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A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat

Primary Purpose

Cutaneous T Cell Lymphoma, Mycosis Fungoides, Sezary Syndrome

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
[14C]-resminostat
Sponsored by
4SC AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cutaneous T Cell Lymphoma

Eligibility Criteria

35 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Male
  • Age between 35 (inclusive) and 55 years of age (inclusive)
  • Body mass index between 18.0 and 28.0 kg/m2, inclusive but at least 60 kg of body weight.
  • Healthy, as determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital signs measurements, and clinical laboratory evaluations (congenital nonhemolytic hyperbilirubinemia [eg, suspicion of Gilbert Meulengracht's syndrome based on total and direct bilirubin] is not acceptable) at screening and/or check-in as assessed by the investigator (or designee).
  • Subjects must agree to use contraception
  • Able to comprehend and willing to sign an ICF and to abide by the study restrictions
  • History of a minimum of 1 bowel movement per day.
  • Subjects must agree not to donate sperm from check-in until 90 days after discharge.

Exclusion Criteria:

  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee).
  • Any of the following abnormalities in laboratory test values and/or ECG at screening and/or check-in, confirmed by repeat: hemoglobin, white blood cell count, total platelets, and QTcF outside of normal range; alanine aminotransferase, aspartate aminotransferase, and creatinine values > upper limit of normal; and estimated glomerular filtration rate (calculated using Cockcroft-Gault formula) <60 mL/min.
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee).
  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed).
  • Confirmed (eg, 2 consecutive measurements) systolic blood pressure >150 or <90 mmHg, diastolic blood pressure >90 or <50 mmHg, and pulse rate >90 or <40 beats per minute.
  • History of alcoholism or drug/chemical abuse within 2 years prior to screening.
  • Alcohol consumption of > 21 units per week. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits.
  • Positive alcohol breath test result or positive urine drug screen (confirmed by repeat) at screening or check-in.
  • Positive hepatitis panel and/or positive human immunodeficiency virus test
  • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days or 5 half-lives, whichever is longer prior to dosing.
  • Administration of any vaccination (including vaccines currently being deployed in the UK for SARS-CoV-27) within the past 90 days prior to dosing.
  • Use or intend to use any medications/products known to alter drug absorption, metabolism, and excretion processes, including St. John's wort, within 30 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use any prescription medications/products within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use slow-release medications/products considered to still be active within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations within 7 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use of tobacco- or nicotine-containing products within 3 months prior to check-in, or positive cotinine test at screening or check-in.
  • Ingestion of poppy seed-, Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to check-in.
  • Receipt of blood products within 2 months prior to check-in.
  • Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening.
  • Poor peripheral venous access
  • Subjects with exposure to significant diagnostic or therapeutic radiation (eg, serial X-ray, computed tomography scan, barium meal) or current employment in a job requiring radiation exposure monitoring within 12 months prior to check-in.
  • Subjects who have participated in any clinical study involving a radiolabeled investigational product within 12 months prior to check-in.
  • Subjects who, in the opinion of the investigator (or designee), should not participate in this study.

Sites / Locations

  • Covance Clinical research Unit Ltd.

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

[14C]-resminostat

Arm Description

single dose of 400 mg [14C]-resminostat

Outcomes

Primary Outcome Measures

AUC0-tlast
AUC from time zero to the last quantifiable concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
AUC0-∞
AUC from time zero extrapolated to infinity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Cmax
maximum observed concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
tmax
time to reach Cmax derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
tlag
time to the first quantifiable concentration in plasma derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
λz
terminal elimination rate constant derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
t1/2
apparent terminal elimination half-life derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
CL/F
apparent total clearance derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Vz/F
apparent volume of distribution derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
AUC0-∞ Plasma resminostat/Total Radioactivity Ratio
AUC0-∞ of plasma resminostat relative to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
AUC0-∞ Blood/Plasma Ratio
AUC0-∞ of whole blood total radioactivity to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Aeu
amount excreted in urine derived from urine collections at each sampling interval
cumulative Aeu
cumulative amount excreted in urine derived from urine collections at each sampling interval
feu
percentage excreted in urine derived from urine collections at each sampling interval
cumulative feu
cumulative percentage excreted in urine derived from urine collections at each sampling interval
Aef
amount excreted in feces derived from feces collections at each sampling interval
cumulative Aef
cumulative amount excreted in feces derived from feces collections at each sampling interval
fef
percentage excreted in feces derived from feces collections at each sampling interval
cumulative fef.
cumulative percentage excreted in feces derived from feces collections at each sampling interval

Secondary Outcome Measures

Safety and Tolerability
AE reporting including relatedness and severity
Heart rhythm
ECG analysis by 12-lead ECG
Ventricular rate
ECG analysis by 12-lead ECG
PR-interval (synonymous: PQ interval)
ECG analysis by 12-lead ECG
QRS complex
ECG analysis by 12-lead ECG
QT interval
ECG analysis by 12-lead ECG
QTcF interval
ECG analysis by 12-lead ECG
Vital Signs (Body Temperature)
Body temperature will be measured after a 5 minute rest in supine position
Vital Signs (Blood pressure)
Systolic and diastolic blood pressure will be measured after a 5 minute rest in supine position
Physical Examination
A full physical examination covering at least head, eyes, ears, nose and throat, lungs, heart, neurological status, abdomen, extremities, skin, and lymph nodes
metabolic profiles of resminostat
identification and quantification of metabolites in serum and urin samples by HPLC
identification and quantification of resminostat metabolites
identification and quantification of metabolites in serum and urin samples by HPLC

Full Information

First Posted
June 23, 2021
Last Updated
February 3, 2022
Sponsor
4SC AG
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1. Study Identification

Unique Protocol Identification Number
NCT04955340
Brief Title
A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat
Official Title
A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat Following a Single Oral Dose in Healthy Male Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2022
Overall Recruitment Status
Completed
Study Start Date
October 12, 2021 (Actual)
Primary Completion Date
January 19, 2022 (Actual)
Study Completion Date
January 19, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
4SC AG

4. Oversight

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

5. Study Description

Brief Summary
Resminostat is a potent, orally available inhibitor of Class I, IIb and IV histone deacetylases (HDACs), including a pronounced activity against HDAC6. Resminostat targets epigenetic changes observed in tumour cells and has the potential to provide significant benefit to patients with advanced malignancies by inhibiting tumour progression and metastasis or even inducing tumour regression. This will be a Phase 1, open-label, non-randomized, single dose study of the absorption, metabolism, excretion of [14C] resminostat following a single oral dose in healthy male participants. The purpose of this study is to determine the absorption, metabolism, and excretion (AME) of [14C] resminostat and to characterize and determine the metabolites present in plasma, urine, and, where possible, faeces in healthy male participants following a single oral administration. Knowledge of the metabolism and excretion of parent drug and its metabolites is useful for evaluating the Metabolites in Safety Testing requirements elucidated in the International Conference on Harmonisation (ICH) M3, and the likelihood of effects of renal or hepatic impairment on the disposition of resminostat, and the likelihood for drug-drug interactions with resminostat. The results from this study may guide future study designs using special populations or evaluating the potential for drug-drug interactions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cutaneous T Cell Lymphoma, Mycosis Fungoides, Sezary Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
[14C]-resminostat
Arm Type
Experimental
Arm Description
single dose of 400 mg [14C]-resminostat
Intervention Type
Drug
Intervention Name(s)
[14C]-resminostat
Intervention Description
1 single dose of 400 mg [14C]-resminostat
Primary Outcome Measure Information:
Title
AUC0-tlast
Description
AUC from time zero to the last quantifiable concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
AUC0-∞
Description
AUC from time zero extrapolated to infinity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Cmax
Description
maximum observed concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
tmax
Description
time to reach Cmax derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
tlag
Description
time to the first quantifiable concentration in plasma derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
λz
Description
terminal elimination rate constant derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
t1/2
Description
apparent terminal elimination half-life derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
CL/F
Description
apparent total clearance derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Vz/F
Description
apparent volume of distribution derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
AUC0-∞ Plasma resminostat/Total Radioactivity Ratio
Description
AUC0-∞ of plasma resminostat relative to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
AUC0-∞ Blood/Plasma Ratio
Description
AUC0-∞ of whole blood total radioactivity to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Aeu
Description
amount excreted in urine derived from urine collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
cumulative Aeu
Description
cumulative amount excreted in urine derived from urine collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
feu
Description
percentage excreted in urine derived from urine collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
cumulative feu
Description
cumulative percentage excreted in urine derived from urine collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Aef
Description
amount excreted in feces derived from feces collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
cumulative Aef
Description
cumulative amount excreted in feces derived from feces collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
fef
Description
percentage excreted in feces derived from feces collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
cumulative fef.
Description
cumulative percentage excreted in feces derived from feces collections at each sampling interval
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Secondary Outcome Measure Information:
Title
Safety and Tolerability
Description
AE reporting including relatedness and severity
Time Frame
from study drug intake until 28 days after study drug administration
Title
Heart rhythm
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Ventricular rate
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
PR-interval (synonymous: PQ interval)
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
QRS complex
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
QT interval
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
QTcF interval
Description
ECG analysis by 12-lead ECG
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Vital Signs (Body Temperature)
Description
Body temperature will be measured after a 5 minute rest in supine position
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Vital Signs (Blood pressure)
Description
Systolic and diastolic blood pressure will be measured after a 5 minute rest in supine position
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
Physical Examination
Description
A full physical examination covering at least head, eyes, ears, nose and throat, lungs, heart, neurological status, abdomen, extremities, skin, and lymph nodes
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
metabolic profiles of resminostat
Description
identification and quantification of metabolites in serum and urin samples by HPLC
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat
Title
identification and quantification of resminostat metabolites
Description
identification and quantification of metabolites in serum and urin samples by HPLC
Time Frame
From day -1 until maximum 15 days after single dose of [14C]-resminostat

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male Age between 35 (inclusive) and 55 years of age (inclusive) Body mass index between 18.0 and 28.0 kg/m2, inclusive but at least 60 kg of body weight. Healthy, as determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital signs measurements, and clinical laboratory evaluations (congenital nonhemolytic hyperbilirubinemia [eg, suspicion of Gilbert Meulengracht's syndrome based on total and direct bilirubin] is not acceptable) at screening and/or check-in as assessed by the investigator (or designee). Subjects must agree to use contraception Able to comprehend and willing to sign an ICF and to abide by the study restrictions History of a minimum of 1 bowel movement per day. Subjects must agree not to donate sperm from check-in until 90 days after discharge. Exclusion Criteria: Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee). Any of the following abnormalities in laboratory test values and/or ECG at screening and/or check-in, confirmed by repeat: hemoglobin, white blood cell count, total platelets, and QTcF outside of normal range; alanine aminotransferase, aspartate aminotransferase, and creatinine values > upper limit of normal; and estimated glomerular filtration rate (calculated using Cockcroft-Gault formula) <60 mL/min. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee). History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed). Confirmed (eg, 2 consecutive measurements) systolic blood pressure >150 or <90 mmHg, diastolic blood pressure >90 or <50 mmHg, and pulse rate >90 or <40 beats per minute. History of alcoholism or drug/chemical abuse within 2 years prior to screening. Alcohol consumption of > 21 units per week. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits. Positive alcohol breath test result or positive urine drug screen (confirmed by repeat) at screening or check-in. Positive hepatitis panel and/or positive human immunodeficiency virus test Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days or 5 half-lives, whichever is longer prior to dosing. Administration of any vaccination (including vaccines currently being deployed in the UK for SARS-CoV-27) within the past 90 days prior to dosing. Use or intend to use any medications/products known to alter drug absorption, metabolism, and excretion processes, including St. John's wort, within 30 days prior to check-in, unless deemed acceptable by the investigator (or designee). Use or intend to use any prescription medications/products within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee). Use or intend to use slow-release medications/products considered to still be active within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee). Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations within 7 days prior to check-in, unless deemed acceptable by the investigator (or designee). Use of tobacco- or nicotine-containing products within 3 months prior to check-in, or positive cotinine test at screening or check-in. Ingestion of poppy seed-, Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to check-in. Receipt of blood products within 2 months prior to check-in. Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening. Poor peripheral venous access Subjects with exposure to significant diagnostic or therapeutic radiation (eg, serial X-ray, computed tomography scan, barium meal) or current employment in a job requiring radiation exposure monitoring within 12 months prior to check-in. Subjects who have participated in any clinical study involving a radiolabeled investigational product within 12 months prior to check-in. Subjects who, in the opinion of the investigator (or designee), should not participate in this study.
Facility Information:
Facility Name
Covance Clinical research Unit Ltd.
City
Leeds
ZIP/Postal Code
LS2 9LH
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat

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