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Phase 1 Oral QPX7831 SAD and MAD in Healthy Adults

Primary Purpose

Bacterial Infections

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
QPX7831
placebo comparator
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-lactamase inhibitor

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adult males and/or females of non-childbearing potential, 18 to 55 years of age (inclusive) at the time of screening.
  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. Male volunteers must agree to use a condom when engaging in any sexual activity from study check-in through 30 days following the last administration of the study drug, and to not donate sperm during this same period of time. If engaging in sexual activity with a female partner of childbearing potential, an additional method of birth control must be used. Approved additional methods of birth control include:

    1. Intra-uterine device (IUD) in place for at least 3 months prior to Day 1 through 30 days following the final dosing of the study drug.
    2. Barrier method (diaphragm) for at least 14 days prior to Day 1 through 30 days following dosing of the study drug.
    3. Stable hormonal contraceptive for at least 3 months prior to Day 1 through 30 days following dosing of the study drug.
    4. Surgical sterilization (vasectomy) at least 6 months prior to Day 1.
  6. Females of non-childbearing potential with serum FSH levels ≥ 40 mIU/mL are either postmenopausal (defined as 12 months spontaneous amenorrhea) or have undergone one of the following sterilization procedures at least 6 months prior to Day 1 (and is documented):

    1. Bilateral tubal ligation;
    2. Hysterectomy;
    3. Hysterectomy with unilateral or bilateral oophorectomy;
    4. Bilateral oophorectomy.

Exclusion Criteria:

  1. History or presence of significant 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).
  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 5 packs/week of cigarettes (or equivalent amount of 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 within 7 days prior to Day 1.
  10. Documented hypersensitivity reaction or anaphylaxis to any medication
  11. Blood donation or significant blood loss (i.e., > 500 mL) within 56 days prior to Day
  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. Females who are pregnant or lactating.
  15. Surgery within the past three months prior to Day 1 determined by the PI to be clinically relevant.
  16. Any acute illness within 30 days prior to Day 1.
  17. QTcF interval >450 msec for males and >470 for females or history of prolonged QT syndrome at screening or check-in (Day -1).
  18. Calculated creatinine clearance less than 80 mL/min (Cockcroft-Gault method) at screening or check-in (Day -1).
  19. 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.
    3. Liver function abnormalities at screening or check-in (Day -1) (defined by an elevation in bilirubin, AST or ALT 1.5 x 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 Type

Experimental

Experimental

Arm Label

QPX7831 SAD Cohorts

QPX7831 MAD Cohorts

Arm Description

oral, single ascending dose (or placebo)

oral, multiple ascending dose (or placebo)

Outcomes

Primary Outcome Measures

Incidence of Treatment -Emergent Adverse events by subject and by cohort (single dose, multiple doses)
Number of patients with Treatment-Emergent AEs by subject, by cohort, severity and relationship to treatment
Number of patients with changes from baseline in safety parameters
Number of patients with changes in safety parameters before and after dosing by subject and cohort
Peak plasma Concentration measurements by subject and by cohort (Cmax)
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 concentration data measurements by subject and by cohort (Tmax)
Comparison will be performed between the cohorts for Tmax.
Area under the plasma concentration versus time curve (AUC) between cohorts
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 PK amount excreted by subject and by cohort
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Urine PK % dose excreted by subject and by cohort
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data

Secondary Outcome Measures

Full Information

First Posted
September 29, 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
NCT04578873
Brief Title
Phase 1 Oral QPX7831 SAD and MAD in Healthy Adults
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Ascending Single- and Multiple-Dose Study of the Safety, Tolerability, and Pharmacokinetics of Oral QPX7831 in Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
April 13, 2021 (Actual)
Primary Completion Date
August 30, 2022 (Actual)
Study Completion Date
August 30, 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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 1 study will assess the safety, tolerability, and pharmacokinetics (PK) of QPX7831, a beta-lactamase inhibitor, when administered orally in single ascending doses and in multiple ascending doses to heathy adult subjects.
Detailed Description
Qpex Biopharma, Inc. is developing an oral dosage form that delivers QPX7728, a new boron-based beta-lactamase inhibitor with activity against both serine and metallo-beta-lactamases, for oral treatment in combination with a beta-lactam antibiotic. The objectives are: To assess the safety and tolerability of QPX7831 when administered orally in single ascending doses (SAD) and in multiple ascending doses (MAD) to healthy adult subjects. To assess the PK of single and multiple doses of oral QPX7831 when administered to healthy adult subjects to determine if the target exposures identified in preclinical studies can be attained in healthy adult subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections
Keywords
beta-lactamase inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Double-blind, placebo-controlled, sequential, ascending single-and multiple-dose design
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
matched oral placebo capsule
Allocation
Randomized
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
QPX7831 SAD Cohorts
Arm Type
Experimental
Arm Description
oral, single ascending dose (or placebo)
Arm Title
QPX7831 MAD Cohorts
Arm Type
Experimental
Arm Description
oral, multiple ascending dose (or placebo)
Intervention Type
Drug
Intervention Name(s)
QPX7831
Intervention Description
capsule
Intervention Type
Drug
Intervention Name(s)
placebo comparator
Intervention Description
oral matched placebo capsule
Primary Outcome Measure Information:
Title
Incidence of Treatment -Emergent Adverse events by subject and by cohort (single dose, multiple doses)
Description
Number of patients with Treatment-Emergent AEs by subject, by cohort, severity and relationship to treatment
Time Frame
up to 17 days
Title
Number of patients with changes from baseline in safety parameters
Description
Number of patients with changes in safety parameters before and after dosing by subject and cohort
Time Frame
up to 17 days
Title
Peak plasma Concentration measurements by subject and by cohort (Cmax)
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 17 days
Title
Time concentration data measurements by subject and by cohort (Tmax)
Description
Comparison will be performed between the cohorts for Tmax.
Time Frame
up to 17 days
Title
Area under the plasma concentration versus time curve (AUC) between cohorts
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 17 days
Title
Urine PK amount excreted by subject and by cohort
Description
Urine PK parameters such as amount excreted will be calculated from urinary excretion data
Time Frame
up to 17 days
Title
Urine PK % dose excreted by subject and by cohort
Description
Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data
Time Frame
up to 17 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-childbearing potential, 18 to 55 years of age (inclusive) at the time of screening. 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. Male volunteers must agree to use a condom when engaging in any sexual activity from study check-in through 30 days following the last administration of the study drug, and to not donate sperm during this same period of time. If engaging in sexual activity with a female partner of childbearing potential, an additional method of birth control must be used. Approved additional methods of birth control include: Intra-uterine device (IUD) in place for at least 3 months prior to Day 1 through 30 days following the final dosing of the study drug. Barrier method (diaphragm) for at least 14 days prior to Day 1 through 30 days following dosing of the study drug. Stable hormonal contraceptive for at least 3 months prior to Day 1 through 30 days following dosing of the study drug. Surgical sterilization (vasectomy) at least 6 months prior to Day 1. Females of non-childbearing potential with serum FSH levels ≥ 40 mIU/mL are either postmenopausal (defined as 12 months spontaneous amenorrhea) or have undergone one of the following sterilization procedures at least 6 months prior to Day 1 (and is documented): Bilateral tubal ligation; Hysterectomy; Hysterectomy with unilateral or bilateral oophorectomy; Bilateral oophorectomy. Exclusion Criteria: History or presence of significant 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). 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 5 packs/week of cigarettes (or equivalent amount of 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 within 7 days prior to Day 1. Documented hypersensitivity reaction or anaphylaxis to any medication Blood donation or significant blood loss (i.e., > 500 mL) within 56 days prior to Day 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. Females who are pregnant or lactating. Surgery within the past three months prior to Day 1 determined by the PI to be clinically relevant. Any 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 1.5 x 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 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

Phase 1 Oral QPX7831 SAD and MAD in Healthy Adults

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