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A Phase I Study of ICP-022 in Healthy Subjects

Primary Purpose

Systemic Lupus Erythematosus, Rheumatoid Arthritis

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
ICP-022
Placebos
Sponsored by
Innocare Pharma Australia Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male subjects age ≥18 and ≤55 years
  • Body mass index ≥19 and ≤31 kg/m2, with minimum body weight of 50kg
  • No clinically significant findings in the medical history and physical examination, especially with regard to the respiratory, heart, immune system, pancreas, liver, bile and gastrointestinal systems
  • No clinically significant laboratory values and urinalysis, unless the investigator considers any abnormality to be clinically irrelevant;
  • Subjects with a partner of child-bearing potential must be willing to use an approved form of contraception with a failure rate of <1%. Subjects must be willing to use a condom during sexual intercourse whether or not their partner is of child-bearing potential from screening until 90 days after their final study visit.
  • Normal electrocardiogram (ECG), blood pressure, and heart rate, unless the investigator considers any abnormality to be clinically irrelevant
  • Informed consent must be obtained in writing for all subjects personally at enrollment

Exclusion Criteria:

  • Subjects with medically important events
  • Having 1st degree relative with coronary heart disease at age <60
  • Using of prescription drugs including but not limited to those known to interfere with metabolism of drugs within 30 days prior to dosing
  • Exposure to any other medication, including over-the-counter medications, herbal remedies and vitamins for at least 14 days before randomization (except paracetamol
  • Participation in another study with any investigational drug in 30 days or five half-lives (whichever is longer) preceding the study
  • Current smoker, defined as more than 10 cigarettes or equivalent per day before the beginning of the study (participants currently smoking ≤10 cigarettes daily and able to completely stop smoking during the study from screening until follow-up are eligible)
  • Symptoms of a clinically significant illness in the 3 months before the study
  • Presence or sequelae of respiratory, gastrointestinal, immune system, heart, liver or kidney disease, including asymptomatic unconjugated hyperbilirubinemia or asthma, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs
  • Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel disease
  • Hemorrhoids or anal diseases with regular or recent presence of blood in feces
  • History of immediate hypersensitivity to any medications or any food allergy, and acute phase of allergic rhinitis in the previous 2 weeks before randomization
  • Blood or plasma donation of more than 500 mL during the previous 2 months before randomization and/or more than 50 mL in the 2 weeks prior to screening, or plan to donate any additional blood for 12 weeks after completing the study
  • Subjects with a positive quantiFERON® test at screening or within 6 months prior to Day 1
  • Positive test for human immunodeficiency virus (HIV)
  • Positive test for hepatitis B (surface antigens HBs), or C (antibody HCs), unless caused by immunization
  • Positive urine drug screen within 1 year before randomization
  • Positive alcohol screen or active alcoholism
  • Mental condition rendering the subject incapable to understand the nature, scope, and possible consequences of the study
  • Subject has difficulty swallowing or is unable to swallow a tablet
  • Unlikely to comply with the clinical study protocol eg, uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study
  • Investigator, or any sub-investigator, research assistant, pharmacist, study coordinator, other staff directly involved in the conduct of the protocol, or first degree relative thereof
  • Subject requires anticoagulation treatment in the past 30 days
  • Subject with anemia of any kind
  • Subject with pancreatic abnormality of any kind, or elevated Lipase or Amylase >ULN

Sites / Locations

  • CMAX Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ICP-022

Placebos

Arm Description

There are 5 cohorts in the Part 1 phase of the trial. Three quarters of subjects will be randomized to receive ICP-022 in a double-blind fashion. Five dose levels will be evaluated; dose escalation steps may be modified based on the safety from the previous dose. Cohort 4 will return on Day 8 and receive a single dose of ICP-022 under fed conditions. In Part 2 phase of the trial,three quarters of subjects will be randomized to receive the ICP-022 in a double-blind fashion in 3 cohorts. ICP-022 will be administered once a day for 14 consecutive days.

In part 1 phase of the trial, one quarter of subjects will be randomized to receive placebo in a double-blind fashion. Cohort 4 will return on Day 8 and receive a single dose of placebo under fed conditions. In Part 2 phase of the trial,one quarter of subjects will be randomized to receive placebo in a double-blind fashion. Placebo will be administered once a day for 14 consecutive days.

Outcomes

Primary Outcome Measures

Number of participants with treatment-related adverse events
Number of participants with treatment-related adverse events will be collected and the percentage of AE of different grades will be assessed.

Secondary Outcome Measures

Maximum plasma drug concentrations (Cmax)
Individual plasma concentrations of ICP-022 will be measured and Cmax will be calculated with noncompartmental analysis using WinNonlin.
Time of maximum plasma drug concentrations (Tmax)
Time of maximum plasma drug concentrations (Tmax) of ICP-022 will be recorded.
Area under the concentration time curve up to the time "t" (AUC(0-t))
Area under the concentration time curve up to the time "t" (AUC(0-t)) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Area under the concentration time curve up to the last data point above LOQ (AUC(last))
Area under the concentration time curve up to the last data point above LOQ (AUC(last)) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Apparent half-life for designated elimination phases (t½)
Apparent half-life for designated elimination phases (t½) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Percent target occupancy
PBMC from individual subject before and after dosing will be collected and the target occupancy will be determined by ELISA. The percent of target occupancy will be compared descritively.

Full Information

First Posted
June 12, 2017
Last Updated
July 30, 2019
Sponsor
Innocare Pharma Australia Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03189017
Brief Title
A Phase I Study of ICP-022 in Healthy Subjects
Official Title
A Phase I Randomized, Double-Blind, Placebo-Controlled, Dose Escalation Trial in Healthy Subjects to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ICP-022 Following Single and Multiple Escalating Dose
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Completed
Study Start Date
July 3, 2017 (Actual)
Primary Completion Date
February 5, 2018 (Actual)
Study Completion Date
October 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innocare Pharma Australia Pty Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a single center, randomized, double-blind, placebo-controlled, dose escalation study in healthy subjects to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of ICP-022 following oral single and multiple escalating dose administration.
Detailed Description
This is a single center, randomized, double-blind, dose escalation, placebo-controlled, first-in-humans phase 1 study to investigate the safety and tolerability of single and multiple escalating doses of ICP-022 in healthy volunteers. 40 healthy male participants (aged between 18 and 55 years of age inclusive) will be enrolled into Part 1 (single escalating dose administration) of this study, and additional 24 male subjects will be enrolled in Part 2 (multiple escalating dose administration). Part 1a consists of 5 cohorts of 8 participants each, while Part 2 includes 3 cohorts of 8 participants each. Part 1a consists a treatment period with single oral dosing, and a safety follow-up to 7 days after dosing. Cohort 4 of Part 1a will return on Day 8 to repeat the study under fed condition in Part 1b. Part 2 consists a treatment period with multiple dosing (once per day for 14 consecutive days), and a safety follow-up until 28 days after dosing. All subjects will receive either ICP-022 or placebo.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus, Rheumatoid Arthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ICP-022
Arm Type
Experimental
Arm Description
There are 5 cohorts in the Part 1 phase of the trial. Three quarters of subjects will be randomized to receive ICP-022 in a double-blind fashion. Five dose levels will be evaluated; dose escalation steps may be modified based on the safety from the previous dose. Cohort 4 will return on Day 8 and receive a single dose of ICP-022 under fed conditions. In Part 2 phase of the trial,three quarters of subjects will be randomized to receive the ICP-022 in a double-blind fashion in 3 cohorts. ICP-022 will be administered once a day for 14 consecutive days.
Arm Title
Placebos
Arm Type
Placebo Comparator
Arm Description
In part 1 phase of the trial, one quarter of subjects will be randomized to receive placebo in a double-blind fashion. Cohort 4 will return on Day 8 and receive a single dose of placebo under fed conditions. In Part 2 phase of the trial,one quarter of subjects will be randomized to receive placebo in a double-blind fashion. Placebo will be administered once a day for 14 consecutive days.
Intervention Type
Drug
Intervention Name(s)
ICP-022
Intervention Description
The drug product is a white, round, uncoated tablet.
Intervention Type
Drug
Intervention Name(s)
Placebos
Intervention Description
The placebo is a white, round, uncoated tablet.
Primary Outcome Measure Information:
Title
Number of participants with treatment-related adverse events
Description
Number of participants with treatment-related adverse events will be collected and the percentage of AE of different grades will be assessed.
Time Frame
up to 28 days
Secondary Outcome Measure Information:
Title
Maximum plasma drug concentrations (Cmax)
Description
Individual plasma concentrations of ICP-022 will be measured and Cmax will be calculated with noncompartmental analysis using WinNonlin.
Time Frame
up to 16 days
Title
Time of maximum plasma drug concentrations (Tmax)
Description
Time of maximum plasma drug concentrations (Tmax) of ICP-022 will be recorded.
Time Frame
up to 16 days
Title
Area under the concentration time curve up to the time "t" (AUC(0-t))
Description
Area under the concentration time curve up to the time "t" (AUC(0-t)) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Time Frame
up to 16 days
Title
Area under the concentration time curve up to the last data point above LOQ (AUC(last))
Description
Area under the concentration time curve up to the last data point above LOQ (AUC(last)) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Time Frame
up to 16 days
Title
Apparent half-life for designated elimination phases (t½)
Description
Apparent half-life for designated elimination phases (t½) of ICP-022 will be measured and calculated with noncompartmental analysis using WinNonlin.
Time Frame
up to 16 days
Title
Percent target occupancy
Description
PBMC from individual subject before and after dosing will be collected and the target occupancy will be determined by ELISA. The percent of target occupancy will be compared descritively.
Time Frame
up to 16 days

10. Eligibility

Sex
Male
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male subjects age ≥18 and ≤55 years Body mass index ≥19 and ≤31 kg/m2, with minimum body weight of 50kg No clinically significant findings in the medical history and physical examination, especially with regard to the respiratory, heart, immune system, pancreas, liver, bile and gastrointestinal systems No clinically significant laboratory values and urinalysis, unless the investigator considers any abnormality to be clinically irrelevant; Subjects with a partner of child-bearing potential must be willing to use an approved form of contraception with a failure rate of <1%. Subjects must be willing to use a condom during sexual intercourse whether or not their partner is of child-bearing potential from screening until 90 days after their final study visit. Normal electrocardiogram (ECG), blood pressure, and heart rate, unless the investigator considers any abnormality to be clinically irrelevant Informed consent must be obtained in writing for all subjects personally at enrollment Exclusion Criteria: Subjects with medically important events Having 1st degree relative with coronary heart disease at age <60 Using of prescription drugs including but not limited to those known to interfere with metabolism of drugs within 30 days prior to dosing Exposure to any other medication, including over-the-counter medications, herbal remedies and vitamins for at least 14 days before randomization (except paracetamol Participation in another study with any investigational drug in 30 days or five half-lives (whichever is longer) preceding the study Current smoker, defined as more than 10 cigarettes or equivalent per day before the beginning of the study (participants currently smoking ≤10 cigarettes daily and able to completely stop smoking during the study from screening until follow-up are eligible) Symptoms of a clinically significant illness in the 3 months before the study Presence or sequelae of respiratory, gastrointestinal, immune system, heart, liver or kidney disease, including asymptomatic unconjugated hyperbilirubinemia or asthma, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs Chronic constipation or diarrhea, irritable bowel syndrome, inflammatory bowel disease Hemorrhoids or anal diseases with regular or recent presence of blood in feces History of immediate hypersensitivity to any medications or any food allergy, and acute phase of allergic rhinitis in the previous 2 weeks before randomization Blood or plasma donation of more than 500 mL during the previous 2 months before randomization and/or more than 50 mL in the 2 weeks prior to screening, or plan to donate any additional blood for 12 weeks after completing the study Subjects with a positive quantiFERON® test at screening or within 6 months prior to Day 1 Positive test for human immunodeficiency virus (HIV) Positive test for hepatitis B (surface antigens HBs), or C (antibody HCs), unless caused by immunization Positive urine drug screen within 1 year before randomization Positive alcohol screen or active alcoholism Mental condition rendering the subject incapable to understand the nature, scope, and possible consequences of the study Subject has difficulty swallowing or is unable to swallow a tablet Unlikely to comply with the clinical study protocol eg, uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study Investigator, or any sub-investigator, research assistant, pharmacist, study coordinator, other staff directly involved in the conduct of the protocol, or first degree relative thereof Subject requires anticoagulation treatment in the past 30 days Subject with anemia of any kind Subject with pancreatic abnormality of any kind, or elevated Lipase or Amylase >ULN
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sepehr Shakib
Organizational Affiliation
CMAX
Official's Role
Principal Investigator
Facility Information:
Facility Name
CMAX Clinical Research
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
23131610
Citation
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Results Reference
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PubMed Identifier
19591008
Citation
Holroyd CR, Edwards CJ. The effects of hormone replacement therapy on autoimmune disease: rheumatoid arthritis and systemic lupus erythematosus. Climacteric. 2009 Oct;12(5):378-86. doi: 10.1080/13697130903025449.
Results Reference
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PubMed Identifier
20520647
Citation
Sanz I, Lee FE. B cells as therapeutic targets in SLE. Nat Rev Rheumatol. 2010 Jun;6(6):326-37. doi: 10.1038/nrrheum.2010.68.
Results Reference
background
PubMed Identifier
27587201
Citation
Garcia A, De Sanctis JB. A Review of Clinical Trials of Belimumab in the Management of Systemic Lupus Erythematosus. Curr Pharm Des. 2016;22(41):6306-6312. doi: 10.2174/1381612822666160831103254.
Results Reference
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PubMed Identifier
22231479
Citation
Rovin BH, Furie R, Latinis K, Looney RJ, Fervenza FC, Sanchez-Guerrero J, Maciuca R, Zhang D, Garg JP, Brunetta P, Appel G; LUNAR Investigator Group. Efficacy and safety of rituximab in patients with active proliferative lupus nephritis: the Lupus Nephritis Assessment with Rituximab study. Arthritis Rheum. 2012 Apr;64(4):1215-26. doi: 10.1002/art.34359. Epub 2012 Jan 9.
Results Reference
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PubMed Identifier
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Harandi A, Zaidi AS, Stocker AM, Laber DA. Clinical Efficacy and Toxicity of Anti-EGFR Therapy in Common Cancers. J Oncol. 2009;2009:567486. doi: 10.1155/2009/567486. Epub 2009 May 6.
Results Reference
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Links:
URL
http://www.abpi.org.uk
Description
The Association of the British Pharmaceutical Industry (ABPI) represents innovative research-based biopharmaceutical companies, large, medium and small, leading an exciting new era of biosciences in the UK.
URL
http://amhonline-amh-net-au.salus.idm.oclc.org
Description
AMH Online is the Australian Medicines Handbook for desktops, laptops, tablets and smartphones with internet access.

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A Phase I Study of ICP-022 in Healthy Subjects

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