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Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BBT-877 in Healthy Subjects

Primary Purpose

Idiopathic Pulmonary Fibrosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BBT-877, Single dose
Placebo group
BBT-877, Multiple doses
Sponsored by
Bridge Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Idiopathic Pulmonary Fibrosis focused on measuring Autotaxin

Eligibility Criteria

19 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult male and/or female (non-childbearing potential only), 19 to 55 years of age, inclusive, at screening.
  • Continuous non-smoker who has not used nicotine-containing products for at least 3 months prior to the first dose and throughout the study.
  • BMI ≥ 18.5 and ≤ 32.0 kg/m2 and weight ≥ 50 kg at screening.
  • Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, as deemed by the PI or designee.
  • No clinically significant history or presence of ECG findings as judged by the PI or qualified designee at screening and check-in.
  • For a female, must be of non-childbearing potential and therefore must have undergone one of the following sterilization procedures, at least 6 months prior to the first dose:

    1. hysteroscopic sterilization;
    2. bilateral tubal ligation or bilateral salpingectomy;
    3. hysterectomy;
    4. bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dose and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status.
  • A non-vasectomized, male subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days beyond the last dose of study drug. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to the first dose of study drug. A male who has been vasectomized less than 4 months prior to the first dose must follow the same restrictions as a non-vasectomized male).
  • If male, must agree to not donate sperm from the first dose until 90 days after the last dose of study drug.
  • Must have the ability to understand and sign a written informed consent form (ICF), which must be obtained prior to initiation of study procedures.

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 2 years prior to the first dose or regular alcohol consumption within 6 months prior to the first dose with an average weekly intake of greater than 21 glasses/units per week for males or 14 glasses/units per week for females, with one unit = 150 mL of wine or 360 mL of beer or 45 mL of 45% alcohol.
  • History or presence of hypersensitivity or idiosyncratic reaction to the study drug(s) or related compounds.
  • History of anemia or history of decreased red blood cells (RBC).
  • Estimated creatinine clearance <80 mL/min at screening.
  • Liver function tests (serum ALT, AST, alkaline phosphatase) and serum bilirubin (total and direct) > ULN.
  • Baseline hemoglobin, hematocrit, RBC < lower limit of normal at screening and Day -1.
  • Female subjects who are pregnant or who are lactating.
  • Positive urine drug or alcohol results at screening or check-in.
  • Positive urine cotinine at screening.
  • Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV).
  • Unable to refrain from or anticipates the use of:

    • Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning approximately 14 days prior to the first dose and throughout the study. Hormone replacement therapy will not be allowed. After first dosing, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee.
    • Any drugs known to be significant inducers of CYP3A enzymes and/or P-glycoprotein, including St. John's Wort, for 28 days prior to the first dosing and throughout the study. Appropriate sources (e.g., Flockhart Table) will be consulted to confirm lack of PK/PD interaction with study drug.
  • 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 the first dose and throughout the study.
  • Donation of blood or significant blood loss within 56 days prior to the first dose.
  • Plasma donation within 7 days prior to the first dose.
  • Exposure to more than four new chemical entities within 12 months prior to first dosing day.
  • The subject has participated in a clinical trial and has received an investigational product within 30 days, or 5 half-lives of the investigational product (whichever is longer) of the first dose of study drug in the current study.
  • Any condition or circumstance, in the opinion of the PI or designee, which may make the subject unlikely to complete the study or comply with study procedures and requirements, or may pose a risk to the subject's safety.

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single Ascending Doses

Multiple Ascending Doses

Arm Description

Outcomes

Primary Outcome Measures

The number and severity of treatment emergent adverse events (TEAEs)
To assess the safety and tolerability of single and multiple ascending oral doses of BBT-877 in healthy adult subjects.

Secondary Outcome Measures

Peak Plasma Concentration of BBT-877 in plasma
The PK of BBT-877
Area under the plasma concentration versus time curve of BBT-877 in plasma
The PK of BBT-877
Peak Plasma Concentration of BBT-877 in plasma under fed condition.
The food effect on the PK of a single dose of BBT-877
Area under the plasma concentration versus time curve of BBT-877 in plasma under fed condition.
The food effect on the PK of a single dose of BBT-877
Raw and change-from-baseline values of plasma LPAs
To assess the PD of BBT-877 by assessment of plasma LPAs.

Full Information

First Posted
January 31, 2019
Last Updated
January 15, 2020
Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
KCRN Research, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03830125
Brief Title
Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BBT-877 in Healthy Subjects
Official Title
A Phase 1, 2-Stage, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BBT-877 Following Single and Multiple Ascending Doses in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
February 13, 2019 (Actual)
Primary Completion Date
November 24, 2019 (Actual)
Study Completion Date
November 24, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bridge Biotherapeutics, Inc.
Collaborators
KCRN Research, LLC

4. Oversight

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

5. Study Description

Brief Summary
This clinical trial is the first-in-human study of BBT-877. The purpose of this phase 1 study is to assess the safety and tolerability of single and multiple ascending oral doses of BBT-877 in healthy adult subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Idiopathic Pulmonary Fibrosis
Keywords
Autotaxin

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Doses
Arm Type
Experimental
Arm Title
Multiple Ascending Doses
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
BBT-877, Single dose
Intervention Description
Single dose of BBT-877, 5 dose levels, oral capsule
Intervention Type
Drug
Intervention Name(s)
Placebo group
Intervention Description
Placebo matched to BBT-877, oral capsule
Intervention Type
Drug
Intervention Name(s)
BBT-877, Multiple doses
Intervention Description
Multiple doses of BBT-877, 14 days, 8 dose levels, oral capsule
Primary Outcome Measure Information:
Title
The number and severity of treatment emergent adverse events (TEAEs)
Description
To assess the safety and tolerability of single and multiple ascending oral doses of BBT-877 in healthy adult subjects.
Time Frame
7 days after the last dose
Secondary Outcome Measure Information:
Title
Peak Plasma Concentration of BBT-877 in plasma
Description
The PK of BBT-877
Time Frame
72 hours after the last dose
Title
Area under the plasma concentration versus time curve of BBT-877 in plasma
Description
The PK of BBT-877
Time Frame
72 hours after the last dose
Title
Peak Plasma Concentration of BBT-877 in plasma under fed condition.
Description
The food effect on the PK of a single dose of BBT-877
Time Frame
72 hours after the last dose
Title
Area under the plasma concentration versus time curve of BBT-877 in plasma under fed condition.
Description
The food effect on the PK of a single dose of BBT-877
Time Frame
72 hours after the last dose
Title
Raw and change-from-baseline values of plasma LPAs
Description
To assess the PD of BBT-877 by assessment of plasma LPAs.
Time Frame
72 hours after the last dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male and/or female (non-childbearing potential only), 19 to 55 years of age, inclusive, at screening. Continuous non-smoker who has not used nicotine-containing products for at least 3 months prior to the first dose and throughout the study. BMI ≥ 18.5 and ≤ 32.0 kg/m2 and weight ≥ 50 kg at screening. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, as deemed by the PI or designee. No clinically significant history or presence of ECG findings as judged by the PI or qualified designee at screening and check-in. For a female, must be of non-childbearing potential and therefore must have undergone one of the following sterilization procedures, at least 6 months prior to the first dose: hysteroscopic sterilization; bilateral tubal ligation or bilateral salpingectomy; hysterectomy; bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dose and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status. A non-vasectomized, male subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days beyond the last dose of study drug. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to the first dose of study drug. A male who has been vasectomized less than 4 months prior to the first dose must follow the same restrictions as a non-vasectomized male). If male, must agree to not donate sperm from the first dose until 90 days after the last dose of study drug. Must have the ability to understand and sign a written informed consent form (ICF), which must be obtained prior to initiation of study procedures. 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 2 years prior to the first dose or regular alcohol consumption within 6 months prior to the first dose with an average weekly intake of greater than 21 glasses/units per week for males or 14 glasses/units per week for females, with one unit = 150 mL of wine or 360 mL of beer or 45 mL of 45% alcohol. History or presence of hypersensitivity or idiosyncratic reaction to the study drug(s) or related compounds. History of anemia or history of decreased red blood cells (RBC). Estimated creatinine clearance <80 mL/min at screening. Liver function tests (serum ALT, AST, alkaline phosphatase) and serum bilirubin (total and direct) > ULN. Baseline hemoglobin, hematocrit, RBC < lower limit of normal at screening and Day -1. Female subjects who are pregnant or who are lactating. Positive urine drug or alcohol results at screening or check-in. Positive urine cotinine at screening. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV). Unable to refrain from or anticipates the use of: Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning approximately 14 days prior to the first dose and throughout the study. Hormone replacement therapy will not be allowed. After first dosing, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee. Any drugs known to be significant inducers of CYP3A enzymes and/or P-glycoprotein, including St. John's Wort, for 28 days prior to the first dosing and throughout the study. Appropriate sources (e.g., Flockhart Table) will be consulted to confirm lack of PK/PD interaction with study drug. 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 the first dose and throughout the study. Donation of blood or significant blood loss within 56 days prior to the first dose. Plasma donation within 7 days prior to the first dose. Exposure to more than four new chemical entities within 12 months prior to first dosing day. The subject has participated in a clinical trial and has received an investigational product within 30 days, or 5 half-lives of the investigational product (whichever is longer) of the first dose of study drug in the current study. Any condition or circumstance, in the opinion of the PI or designee, which may make the subject unlikely to complete the study or comply with study procedures and requirements, or may pose a risk to the subject's safety.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeong-Hyun Ryou, M.D., Ph.D.
Organizational Affiliation
Bridge Biotherapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Celerion
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

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Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BBT-877 in Healthy Subjects

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