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Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profile of HYR-PB21 in Healthy Volunteers

Primary Purpose

Acute Postoperative Pain

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
HYR-PB21
Liposomal bupivacaine
Normal Saline
Sponsored by
Fruithy Medical Pty Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Postoperative Pain focused on measuring pain, postoperative, local anesthesia, long-action

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Voluntarily provide written informed consent.
  2. Subjects who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
  3. Subjects with liver function tests (LFTs) within the reference range, or deemed clinically not significant by the investigator or delegate.
  4. Male or female (of non-child bearing potential) between 18 and 50 years of age, inclusive.
  5. If female, be of non-childbearing potential: e.g. post-menopausal for ≥12 consecutive months with follicle stimulating hormone (FSH) ≥40 mIU/mL at Screening; or surgical sterilization for at least 90 days prior to screening e.g., tubal ligation or hysterectomy. Note: Provision of documentation is not required for female sterilization, verbal confirmation is adequate.
  6. Male patients must be surgically sterile (biologically or surgically) or commit to the use of a reliable method of birth control for the duration of the study until at least 30 days after the administration of study medication.
  7. Have a body mass index 18-30 kg/m2 (inclusive).
  8. Blood pressure < 140/90 mmHg at screening and heart rate <100 bpm. One repeat assessment is permitted. Screening laboratory tests that are deemed to be non-clinically significant by the investigator.
  9. Subjects must not have donated or lost more than 400 mL of blood within 12 weeks of dosing, more than 200mL of blood within 4 weeks of dosing or donated any blood within 2 weeks of dosing.
  10. Subjects must not donate sperm or egg during study or in 30 days after dosing.
  11. Be able to understand the study procedures, comply with all study procedures, and agree to participate in the study program.
  12. Be able to understand and communicate in English.

Exclusion Criteria:

  1. History of hypersensitivity or idiosyncratic reactions to amide-type local anaesthetics.
  2. History of abnormal bleeding tendencies/clotting disorders.
  3. History of glucose-6-phosphate dehydrogenase (G6PD) deficiency.
  4. History of significant neurological, hepatic, renal, endocrine, cardiovascular, cardiac arrhythmias, gastrointestinal, pulmonary, or metabolic disease.
  5. Regular use of anticoagulants.
  6. Received any investigational drug within 30 days or 5 half-lives of the investigational drug prior to study drug administration, and/or has planned administration of another investigational product or procedure during his/her participation in this study.
  7. Currently pregnant or nursing.
  8. The subject has a history of substance abuse or smoking, a positive ethanol breath test, urine cotinine, or urine drug screen at screening or at check-in. One repeat test is allowable if a false positive is suspected at the investigator's discretion.
  9. The subject has a positive serum hepatitis B surface antigen or positive HCV antibody test at the Screening Visit.
  10. Subject has a positive HIV test at the Screening Visit.
  11. Received bupivacaine, other local anaesthetic, prescription or OTC medications, herbal remedies or supplements per standard practice within 14 days of first study drug administration. Received caffeine and alcohol consumption within 48 h prior to drug administration.
  12. Any conditions, that according to investigator's best judgment, prevent participation in the trial.

Sites / Locations

  • CMAX Clinical Research Pty Ltd

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

HYR-PB21 & Placebo

Liposome Bupivacaine & Placebo

Arm Description

Outcomes

Primary Outcome Measures

The area under the plasma concentration-versus-time curve from the time of administration to the time of the last quantifiable concentration calculated using the log-linear trapezoidal rule
Pharmacokinetic parameters will be estimated from plasma bupivacaine measurements using non-compartmental analysis, based on the sampling schedule at predose (on Day 1 prior to study drug administration); 0.25, 0.5, 1, 2, 4, 8, 12, 18, 24, 30, 36, 48, 60, 72, 96, 120, 144, 168 hours and 14 days post-dose.
The area under the plasma concentration-versus-time curve from the time of administration extrapolated to infinity.
The residual area from the time of the last quantifiable concentration to infinity is to be calculated using the approximation
The maximum observed plasma bupivacaine concentration obtained directly from the experimental data without interpolation.
The time to maximum plasma concentration (Cmax)
The apparent terminal elimination half-life calculated as 0.693/λz
The apparent terminal elimination rate constant determined by log-linear regression of the terminal log-linear segment of the plasma concentration-versus-time curve
The average Von Frey filament pressure across five test points at each protocol scheduled time-point
Detection of the loss of feeling at injection site (at selected five representative test points) by Von Frey filaments in different pressures will be estimated at 15-45 min pre-dose; 0.25, 0.5 , 1, 2, 4, 8, 12, 18, 24, 30, 36, 48, 60, 72, 96, 120, 144, and 168 hour post-dose.
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Investigator assessment of the ECG (normal, abnormal - not clinically significant, abnormal - clinically significant)
12-lead ECG will be obtained at screening, check-in,15-45 min pre-dose;0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 168 hours,and 14 days post-dose using an ECG machine for measurements of PR, QRS, QT, QTcF intervals,and heart rate.
Observer's assessment of alertness/sedation(OAA/S) scale
Six categories of responsiveness scores were characterized by the following responses for the OAA/S assessment: Responds readily to name spoken in normal tone (5 scores) Responds lethargically to name spoken in normal tone (4 scores) Responds only after name is called loudly, repeatedly, or both (3 scores) Responds only after mild prodding or shaking (2 scores) Responds only after painful trapezius squeeze (1 score) Does not respond to painful trapezius squeeze (0 score)

Secondary Outcome Measures

Full Information

First Posted
November 6, 2019
Last Updated
February 2, 2021
Sponsor
Fruithy Medical Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04169256
Brief Title
Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profile of HYR-PB21 in Healthy Volunteers
Official Title
A Phase I, Single Centre, Randomized, Double-blinded, Placebo-controlled, Single Ascending Dose-Escalation, Study to Evaluate the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profile of HYR-PB21 and Liposome Bupivacaine in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
March 3, 2020 (Actual)
Primary Completion Date
July 30, 2020 (Actual)
Study Completion Date
July 30, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fruithy Medical Pty Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is the first time into human study (FTIH) for HYR-PB21 for injection. The study will evaluate the safety, pharmacokinetics (PK) and pharmacodynamics (PD) of single ascending and single subcutaneous dose of HYR-PB21 for injection in healthy adult volunteers.The results of this study are intended to be used to identify appropriate and well tolerated doses of HYR-PB21 for injection to be used in further studies. A comparison of PK/PD characteristics between HYR-PB21 for injection and EXPAREL will also be included in this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Postoperative Pain
Keywords
pain, postoperative, local anesthesia, long-action

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HYR-PB21 & Placebo
Arm Type
Experimental
Arm Title
Liposome Bupivacaine & Placebo
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
HYR-PB21
Intervention Description
HYR-PB21 for injection 100mg, 200mg,or 400mg by single subcutaneous injection on the abdomen
Intervention Type
Drug
Intervention Name(s)
Liposomal bupivacaine
Intervention Description
Liposome Bupivacaine Suspension for injection 200mg by single subcutaneous injection on the abdomen
Intervention Type
Other
Intervention Name(s)
Normal Saline
Intervention Description
Normal Saline 30ml, or 40mL by single subcutaneous injection on the abdomen
Primary Outcome Measure Information:
Title
The area under the plasma concentration-versus-time curve from the time of administration to the time of the last quantifiable concentration calculated using the log-linear trapezoidal rule
Description
Pharmacokinetic parameters will be estimated from plasma bupivacaine measurements using non-compartmental analysis, based on the sampling schedule at predose (on Day 1 prior to study drug administration); 0.25, 0.5, 1, 2, 4, 8, 12, 18, 24, 30, 36, 48, 60, 72, 96, 120, 144, 168 hours and 14 days post-dose.
Time Frame
15 days
Title
The area under the plasma concentration-versus-time curve from the time of administration extrapolated to infinity.
Description
The residual area from the time of the last quantifiable concentration to infinity is to be calculated using the approximation
Time Frame
15 days
Title
The maximum observed plasma bupivacaine concentration obtained directly from the experimental data without interpolation.
Time Frame
15 days
Title
The time to maximum plasma concentration (Cmax)
Time Frame
15 days
Title
The apparent terminal elimination half-life calculated as 0.693/λz
Time Frame
15 days
Title
The apparent terminal elimination rate constant determined by log-linear regression of the terminal log-linear segment of the plasma concentration-versus-time curve
Time Frame
15 days
Title
The average Von Frey filament pressure across five test points at each protocol scheduled time-point
Description
Detection of the loss of feeling at injection site (at selected five representative test points) by Von Frey filaments in different pressures will be estimated at 15-45 min pre-dose; 0.25, 0.5 , 1, 2, 4, 8, 12, 18, 24, 30, 36, 48, 60, 72, 96, 120, 144, and 168 hour post-dose.
Time Frame
8 days
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Time Frame
15 days
Title
Investigator assessment of the ECG (normal, abnormal - not clinically significant, abnormal - clinically significant)
Description
12-lead ECG will be obtained at screening, check-in,15-45 min pre-dose;0.5, 1, 2, 4, 8, 12, 24, 48, 72, 96, 168 hours,and 14 days post-dose using an ECG machine for measurements of PR, QRS, QT, QTcF intervals,and heart rate.
Time Frame
15 days
Title
Observer's assessment of alertness/sedation(OAA/S) scale
Description
Six categories of responsiveness scores were characterized by the following responses for the OAA/S assessment: Responds readily to name spoken in normal tone (5 scores) Responds lethargically to name spoken in normal tone (4 scores) Responds only after name is called loudly, repeatedly, or both (3 scores) Responds only after mild prodding or shaking (2 scores) Responds only after painful trapezius squeeze (1 score) Does not respond to painful trapezius squeeze (0 score)
Time Frame
5 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Voluntarily provide written informed consent. Subjects who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring. Subjects with liver function tests (LFTs) within the reference range, or deemed clinically not significant by the investigator or delegate. Male or female (of non-child bearing potential) between 18 and 50 years of age, inclusive. If female, be of non-childbearing potential: e.g. post-menopausal for ≥12 consecutive months with follicle stimulating hormone (FSH) ≥40 mIU/mL at Screening; or surgical sterilization for at least 90 days prior to screening e.g., tubal ligation or hysterectomy. Note: Provision of documentation is not required for female sterilization, verbal confirmation is adequate. Male patients must be surgically sterile (biologically or surgically) or commit to the use of a reliable method of birth control for the duration of the study until at least 30 days after the administration of study medication. Have a body mass index 18-30 kg/m2 (inclusive). Blood pressure < 140/90 mmHg at screening and heart rate <100 bpm. One repeat assessment is permitted. Screening laboratory tests that are deemed to be non-clinically significant by the investigator. Subjects must not have donated or lost more than 400 mL of blood within 12 weeks of dosing, more than 200mL of blood within 4 weeks of dosing or donated any blood within 2 weeks of dosing. Subjects must not donate sperm or egg during study or in 30 days after dosing. Be able to understand the study procedures, comply with all study procedures, and agree to participate in the study program. Be able to understand and communicate in English. Exclusion Criteria: History of hypersensitivity or idiosyncratic reactions to amide-type local anaesthetics. History of abnormal bleeding tendencies/clotting disorders. History of glucose-6-phosphate dehydrogenase (G6PD) deficiency. History of significant neurological, hepatic, renal, endocrine, cardiovascular, cardiac arrhythmias, gastrointestinal, pulmonary, or metabolic disease. Regular use of anticoagulants. Received any investigational drug within 30 days or 5 half-lives of the investigational drug prior to study drug administration, and/or has planned administration of another investigational product or procedure during his/her participation in this study. Currently pregnant or nursing. The subject has a history of substance abuse or smoking, a positive ethanol breath test, urine cotinine, or urine drug screen at screening or at check-in. One repeat test is allowable if a false positive is suspected at the investigator's discretion. The subject has a positive serum hepatitis B surface antigen or positive HCV antibody test at the Screening Visit. Subject has a positive HIV test at the Screening Visit. Received bupivacaine, other local anaesthetic, prescription or OTC medications, herbal remedies or supplements per standard practice within 14 days of first study drug administration. Received caffeine and alcohol consumption within 48 h prior to drug administration. Any conditions, that according to investigator's best judgment, prevent participation in the trial.
Facility Information:
Facility Name
CMAX Clinical Research Pty Ltd
City
Adelaide
State/Province
New South Wales
ZIP/Postal Code
5000
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Profile of HYR-PB21 in Healthy Volunteers

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