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A First in Human Study to Assess the Safety, Tolerability and Pharmacokinetics of ONO-2808-01 in Healthy Participants

Primary Purpose

Neurodegenerative Diseases

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
ONO-2808
Placebo
Sponsored by
Ono Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neurodegenerative Diseases focused on measuring Neurodegenerative Diseases

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria:

  1. Able to provide fully informed written consent.
  2. 18-55 years (Part A & C) or ≥65 years (Part B).
  3. Male and female participants (Women of non-child bearing potential (WONCBP)).
  4. Agree to use an effective method of contraception.
  5. No clinically significant medical history and no abnormal physical examination, laboratory profiles, vital signs or ECG abnormalities, based on the Screening examination.
  6. Body mass index (BMI) of ≥18.5 to <30 kg/m2 and a body weight of at least 50 kg for males and 45 kg for females to a maximum of 100 kg, at the time of screening.
  7. Estimated Creatinine Clearance (CrCL, Cockcroft-Gault equation) ≥90 mL/min at Screening. In Part B only, an estimated CrCL of ≥60mL/min at Screening.

Exclusion Criteria:

  1. Mentally or legally incapacitated or with significant emotional problems at the time of the Screening visit or expected during the conduct of the study.
  2. History or presence of clinically significant medical, surgical or psychiatric condition (including history of suicidal behaviour) or objection by General Practitioner (GP) to participant entering trial.
  3. Liver chemistry values above the upper limit of normal (ULN) at Screening or admission.
  4. Sensitivity to the study drug.
  5. Female who is pregnant or lactating or of childbearing potential.
  6. History or presence of alcoholism or drug/chemical/substance abuse.
  7. Evidence of poor venous access as assessed by PI.
  8. Use of any medication which may affect ONO-2808 pharmacokinetics or pharmacodynamics
  9. Current smoker or has smoked (including use of tobacco and/or nicotine-containing products) in the previous 3 months
  10. Positive urine drugs of abuse, cotinine or alcohol results at Screening or admission.
  11. Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  12. Supine resting blood pressure less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg (Part A& C) and less than 90/40 mmHg or greater than 160/90 mmHg (Part B).
  13. Supine resting pulse rate lower than 40 beats per minute (bpm) or higher than 100 bpm.
  14. Clinically significant history or presence of ECG findings at screening.
  15. Use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days or five half-lives (whichever is longer) of first dosing and throughout the study.
  16. Consumption or intake of compounds, food or fluids that are known to be a substrate, inducer or inhibitor of CYP450 for 28 days prior to the first dosing and throughout the study.
  17. Donation of blood or significant blood loss within 56 days prior to the first dosing, or plasma donation within 7 days prior to the first dosing.
  18. Participation in another clinical study within the last 3 months (or 5 half-lives of the study drug, whichever is longer) prior to the first dosing.
  19. Objection by PI
  20. Participants who are not willing to eat a high fat breakfast

    Exclusion criteria, applicable to all participants undergoing lumbar puncture for CSF collection (Part A & C):

  21. History of significant back pain, significant kyphosis and or scoliosis or other spinal column deformities.
  22. History or evidence of fundoscopy suggestive of raised intracranial pressure.
  23. History or presence of any allergy or contraindication to the local anaesthetic required for participants undergoing lumbar puncture.

Sites / Locations

  • Parexel International Early Phase Clinical Unit (EPCU)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

ONO-2808 Part A - Fasted

ONO-2808 Placebo Part A- Fasted

ONO-2808 Part A - Fed

ONO-2808 Placebo Part A - Fed

ONO-2808 Part B

ONO-2808 Placebo Part B

ONO-2808 Part C

ONO-2808 Placebo Part C

Arm Description

Single ascending doses of ONO-2808 or placebo orally under fasted conditions. Additional descriptive information (including which interventions are administered in each arm) to differentiate each arm from other arms in the clinical trial.

Single ascending doses of ONO-2808 or placebo orally under fasted conditions

Single ascending doses of ONO-2808 or placebo orally under fed conditions

Single ascending doses of ONO-2808 or placebo orally under fed conditions

Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers .

Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers

Multiple ascending doses of ONO-2808 or placebo orally

Multiple ascending doses of ONO-2808 or placebo orally

Outcomes

Primary Outcome Measures

Treatment emergent adverse events (TEAEs) by severity.
Number of participants with TEAEs. An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possible causal relationship.
Serious adverse events (SAEs)
Number of participants with SAEs. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged hospitalization, life-threatening experience or persistent disability.
Vital signs
Summary statistics of vital signs and number of participants with clinically significant changes in vital signs including pulse/heart rate, respiratory rate, and blood pressure
ECG parameters
Number of participants with ECG abnormalities
Clinical laboratory tests
Number of participants with clinical laboratory abnormalities (including haematology, clinical chemistry and urinalysis)
Physical examination
Number of participants with physical examination abnormalities
Neurological examination
Number of participants with neurological examination abnormalities
Number of participants with suicidal behaviour
Treatment-emergent suicidal ideation and behaviour will be monitored by using the Columbia Suicide Severity Rating Scale (C-SSRS) and reported.

Secondary Outcome Measures

Pharmacokinetics (Cmax)
Assessment of the maximum observed plasma concentration of ONO-2808
Pharmacokinetics (Tmax)
Assessment of the time to reach Tmax for ONO-2808
Pharmacokinetics (AUClast)
Assessment of the area under the concentration-time curve of ONO-2808 to last measurable concentration
Pharmacokinetics (AUCinf)
Assessment of the area under the concentration-time curve of ONO-2808 extrapolated to infinite time in plasma
Pharmacokinetics (AUCtau)
Assessment of the area under the concentration-time curve of ONO-2808 during the dosing interval in plasma
Pharmacokinetics (T1/2)
Assessment of the terminal elimination half-time of ONO-2808 in plasma
Pharmacokinetics (CL/F)
Assessment of the apparent clearance of ONO-2808 from plasma
Pharmacokinetics (Vz/F)
Assessment of the apparent volume of distribution of ONO-2808 during terminal elimination phase
Pharmacokinetics (Aetz)
Assessment of the amount of ONO-2808 excreted in urine over the period of sample collection
Pharmacokinetics (Percentage fe)
Assessment of the cumulative percentage of orally administered ONO-2808 excreted into urine
Pharmacokinetics (CLR)
Assessment of the renal clearance of ONO-2808 from plasma
Distribution of ONO-2808 to the brain in Part A
Assessment of ONO-2808 brain distribution by measuring drug concentration in the cerebro spinal fluid (CSF)

Full Information

First Posted
October 1, 2020
Last Updated
December 10, 2021
Sponsor
Ono Pharmaceutical Co. Ltd
Collaborators
Parexel
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1. Study Identification

Unique Protocol Identification Number
NCT04578028
Brief Title
A First in Human Study to Assess the Safety, Tolerability and Pharmacokinetics of ONO-2808-01 in Healthy Participants
Official Title
A Randomised, Double Blind, Placebo Controlled, Single Centre, Three-Part Study to Assess the Safety, Tolerability and Pharmacokinetics of Single and Multiple Oral Doses of ONO-2808 in Healthy Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2021
Overall Recruitment Status
Completed
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
August 26, 2021 (Actual)
Study Completion Date
October 7, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ono Pharmaceutical Co. Ltd
Collaborators
Parexel

4. Oversight

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

5. Study Description

Brief Summary
This is a first in human study to determine the safety, tolerability and pharmacokinetics of ONO-2808 in healthy adult participants. The study will be conducted in 3 parts: Part A, a single-ascending dose part with an assessment of the potential food effects in non-Japanese adult participants; Part B, a single dose part to assess the effect of age in non-Japanese elderly participants; and Part C, a multiple-ascending dose part with ONO-2808 administered to healthy subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neurodegenerative Diseases
Keywords
Neurodegenerative Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
This is a single centre, three-part study conducted at a specialised Phase I centre to evaluate the safety, tolerability and pharmacokinetics of ONO-2808. This study consists of: Part A single ascending dose (including an assessment of potential food effects), Part B an assessment of age, and Part C multiple ascending dose. All parts of the study are conducted in healthy male and female (women of non-child bearing potential) participants. All parts of the study will have a 28-day screening period followed by admission to the clinical unit at least one day prior to dosing (Day -1) for baseline assessments. For all Parts of the study, a sentinel dosing approach is used to mitigate the overall safety risk with at least 1 day stagger to the rest of the cohort.
Masking
ParticipantInvestigator
Masking Description
This is a double-blind study. A sentinel dosing approach will be used in the study at each new ascending dose level in Part A, B, and C. To maintain the blinded nature of the study, the sentinel participants will be randomised to drug or placebo in a 1:1 ratio.
Allocation
Randomized
Enrollment
94 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ONO-2808 Part A - Fasted
Arm Type
Experimental
Arm Description
Single ascending doses of ONO-2808 or placebo orally under fasted conditions. Additional descriptive information (including which interventions are administered in each arm) to differentiate each arm from other arms in the clinical trial.
Arm Title
ONO-2808 Placebo Part A- Fasted
Arm Type
Placebo Comparator
Arm Description
Single ascending doses of ONO-2808 or placebo orally under fasted conditions
Arm Title
ONO-2808 Part A - Fed
Arm Type
Experimental
Arm Description
Single ascending doses of ONO-2808 or placebo orally under fed conditions
Arm Title
ONO-2808 Placebo Part A - Fed
Arm Type
Placebo Comparator
Arm Description
Single ascending doses of ONO-2808 or placebo orally under fed conditions
Arm Title
ONO-2808 Part B
Arm Type
Experimental
Arm Description
Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers .
Arm Title
ONO-2808 Placebo Part B
Arm Type
Placebo Comparator
Arm Description
Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers
Arm Title
ONO-2808 Part C
Arm Type
Experimental
Arm Description
Multiple ascending doses of ONO-2808 or placebo orally
Arm Title
ONO-2808 Placebo Part C
Arm Type
Placebo Comparator
Arm Description
Multiple ascending doses of ONO-2808 or placebo orally
Intervention Type
Drug
Intervention Name(s)
ONO-2808
Intervention Description
Investigational drug
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo drug
Primary Outcome Measure Information:
Title
Treatment emergent adverse events (TEAEs) by severity.
Description
Number of participants with TEAEs. An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possible causal relationship.
Time Frame
Part A and B: up to day 7; Part C: up to 17 days.
Title
Serious adverse events (SAEs)
Description
Number of participants with SAEs. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged hospitalization, life-threatening experience or persistent disability.
Time Frame
Part A and B: up to day 7; Part C: up to 17 days.
Title
Vital signs
Description
Summary statistics of vital signs and number of participants with clinically significant changes in vital signs including pulse/heart rate, respiratory rate, and blood pressure
Time Frame
Part A and B: up to day 7; Part C: up to 17 days
Title
ECG parameters
Description
Number of participants with ECG abnormalities
Time Frame
Part A and B: up to day 7; Part C: up to 17 days.
Title
Clinical laboratory tests
Description
Number of participants with clinical laboratory abnormalities (including haematology, clinical chemistry and urinalysis)
Time Frame
Part A and B: up to day 7; Part C: up to 17 days
Title
Physical examination
Description
Number of participants with physical examination abnormalities
Time Frame
Part A and B: up to day 7; Part C: up to 17 days
Title
Neurological examination
Description
Number of participants with neurological examination abnormalities
Time Frame
Part A and B: up to day 7; Part C: up to 17 days.
Title
Number of participants with suicidal behaviour
Description
Treatment-emergent suicidal ideation and behaviour will be monitored by using the Columbia Suicide Severity Rating Scale (C-SSRS) and reported.
Time Frame
Part C: up to 17 days
Secondary Outcome Measure Information:
Title
Pharmacokinetics (Cmax)
Description
Assessment of the maximum observed plasma concentration of ONO-2808
Time Frame
Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
Title
Pharmacokinetics (Tmax)
Description
Assessment of the time to reach Tmax for ONO-2808
Time Frame
Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
Title
Pharmacokinetics (AUClast)
Description
Assessment of the area under the concentration-time curve of ONO-2808 to last measurable concentration
Time Frame
Part A & B: Day 1 through Day 7
Title
Pharmacokinetics (AUCinf)
Description
Assessment of the area under the concentration-time curve of ONO-2808 extrapolated to infinite time in plasma
Time Frame
Part A & B: Day 1 through Day 7
Title
Pharmacokinetics (AUCtau)
Description
Assessment of the area under the concentration-time curve of ONO-2808 during the dosing interval in plasma
Time Frame
Part C: Day 1 and Day 14
Title
Pharmacokinetics (T1/2)
Description
Assessment of the terminal elimination half-time of ONO-2808 in plasma
Time Frame
Part A & B: Day 1 through Day 7
Title
Pharmacokinetics (CL/F)
Description
Assessment of the apparent clearance of ONO-2808 from plasma
Time Frame
Part A & B: Day 1 through Day 7
Title
Pharmacokinetics (Vz/F)
Description
Assessment of the apparent volume of distribution of ONO-2808 during terminal elimination phase
Time Frame
Part A & B: Day 1 through Day 7
Title
Pharmacokinetics (Aetz)
Description
Assessment of the amount of ONO-2808 excreted in urine over the period of sample collection
Time Frame
Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
Title
Pharmacokinetics (Percentage fe)
Description
Assessment of the cumulative percentage of orally administered ONO-2808 excreted into urine
Time Frame
Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
Title
Pharmacokinetics (CLR)
Description
Assessment of the renal clearance of ONO-2808 from plasma
Time Frame
Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14.
Title
Distribution of ONO-2808 to the brain in Part A
Description
Assessment of ONO-2808 brain distribution by measuring drug concentration in the cerebro spinal fluid (CSF)
Time Frame
Part A (in selected fasted cohorts): Day 1 and 2, Part C: Day 1 and Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria: Able to provide fully informed written consent. 18-55 years (Part A & C) or ≥65 years (Part B). Male and female participants (Women of non-child bearing potential (WONCBP)). Agree to use an effective method of contraception. No clinically significant medical history and no abnormal physical examination, laboratory profiles, vital signs or ECG abnormalities, based on the Screening examination. Body mass index (BMI) of ≥18.5 to <30 kg/m2 and a body weight of at least 50 kg for males and 45 kg for females to a maximum of 100 kg, at the time of screening. Estimated Creatinine Clearance (CrCL, Cockcroft-Gault equation) ≥90 mL/min at Screening. In Part B only, an estimated CrCL of ≥60mL/min at Screening. Exclusion Criteria: Mentally or legally incapacitated or with significant emotional problems at the time of the Screening visit or expected during the conduct of the study. History or presence of clinically significant medical, surgical or psychiatric condition (including history of suicidal behaviour) or objection by General Practitioner (GP) to participant entering trial. Liver chemistry values above the upper limit of normal (ULN) at Screening or admission. Sensitivity to the study drug. Female who is pregnant or lactating or of childbearing potential. History or presence of alcoholism or drug/chemical/substance abuse. Evidence of poor venous access as assessed by PI. Use of any medication which may affect ONO-2808 pharmacokinetics or pharmacodynamics Current smoker or has smoked (including use of tobacco and/or nicotine-containing products) in the previous 3 months Positive urine drugs of abuse, cotinine or alcohol results at Screening or admission. Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV). Supine resting blood pressure less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg (Part A& C) and less than 90/40 mmHg or greater than 160/90 mmHg (Part B). Supine resting pulse rate lower than 40 beats per minute (bpm) or higher than 100 bpm. Clinically significant history or presence of ECG findings at screening. Use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days or five half-lives (whichever is longer) of first dosing and throughout the study. Consumption or intake of compounds, food or fluids that are known to be a substrate, inducer or inhibitor of CYP450 for 28 days prior to the first dosing and throughout the study. Donation of blood or significant blood loss within 56 days prior to the first dosing, or plasma donation within 7 days prior to the first dosing. Participation in another clinical study within the last 3 months (or 5 half-lives of the study drug, whichever is longer) prior to the first dosing. Objection by PI Participants who are not willing to eat a high fat breakfast Exclusion criteria, applicable to all participants undergoing lumbar puncture for CSF collection (Part A & C): History of significant back pain, significant kyphosis and or scoliosis or other spinal column deformities. History or evidence of fundoscopy suggestive of raised intracranial pressure. History or presence of any allergy or contraindication to the local anaesthetic required for participants undergoing lumbar puncture.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pablo F Soto, MD,MSc, PhD
Organizational Affiliation
Parexel
Official's Role
Principal Investigator
Facility Information:
Facility Name
Parexel International Early Phase Clinical Unit (EPCU)
City
London
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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A First in Human Study to Assess the Safety, Tolerability and Pharmacokinetics of ONO-2808-01 in Healthy Participants

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