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Study to Compare the Pharmacokinetics of Tricaprilin Formulations and a Placebo on Ketone Body Production

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Tricaprilin
Tricaprilin
Placebo
Tricaprilin
Sponsored by
Cerecin
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Alzheimer Disease

Eligibility Criteria

18 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy, adult, male 18 - 50 years of age, inclusive, at Screening.
  • Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening.
  • Agrees to comply with study procedures.
  • Continuous non smoker who has not used nicotine containing products or smoking no more than 10 cigarettes per week for at least 3 months prior to Screening and will not use them throughout the study.
  • A non-vasectomized subject must agree to use a condom 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 Screening. A subject who has been vasectomized less than 4 months prior to Screening must follow the same restrictions as a non-vasectomized male.
  • Subject is able and willing to consume a prescribed full breakfast on at least 3 occasions. Subject does not have specific dietary requirements (vegetarian, vegan, lactose-free, low-fat, etc.).
  • Subject is not consuming a ketogenic diet (defined by consumption of < 50 gm carbohydrates per day).
  • Has given voluntary, written informed consent to participate in the study.
  • For Cohort 1, the Chinese subjects are restricted to being of Chinese heritage (irrespective of country of residence) and defined as all 4 grandparents of the subject must be Chinese (for Part 1 only).

Exclusion Criteria:

  • History or presence of alcoholism or substance abuse disorder within the last year.
  • Positive urine drug screen at Screening or Check-in.
  • Subject is currently actively using MCTs, ketone esters, or other ketogenic products or is following a ketogenic diet.
  • Clinically significant abnormal laboratory results at Screening.
  • Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to dosing, administration of a biological product in the context of a clinical research study within 90 days prior to dosing, or concomitant participation in an investigational study involving no drug or device administration.
  • Subject has a known allergy to the study drug's active or inactive ingredients.
  • Subject has been following a ketogenic diet (or other diet incompatible with the on-study diet), in the opinion of the investigator.
  • 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 the first dose and throughout the study, unless deemed acceptable by the PI. Paracetamol (up to 4g per 24-hour period) or ibuprofen (up to 1,200 mg per 24-hour period) may be permitted during the study.
  • Has had alcohol 48 hours prior to Day -1 of Period 1.
  • Any other condition which, in the investigator's opinion may adversely affect the subject's ability to complete the study or its measures or which may pose significant risk to the subject.

Sites / Locations

  • Nucleus Network

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

AC-SD-03 (for Part 1)

AC-LMP-01 (for Part 1)

AC-SD-03P (for Part 1)

AC-1202 (for Part 2)

AC-SD-03 (for Part 2)

Arm Description

Tricaprilin SD formulation, single dose (20g tricaprilin). Administered orally.

Tricaprilin LMP formulation, single dose (20g tricaprilin). Administered orally.

Placebo formulation, single dose. Administered orally

Tricaprilin SD formulation, single dose (20g caprylic triglyceride). Administered orally.

Tricaprilin SD formulation, single dose (20g tricaprilin). Administered orally.

Outcomes

Primary Outcome Measures

Safety and tolerability of single-dose administration of each of tricaprilin formulations and the placebo formulation, in healthy, male volunteers (for Part 1 and 2)
Number of subjects with treatment related adverse events as assessed by CTCAE
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using AUC(0-t) (for Part 1 and 2)
AUC(0-t) will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. AUC (0-t) = Area under the concentration-time curve from 0 to last quantifiable concentration. Summary statistics will be generated for each PK parameter.
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using Cmax (for Part 1 and 2)
Cmax will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. Cmax = Cmax is maximum concentration, determined directly from individual concentration-time data.Summary statistics will be generated for each PK parameter.
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using Tmax (for Part 1 and 2)
Tmax will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. Tmax = Time to reach maximum observed concentration, determined directly from individual concentration-time data.Summary statistics will be generated for each PK parameter.

Secondary Outcome Measures

ApoE4 Genotyping (for Part 1 only)
The Apo-E test provides a value represented by the type of the allele (E2, E3,E4).The allelic variant of the Apo-E (APOE4) will be evaluated for effects on tricaprilin induced ketone body production.

Full Information

First Posted
May 27, 2019
Last Updated
July 7, 2020
Sponsor
Cerecin
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1. Study Identification

Unique Protocol Identification Number
NCT03971123
Brief Title
Study to Compare the Pharmacokinetics of Tricaprilin Formulations and a Placebo on Ketone Body Production
Official Title
A Phase 1, Randomised, Single-center, Single-dose, Placebo-controlled, 3-Way Crossover Study to Compare the Pharmacokinetics, Safety and Tolerability of a Lipid Multi-particulate (LMP) Formulation and Spray-dried (SD) Formulations of Tricaprilin (TC) on Ketone Body Production (Part 1). Addendum to Include a 2-way Crossover to Compare the Pharmacokinetics, Safety and Tolerability of Two Spray-dried (SD) Formulations of Tricaprilin (TC) on Ketone Body Production (Part 2)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
August 30, 2019 (Actual)
Primary Completion Date
April 2, 2020 (Actual)
Study Completion Date
May 26, 2020 (Actual)

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
Data Monitoring Committee
No

5. Study Description

Brief Summary
Phase 1, Single-center, Open-label Study, Healthy Adult Male Subjects. Part 1:Single-dose, Placebo-controlled, 3-Way Crossover PK Study Part 2: Single dose 2-way comparator PK Study

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
Basic Science
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AC-SD-03 (for Part 1)
Arm Type
Experimental
Arm Description
Tricaprilin SD formulation, single dose (20g tricaprilin). Administered orally.
Arm Title
AC-LMP-01 (for Part 1)
Arm Type
Experimental
Arm Description
Tricaprilin LMP formulation, single dose (20g tricaprilin). Administered orally.
Arm Title
AC-SD-03P (for Part 1)
Arm Type
Experimental
Arm Description
Placebo formulation, single dose. Administered orally
Arm Title
AC-1202 (for Part 2)
Arm Type
Experimental
Arm Description
Tricaprilin SD formulation, single dose (20g caprylic triglyceride). Administered orally.
Arm Title
AC-SD-03 (for Part 2)
Arm Type
Experimental
Arm Description
Tricaprilin SD formulation, single dose (20g tricaprilin). Administered orally.
Intervention Type
Drug
Intervention Name(s)
Tricaprilin
Other Intervention Name(s)
AC-SD-03
Intervention Description
Tricaprilin formulated as AC-SD-03 50g of AC-SD-03 (20g tricaprilin) mixed in 240mL dosing liquid at Hour 0 Day 1
Intervention Type
Drug
Intervention Name(s)
Tricaprilin
Other Intervention Name(s)
AC-LMP-01
Intervention Description
Tricaprilin formulated as AC-LMP-01 50g of AC-LMP-01 (20g tricaprilin) mixed in 240mL dosing liquid at Hour 0 Day 1
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
AC-SD-03P
Intervention Description
Matching placebo to AC-SD-03 50g of AC-SD-03P mixed in 240mL dosing liquid at Hour 0 Day 1
Intervention Type
Drug
Intervention Name(s)
Tricaprilin
Other Intervention Name(s)
AC-1202
Intervention Description
Tricaprilin formulated as AC-1202 60g of AC-1202 (20g caprlic triglyceride) mixed in 240mL dosing liquid at Hour 0 Day 1
Primary Outcome Measure Information:
Title
Safety and tolerability of single-dose administration of each of tricaprilin formulations and the placebo formulation, in healthy, male volunteers (for Part 1 and 2)
Description
Number of subjects with treatment related adverse events as assessed by CTCAE
Time Frame
11 days
Title
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using AUC(0-t) (for Part 1 and 2)
Description
AUC(0-t) will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. AUC (0-t) = Area under the concentration-time curve from 0 to last quantifiable concentration. Summary statistics will be generated for each PK parameter.
Time Frame
1 day
Title
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using Cmax (for Part 1 and 2)
Description
Cmax will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. Cmax = Cmax is maximum concentration, determined directly from individual concentration-time data.Summary statistics will be generated for each PK parameter.
Time Frame
1 day
Title
Pharmacokinetics (PK) parameters of Total Ketones, Tricaprilin and Octanoic acid levels after single dose of each of tricaprilin formulations and the placebo formulation using Tmax (for Part 1 and 2)
Description
Tmax will be calculated from PK concentrations of Total Ketones (B-hydroxybutyrate and Acetoacetate), Tricaprilin and Octanoic Acid Levels. Tmax = Time to reach maximum observed concentration, determined directly from individual concentration-time data.Summary statistics will be generated for each PK parameter.
Time Frame
1 day
Secondary Outcome Measure Information:
Title
ApoE4 Genotyping (for Part 1 only)
Description
The Apo-E test provides a value represented by the type of the allele (E2, E3,E4).The allelic variant of the Apo-E (APOE4) will be evaluated for effects on tricaprilin induced ketone body production.
Time Frame
1 day

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, adult, male 18 - 50 years of age, inclusive, at Screening. Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening. Agrees to comply with study procedures. Continuous non smoker who has not used nicotine containing products or smoking no more than 10 cigarettes per week for at least 3 months prior to Screening and will not use them throughout the study. A non-vasectomized subject must agree to use a condom 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 Screening. A subject who has been vasectomized less than 4 months prior to Screening must follow the same restrictions as a non-vasectomized male. Subject is able and willing to consume a prescribed full breakfast on at least 3 occasions. Subject does not have specific dietary requirements (vegetarian, vegan, lactose-free, low-fat, etc.). Subject is not consuming a ketogenic diet (defined by consumption of < 50 gm carbohydrates per day). Has given voluntary, written informed consent to participate in the study. For Cohort 1, the Chinese subjects are restricted to being of Chinese heritage (irrespective of country of residence) and defined as all 4 grandparents of the subject must be Chinese (for Part 1 only). Exclusion Criteria: History or presence of alcoholism or substance abuse disorder within the last year. Positive urine drug screen at Screening or Check-in. Subject is currently actively using MCTs, ketone esters, or other ketogenic products or is following a ketogenic diet. Clinically significant abnormal laboratory results at Screening. Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to dosing, administration of a biological product in the context of a clinical research study within 90 days prior to dosing, or concomitant participation in an investigational study involving no drug or device administration. Subject has a known allergy to the study drug's active or inactive ingredients. Subject has been following a ketogenic diet (or other diet incompatible with the on-study diet), in the opinion of the investigator. 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 the first dose and throughout the study, unless deemed acceptable by the PI. Paracetamol (up to 4g per 24-hour period) or ibuprofen (up to 1,200 mg per 24-hour period) may be permitted during the study. Has had alcohol 48 hours prior to Day -1 of Period 1. Any other condition which, in the investigator's opinion may adversely affect the subject's ability to complete the study or its measures or which may pose significant risk to the subject.
Facility Information:
Facility Name
Nucleus Network
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No

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Study to Compare the Pharmacokinetics of Tricaprilin Formulations and a Placebo on Ketone Body Production

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