
Arm Title
EDP 305 MAD Cohorts
Arm Type
Experimental
Arm Description
EDP 305 Dose 1, Dose 2, Dose 3, Dose 4, Dose 5 and Dose 6 oral suspension, once daily for 14 days
Arm Title
EDP 305 SAD Placebo Cohort
Arm Type
Placebo Comparator
Arm Description
Matching placebo, oral suspension, once daily in one single administration
Arm Title
EDP 305 MAD Placebo Cohort
Arm Type
Placebo Comparator
Arm Description
Matching placebo, oral suspension, once daily for 14 days
Intervention Type
Drug
Intervention Name(s)
EDP 305
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
placebo to match EDP 305
Primary Outcome Measure Information:
Title
Safety data including but not limited to adverse events, physical exams, vital signs, 12-lead ECGs and clinical lab results (including chemistry, hematology, and urinalysis).
Time Frame
From screening to the 7-day post treatment safety follow up visit.
Secondary Outcome Measure Information:
Title
Cmax
Description
EDP 305
Time Frame
0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72 (D4), and 96 (D5) hrs post dose.
Title
Cmax
Description
EDP 305
Time Frame
Day 1: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15 hrs; Days 2, 3, 4, 5, 7, 9, 12; Day 14: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24 (D15), 30, 36, 48 (D16), 60, 72 (D17), and 96 (D18) hrs postdose
Title
AUC
Description
EDP 305
Time Frame
0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72 (D4), and 96 (D5) hrs post dose.
Title
AUC
Description
EDP 305
Time Frame
Day 1: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15 hrs; Days 2, 3, 4, 5, 7, 9, 12; Day 14: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24 (D15), 30, 36, 48 (D16), 60, 72 (D17), and 96 (D18) hrs postdose
Other Pre-specified Outcome Measures:
Title
Change from baseline: FGF19
Time Frame
Day 1 predose and postdose hours 2, 4, 8, 12, and 24 (i.e., Day 2 predose)
Title
Change from baseline: C4
Time Frame
Day 1 predose and postdose hours 2, 4, 8, 12, and 24 (i.e., Day 2 predose)
Title
Change from baseline: FGF19
Time Frame
Day 1 predose and postdose hours 2, 4, 6, 8, 12 and 24 (i.e., Day 2 predose); Day 7 predose and postdose hours 8, 12, and 24 (i.e., Day 8 predose); Day 14 predose and postdose hours 8, 12, and 24 (i.e., Day 15 predose)
Title
Change from baseline: C4
Time Frame
Day 1 predose and postdose hours 2, 4, 6, 8, 12 and 24 (i.e., Day 2 predose); Day 7 predose and postdose hours 8, 12, and 24 (i.e., Day 8 predose); Day 14 predose and postdose hours 8, 12, and 24 (i.e., Day 15 predose)
Title
Change from baseline: total bile acids
Time Frame
Day 1 predose and approximately 8 to 12 hours postdose
Title
Change from baseline: total bile acids
Time Frame
Day 1 predose; Day 7 approximately 8 to 12 hours postdose; Day 14 approximately 8 to 12 hours postdose

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 for all SAD and MAD Subjects:: An informed consent document signed and dated by the subject. Healthy male and female subjects of any ethnic origin between the ages of 18 and 55 years, inclusive. Female subjects must be of non-childbearing potential. All male participants who have not had a vasectomy must use effective contraception from Day -1 to 90 days after their last dose of study drug. For healthy volunteers only (see below for Subjects with presumptive NAFLD): Body mass index of 18 to 30 kg/m2 with a minimum body weight of 50 kg. Additional Inclusion Criteria for MAD Subjects with Presumptive NAFLD: Body mass index of >28 and <35 kg/m2 at screening. WITH or WITHOUT one of the following: Type 2 diabetes mellitus diagnosed by one of the following methods: As defined by the American Diabetes Association (ADA), as one of the following criteria: a) symptoms of diabetes plus casual plasma glucose concentration >200 mg/dL (11.1 mmol/L) OR b) Fasting plasma glucose >126 mg/dL (7.0 mmol/L) OR c) 2-hour post-load glucose >200 mg/dL (11.1 mmol/L) during a 75 g oGTT. HbA1c of at least 6.5%. --- OR--- Prediabetes diagnosed as defined by the ADA as a) an HbA1c of 5.7% - 6.4% OR b) fasting blood glucose of 100-125 mg/dL OR c) an oGTT 2-hour blood glucose of 140 mg/dL - 199 mg/dL. Exclusion Criteria: Clinically relevant evidence or history of illness or disease. Pregnant or nursing females. History of febrile illness within 7 days prior to the first dose of study drug or subjects with evidence of active infection. A positive urine drug screen at screening or Day -1. Current tobacco smokers or use of tobacco within 3 months prior to screening. Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy). History of regular alcohol consumption Participation in a clinical trial within 30 days prior to study drug administration. Use of prescription drugs, non-prescription drugs, dietary supplements including Vitamin E herbal supplements, hormonal therapy/replacement or CYP3A4 substrates, inducers and inhibitors within 14 days prior to the first dose of study medication. Additional Exclusion Criteria for MAD Subjects with Presumptive NAFLD: Subjects taking any antidiabetic medication. Subjects with unstable proliferative retinopathy, macular oedema (fundus examination performed in the previous year will be considered relevant on Investigator's judgement). Subject has taken fibrates, statins, and/or Vitamin E within 6 weeks prior to the first dose administration. Subjects with a history of bariatric surgery and any other gastrointestinal surgery relative to weight loss. Subjects with common causes of secondary hepatic steatosis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Dickerson, MD
Organizational Affiliation
Pharmaceutical Research Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Pharmaceutical Research Associates, Inc.,
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66219
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
When the clinical study report has been submitted to the appropriate Regulatory authorities, a lay person summary will be provided to all study subjects by mail or email.

Learn more about this trial

A Study of EDP 305 in Healthy Subjects and Subjects With Presumptive NAFLD

We'll reach out to this number within 24 hrs