Study to Compare GI Tolerability Following Oral Administration of Bafiertam™ or Tecfidera to Healthy Volunteers
Primary Purpose
Multiple Sclerosis
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Bafiertam
Tecfidera
Sponsored by

About this trial
This is an interventional treatment trial for Multiple Sclerosis focused on measuring Gastrointestinal
Eligibility Criteria
Inclusion Criteria:
- Males or non-pregnant females.
- Healthy, according to the medical history, ECG, vital signs, laboratory results and physical examination as determined by the PI/Sub-Investigator.
- Body Mass Index within 18.0 - 34.0 kg/m2, inclusive
Exclusion Criteria:
- Known history or presence of any clinically significant hepatic, renal/genitourinary, Gastrointestinal (GI), cardiovascular, cerebrovascular, pulmonary, endocrine, immunological, musculoskeletal, neurological, psychiatric, dermatological or hematological disease or condition unless determined as not clinically significant by the PI/Sub-Investigator.
- Clinically significant history or presence of any clinically significant GI pathology unresolved GI symptoms, or other conditions known to interfere with the absorption, distribution, metabolism or excretion of the drug experienced within 7 days prior to first study drug administration, as determined by the PI/Sub-Investigator.
- Presence of any significant physical or organ abnormality as determined by the PI/Sub-Investigator.
- Subject with abnormal baseline laboratory values deemed to be clinically significant by the Investigator.
- Lymphocyte count <1.5x 10^9/L.
- Known history or presence of: Alcohol abuse or dependence within one year prior to first study drug administration; Drug abuse or dependence; Hypersensitivity or idiosyncratic reaction to DMF, its excipients, and/or related substances; Progressive multifocal leukoencephalopathy (PML); Fanconi syndrome; Flushing (e.g., warmth, redness, itching, and burning sensation); Low white blood cell count (lymphopenia);
Sites / Locations
- BioPharma Services, Inc.
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Bafiertam
Tecfidera
Arm Description
oral capsules administered twice daily
oral capsules administered twice daily
Outcomes
Primary Outcome Measures
Area Under the Curve (AUC) in each of the individual symptoms over the treatment period.
The symptoms measured are (1) nausea, (2) vomiting, (3) diarrhea, (4) upper abdominal pain, (5) lower abdominal pain, (6) constipation, (7) bloating, and (8) flatulence
Secondary Outcome Measures
Comparison of the Modified Overall Gastrointestinal Symptom Scale (MOGISS) composite score
The MOGISS assesses global GI events (defined as one or more of the following symptoms: nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, constipation, bloating, and flatulence) and their effect on the patient during the 24 hours before each morning dose. The events items are rated on a 10-point numerical rating scale, where 0 = no events, 1 to 3 = mild events, 4 to 6 = moderate events, 7 to 9 = severe events, and 10 = extreme events. The MOGISS Total (sum of 8 scores) range is 0 (no symptoms) to 80 (worst possible symptoms) and the MOGISS Composite (average of 8 scores) range is 0 (no symptoms) - 10 (worst possible symptoms).
The number of days that a subject experiences at least one GI symptom.
Number of days with at (as reported on the MOGISS) with a severity score of at least 1
AUC in the MOGISS total score within in each subject over the treatment period
Defined as the daily total of all 8 individual symptom scores within each subject
Frequency, severity, and duration of overall GI events using the MOGISS.
Frequency, severity and duration of overall GI events will be completed using the MOGISS for each week of study treatment as well as for the overall study treatment period.
Safety and tolerability outcomes: incidence rates of all non GI-adverse events
Subject incidence rates of all non GI-adverse events
Full Information
NCT ID
NCT04022473
First Posted
July 15, 2019
Last Updated
January 13, 2020
Sponsor
Banner Life Sciences LLC
1. Study Identification
Unique Protocol Identification Number
NCT04022473
Brief Title
Study to Compare GI Tolerability Following Oral Administration of Bafiertam™ or Tecfidera to Healthy Volunteers
Official Title
A Randomized, Double-Blind Study to Compare Gastrointestinal Tolerability Following Oral Administration of Bafiertam™ (Monomethyl Fumarate) or Tecfidera® (Dimethyl Fumarate) to Healthy Male and Female Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
July 7, 2019 (Actual)
Primary Completion Date
October 19, 2019 (Actual)
Study Completion Date
October 19, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Banner Life Sciences LLC
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
The primary objective of the study is to compare in healthy subjects, the GI tolerability of bioequivalent doses of Bafiertam™(monomethyl fumarate) and its pro-drug Tecfidera® (dimethyl fumarate).
Secondary objective of this study is to compare the safety and tolerability of Bafiertam™ and Tecfidera® when administered orally following bioequivalent dose regimens in healthy subjects.
Detailed Description
Subjects randomized (1:1) to either Bafiertam (monomethyl fumarate) or Tecfidera (dimethyl fumarate) will enter a double-blind titration period where they will receive either Bafiertam 95 mg twice daily (BID) or Tecfidera 120 mg BID for 7 days. Following the titration period, they will enter a maintenance period in which they will receive Bafiertam 190 mg BID or Tecfidera 240 mg BID for 4 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
Gastrointestinal
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
210 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Bafiertam
Arm Type
Experimental
Arm Description
oral capsules administered twice daily
Arm Title
Tecfidera
Arm Type
Active Comparator
Arm Description
oral capsules administered twice daily
Intervention Type
Drug
Intervention Name(s)
Bafiertam
Other Intervention Name(s)
monomethyl fumarate
Intervention Description
Over-encapsulated capsule to mask treatment
Intervention Type
Drug
Intervention Name(s)
Tecfidera
Other Intervention Name(s)
dimethyl fumarate
Intervention Description
Over-encapsulated capsule to mask treatment
Primary Outcome Measure Information:
Title
Area Under the Curve (AUC) in each of the individual symptoms over the treatment period.
Description
The symptoms measured are (1) nausea, (2) vomiting, (3) diarrhea, (4) upper abdominal pain, (5) lower abdominal pain, (6) constipation, (7) bloating, and (8) flatulence
Time Frame
5 weeks
Secondary Outcome Measure Information:
Title
Comparison of the Modified Overall Gastrointestinal Symptom Scale (MOGISS) composite score
Description
The MOGISS assesses global GI events (defined as one or more of the following symptoms: nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, constipation, bloating, and flatulence) and their effect on the patient during the 24 hours before each morning dose. The events items are rated on a 10-point numerical rating scale, where 0 = no events, 1 to 3 = mild events, 4 to 6 = moderate events, 7 to 9 = severe events, and 10 = extreme events. The MOGISS Total (sum of 8 scores) range is 0 (no symptoms) to 80 (worst possible symptoms) and the MOGISS Composite (average of 8 scores) range is 0 (no symptoms) - 10 (worst possible symptoms).
Time Frame
5 weeks
Title
The number of days that a subject experiences at least one GI symptom.
Description
Number of days with at (as reported on the MOGISS) with a severity score of at least 1
Time Frame
5 weeks
Title
AUC in the MOGISS total score within in each subject over the treatment period
Description
Defined as the daily total of all 8 individual symptom scores within each subject
Time Frame
5 weeks
Title
Frequency, severity, and duration of overall GI events using the MOGISS.
Description
Frequency, severity and duration of overall GI events will be completed using the MOGISS for each week of study treatment as well as for the overall study treatment period.
Time Frame
5 weeks
Title
Safety and tolerability outcomes: incidence rates of all non GI-adverse events
Description
Subject incidence rates of all non GI-adverse events
Time Frame
5 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Males or non-pregnant females.
Healthy, according to the medical history, ECG, vital signs, laboratory results and physical examination as determined by the PI/Sub-Investigator.
Body Mass Index within 18.0 - 34.0 kg/m2, inclusive
Exclusion Criteria:
Known history or presence of any clinically significant hepatic, renal/genitourinary, Gastrointestinal (GI), cardiovascular, cerebrovascular, pulmonary, endocrine, immunological, musculoskeletal, neurological, psychiatric, dermatological or hematological disease or condition unless determined as not clinically significant by the PI/Sub-Investigator.
Clinically significant history or presence of any clinically significant GI pathology unresolved GI symptoms, or other conditions known to interfere with the absorption, distribution, metabolism or excretion of the drug experienced within 7 days prior to first study drug administration, as determined by the PI/Sub-Investigator.
Presence of any significant physical or organ abnormality as determined by the PI/Sub-Investigator.
Subject with abnormal baseline laboratory values deemed to be clinically significant by the Investigator.
Lymphocyte count <1.5x 10^9/L.
Known history or presence of: Alcohol abuse or dependence within one year prior to first study drug administration; Drug abuse or dependence; Hypersensitivity or idiosyncratic reaction to DMF, its excipients, and/or related substances; Progressive multifocal leukoencephalopathy (PML); Fanconi syndrome; Flushing (e.g., warmth, redness, itching, and burning sensation); Low white blood cell count (lymphopenia);
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathleen Doisy, MD
Organizational Affiliation
BioPharma Services, Inc
Official's Role
Principal Investigator
Facility Information:
Facility Name
BioPharma Services, Inc.
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65201
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).
IPD Sharing Time Frame
Beginning 6 months and ending 12 months following article publication.
IPD Sharing Access Criteria
Researchers who provide a methodologically sound proposal and whose proposed use of the data has been approved by an independent review committee ("learned intermediary") identified for this purpose.
The stated purpose of the analysis as to be for individual participant data meta-analysis.
Learn more about this trial
Study to Compare GI Tolerability Following Oral Administration of Bafiertam™ or Tecfidera to Healthy Volunteers
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