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Phase 1 Study of Oral QPX2015 in Healthy Adult Subjects

Primary Purpose

Bacterial Infections

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
QPX2015
Placebo oral capsule
Sponsored by
Qpex Biopharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bacterial Infections focused on measuring beta-lactam antibiotic

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy adult males and/or females of non-child bearing potential, 18 to 55 years of age (inclusive).
  2. Body mass index (BMI) ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive).
  3. Medically healthy with clinically insignificant screening results (e.g., laboratory profiles, medical histories, electrocardiograms [ECGs], physical examination) as assessed by the PI.
  4. Voluntarily consent to participate in the study.
  5. If male, agree to be sexually abstinent or agree to use two approved methods of contraception when engaging in sexual activity from study check-in through completion of the end-of-study. Subjects must agree to use two approved methods of contraception for 30 days following the last administration of the study drug, and to not donate sperm during this same period of time. In the event that the sexual partner is surgically sterile, contraception is not necessary.
  6. Females of non-childbearing potential with serum FSH levels ≥ 40 mIU/mL are either postmenopausal (defined as 12 months spontaneous amenorrhea) or have undergone sterilization procedures at least 6 months prior to dosing.

Exclusion Criteria:

  1. History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, neurological, or psychiatric disease.
  2. Positive urine drug/alcohol testing at screening or check-in (Day -1).
  3. Positive testing for HIV, hepatitis B or C
  4. History or presence of alcoholism or drug abuse within last 2 years
  5. Use of more than 5 packs/week of tobacco/nicotine-containing product within last 6 months prior dosing.
  6. Use of any prescription medication (with the exception of hormonal contraceptives or hormone replacement therapy for females) within 14 days prior to dosing.
  7. Use of any over-the-counter (OTC) medication, including herbal products and vitamins, within the 7 days prior to dosing.
  8. Use of antacids, H2 receptor blockers or proton pump inhibitors 3 days prior to dosing.
  9. History of any hypersensitivity or allergic reaction to cephalosporins, penicillins, carbapenems, or monobactams).
  10. Participation in another investigational clinical trial within 30 days prior to Dosing or within 5 half-lives of the previous investigational drug, whichever is longer.
  11. Females who are pregnant or lactating.
  12. QTcF interval >450 msec, or history of prolonged QT syndrome at screening or check-in
  13. Calculated creatinine clearance less than 80 mL/min (Cockcroft-Gault method) at screening or check-in.
  14. Subjects who have any clinically significant abnormalities on laboratory values: White blood cell count < 3,000/mm3, hemoglobin < 11g/dL or Absolute neutrophil count < 1,200/mm3 or platelet count < 120,000/mm3.
  15. Liver function abnormalities defined by an elevation in bilirubin, AST or ALT 1.5 x ULN of the normal range for subjects based on age and sex.

Sites / Locations

  • CMAX

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

QPX2015

Placebo

Arm Description

QPX2015, antibiotic

Matched placebo

Outcomes

Primary Outcome Measures

Incidence of Treatment -Emergent Adverse events by subject and by cohort
Number of patients with Treatment-Emergent AEs by treatment arm, severity and relationship to treatment
Number of patients with changes from baseline in safety parameters
Number of patients with changes in safety parameters before and after dosing by subject and treatment arm
Peak plasma Concentration measurements by subject and by cohort (Cmax)
Comparison will be performed between the cohorts for Cmax. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Time concentration data measurements by subject and by cohort (Tmax)
Comparison will be performed between the cohorts for Tmax.
Area under the plasma concentration versus time curve (AUC) between cohorts
Comparison will be performed between the cohorts for AUC. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Urine PK amount excreted by subject and by cohort
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Urine PK % dose excreted by subject and by cohort
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data

Secondary Outcome Measures

Full Information

First Posted
May 1, 2019
Last Updated
October 6, 2022
Sponsor
Qpex Biopharma, Inc.
Collaborators
Biomedical Advanced Research and Development Authority
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1. Study Identification

Unique Protocol Identification Number
NCT03939429
Brief Title
Phase 1 Study of Oral QPX2015 in Healthy Adult Subjects
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Ascending Single and Multiple-Dose Study of the Safety, Tolerability, Pharmacokinetics of Oral QPX2015 in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Completed
Study Start Date
May 20, 2019 (Actual)
Primary Completion Date
October 6, 2019 (Actual)
Study Completion Date
October 6, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qpex Biopharma, Inc.
Collaborators
Biomedical Advanced Research and Development Authority

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
QPX2015 (beta-lactam antibiotic) is being studied at higher than approved doses to combine with a new beta-lactamase inhibitor to treat bacterial infections, including those due to multi-drug resistant bacteria.
Detailed Description
The worldwide spread of resistance to antibiotics among gram-negative bacteria, particularly members of the ESKAPE group of pathogens, has resulted in a crisis in the treatment of both hospital acquired and community acquired infections. In particular, the increase in Enterobacteriaceae expressing extended spectrum beta-lactamases (ESBLs) and carbapenemases that are resistant to all oral beta-lactams and fluoroquinolones in the community have resulted in many patients requiring admission just for IV antibiotics to treat their infections. Qpex Biopharma is developing a fixed combination antibiotic of QPX2015 (beta-lactam antibiotic) plus a new beta-lactamase inhibitor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections
Keywords
beta-lactam antibiotic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
double-blind, placebo controlled ascending single- and multiple-dose
Masking
ParticipantInvestigator
Masking Description
double-blind, placebo controlled ascending single- and multiple-dose
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QPX2015
Arm Type
Experimental
Arm Description
QPX2015, antibiotic
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matched placebo
Intervention Type
Drug
Intervention Name(s)
QPX2015
Other Intervention Name(s)
oral dose
Intervention Description
antibiotic
Intervention Type
Drug
Intervention Name(s)
Placebo oral capsule
Other Intervention Name(s)
oral dose
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Incidence of Treatment -Emergent Adverse events by subject and by cohort
Description
Number of patients with Treatment-Emergent AEs by treatment arm, severity and relationship to treatment
Time Frame
Study Day 1 to 13
Title
Number of patients with changes from baseline in safety parameters
Description
Number of patients with changes in safety parameters before and after dosing by subject and treatment arm
Time Frame
Study Day 1 to 13
Title
Peak plasma Concentration measurements by subject and by cohort (Cmax)
Description
Comparison will be performed between the cohorts for Cmax. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Time Frame
Study Day 1 to 13
Title
Time concentration data measurements by subject and by cohort (Tmax)
Description
Comparison will be performed between the cohorts for Tmax.
Time Frame
Study Day 1 to 13
Title
Area under the plasma concentration versus time curve (AUC) between cohorts
Description
Comparison will be performed between the cohorts for AUC. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.
Time Frame
Study Day 1 to 13
Title
Urine PK amount excreted by subject and by cohort
Description
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Time Frame
Study Day 1 to 13
Title
Urine PK % dose excreted by subject and by cohort
Description
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data
Time Frame
Study Day 1 to 13

10. Eligibility

Sex
All
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 males and/or females of non-child bearing potential, 18 to 55 years of age (inclusive). Body mass index (BMI) ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive). Medically healthy with clinically insignificant screening results (e.g., laboratory profiles, medical histories, electrocardiograms [ECGs], physical examination) as assessed by the PI. Voluntarily consent to participate in the study. If male, agree to be sexually abstinent or agree to use two approved methods of contraception when engaging in sexual activity from study check-in through completion of the end-of-study. Subjects must agree to use two approved methods of contraception for 30 days following the last administration of the study drug, and to not donate sperm during this same period of time. In the event that the sexual partner is surgically sterile, contraception is not necessary. Females of non-childbearing potential with serum FSH levels ≥ 40 mIU/mL are either postmenopausal (defined as 12 months spontaneous amenorrhea) or have undergone sterilization procedures at least 6 months prior to dosing. Exclusion Criteria: History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, neurological, or psychiatric disease. Positive urine drug/alcohol testing at screening or check-in (Day -1). Positive testing for HIV, hepatitis B or C History or presence of alcoholism or drug abuse within last 2 years Use of more than 5 packs/week of tobacco/nicotine-containing product within last 6 months prior dosing. Use of any prescription medication (with the exception of hormonal contraceptives or hormone replacement therapy for females) within 14 days prior to dosing. Use of any over-the-counter (OTC) medication, including herbal products and vitamins, within the 7 days prior to dosing. Use of antacids, H2 receptor blockers or proton pump inhibitors 3 days prior to dosing. History of any hypersensitivity or allergic reaction to cephalosporins, penicillins, carbapenems, or monobactams). Participation in another investigational clinical trial within 30 days prior to Dosing or within 5 half-lives of the previous investigational drug, whichever is longer. Females who are pregnant or lactating. QTcF interval >450 msec, or history of prolonged QT syndrome at screening or check-in Calculated creatinine clearance less than 80 mL/min (Cockcroft-Gault method) at screening or check-in. Subjects who have any clinically significant abnormalities on laboratory values: White blood cell count < 3,000/mm3, hemoglobin < 11g/dL or Absolute neutrophil count < 1,200/mm3 or platelet count < 120,000/mm3. Liver function abnormalities defined by an elevation in bilirubin, AST or ALT 1.5 x ULN of the normal range for subjects based on age and sex.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffery S Loutit, MBChB
Organizational Affiliation
Qpex Biopharma, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
CMAX
City
Adelaide
State/Province
South Australia
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1 Study of Oral QPX2015 in Healthy Adult Subjects

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