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MW151-101: First-in-human Study of MW151

Primary Purpose

Drug Toxicity

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo
MW151, 10mg
MW151, 20mg
MW151, 40mg
MW151, 80mg
MW151, 160mg
Sponsored by
Linda Van Eldik
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Drug Toxicity focused on measuring cognitive disorder, pharmacokinetics, MW151, MW01-2-151SRM, PK, dose escalation

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Willing and able to provide written informed consent
  • In good health as determined by medical history, physical exam, laboratory examinations, ECG, and vital signs.
  • Weight >50kg
  • BMI <34 kg/m2.
  • ECG without clinically significant pathologic abnormalities and with QTcF <450 ms -
  • Systolic BP ≤ 150 mmHg and diastolic BP ≤ 90 mmHg at screening
  • No suicidal ideation, as demonstrated by a score of "0" on the Columbia Suicide Severity Rating Scale (C-SSRS).
  • Women who are neither pregnant (negative pregnancy test) nor nursing, and are either: surgically sterile, postmenopausal with last natural menses greater than 24 months, or premenopausal and agrees to use and acceptable form of birth control during the study and for 1 month after dosing.
  • Adequate venous access for blood draws.

Exclusion Criteria:

  • Any unstable chronic medical condition requiring interventional treatment that might increase the risk to the subject or confound interpretation of safety observations. Subjects who are considered stable and who have been receiving stable treatment for medical condition for > 3 months may be considered with approval of medical monitor.
  • Evidence of active infection requiring antibiotic therapy within 14 days prior to dosing.
  • Medical history of vasculitis or any autoimmune disease excluding seasonal allergic rhinitis and childhood history of atopic dermatitis.
  • History of any treatment for cancer within the past 2 years, other than basal cell or squamous cell carcinoma of the skin.
  • Seropositive for human immunodeficiency virus (HIV).
  • History of acute/chronic hepatitis B or C and/or carriers of hepatitis B
  • Clinically significant abnormalities in screening laboratory tests
  • Over-the-counter and herbal medications are prohibited within 10 days prior to study dosing (with exception of calcium/vitamin D supplements and ocular medications at the discretion of the Investigator). Stable doses (> to 3 months of stable dose) of prescription medications are allowed with the approval of the medical monitor (birth control medications are allowed without medical monitor approval). Subjects should not be on non-steroidal anti-inflammatory drugs or immunosuppressive drugs within 10 days prior to dosing.
  • Use of known CYP450 CYP1A2, CYP2D6 or CYP3A4 inhibitors or inducers within 14 days of dosing or planned use during the study.
  • Use of an investigational drug, vaccine, device, or blood product within 3 months prior to dosing in this study.
  • Any disorder that could interfere with the absorption, distribution, metabolism or excretion of drugs (e.g. small bowel disease, Crohn's disease, celiac disease, or liver disease.)
  • Psychiatric history of current or past psychosis, bi-polar disorder, clinical depression, or anxiety disorder requiring chronic medication within the past 5 years.
  • History of substance abuse including alcohol within the past 5 years.
  • Smoker.
  • Current substance or drug dependence confirmed by positive urine drug screen at screening visit or Day -1 admission.
  • Current alcohol abuse confirmed by positive breathalyzer at screening visit or Day -1 admission.
  • History of serious head injury as determined by the site investigator or designee.
  • Chronic kidney disease (defined as the presence of any degree of proteinuria on urine analysis and/or an eGFR of <60 ml/min using the MDRD formula).
  • Any reason or opinion of the investigator that would prevent the subject from participation in the study.
  • Inability to follow the instructions or an unwillingness to cooperate with study procedures.
  • Has donated more than 500 mL of blood within the last month prior to dosing.

Sites / Locations

  • Duke Clinical Research Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Placebo

Dose 1

Dose 2

Dose 3

Dose 4

Dose 5

Arm Description

Participants will receive placebo.

Participants will receive 10 mg of MW151.

Participants will receive 20mg of MW151.

Participants will receive 40mg of MW151.

Participants will receive 80mg of MW151.

Participants will receive 160mg of MW151.

Outcomes

Primary Outcome Measures

Percentage of Participants Experiencing Drug-related Serious Adverse Events.
Percentage of participants experiencing drug-related serious adverse events from the start of study drug administration up to 7-day follow-up.

Secondary Outcome Measures

Maximum Drug Concentration (Cmax)
Peak serum concentration of MW151.
Time to Maximum Drug Concentration (Tmax)
Time required to reach the maximum serum concentration of MW151.
Overall Drug Exposure (AUC)
Overall drug exposure (h*ng/mL) determined by calculating the area under the curve (AUC) from a plasma drug concentration-time curve.
Drug Half-Life (T1/2)
Time at which the concentration of MW151 is at half the maximum concentration.
Elimination Rate Constant (Kel)
Fraction of MW151 eliminated per unit of time (mathematical determination).

Full Information

First Posted
October 7, 2019
Last Updated
December 7, 2022
Sponsor
Linda Van Eldik
Collaborators
Duke Clinical Research Institute, National Institute on Aging (NIA)
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1. Study Identification

Unique Protocol Identification Number
NCT04120233
Brief Title
MW151-101: First-in-human Study of MW151
Official Title
A Phase 1a, Double-Blind, Randomized, Placebo-Controlled Single Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetic Profile of MW151 Administered Orally to Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
October 22, 2019 (Actual)
Primary Completion Date
September 16, 2021 (Actual)
Study Completion Date
September 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Linda Van Eldik
Collaborators
Duke Clinical Research Institute, National Institute on Aging (NIA)

4. Oversight

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

5. Study Description

Brief Summary
MW01-2-151SRM (=MW151), a small molecule, is being developed for the treatment of cognitive disorders. The development program is based on nonclinical evidence that MW151 improves neurocognitive outcomes in animal models of radiation-induced cognitive impairment, Alzheimer's disease, and other central nervous system (CNS) disorders. The present study will provide safety and pharmacokinetic (PK) information on single ascending doses to support decisions for continued clinical development.
Detailed Description
The primary objective of this trial is to assess the safety and tolerability of single ascending doses of MW151 when administered orally to healthy adults. Subjects will be screened prior to inpatient admission. Subjects will be admitted to the inpatient clinic on the day prior to dosing (Day -1) and will remain in the unit until discharge on Day 3. A follow-up visit will be done on Day 7. A single dose of study drug or placebo will be administered on Day 1. Healthy adult female subjects will be randomly assigned to one of 5 dose cohorts (8 subjects each). Each subject will receive a single dose of MW151 (10-160mg) or placebo under fasted conditions. Following a review of safety and tolerability data for the first 24 hours of dosing in each cohort (including reported adverse events (AEs), physical examination findings, clinical laboratory results, vital signs, and electrocardiograms (ECGs), the remaining 6 subjects will be randomized in a 5:1 ratio. Dosing of the remaining subjects in a cohort may proceed after review of sentinel subject safety data collected during the first 24 hours of dosing and determination that no stopping rules are met. The remaining subjects in each cohort will be dosed sequentially, not simultaneously.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Drug Toxicity
Keywords
cognitive disorder, pharmacokinetics, MW151, MW01-2-151SRM, PK, dose escalation

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Dose-escalation study.
Masking
Outcomes Assessor
Masking Description
Data from cohorts will be reviewed in a blinded manner.
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo.
Arm Title
Dose 1
Arm Type
Experimental
Arm Description
Participants will receive 10 mg of MW151.
Arm Title
Dose 2
Arm Type
Experimental
Arm Description
Participants will receive 20mg of MW151.
Arm Title
Dose 3
Arm Type
Experimental
Arm Description
Participants will receive 40mg of MW151.
Arm Title
Dose 4
Arm Type
Experimental
Arm Description
Participants will receive 80mg of MW151.
Arm Title
Dose 5
Arm Type
Experimental
Arm Description
Participants will receive 160mg of MW151.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matched placebo administered orally
Intervention Type
Drug
Intervention Name(s)
MW151, 10mg
Intervention Description
10 mg MW151, 1 x 10mg capsule administered orally
Intervention Type
Drug
Intervention Name(s)
MW151, 20mg
Intervention Description
20 mg MW151, 1 x 20mg capsule administered orally
Intervention Type
Drug
Intervention Name(s)
MW151, 40mg
Intervention Description
40 mg MW151, 2 x 20mg capsule administered orally
Intervention Type
Drug
Intervention Name(s)
MW151, 80mg
Intervention Description
80 mg MW151, 1 x 80mg capsule administered orally
Intervention Type
Drug
Intervention Name(s)
MW151, 160mg
Intervention Description
160 mg MW151, 2 x 80mg capsule administered orally
Primary Outcome Measure Information:
Title
Percentage of Participants Experiencing Drug-related Serious Adverse Events.
Description
Percentage of participants experiencing drug-related serious adverse events from the start of study drug administration up to 7-day follow-up.
Time Frame
Seven days
Secondary Outcome Measure Information:
Title
Maximum Drug Concentration (Cmax)
Description
Peak serum concentration of MW151.
Time Frame
predose, 0.25h, 0.5h, 1h, 2h, 4h, 8h, 12h, 24h and 36h post-dose
Title
Time to Maximum Drug Concentration (Tmax)
Description
Time required to reach the maximum serum concentration of MW151.
Time Frame
predose, 0.25h, 0.5h, 1h, 2h, 4h, 8h, 12h, 24h and 36h post-dose
Title
Overall Drug Exposure (AUC)
Description
Overall drug exposure (h*ng/mL) determined by calculating the area under the curve (AUC) from a plasma drug concentration-time curve.
Time Frame
predose, 0.25h, 0.5h, 1h, 2h, 4h, 8h, 12h, 24h and 36h post-dose
Title
Drug Half-Life (T1/2)
Description
Time at which the concentration of MW151 is at half the maximum concentration.
Time Frame
predose, 0.25h, 0.5h, 1h, 2h, 4h, 8h, 12h, 24h and 36h post-dose
Title
Elimination Rate Constant (Kel)
Description
Fraction of MW151 eliminated per unit of time (mathematical determination).
Time Frame
predose, 0.25h, 0.5h, 1h, 2h, 4h, 8h, 12h, 24h and 36h post-dose

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Willing and able to provide written informed consent In good health as determined by medical history, physical exam, laboratory examinations, ECG, and vital signs. Weight >50kg BMI <34 kg/m2. ECG without clinically significant pathologic abnormalities and with QTcF <450 ms - Systolic BP ≤ 150 mmHg and diastolic BP ≤ 90 mmHg at screening No suicidal ideation, as demonstrated by a score of "0" on the Columbia Suicide Severity Rating Scale (C-SSRS). Women who are neither pregnant (negative pregnancy test) nor nursing, and are either: surgically sterile, postmenopausal with last natural menses greater than 24 months, or premenopausal and agrees to use and acceptable form of birth control during the study and for 1 month after dosing. Adequate venous access for blood draws. Exclusion Criteria: Any unstable chronic medical condition requiring interventional treatment that might increase the risk to the subject or confound interpretation of safety observations. Subjects who are considered stable and who have been receiving stable treatment for medical condition for > 3 months may be considered with approval of medical monitor. Evidence of active infection requiring antibiotic therapy within 14 days prior to dosing. Medical history of vasculitis or any autoimmune disease excluding seasonal allergic rhinitis and childhood history of atopic dermatitis. History of any treatment for cancer within the past 2 years, other than basal cell or squamous cell carcinoma of the skin. Seropositive for human immunodeficiency virus (HIV). History of acute/chronic hepatitis B or C and/or carriers of hepatitis B Clinically significant abnormalities in screening laboratory tests Over-the-counter and herbal medications are prohibited within 10 days prior to study dosing (with exception of calcium/vitamin D supplements and ocular medications at the discretion of the Investigator). Stable doses (> to 3 months of stable dose) of prescription medications are allowed with the approval of the medical monitor (birth control medications are allowed without medical monitor approval). Subjects should not be on non-steroidal anti-inflammatory drugs or immunosuppressive drugs within 10 days prior to dosing. Use of known CYP450 CYP1A2, CYP2D6 or CYP3A4 inhibitors or inducers within 14 days of dosing or planned use during the study. Use of an investigational drug, vaccine, device, or blood product within 3 months prior to dosing in this study. Any disorder that could interfere with the absorption, distribution, metabolism or excretion of drugs (e.g. small bowel disease, Crohn's disease, celiac disease, or liver disease.) Psychiatric history of current or past psychosis, bi-polar disorder, clinical depression, or anxiety disorder requiring chronic medication within the past 5 years. History of substance abuse including alcohol within the past 5 years. Smoker. Current substance or drug dependence confirmed by positive urine drug screen at screening visit or Day -1 admission. Current alcohol abuse confirmed by positive breathalyzer at screening visit or Day -1 admission. History of serious head injury as determined by the site investigator or designee. Chronic kidney disease (defined as the presence of any degree of proteinuria on urine analysis and/or an eGFR of <60 ml/min using the MDRD formula). Any reason or opinion of the investigator that would prevent the subject from participation in the study. Inability to follow the instructions or an unwillingness to cooperate with study procedures. Has donated more than 500 mL of blood within the last month prior to dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Linda J Van Eldik, PhD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
Duke Clinical Research Institute
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to share IPD at this time.

Learn more about this trial

MW151-101: First-in-human Study of MW151

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