search
Back to results

Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides

Primary Purpose

Alzheimer Disease

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MCTprocal medical food
Milk/tricaprilin oil blend
AC-1207
AC-1205
AC-1206
AC-1202
Sponsored by
Cerecin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Alzheimer Disease

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy, adult, male 18 55 years of age, inclusive, at Screening.
  2. Continuous non smoker who has not used nicotine containing products for at least 3 months prior to Day -1 of Period 1 and throughout the study based on self-reporting.
  3. Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening.
  4. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. At screening, subjects must have alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) ≤ the upper limit of normal and triglyceride levels must be < 250 mg/dL.
  5. Hemoglobin levels ≥ the lower limit of normal at Screening and Day -1 of Period 1.
  6. A non vasectomized subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to Day -1 of Period 1. A subject who has been vasectomized less than 4 months prior to Day -1 of Period 1 must follow the same restrictions as a non vasectomized male).
  7. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.

Exclusion Criteria:

  1. Subject is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
  2. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee.
  3. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  4. History or presence of alcoholism or drug abuse within the past year prior to Day -1 of Period 1.
  5. History or presence of galactosemia or hypersensitivity or idiosyncratic reaction to the study drugs, related compounds, milk, palm or coconut oil, or soy.
  6. History or presence of symptomatic diverticular disease, uncontrolled gastroesophageal reflux disease, ulcers, inflammatory bowel disease, irritable bowel syndrome or recurrent diarrhea, or gout.
  7. Positive urine drug results at Screening or Check-in.
  8. Positive alcohol results at Screening or Check-in. One repeat assessment is permitted.
  9. Positive results at Screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV).
  10. Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at Screening. One repeat assessment is permitted.
  11. Seated heart rate is lower than 40 bpm or higher than 99 bpm at Screening.
  12. QTcF interval is >460 msec or subject has ECG findings deemed abnormal with clinical significance by the PI or designee at Screening.
  13. Estimated creatinine clearance ≤ 80 mL/min at Screening.
  14. Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to Day -1 of Period 1 and throughout the study. Acetaminophen (up to 2 g per 24 hours) may be permitted during the study.
  15. Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 28 days prior to Day -1 of Period 1 and throughout the study.
  16. Has been following a ketogenic diet, in the opinion of the PI or designee, within 2 weeks prior to Day -1 of Period 1.
  17. Is lactose intolerant.
  18. Is unable to complete the standard breakfast prior to dosing on Day 1 of each Period.
  19. Donation of blood or significant blood loss within 56 days prior to Day -1 of Period 1.
  20. Plasma donation within 7 days prior to Day -1 of Period 1.
  21. Participation in another clinical study within 28 days prior to Day -1 of Period 1. The 28-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day -1 of Period 1 of the current study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Active Comparator

    Experimental

    Arm Label

    MCTprocal medical food

    Milk/tricaprilin oil blend

    AC-1207

    AC-1205

    AC-1206

    AC-1202

    Arm Description

    Vitaflo MCTprocal, single dose (20 g MCT)

    Lactose-free milk and tricaprilin oil, blended,single dose (20 g tricaprilin)

    AC-1207 liquid, single dose (20 g tricaprilin)

    AC-1205 liquid, single dose (20 g tricaprilin)

    AC-1206 liquid, single dose (20 g tricaprilin)

    AC-1206 liquid, single dose (20 g tricaprilin)

    Outcomes

    Primary Outcome Measures

    Total ketones
    Area Under the Curve (AUC) AUC 0 - last
    Total ketones
    AUC 0 - 4
    Total ketones
    AUC 0 - 6
    Total ketones
    AUC 0 - 8
    Total ketones
    Maximum Plasma Concentration (Cmax)
    B-hydroxybutyrate
    AUC 0 - last
    B-hydroxybutyrate
    AUC 0 - 4
    B-hydroxybutyrate
    AUC 0 - 6
    B-hydroxybutyrate
    AUC 0 - 8
    B-hydroxybutyrate
    Cmax
    Acetoacetate
    AUC 0 - last
    Acetoacetate
    AUC 0 - 4
    Acetoacetate
    AUC 0 - 6
    Acetoacetate
    AUC 0 - 8
    Acetoacetate
    Cmax

    Secondary Outcome Measures

    Full Information

    First Posted
    August 16, 2018
    Last Updated
    September 25, 2018
    Sponsor
    Cerecin
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT03635879
    Brief Title
    Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides
    Official Title
    A Phase 1, Single-Center, Pilot, Single-Dose, 6-Way Crossover Study to Compare Six Formulations of Medium Chain Triglycerides on the Pharmacokinetics of Ketone Body Production
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study redesign
    Study Start Date
    February 13, 2019 (Anticipated)
    Primary Completion Date
    April 16, 2019 (Anticipated)
    Study Completion Date
    April 16, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Cerecin

    4. Oversight

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

    5. Study Description

    Brief Summary
    This is a Phase I, open label, randomized, 6-way crossover, pilot PK study
    Detailed Description
    12 healthy, male subjects enrolled, subject will be randomized to receive a single dose of one of six treatment, with a 2 day washout in between each dosing period.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    MCTprocal medical food
    Arm Type
    Active Comparator
    Arm Description
    Vitaflo MCTprocal, single dose (20 g MCT)
    Arm Title
    Milk/tricaprilin oil blend
    Arm Type
    Active Comparator
    Arm Description
    Lactose-free milk and tricaprilin oil, blended,single dose (20 g tricaprilin)
    Arm Title
    AC-1207
    Arm Type
    Active Comparator
    Arm Description
    AC-1207 liquid, single dose (20 g tricaprilin)
    Arm Title
    AC-1205
    Arm Type
    Active Comparator
    Arm Description
    AC-1205 liquid, single dose (20 g tricaprilin)
    Arm Title
    AC-1206
    Arm Type
    Active Comparator
    Arm Description
    AC-1206 liquid, single dose (20 g tricaprilin)
    Arm Title
    AC-1202
    Arm Type
    Experimental
    Arm Description
    AC-1206 liquid, single dose (20 g tricaprilin)
    Intervention Type
    Other
    Intervention Name(s)
    MCTprocal medical food
    Intervention Description
    32 g MCTprocal (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
    Intervention Type
    Other
    Intervention Name(s)
    Milk/tricaprilin oil blend
    Intervention Description
    154 mL of lactose-free skim milk/21 mL of tricaprilin oil blended and then mixed in 180 mL of water at Hour 0 Day 1
    Intervention Type
    Other
    Intervention Name(s)
    AC-1207
    Intervention Description
    AC-1207 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
    Intervention Type
    Other
    Intervention Name(s)
    AC-1205
    Intervention Description
    AC-1205 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
    Intervention Type
    Other
    Intervention Name(s)
    AC-1206
    Intervention Description
    AC-1206 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
    Intervention Type
    Drug
    Intervention Name(s)
    AC-1202
    Intervention Description
    AC-1202 (20 g MCT) mixed in 240 mL of water at Hour 0 Day 1
    Primary Outcome Measure Information:
    Title
    Total ketones
    Description
    Area Under the Curve (AUC) AUC 0 - last
    Time Frame
    1 day
    Title
    Total ketones
    Description
    AUC 0 - 4
    Time Frame
    1 day
    Title
    Total ketones
    Description
    AUC 0 - 6
    Time Frame
    1 day
    Title
    Total ketones
    Description
    AUC 0 - 8
    Time Frame
    1 day
    Title
    Total ketones
    Description
    Maximum Plasma Concentration (Cmax)
    Time Frame
    1 day
    Title
    B-hydroxybutyrate
    Description
    AUC 0 - last
    Time Frame
    1 day
    Title
    B-hydroxybutyrate
    Description
    AUC 0 - 4
    Time Frame
    1 day
    Title
    B-hydroxybutyrate
    Description
    AUC 0 - 6
    Time Frame
    1 day
    Title
    B-hydroxybutyrate
    Description
    AUC 0 - 8
    Time Frame
    1 day
    Title
    B-hydroxybutyrate
    Description
    Cmax
    Time Frame
    1 day
    Title
    Acetoacetate
    Description
    AUC 0 - last
    Time Frame
    1 day
    Title
    Acetoacetate
    Description
    AUC 0 - 4
    Time Frame
    1 day
    Title
    Acetoacetate
    Description
    AUC 0 - 6
    Time Frame
    1 day
    Title
    Acetoacetate
    Description
    AUC 0 - 8
    Time Frame
    1 day
    Title
    Acetoacetate
    Description
    Cmax
    Time Frame
    1 day

    10. Eligibility

    Sex
    Male
    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, adult, male 18 55 years of age, inclusive, at Screening. Continuous non smoker who has not used nicotine containing products for at least 3 months prior to Day -1 of Period 1 and throughout the study based on self-reporting. Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. At screening, subjects must have alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) ≤ the upper limit of normal and triglyceride levels must be < 250 mg/dL. Hemoglobin levels ≥ the lower limit of normal at Screening and Day -1 of Period 1. A non vasectomized subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to Day -1 of Period 1. A subject who has been vasectomized less than 4 months prior to Day -1 of Period 1 must follow the same restrictions as a non vasectomized male). Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol. Exclusion Criteria: Subject is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study. History or presence of alcoholism or drug abuse within the past year prior to Day -1 of Period 1. History or presence of galactosemia or hypersensitivity or idiosyncratic reaction to the study drugs, related compounds, milk, palm or coconut oil, or soy. History or presence of symptomatic diverticular disease, uncontrolled gastroesophageal reflux disease, ulcers, inflammatory bowel disease, irritable bowel syndrome or recurrent diarrhea, or gout. Positive urine drug results at Screening or Check-in. Positive alcohol results at Screening or Check-in. One repeat assessment is permitted. Positive results at Screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV). Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at Screening. One repeat assessment is permitted. Seated heart rate is lower than 40 bpm or higher than 99 bpm at Screening. QTcF interval is >460 msec or subject has ECG findings deemed abnormal with clinical significance by the PI or designee at Screening. Estimated creatinine clearance ≤ 80 mL/min at Screening. Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to Day -1 of Period 1 and throughout the study. Acetaminophen (up to 2 g per 24 hours) may be permitted during the study. Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 28 days prior to Day -1 of Period 1 and throughout the study. Has been following a ketogenic diet, in the opinion of the PI or designee, within 2 weeks prior to Day -1 of Period 1. Is lactose intolerant. Is unable to complete the standard breakfast prior to dosing on Day 1 of each Period. Donation of blood or significant blood loss within 56 days prior to Day -1 of Period 1. Plasma donation within 7 days prior to Day -1 of Period 1. Participation in another clinical study within 28 days prior to Day -1 of Period 1. The 28-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day -1 of Period 1 of the current study.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides

    We'll reach out to this number within 24 hrs