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Phase 1 Study of PBTZ169

Primary Purpose

Tuberculosis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
PBTZ169 - 40 mg
PBTZ169 - 80 mg
PBTZ169 - 160 mg
PBTZ169 - 320 mg
PBTZ169 - 640 mg
PBTZ169 - 320 mg (multiple administration)
PBTZ169 - 640 mg (multiple administration)
Sponsored by
Nearmedic Plus LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Tuberculosis focused on measuring Tuberculosis

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Written informed consent received from a volunteer.
  2. Man aged 18 to 45 years old, inclusive.
  3. Body mass index of 18.5-25 kg/m2.
  4. Verified diagnosis: "healthy" according to data of standard clinical, laboratory and instrumental examination methods performed at screening:

    • Absence of deviations of physical examination parameters and vital signs (systolic blood pressure - 100-129 mm Hg, inclusive; diastolic blood pressure - 70-89 mm Hg, inclusive; heart rate - 60-80 bpm, inclusive);
    • Absence of deviations of laboratory parameters (complete blood count, blood biochemistry, urinalysis and tests for HIV, HBV, HCV, syphilis);
    • Normal parameters of 12-lead ECG;
    • Normal results of photofluorographic or X-ray examination (the results received maximum 6 months before screening can be used).
  5. Ability, according to investigators opinion, to comply with all requirements of the protocol.
  6. Agreement to use double contraception method during the study participation and for 3 months after the test drug administration - combination of male condom with not less than one of the following methods:

    • female partner using hormonal contraception;
    • using aerosols, creams, suppositories and other agents containing spermicides;
    • female partner using intrauterine device

Exclusion Criteria:

  1. Aggravated allergic history, including presence of at least one episode of drug allergy.
  2. Chronic diseases of cardiovascular, bronchopulmonary, neuroendocrine systems, ENT and gastrointestinal, hepatic, renal, blood and cutaneous diseases.
  3. Chronic diseases of eyes except for mild to moderate myopia, hypermetropia and astigmatism.
  4. Gastrointestinal surgeries (except for appendectomy performed not less than 1 year before screening).
  5. Acute infections within less than 4 weeks before screening.
  6. Regular drug administration within less than 4 weeks before screening.
  7. Regular administration or application (including topical) of hormonal drugs for more than 1 week within less than 45 days before the screening.
  8. Administration of drugs exerting evident effects on hemodynamics, hepatic function, etc. (barbiturates, omeprazole, cimetidine, etc.) within less than 45 days before the screening.
  9. Positive tests for narcotic and psychotropic agents.
  10. Donation (450 mL of blood or plasma) within less than 3 months before the screening.
  11. Intake of more than 10 U of alcohol per week (1 unit of alcohol is equivalent to 500 mL of beer, 200 mL of vine or 50 mL of strong alcoholic drink) or historical data on alcoholism, narcomania, drug abuse.
  12. Mental illnesses.
  13. Smoking within half a year before the screening.
  14. Previous participation in this clinical study and withdrawal from it due to any reason.
  15. Participation in other clinical studies of drugs within less than 6 months before the screening.
  16. Planned conception or sperm donation during the study after the test drug administration or during 3 months after the date of drug administration.

Sites / Locations

    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

    Experimental

    Arm Label

    Cohort 1

    Cohort 2

    Cohort 3

    Cohort 4

    Cohort 5

    Cohort 6

    Cohort 7

    Arm Description

    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 40 mg (1 capsule)

    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 80 mg (2 capsules)

    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 160 mg (4 capsules)

    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 320 mg (8 capsules)

    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 640 mg (16 capsules)

    5 male healthy volunteers each of whom received once daily for 14 days 320 mg of PBTZ169 (8 capsules 40 mg)

    5 male healthy volunteers each of whom received once daily for 14 days 640 mg of PBTZ169 (16 capsules 40 mg)

    Outcomes

    Primary Outcome Measures

    Incidence of Drug-related Adverse Events [Safety and Tolerability]
    The frequency of adverse events for which a relationship to the test drug PBTZ169 was noted

    Secondary Outcome Measures

    Peak Plasma Concentration (Сmax) of PBTZ169
    Up to 72 hours after the last drug administration: Single dosing (Cohorts 1-5): up to Day 4 (72 h after the dosing (Day 1)) Multiple dosing (Cohorts 6. 7): up to Day 17 (72 h after the last (14th) dosing)
    Time to Reach Maximum Concentration (Tmax) of PBTZ169
    Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
    Area Under the Concentration-time Curve (AUC0-∞)
    In the time interval from 0 to infinity
    Plasma Half-life Time (T1/2) of PBTZ169
    Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
    Mean Plasma Retention Time (MRT) of PBTZ169
    Total (Plasma) Clearance (Cl) of PBTZ169
    The Cl parameter was calculated using the following formulas: for Day 1: Cl=D/AUCinf; for Days 7 and 14: Clss=D/AUCτ
    Volume of Distribution (Vd) of PBTZ169
    Elimination Constant (Kel) of PBTZ169
    Data for doses 320 mg (Cohorts 4 and 6, total 11 volunters) & 640 mg (Cohorts 5 and 7, total 11 volunters) were combined
    Renal Clearance (Clren) of PBTZ169
    The renal clearance was calculated using values of the cumulative excretion in urine (from zero to 24 hours) and the area under the pharmacokinetic curve (from zero to 24 hours) (the ratio of the cumulative excretion to AUC0-24)
    Peak Steady State Plasma Concentration (Cmax,ss) of PBTZ169
    For cohorts 6 and 7 (multiple administration) only
    Time to Reach Maximum Steady State Concentration (Tmax,ss) of PBTZ169
    For cohorts 6 and 7 (multiple administration) only
    Area Under the Plasma Concentration Versus Time Curve in Steady State (AUCss) of PBTZ169
    For cohorts 6 and 7 (multiple administration) only
    Volume of Steady State Distribution (Vd,ss) of PBTZ169
    For cohorts 6 and 7 (multiple administration) only
    Area Under the Concentration-time Curve (AUC0-t)
    The area under the concentration-time curve from 0 to last blood sampling
    AUC0-t/AUC0-∞
    AUC0-t/AUC0-∞ ratio

    Full Information

    First Posted
    September 14, 2016
    Last Updated
    March 26, 2020
    Sponsor
    Nearmedic Plus LLC
    Collaborators
    OCT LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03036163
    Brief Title
    Phase 1 Study of PBTZ169
    Official Title
    Open-label Prospective Noncomparative Study of Safety, Tolerability and Pharmacokinetics of PBTZ169 After Single and Multiple Fasting Oral Administration in Increasing Doses in Healthy Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2016 (undefined)
    Primary Completion Date
    September 2016 (Actual)
    Study Completion Date
    November 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Nearmedic Plus LLC
    Collaborators
    OCT LLC

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Open-label prospective non-comparative safety, tolerability and pharmacokinetics ascending dose randomized cohort study of PBTZ169 (capsules 40 mg) in fasted healthy volunteers after single and multiple oral administration
    Detailed Description
    Open-label prospective non-comparative safety, tolerability and pharmacokinetics ascending dose randomized cohort study of PBTZ169 (capsules 40 mg) in adult man healthy volunteers after single and multiple oral fasting administration. Study was conducted in one study center in Russian Federation. The study included two stages: Stage 1 - single oral fasting administration with dose escalation in 5 cohorts 6 healthy man volunteers each in main groups (plus 1 back-up volunteer in every group); Stage 2 - multiple oral fasting administration with dose escalation in 2 cohorts 6 healthy man volunteers each in main groups (plus 1 back-up volunteer in every group). Screening procedures for each cohort performed within 7 days before the drug prescription and after the end of administration period in previous cohort. Screening in cohorts 2 and 6 was started only after safety tolerability and PK data analysis of previous cohorts. All volunteers met the study inclusion/exclusion criteria was included successively into the following cohorts on Stage 1 (actual data): Cohort 1 (C1) - 6 volunteers of the main group each of whom received once single dose of the drug - 1 capsule containing 40 mg of PBTZ169; Cohort 2 (C2) - 6 volunteers of the main group each of whom received once 80 mg of PBTZ169 (2 capsules 40 mg); Cohort 3 (C3) - 6 volunteers of the main group each of whom received once 160 mg of PBTZ169 (4 capsules 40 mg); Cohort 4 (C4) - 6 volunteers of the main group each of whom received once 320 mg of PBTZ169 (8 capsules 40 mg); Cohort 5 (C5) - 6 volunteers of the main group each of whom received once 640 mg of PBTZ169 (16 capsules 40 mg). On Stage 2 (actual data): Cohort 6 (C6) - 5 volunteers of the main group each of whom received 320 mg of PBTZ169 (8 capsules 40 mg) once daily for 14 days; Cohort 7 (C7) - 5 volunteers of the main group each of whom received 640 mg of PBTZ169 (16 capsules 40 mg) once daily for 14 days. Safety was assessed throughout the study. For every volunteer series of urine and venous blood samples was collected for the safety, tolerability and PK assessment of PBTZ169.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Tuberculosis
    Keywords
    Tuberculosis

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1
    Arm Type
    Experimental
    Arm Description
    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 40 mg (1 capsule)
    Arm Title
    Cohort 2
    Arm Type
    Experimental
    Arm Description
    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 80 mg (2 capsules)
    Arm Title
    Cohort 3
    Arm Type
    Experimental
    Arm Description
    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 160 mg (4 capsules)
    Arm Title
    Cohort 4
    Arm Type
    Experimental
    Arm Description
    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 320 mg (8 capsules)
    Arm Title
    Cohort 5
    Arm Type
    Experimental
    Arm Description
    6 male healthy volunteers each of whom received once single oral dose of PBTZ169 - 640 mg (16 capsules)
    Arm Title
    Cohort 6
    Arm Type
    Experimental
    Arm Description
    5 male healthy volunteers each of whom received once daily for 14 days 320 mg of PBTZ169 (8 capsules 40 mg)
    Arm Title
    Cohort 7
    Arm Type
    Experimental
    Arm Description
    5 male healthy volunteers each of whom received once daily for 14 days 640 mg of PBTZ169 (16 capsules 40 mg)
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 40 mg
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    40 mg of PBTZ169 (1 capsule) orally once in fasting state
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 80 mg
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    80 mg of PBTZ169 (2 capsules 40 mg) orally once in fasting state
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 160 mg
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    160 mg of PBTZ169 (4 capsules 40 mg) orally once in fasting state
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 320 mg
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    320 mg of PBTZ169 (8 capsules 40 mg) orally once in fasting state
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 640 mg
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    640 mg of PBTZ169 (16 capsules 40 mg) orally once in fasting state
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 320 mg (multiple administration)
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    320 mg of PBTZ169 (8 capsules 40 mg) orally once per day in fasting state for 14 days
    Intervention Type
    Drug
    Intervention Name(s)
    PBTZ169 - 640 mg (multiple administration)
    Other Intervention Name(s)
    PBTZ169
    Intervention Description
    640 mg of PBTZ169 (16 capsules 40 mg) orally once per day in fasting state for 14 days
    Primary Outcome Measure Information:
    Title
    Incidence of Drug-related Adverse Events [Safety and Tolerability]
    Description
    The frequency of adverse events for which a relationship to the test drug PBTZ169 was noted
    Time Frame
    14±1 days after the drug administration (up to last visit time point)
    Secondary Outcome Measure Information:
    Title
    Peak Plasma Concentration (Сmax) of PBTZ169
    Description
    Up to 72 hours after the last drug administration: Single dosing (Cohorts 1-5): up to Day 4 (72 h after the dosing (Day 1)) Multiple dosing (Cohorts 6. 7): up to Day 17 (72 h after the last (14th) dosing)
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Time to Reach Maximum Concentration (Tmax) of PBTZ169
    Description
    Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Area Under the Concentration-time Curve (AUC0-∞)
    Description
    In the time interval from 0 to infinity
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Plasma Half-life Time (T1/2) of PBTZ169
    Description
    Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Mean Plasma Retention Time (MRT) of PBTZ169
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Total (Plasma) Clearance (Cl) of PBTZ169
    Description
    The Cl parameter was calculated using the following formulas: for Day 1: Cl=D/AUCinf; for Days 7 and 14: Clss=D/AUCτ
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Volume of Distribution (Vd) of PBTZ169
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Elimination Constant (Kel) of PBTZ169
    Description
    Data for doses 320 mg (Cohorts 4 and 6, total 11 volunters) & 640 mg (Cohorts 5 and 7, total 11 volunters) were combined
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Renal Clearance (Clren) of PBTZ169
    Description
    The renal clearance was calculated using values of the cumulative excretion in urine (from zero to 24 hours) and the area under the pharmacokinetic curve (from zero to 24 hours) (the ratio of the cumulative excretion to AUC0-24)
    Time Frame
    Up to 24 hours after the drug administration
    Title
    Peak Steady State Plasma Concentration (Cmax,ss) of PBTZ169
    Description
    For cohorts 6 and 7 (multiple administration) only
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Time to Reach Maximum Steady State Concentration (Tmax,ss) of PBTZ169
    Description
    For cohorts 6 and 7 (multiple administration) only
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Area Under the Plasma Concentration Versus Time Curve in Steady State (AUCss) of PBTZ169
    Description
    For cohorts 6 and 7 (multiple administration) only
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Volume of Steady State Distribution (Vd,ss) of PBTZ169
    Description
    For cohorts 6 and 7 (multiple administration) only
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    Area Under the Concentration-time Curve (AUC0-t)
    Description
    The area under the concentration-time curve from 0 to last blood sampling
    Time Frame
    Up to 72 hours after the last drug administration
    Title
    AUC0-t/AUC0-∞
    Description
    AUC0-t/AUC0-∞ ratio
    Time Frame
    Up to 72 hours after the last drug administration

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Written informed consent received from a volunteer. Man aged 18 to 45 years old, inclusive. Body mass index of 18.5-25 kg/m2. Verified diagnosis: "healthy" according to data of standard clinical, laboratory and instrumental examination methods performed at screening: Absence of deviations of physical examination parameters and vital signs (systolic blood pressure - 100-129 mm Hg, inclusive; diastolic blood pressure - 70-89 mm Hg, inclusive; heart rate - 60-80 bpm, inclusive); Absence of deviations of laboratory parameters (complete blood count, blood biochemistry, urinalysis and tests for HIV, HBV, HCV, syphilis); Normal parameters of 12-lead ECG; Normal results of photofluorographic or X-ray examination (the results received maximum 6 months before screening can be used). Ability, according to investigators opinion, to comply with all requirements of the protocol. Agreement to use double contraception method during the study participation and for 3 months after the test drug administration - combination of male condom with not less than one of the following methods: female partner using hormonal contraception; using aerosols, creams, suppositories and other agents containing spermicides; female partner using intrauterine device Exclusion Criteria: Aggravated allergic history, including presence of at least one episode of drug allergy. Chronic diseases of cardiovascular, bronchopulmonary, neuroendocrine systems, ENT and gastrointestinal, hepatic, renal, blood and cutaneous diseases. Chronic diseases of eyes except for mild to moderate myopia, hypermetropia and astigmatism. Gastrointestinal surgeries (except for appendectomy performed not less than 1 year before screening). Acute infections within less than 4 weeks before screening. Regular drug administration within less than 4 weeks before screening. Regular administration or application (including topical) of hormonal drugs for more than 1 week within less than 45 days before the screening. Administration of drugs exerting evident effects on hemodynamics, hepatic function, etc. (barbiturates, omeprazole, cimetidine, etc.) within less than 45 days before the screening. Positive tests for narcotic and psychotropic agents. Donation (450 mL of blood or plasma) within less than 3 months before the screening. Intake of more than 10 U of alcohol per week (1 unit of alcohol is equivalent to 500 mL of beer, 200 mL of vine or 50 mL of strong alcoholic drink) or historical data on alcoholism, narcomania, drug abuse. Mental illnesses. Smoking within half a year before the screening. Previous participation in this clinical study and withdrawal from it due to any reason. Participation in other clinical studies of drugs within less than 6 months before the screening. Planned conception or sperm donation during the study after the test drug administration or during 3 months after the date of drug administration.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Phase 1 Study of PBTZ169

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