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A Phase 1 Study of ARN-6039 (ARN-6039)

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
ARN-6039
Placebo
Sponsored by
Arrien Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Multiple Sclerosis

Eligibility Criteria

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

Inclusion Criteria:

Only volunteers who met all of the following criteria were included as study subjects:

  • Male or female between 18 and 50 years of age, inclusive.
  • Female subjects were not pregnant or lactating.
  • Female subjects were postmenopausal (at least 2 years prior to dosing) or surgically sterile. Subjects who claimed postmenopausal status had their status confirmed with a follicle-stimulating hormone (FSH) test. Surgically sterile was defined as: Bilateral tubal ligation, hysterectomy, or bilateral oophorectomy at least 6 months prior to dosing; or Permanent sterilization (e.g., ESSURE procedure) at least 3 months prior to dosing.
  • Subjects had a body mass index (BMI) between 19 and 30 kg/m2 (inclusive) and weighed a minimum of 50 kg (110 lbs).
  • Subjects voluntarily consented to participate in this study and provided their written informed consent prior to start of any study-specific procedures.
  • Subject was willing and able to comply with all trial requirements.
  • Subject was willing and able to remain in the study unit for the entire duration of the confinement period and return for an outpatient visit 7 days after study treatment administration.
  • Subject's vital signs (measured sitting after 5 minutes rest) at screening were within the following ranges: heart rate: 40-100 beats per minute [bpm]; systolic blood pressure (BP): 90-145 mmHg; diastolic BP: 50-95 mmHg. Out-of-range vital signs could be repeated once. Predose vital signs were assessed by the Principal Investigator or designee (e.g., a medically qualified Sub-Investigator) prior to study drug administration. The Principal Investigator or designee verified the eligibility of each subject with out-of-range vital signs and documented approval prior to dosing.
  • Subjects had results within normal range on the following hematology tests performed at screening: hemoglobin, hematocrit, total and differential leukocyte count, and platelet count.
  • Subject had results that did not exceed the upper limit of normal range on the following liver function tests performed at screening: aspartate transaminase (AST), alanine transaminase (ALT), and total bilirubin.
  • If enrolled in Cohort 5 (the food-effect cohort), subject was willing and able to consume the entire high-calorie, high-fat breakfast meal in the designated timeframe required during the fed period.

Exclusion Criteria:

Volunteers who presented any of the following criteria were excluded as study subjects:

  • History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal (including cholecystectomy), endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the Investigator, would likely have interfered with the absorption, disposition, metabolism, or excretion of the investigational product, or would have jeopardized the safety of the subject or the validity of the study results.
  • History of cancer with the exception of basal cell carcinoma or squamous cell (skin) carcinoma.
  • History of seizure (including febrile seizure) or loss of consciousness.
  • History of drug or alcohol abuse or dependence (based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria) within the past 2 years.
  • Donated blood or plasma or experienced significant loss of blood within 8 weeks prior to admission to the clinic, or planned to donate blood within 1 month after study participation.
  • Had a clinically significant abnormal finding on the physical exam, medical history, ECG, or clinical laboratory results at screening.
  • Had smoked or used tobacco or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) within 30 days prior to the first dose of study medication.
  • History or presence of allergic or adverse response to ARN-6039 or related drugs or its excipients.
  • Had been on a significantly abnormal diet during the 4 weeks preceding the first dose of study medication.
  • Had participated in another clinical trial (randomized subjects only) within 30 days (or 5 half-lives of the investigational product) prior to the first dose of study medication.
  • Had used any over-the-counter (OTC) medication, nutritional or dietary supplements, or herbal preparations, (other than acetaminophen and/or multivitamins [acetaminophen 2 grams/day and multivitamins were allowed up to 48 hours prior to dosing]), within 7 days prior to the first dose of medication.
  • Had used any prescription medication, except hormonal replacement therapy, within 14 days prior to the first dose of study medication.
  • Consumed the following beverages or products within the specified time frame prior to admission to the clinic: Alcohol, grapefruit, Seville oranges (marmalade), xanthine, or quinine within 72 hours; or Caffeine or poppy seeds within 48 hours.
  • Had been treated with any known drugs that are moderate or strong inhibitors/inducers of cytochrome P450 (CYP) enzymes such as barbiturates, phenothiazines, cimetidine, carbamazepine, etc., within 30 days prior to the first dose of study medication and that in the Investigator's judgment may have impacted subject safety or the validity of the study results.
  • Had a positive urine screen for drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, cannabinoids, opiates) or cotinine.
  • Had a positive test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus (HIV) at screening or had been previously treated for hepatitis B, hepatitis C, or HIV infection.
  • Was, for any reason, deemed by the investigator to be inappropriate for this study, including subjects who were unable to communicate or cooperate with the investigator or designee.
  • Female with a positive pregnancy test result.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Placebo Comparator

    Placebo Comparator

    Placebo Comparator

    Placebo Comparator

    Placebo Comparator

    Arm Label

    Cohort 1

    Cohort 2

    Cohort 3

    Cohort 4

    Cohort 5

    Arm Description

    Cohort 1 (sentinel group): 1 subject received 50 mg ARN-6039 and 1 subject placebo Cohort 1: 7 subjects received 50 mg ARN-6039 and 1 subject placebo

    Cohort 2 (sentinel group): 1 subject received 100 mg ARN-6039 and 1 subject placebo Cohort 2: 7 subjects received 100 mg ARN-6039 and 1 subject placebo

    Cohort 3 (sentinel group): 1 subject received 150 mg ARN-6039 and 1 subject placebo Cohort 3: 7 subjects received 150 mg ARN-6039 and 1 subject placebo

    Cohort 4 (sentinel group): 1 subject received 200 mg ARN-6039 and 1 subject placebo Cohort : 7 subjects received 200 mg ARN-6039 and 1 subject placebo

    Cohort 5 Period 1, fasted (sentinel group): 1 subject received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 1, fasted: 7 subjects received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 2, fed (sentinel group): 1 subject received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 2, fed: 7 subjects received 300 mg ARN-6039 and 1 subject placebo

    Outcomes

    Primary Outcome Measures

    Change in clinical tests results over time
    Assess the results of analytical hematology, serology, and urine tests compared to normal results from baseline to 7 days post administration
    Change in vital signs over time
    Assess subject vital signs compared to normal results from baseline to 7 days post administration
    Change in physical assessment over time
    Assess results of subject physical examination compared to normal results from baseline to 7 days post administration
    Change in electrocardiograms (ECGs) over time
    Assess results of subject electrocardiograms compared to normal from baseline to 7 days post administration
    Determine the incidence of Treatment Adverse Events (AEs) over time
    Assess any adverse events compared to normal from baseline to 7 days post administration

    Secondary Outcome Measures

    Assay maximum plasma concentration (Cmax) over time
    Assess the results of the maximum plasma concentration (Cmax) over time in both the unfed and fed state
    Assay the time to Cmax (tmax) over time
    Assess the results of the assay time to Cmax (tmax) over time in both the unfed and fed state
    Assay the area under the plasma concentration time curve from zero to the last measurable concentration (AUC0-t) over time
    Assess the results of the assay of the area under the plasma concentration time curve from zero to the last measurable concentration (AUC0-t) over time in both the unfed and fed state
    Assay the terminal half-life (t1/2) over time
    Assess the results of the assay the terminal half-life (t1/2) over time in both the unfed and fed state
    Assay the area under the plasma concentration time curve from zero to infinity (AUC0-inf) over time
    Assess the results of the area under the plasma concentration time curve from zero to infinity (AUC0-inf) over time in both the unfed and fed state
    Assay the apparent oral clearance (CL/F) over time
    Assess the results of the apparent oral clearance (CL/F) over time in both the unfed and fed state

    Full Information

    First Posted
    July 21, 2017
    Last Updated
    August 2, 2017
    Sponsor
    Arrien Pharmaceuticals
    Collaborators
    Worldwide Clinical Trials
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03237832
    Brief Title
    A Phase 1 Study of ARN-6039
    Acronym
    ARN-6039
    Official Title
    A Phase 1, Single-Center, Randomized, Double-Blind, Placebo-Controlled Safety, Tolerability, and Pharmacokinetic Study of Single Ascending Oral Doses of ARN-6039 in Healthy Adult Subjects.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    May 16, 2016 (Actual)
    Primary Completion Date
    October 6, 2016 (Actual)
    Study Completion Date
    February 2017 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Arrien Pharmaceuticals
    Collaborators
    Worldwide Clinical Trials

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This Phase 1 study intends to determine the safety and tolerability of ARN-6039 in healthy subjects.
    Detailed Description
    To determine the safety and tolerability in healthy subjects, ARN-6039 will be dosed in a single-center, randomized, double-blind, placebo-controlled, ascending dose study. Five cohorts of 10 subjects will be dosed in ascending order, beginning with a single dose of 50 mg of ARN-6039. Subsequent cohorts will be administered single doses of 100 mg, 150 mg, 200 mg, or 300 mg. Safety, tolerability, and pharmacokinetics will be evaluated prior to each dose escalation using the assessment of all available safety and pharmacokinetic data. In Cohorts 1 through 4, subjects will receive a single dose of ARN-6039 or matching placebo under fasted conditions. In Cohort 5, subjects will be administered a single dose of ARN-6039 or a single dose of matching placebo under fasted conditions in Period 1 and under fed conditions in Period 2 with a minimum 5-day washout period between each dose. To support the administration of ARN-6039 in humans, preclinical toxicology studies performed in rats and dogs demonstrated tolerability exceeding the intended therapeutic dose. In addition, the safety and efficacy of ARN-6039 has been demonstrated in model systems and is anticipated to be well tolerated in humans. This study will be the first administration of ARN-6039 in human subjects.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Multiple Sclerosis

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Model Description
    Determine safety and tolerability of ARN-6039 ascending doses compared to placebo
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Masking Description
    The pharmacist preparing the doses was unblended and was responsible for all drug accountability issues, including preparing, labeling, and dispensing study drug according to the randomization code provided. The unblinded pharmacists were responsible for maintaining the blind, consistent with protocol design, throughout the study. All documentation was filed in the Pharmacy Manual, and access to this manual was restricted to the unblinded pharmacists. The subjects, Principal Investigator, and all other personnel involved with subject assessments were blinded to the actual treatment assignments of the subjects (ARN-6039 or placebo) during the study.
    Allocation
    Randomized
    Enrollment
    60 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1
    Arm Type
    Placebo Comparator
    Arm Description
    Cohort 1 (sentinel group): 1 subject received 50 mg ARN-6039 and 1 subject placebo Cohort 1: 7 subjects received 50 mg ARN-6039 and 1 subject placebo
    Arm Title
    Cohort 2
    Arm Type
    Placebo Comparator
    Arm Description
    Cohort 2 (sentinel group): 1 subject received 100 mg ARN-6039 and 1 subject placebo Cohort 2: 7 subjects received 100 mg ARN-6039 and 1 subject placebo
    Arm Title
    Cohort 3
    Arm Type
    Placebo Comparator
    Arm Description
    Cohort 3 (sentinel group): 1 subject received 150 mg ARN-6039 and 1 subject placebo Cohort 3: 7 subjects received 150 mg ARN-6039 and 1 subject placebo
    Arm Title
    Cohort 4
    Arm Type
    Placebo Comparator
    Arm Description
    Cohort 4 (sentinel group): 1 subject received 200 mg ARN-6039 and 1 subject placebo Cohort : 7 subjects received 200 mg ARN-6039 and 1 subject placebo
    Arm Title
    Cohort 5
    Arm Type
    Placebo Comparator
    Arm Description
    Cohort 5 Period 1, fasted (sentinel group): 1 subject received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 1, fasted: 7 subjects received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 2, fed (sentinel group): 1 subject received 300 mg ARN-6039 and 1 subject placebo Cohort 5 Period 2, fed: 7 subjects received 300 mg ARN-6039 and 1 subject placebo
    Intervention Type
    Drug
    Intervention Name(s)
    ARN-6039
    Intervention Description
    Ascending doses per Cohort
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo to match ARN-6039
    Primary Outcome Measure Information:
    Title
    Change in clinical tests results over time
    Description
    Assess the results of analytical hematology, serology, and urine tests compared to normal results from baseline to 7 days post administration
    Time Frame
    Days -1, 1, 2, 3, and 7
    Title
    Change in vital signs over time
    Description
    Assess subject vital signs compared to normal results from baseline to 7 days post administration
    Time Frame
    Days -1, 1, 2, 3, and 7
    Title
    Change in physical assessment over time
    Description
    Assess results of subject physical examination compared to normal results from baseline to 7 days post administration
    Time Frame
    Days -1, 1, 2, 3, and 7
    Title
    Change in electrocardiograms (ECGs) over time
    Description
    Assess results of subject electrocardiograms compared to normal from baseline to 7 days post administration
    Time Frame
    Days -1, 1, 2, 3, and 7
    Title
    Determine the incidence of Treatment Adverse Events (AEs) over time
    Description
    Assess any adverse events compared to normal from baseline to 7 days post administration
    Time Frame
    Days -1, 1, 2, 3, and 7
    Secondary Outcome Measure Information:
    Title
    Assay maximum plasma concentration (Cmax) over time
    Description
    Assess the results of the maximum plasma concentration (Cmax) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Title
    Assay the time to Cmax (tmax) over time
    Description
    Assess the results of the assay time to Cmax (tmax) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Title
    Assay the area under the plasma concentration time curve from zero to the last measurable concentration (AUC0-t) over time
    Description
    Assess the results of the assay of the area under the plasma concentration time curve from zero to the last measurable concentration (AUC0-t) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Title
    Assay the terminal half-life (t1/2) over time
    Description
    Assess the results of the assay the terminal half-life (t1/2) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Title
    Assay the area under the plasma concentration time curve from zero to infinity (AUC0-inf) over time
    Description
    Assess the results of the area under the plasma concentration time curve from zero to infinity (AUC0-inf) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Title
    Assay the apparent oral clearance (CL/F) over time
    Description
    Assess the results of the apparent oral clearance (CL/F) over time in both the unfed and fed state
    Time Frame
    0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36 and 48 hours after dosing
    Other Pre-specified Outcome Measures:
    Title
    Identify possible metabolites of ARN-6039.
    Description
    Urine was measured using LC-MS/MS to identify ARN-6039 and/or metabolites.
    Time Frame
    7 days +/- 1 day

    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: Only volunteers who met all of the following criteria were included as study subjects: Male or female between 18 and 50 years of age, inclusive. Female subjects were not pregnant or lactating. Female subjects were postmenopausal (at least 2 years prior to dosing) or surgically sterile. Subjects who claimed postmenopausal status had their status confirmed with a follicle-stimulating hormone (FSH) test. Surgically sterile was defined as: Bilateral tubal ligation, hysterectomy, or bilateral oophorectomy at least 6 months prior to dosing; or Permanent sterilization (e.g., ESSURE procedure) at least 3 months prior to dosing. Subjects had a body mass index (BMI) between 19 and 30 kg/m2 (inclusive) and weighed a minimum of 50 kg (110 lbs). Subjects voluntarily consented to participate in this study and provided their written informed consent prior to start of any study-specific procedures. Subject was willing and able to comply with all trial requirements. Subject was willing and able to remain in the study unit for the entire duration of the confinement period and return for an outpatient visit 7 days after study treatment administration. Subject's vital signs (measured sitting after 5 minutes rest) at screening were within the following ranges: heart rate: 40-100 beats per minute [bpm]; systolic blood pressure (BP): 90-145 mmHg; diastolic BP: 50-95 mmHg. Out-of-range vital signs could be repeated once. Predose vital signs were assessed by the Principal Investigator or designee (e.g., a medically qualified Sub-Investigator) prior to study drug administration. The Principal Investigator or designee verified the eligibility of each subject with out-of-range vital signs and documented approval prior to dosing. Subjects had results within normal range on the following hematology tests performed at screening: hemoglobin, hematocrit, total and differential leukocyte count, and platelet count. Subject had results that did not exceed the upper limit of normal range on the following liver function tests performed at screening: aspartate transaminase (AST), alanine transaminase (ALT), and total bilirubin. If enrolled in Cohort 5 (the food-effect cohort), subject was willing and able to consume the entire high-calorie, high-fat breakfast meal in the designated timeframe required during the fed period. Exclusion Criteria: Volunteers who presented any of the following criteria were excluded as study subjects: History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal (including cholecystectomy), endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease or any other condition that, in the opinion of the Investigator, would likely have interfered with the absorption, disposition, metabolism, or excretion of the investigational product, or would have jeopardized the safety of the subject or the validity of the study results. History of cancer with the exception of basal cell carcinoma or squamous cell (skin) carcinoma. History of seizure (including febrile seizure) or loss of consciousness. History of drug or alcohol abuse or dependence (based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria) within the past 2 years. Donated blood or plasma or experienced significant loss of blood within 8 weeks prior to admission to the clinic, or planned to donate blood within 1 month after study participation. Had a clinically significant abnormal finding on the physical exam, medical history, ECG, or clinical laboratory results at screening. Had smoked or used tobacco or nicotine-containing products (e.g., cigarettes, cigars, chewing tobacco, snuff, etc.) within 30 days prior to the first dose of study medication. History or presence of allergic or adverse response to ARN-6039 or related drugs or its excipients. Had been on a significantly abnormal diet during the 4 weeks preceding the first dose of study medication. Had participated in another clinical trial (randomized subjects only) within 30 days (or 5 half-lives of the investigational product) prior to the first dose of study medication. Had used any over-the-counter (OTC) medication, nutritional or dietary supplements, or herbal preparations, (other than acetaminophen and/or multivitamins [acetaminophen 2 grams/day and multivitamins were allowed up to 48 hours prior to dosing]), within 7 days prior to the first dose of medication. Had used any prescription medication, except hormonal replacement therapy, within 14 days prior to the first dose of study medication. Consumed the following beverages or products within the specified time frame prior to admission to the clinic: Alcohol, grapefruit, Seville oranges (marmalade), xanthine, or quinine within 72 hours; or Caffeine or poppy seeds within 48 hours. Had been treated with any known drugs that are moderate or strong inhibitors/inducers of cytochrome P450 (CYP) enzymes such as barbiturates, phenothiazines, cimetidine, carbamazepine, etc., within 30 days prior to the first dose of study medication and that in the Investigator's judgment may have impacted subject safety or the validity of the study results. Had a positive urine screen for drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, cannabinoids, opiates) or cotinine. Had a positive test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus (HIV) at screening or had been previously treated for hepatitis B, hepatitis C, or HIV infection. Was, for any reason, deemed by the investigator to be inappropriate for this study, including subjects who were unable to communicate or cooperate with the investigator or designee. Female with a positive pregnancy test result.

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    This is a single-center, randomized, ascending dose study in which 5 cohorts of healthy male and female subjects will be administered single doses of ARN 6039 or matching placebo; subjects will be blinded to treatment (ARN-6039 vs. placebo). The ARN 6039 dose will be escalated in each cohort. Each individual participant data is available from sponsor company for review.
    IPD Sharing Time Frame
    Clinical study report currently available.
    IPD Sharing Access Criteria
    Please contact Dr. Hari Vankayalapati at Arrien Pharmaceuticals LLC (e-mail: hari@arrienpharma.com).

    Learn more about this trial

    A Phase 1 Study of ARN-6039

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