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Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single Ascending Dose of ZSP1603 in Healthy Adults

Primary Purpose

Idiopathic Pulmonary Fibrosis(IPF), Solid Tumor

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ZSP1603 7.5 mg
ZSP1603 12.5 mg
Placebo 12.5mg
ZSP1603 25 mg
Placebo 25mg
ZSP1603 50 mg
Placebo 50mg
Sponsored by
Guangdong Zhongsheng Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis(IPF)

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects are required to meet the following criteria in order to be included in the trial:

    1. Males and female subjects between 18-50 years (Both inclusive).
    2. Body weight is no less than 50 kg in males and no less than 45 kg in females. Body mass index (BMI) 19.0 ≤ BMI ≤ 26.0 kg/m2; BMI is determined by the following equation: BMI = weight/height2 (kg/m2).
    3. Males or females are without gestation plans or infertility, or females who are menopausal, otherwise must use reliable methods of contraception during the study and until 6 months following the last dose of investigational product.
    4. Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment.
    5. Subjects must be willing and able to adhere to the visit schedule and protocol requirements and be available to complete the study.

Exclusion Criteria:

  • Eligible subjects must not meet any of the following exclusion criteria:

    1. History or presence of any clinical severe diseases (such as circulatory system, endocrine , neurologic, gastrointestinal, respiratory system, urogenital system, hematic, immune, psychiatric and metabolic abnormalities), or any other diseases that,in the Investigator's opinion,might interfere with the assessment or follow-up;
    2. Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to the investigative product;
    3. Subjects who have received a surgery within 4 weeks prior to the test or who plan to perform a surgery during the study;
    4. Use of any drugs or health care products (including herbs) within 14 days prior to screening.
    5. Any drugs with known hepatic enzyme-inducing or inhibiting agents that may change the activity of CYP3A4 within 30 days prior to dosing (such as inducer - Barbituric , Carmazepin , Phenyltoin , Glucocorticoids , and Omeprazole ; Inhibitors - SSRI antidepressants , Cimitedin , Diltiazem , Macrolides , Nitroimidazoles , Sedative hypnotic , Verapamil , Fluoroquinolone , Anti - histamine ).
    6. Participated in another clinical research study and received any other investigational products within 3 months prior to dosing.
    7. Subjects who donated blood or bleeding profusely(≥ 200 mL), received blood transfusion or use of blood products in the 3 months preceding study screening.
    8. Pregnancy or breastfeeding at screening and during the study. All female subjects of childbearing potential and their partners cannot use at least one reliable method of non-drug contraception during the study and until 6 months following the last dose of investigational product.
    9. Subjects who have special dietary habit and inability to consume the food provided in the study;
    10. Subjects who could not tolerate venipuncture;
    11. Dysphagia of capsule;
    12. Frequently drinks tea, coffee and/or caffeinated beverages(more than 8 cups, 1 cup =250 mL) per day ;
    13. Daily consuming more than 5 cigarettes within 3 months prior to screening or cannot stop using any tobacco products during the trial.
    14. Smoke or have grapefruit juice,any food or beverage that contains alcohol or xanthin (including chocolate, tea, coffee, cola, etc.) from 48 hours pre-dose to the last blood collection ;
    15. Known history of alcohol abuse (defined as consumption of more than 14 units of alcohol per week: 1 unit=360 ml of beer,or the equivalent of 45 mL liquor with 40% alcohol content, or 150 ml of wine;)or take any product contains alcohol during the study.
    16. Known history of drug abuse or subjects who have used soft drugs (e.g., marijuana) within 3 months prior to screening, or have taken hard drugs (such as cocaine, phencyclidine, etc.) within one year before screening.
    17. Presence clinically significant abnormalities (based on the judgment of clinical research doctors) of vital signs (systolic pressure <90 mmHg or >140 mmHg; diastolic pressure <60 mmHg or >90 mmHg;HR <50 bpm or>100 bpm) or ECG (QTcB>450ms in males, or QTcB>480ms in females) or physical examination, clinical laboratory tests and imaging examination.
    18. Subjects who may not complete the study for other reasons or should not be included in the study in the opinion of the Investigator.

Sites / Locations

  • The Third Xiangya Hospital of Central South University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

ZSP1603 (single dose)-7.5 mg (Cohort 1)

ZSP1603 (single dose)-12.5mg (Cohort 2)

ZSP1603 (single dose)-25 mg (Cohort 3)

ZSP1603 (single dose)-50 mg (Cohort 4)

Arm Description

Subject adminsitered at a dose of ZSP1603 7.5 mg on day 1 under fasted condition.

Subject adminsitered at a dose of ZSP1603 12.5 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 2 will begin upon assurance of safety for Cohort 1.

Subject adminsitered at a dose of ZSP1603 25 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 3 will begin upon assurance of safety for Cohort 2.

Subject adminsitered at a dose of ZSP1603 50 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 4 will begin upon assurance of safety for Cohort 3.

Outcomes

Primary Outcome Measures

Number of participants with treatment-emergent adverse events (TEAEs) following oral doses of ZSP1603 and placebo,separately.
Number of participants with TEAEs as assessed by CTCAE v5.0.

Secondary Outcome Measures

AUClast(AUC0-t)of ZSP1603
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
AUC0-24 of ZSP1603
AUC0-24 is defined as the concentration of drug from zero(0) hrs to 24h (area under the plasma concentration versus time curve from zero(0) hrs to 24h).
Cmax of ZSP1603
Cmax is defined as the maximum observed concentration of drug in plasma.
Tmax of ZSP1603
Tmax is defined as the time to maximum concentration.
t1/2 of ZSP1603
t1/2 is defined as the time to half of the drug concentration in plasma.
CL/F of ZSP1603
CL/F is defined as the ratio of total clearance(CL) to bioavailability(F).
λz of ZSP1603
λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound.
VD/F of ZSP1603
VD/F is defined as apparent volume of distribution
MRT of ZSP1603
MRT is defined as mean residence time

Full Information

First Posted
July 23, 2018
Last Updated
October 22, 2019
Sponsor
Guangdong Zhongsheng Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03619616
Brief Title
Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single Ascending Dose of ZSP1603 in Healthy Adults
Official Title
A Phase 1 Randomized,Double-Blind,Parallel-Group, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ZSP1603 in Chinese Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Completed
Study Start Date
July 16, 2018 (Actual)
Primary Completion Date
June 28, 2019 (Actual)
Study Completion Date
October 22, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangdong Zhongsheng Pharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The Primary objectives of this study are to evaluate the safety and tolerability of ZSP1603 and the Secondary objective is to estimate the pharmacokinetic (PK) parameters after orally administered once daily of ZSP1603.
Detailed Description
This is a Phase 1, double-blinded, placebo-controlled, single center study aimed at investigating the safety, tolerability and the pharmacokinetics of ZSP1603 on fasted condition.Up to 4 cohorts of 32 eligible participants totally are planned to be enrolled. This is a two-arm clinical trial that ZSP1603 and matching placebo will be orally administered once daily. Two subjects in the first cohort will be assigned in a opened fashion to receive 7.5mg of ZSP1603 while another three cohorts of volunteers will be randomly assigned in a blinded fashion to receive either a single dose of ZSP1603 or matching placebo in an ascending dose fashion. To monitor AEs,record abnormalities (Holter, 12-lead ECG, Vital signs, Physical examination, Clinical Laboratory), and detect the pharmacokinetics of ZSP1603.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis(IPF), Solid Tumor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Triple(Participant, Investigator, Clinical Research Associate)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZSP1603 (single dose)-7.5 mg (Cohort 1)
Arm Type
Experimental
Arm Description
Subject adminsitered at a dose of ZSP1603 7.5 mg on day 1 under fasted condition.
Arm Title
ZSP1603 (single dose)-12.5mg (Cohort 2)
Arm Type
Experimental
Arm Description
Subject adminsitered at a dose of ZSP1603 12.5 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 2 will begin upon assurance of safety for Cohort 1.
Arm Title
ZSP1603 (single dose)-25 mg (Cohort 3)
Arm Type
Experimental
Arm Description
Subject adminsitered at a dose of ZSP1603 25 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 3 will begin upon assurance of safety for Cohort 2.
Arm Title
ZSP1603 (single dose)-50 mg (Cohort 4)
Arm Type
Experimental
Arm Description
Subject adminsitered at a dose of ZSP1603 50 mg or placebo on day 1 under fasted condition. Enrollment into Cohort 4 will begin upon assurance of safety for Cohort 3.
Intervention Type
Drug
Intervention Name(s)
ZSP1603 7.5 mg
Intervention Description
ZSP1603 capsule administered orally once daily under fasted condition.
Intervention Type
Drug
Intervention Name(s)
ZSP1603 12.5 mg
Intervention Description
ZSP1603 capsule administered orally once daily in the fasting state.
Intervention Type
Drug
Intervention Name(s)
Placebo 12.5mg
Intervention Description
Participants will receive placebo matching to ZSP1603 orally once daily under fasted condition.
Intervention Type
Drug
Intervention Name(s)
ZSP1603 25 mg
Intervention Description
ZSP1603 capsule administered orally once daily under fasted condition.
Intervention Type
Drug
Intervention Name(s)
Placebo 25mg
Intervention Description
Participants will receive placebo matching to ZSP1603 orally once daily in the fasting state.
Intervention Type
Drug
Intervention Name(s)
ZSP1603 50 mg
Intervention Description
ZSP1603 capsule administered orally once daily under fasted state.
Intervention Type
Drug
Intervention Name(s)
Placebo 50mg
Intervention Description
Participants will receive placebo matching to ZSP1603 orally once daily in the fasting state.
Primary Outcome Measure Information:
Title
Number of participants with treatment-emergent adverse events (TEAEs) following oral doses of ZSP1603 and placebo,separately.
Description
Number of participants with TEAEs as assessed by CTCAE v5.0.
Time Frame
At Day 6 post-dose.
Secondary Outcome Measure Information:
Title
AUClast(AUC0-t)of ZSP1603
Description
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
Time Frame
Up to 6 days post-dose
Title
AUC0-24 of ZSP1603
Description
AUC0-24 is defined as the concentration of drug from zero(0) hrs to 24h (area under the plasma concentration versus time curve from zero(0) hrs to 24h).
Time Frame
Up to 6 days post-dose
Title
Cmax of ZSP1603
Description
Cmax is defined as the maximum observed concentration of drug in plasma.
Time Frame
Up to 6 days post-dose
Title
Tmax of ZSP1603
Description
Tmax is defined as the time to maximum concentration.
Time Frame
Up to 6 days post-dose
Title
t1/2 of ZSP1603
Description
t1/2 is defined as the time to half of the drug concentration in plasma.
Time Frame
Up to 6 days post-dose
Title
CL/F of ZSP1603
Description
CL/F is defined as the ratio of total clearance(CL) to bioavailability(F).
Time Frame
Up to 6 days post-dose
Title
λz of ZSP1603
Description
λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound.
Time Frame
Up to 6 days post-dose
Title
VD/F of ZSP1603
Description
VD/F is defined as apparent volume of distribution
Time Frame
Up to 6 days post-dose
Title
MRT of ZSP1603
Description
MRT is defined as mean residence time
Time Frame
Up to 6 days post-dose

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: Subjects are required to meet the following criteria in order to be included in the trial: Males and female subjects between 18-50 years (Both inclusive). Body weight is no less than 50 kg in males and no less than 45 kg in females. Body mass index (BMI) 19.0 ≤ BMI ≤ 26.0 kg/m2; BMI is determined by the following equation: BMI = weight/height2 (kg/m2). Males or females are without gestation plans or infertility, or females who are menopausal, otherwise must use reliable methods of contraception during the study and until 6 months following the last dose of investigational product. Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment. Subjects must be willing and able to adhere to the visit schedule and protocol requirements and be available to complete the study. Exclusion Criteria: Eligible subjects must not meet any of the following exclusion criteria: History or presence of any clinical severe diseases (such as circulatory system, endocrine , neurologic, gastrointestinal, respiratory system, urogenital system, hematic, immune, psychiatric and metabolic abnormalities), or any other diseases that,in the Investigator's opinion,might interfere with the assessment or follow-up; Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to the investigative product; Subjects who have received a surgery within 4 weeks prior to the test or who plan to perform a surgery during the study; Use of any drugs or health care products (including herbs) within 14 days prior to screening. Any drugs with known hepatic enzyme-inducing or inhibiting agents that may change the activity of CYP3A4 within 30 days prior to dosing (such as inducer - Barbituric , Carmazepin , Phenyltoin , Glucocorticoids , and Omeprazole ; Inhibitors - SSRI antidepressants , Cimitedin , Diltiazem , Macrolides , Nitroimidazoles , Sedative hypnotic , Verapamil , Fluoroquinolone , Anti - histamine ). Participated in another clinical research study and received any other investigational products within 3 months prior to dosing. Subjects who donated blood or bleeding profusely(≥ 200 mL), received blood transfusion or use of blood products in the 3 months preceding study screening. Pregnancy or breastfeeding at screening and during the study. All female subjects of childbearing potential and their partners cannot use at least one reliable method of non-drug contraception during the study and until 6 months following the last dose of investigational product. Subjects who have special dietary habit and inability to consume the food provided in the study; Subjects who could not tolerate venipuncture; Dysphagia of capsule; Frequently drinks tea, coffee and/or caffeinated beverages(more than 8 cups, 1 cup =250 mL) per day ; Daily consuming more than 5 cigarettes within 3 months prior to screening or cannot stop using any tobacco products during the trial. Smoke or have grapefruit juice,any food or beverage that contains alcohol or xanthin (including chocolate, tea, coffee, cola, etc.) from 48 hours pre-dose to the last blood collection ; Known history of alcohol abuse (defined as consumption of more than 14 units of alcohol per week: 1 unit=360 ml of beer,or the equivalent of 45 mL liquor with 40% alcohol content, or 150 ml of wine;)or take any product contains alcohol during the study. Known history of drug abuse or subjects who have used soft drugs (e.g., marijuana) within 3 months prior to screening, or have taken hard drugs (such as cocaine, phencyclidine, etc.) within one year before screening. Presence clinically significant abnormalities (based on the judgment of clinical research doctors) of vital signs (systolic pressure <90 mmHg or >140 mmHg; diastolic pressure <60 mmHg or >90 mmHg;HR <50 bpm or>100 bpm) or ECG (QTcB>450ms in males, or QTcB>480ms in females) or physical examination, clinical laboratory tests and imaging examination. Subjects who may not complete the study for other reasons or should not be included in the study in the opinion of the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Guoping Yang, MD
Organizational Affiliation
The Third Xiangya Hospital of Central South University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Third Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410013
Country
China

12. IPD Sharing Statement

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Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single Ascending Dose of ZSP1603 in Healthy Adults

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