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P1 Single and Multiple Ascending Dose (SAD/MAD) Study of IV QPX7728 Alone and Combined With QPX2014 in NHV

Primary Purpose

Bacterial Infections

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
QPX7728
Placebo
QPX2014
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 follicle stimulating hormone (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 (based on the PI assessment) 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). A repeat test may be performed at the Investigator's discretion in circumstances where a positive result is suspected to be caused by consumption of non-illicit substances.
  3. Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV).
  4. History or presence of alcoholism or drug abuse within the 2 years prior to Day 1.
  5. Use of more than an average of 5 packs/week of tobacco/nicotine-containing product within 6 months prior to Day 1. Subjects must agree to refrain from smoking for the duration of the study.
  6. Excessive intake of alcohol, defined as an average daily intake of greater than 2 standard drinks for women and 4 standard drinks for men, (1 bottle of beer (375mL) is equivalent to approximately 1.4 standard drinks, 1 glass of spirits (30mL) is equivalent to approximately 1 standard drink and 1 glass (150mL) of wine is equivalent to approximately 1.5 standard drinks).
  7. Use of any prescription medication (with the exception of hormone replacement therapy for females) within 14 days prior to Day 1.
  8. Use of any over-the-counter (OTC) medication, including herbal products, probiotics and vitamins, within the 7 days prior to Day 1. Up to 2 grams per day of paracetamol is allowed for acute events at the discretion of the PI.
  9. Use of antacids, H2 receptor blockers or proton pump inhibitors 3 days prior to Day 1.
  10. Documented hypersensitivity reaction or anaphylaxis to any medication, including beta-lactam antibiotics.
  11. Blood donation or significant blood loss (i.e., > 500 mL) within 56 days prior to Day 1.
  12. Plasma donation within 7 days prior to Day 1.
  13. Participation in another investigational clinical trial within 30 days prior to Day 1 or within 5 half-lives of the previous investigational drug, whichever is longer.
  14. Surgery within the past three months prior to Day 1 determined by the PI to be clinically relevant.
  15. Any significant (based on the PI assessment) acute illness within 30 days prior to Day 1.
  16. QTcF interval >450 msec for males and >470 for females or history of prolonged QT syndrome at screening or check-in (Day -1).
  17. Calculated creatinine clearance less than 80 mL/min (Cockcroft- Gault method) at screening or check-in (Day -1).
  18. Subjects who have any clinically significant abnormalities on laboratory values at screening or check-in (Day -1), in particular:

    1. White blood cell count < 3,000/mm3, hemoglobin < 11g/dL.
    2. Absolute neutrophil count < 1,200/mm3 or platelet count < 120,000/mm3.
  19. Liver function abnormalities at screening or check-in (Day -1) (defined by an elevation in bilirubin, AST or ALT > ULN of the normal range for subjects based on age and sex).
  20. Any other condition or prior therapy, which, in the opinion of the PI, would make the subject unsuitable for this study.

Sites / Locations

  • Altasciences
  • CMAX

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

QPX7728

Placebo

QPX2014

Arm Description

antibiotic

Matched placebo

antibiotic

Outcomes

Primary Outcome Measures

Incidence of Treatment -Emergent Adverse events (AEs) by subject and by cohort (single, multiple and combination dose)
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 (single, multiple and combination dose)
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) (single, multiple and combination dose)
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.
Area under the plasma concentration versus time curve (AUC) between cohorts (single, multiple and combination dose)
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 Pharmacokinetic (PK) amount excreted by subject and by cohort (single, multiple and combination dose)
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Urine PK % dose excreted by subject and by cohort (single, multiple and combination dose)
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data

Secondary Outcome Measures

Full Information

First Posted
April 21, 2020
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
NCT04380207
Brief Title
P1 Single and Multiple Ascending Dose (SAD/MAD) Study of IV QPX7728 Alone and Combined With QPX2014 in NHV
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Ascending Single and Multiple-Dose Study of the Safety, Tolerability and Pharmacokinetics of Intravenous (IV) QPX7728 Alone and in Combination With QPX2014 in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
November 24, 2020 (Actual)
Primary Completion Date
August 31, 2022 (Actual)
Study Completion Date
August 31, 2022 (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
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
QPX7728 is an ultra-broad-spectrum beta-lactamase inhibitor, with activity against numerous beta-lactamases, including class A extended spectrum beta-lactamases (ESBLs), class C cephalosporinases, and extended spectrum class D oxacillinases (OXA) that can hydrolyze cephalosporins and can be found in Enterobacteriaceae and Pseudomonas aeruginosa (P. aeruginosa). QPX7728 is also a potent inhibitor of carbapenemases from all molecular classes, such as class A Klebsiella pheumoniae carbapenemase (KPC), class B New-Dehli Metalo-beta-lactamase (NDM) and Verona integron-encoded metallo-beta-lactamase (VIM), and class D OXA-48 that are found in carbapenem resistant Enterobacteriaceae, and also class D carbapenemases such as OXA-23 that are found in carbapenem resistant Acinetobacter baumannii.
Detailed Description
The Centers for Disease Control (CDC) has listed carbapenem-resistant Enterobacteriaceae and Acinetobacter as urgent threats and multidrug resistant Pseudomonas, and extended spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae as serious threats [CDC, 2019]. Consistent with the global nature of these resistant bacteria, the World Health Organization (WHO) has designated carbapenem-resistant, ESBL-producing Enterobacteriaceae, carbapenem-resistant Acinetobacter baumannii, and carbapenem-resistant Pseudomonas aeruginosa as pathogens for which new agents are critically needed [WHO, 2017]. Qpex Biopharma is developing a fixed combination antibiotic of QPX2014 plus an ultra-broad spectrum beta-lactamase inhibitor, QPX7728.

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, multiple and combination dose
Masking
ParticipantCare ProviderInvestigator
Masking Description
double-blind, placebo controlled ascending single- and multiple-dose
Allocation
Randomized
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QPX7728
Arm Type
Experimental
Arm Description
antibiotic
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matched placebo
Arm Title
QPX2014
Arm Type
Experimental
Arm Description
antibiotic
Intervention Type
Drug
Intervention Name(s)
QPX7728
Other Intervention Name(s)
IV
Intervention Description
antibiotic
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
IV saline
Intervention Description
Placebo comparator
Intervention Type
Drug
Intervention Name(s)
QPX2014
Other Intervention Name(s)
IV
Intervention Description
antibiotic
Primary Outcome Measure Information:
Title
Incidence of Treatment -Emergent Adverse events (AEs) by subject and by cohort (single, multiple and combination dose)
Description
Number of patients with Treatment-Emergent AEs by treatment arm, severity and relationship to treatment
Time Frame
up to 21 days
Title
Number of patients with changes from baseline in safety parameters (single, multiple and combination dose)
Description
Number of patients with changes in safety parameters before and after dosing by subject and treatment arm
Time Frame
up to 21 days
Title
Peak plasma Concentration measurements by subject and by cohort (Cmax) (single, multiple and combination dose)
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
up to 21 days
Title
Area under the plasma concentration versus time curve (AUC) between cohorts (single, multiple and combination dose)
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
up to 21 days
Title
Urine Pharmacokinetic (PK) amount excreted by subject and by cohort (single, multiple and combination dose)
Description
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Time Frame
up to 21 days
Title
Urine PK % dose excreted by subject and by cohort (single, multiple and combination dose)
Description
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data
Time Frame
up to 21 days

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 follicle stimulating hormone (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 (based on the PI assessment) 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). A repeat test may be performed at the Investigator's discretion in circumstances where a positive result is suspected to be caused by consumption of non-illicit substances. Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV). History or presence of alcoholism or drug abuse within the 2 years prior to Day 1. Use of more than an average of 5 packs/week of tobacco/nicotine-containing product within 6 months prior to Day 1. Subjects must agree to refrain from smoking for the duration of the study. Excessive intake of alcohol, defined as an average daily intake of greater than 2 standard drinks for women and 4 standard drinks for men, (1 bottle of beer (375mL) is equivalent to approximately 1.4 standard drinks, 1 glass of spirits (30mL) is equivalent to approximately 1 standard drink and 1 glass (150mL) of wine is equivalent to approximately 1.5 standard drinks). Use of any prescription medication (with the exception of hormone replacement therapy for females) within 14 days prior to Day 1. Use of any over-the-counter (OTC) medication, including herbal products, probiotics and vitamins, within the 7 days prior to Day 1. Up to 2 grams per day of paracetamol is allowed for acute events at the discretion of the PI. Use of antacids, H2 receptor blockers or proton pump inhibitors 3 days prior to Day 1. Documented hypersensitivity reaction or anaphylaxis to any medication, including beta-lactam antibiotics. Blood donation or significant blood loss (i.e., > 500 mL) within 56 days prior to Day 1. Plasma donation within 7 days prior to Day 1. Participation in another investigational clinical trial within 30 days prior to Day 1 or within 5 half-lives of the previous investigational drug, whichever is longer. Surgery within the past three months prior to Day 1 determined by the PI to be clinically relevant. Any significant (based on the PI assessment) acute illness within 30 days prior to Day 1. QTcF interval >450 msec for males and >470 for females or history of prolonged QT syndrome at screening or check-in (Day -1). Calculated creatinine clearance less than 80 mL/min (Cockcroft- Gault method) at screening or check-in (Day -1). Subjects who have any clinically significant abnormalities on laboratory values at screening or check-in (Day -1), in particular: White blood cell count < 3,000/mm3, hemoglobin < 11g/dL. Absolute neutrophil count < 1,200/mm3 or platelet count < 120,000/mm3. Liver function abnormalities at screening or check-in (Day -1) (defined by an elevation in bilirubin, AST or ALT > ULN of the normal range for subjects based on age and sex). Any other condition or prior therapy, which, in the opinion of the PI, would make the subject unsuitable for this study.
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
Altasciences
City
Cypress
State/Province
California
ZIP/Postal Code
90630
Country
United States
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

P1 Single and Multiple Ascending Dose (SAD/MAD) Study of IV QPX7728 Alone and Combined With QPX2014 in NHV

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