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A Single and Multiple Ascending Dose Trial of CVL-354 in Healthy Participants

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Drug: CVL-354
Drug: Placebo
Sponsored by
Cerevel Therapeutics, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder focused on measuring Major Depressive Disorder, Healthy Volunteer, Mental Disorders

Eligibility Criteria

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

Inclusion Criteria:

  1. Women of nonchildbearing potential and men 18 to 55 years, inclusive.
  2. Healthy as determined by medical evaluation, including medical and psychiatric history, physical and neurological examinations, ECG, vital sign measurements, and laboratory test results, as evaluated by the investigator.
  3. Body mass index of 18.5 to 30.0 kg/m2, inclusive, and total body weight >50 kg (110 lb) at Screening.
  4. A male participant with a pregnant or a nonpregnant partner of childbearing potential must agree to use contraception during the trial and 14 days following the last dose of study drug.
  5. Capable of giving signed informed consent
  6. Ability, in the opinion of the investigator, to understand the nature of the trial and comply with protocol requirements.

Exclusion Criteria:

  1. Current or past history of significant cardiovascular, pulmonary, gastrointestinal, renal, hepatic, metabolic, genitourinary, endocrine, hematological, immunological, or neurological, or psychiatric disease that, in the opinion of the investigator or medical monitor, could compromise either participant safety or the results of the trial.
  2. Serious risk of suicide in the opinion of the Investigator
  3. History of substance or alcohol-use disorder (excluding nicotine or caffeine) within 12 months prior to signing the ICF.
  4. Any condition that could possibly affect drug absorption
  5. Receipt of SARS-CoV2 vaccination or booster as follows:

    • mRNA: within 14 days prior to dosing
    • Non-mRNA: within 28 days prior to dosing In addition, participants who plan to receive SARS-CoV2 vaccination or booster while participating in the trial or for at least 14 days after the last dose of IMP will be excluded.
  6. Have recently been diagnosed with symptomatic COVID-19 or test positive for COVID-19 within 30 days prior to signing the ICF.
  7. Use of prohibited medication prior to randomization or likely to require prohibited concomitant therapy (eg, prescription and over-the-counter medications, herbal medications, vitamins, and supplements) during the trial
  8. Either of the following:

    • History of HIV, hepatitis B, or hepatitis C infection
    • Positive result for HIV antibody, hepatitis B surface antigen, hepatitis B core antibody, or hepatitis C antibody
  9. Positive drug screen (including nicotine) or a positive test for alcohol
  10. Abnormal clinical laboratory test results or vital measurements at Screening and Check-in
  11. Estimated glomerular filtration rate at Screening <90 mL/min/1.73 m2, as calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation
  12. Abnormal 12-lead ECG at Screening or initial Check-In (Day -1).
  13. Known allergy or hypersensitivity to the IMP, closely related compounds, or any of their specified ingredients.
  14. Current enrollment or past participation within 30 days or 5 half-lives (whichever is longer) prior to signing the ICF in any other clinical trial involving an IMP.
  15. Any other abnormal safety findings unless, based on the investigator's judgment, the findings are not medically significant and would not impact the safety of the participant or the interpretation of the trial results.

Sites / Locations

  • Labcorp Drug Development

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single Ascending Dose (SAD) Cohorts 1-3

Multiple Ascending Dose (MAD) Cohorts 1-5

Arm Description

In Cohorts 1 and 2, all participants will receive treatment with up to 3 single oral doses of CVL-354 and/or 1 single oral dose of placebo in a 4-period crossover design. The starting dose of CVL-354 will be 0.5 mg. Participants will be randomized to 1 of 4 treatment sequences. Cohort 3 may be used to evaluate additional doses or evaluate food effect, depending on the results from Cohorts 1 and 2.

All participants will receive treatment with multiple oral doses of CVL-354 (dose and regimen to be determined) or matching placebo for 14 days.

Outcomes

Primary Outcome Measures

Primary Part A&B: Incidence and severity of Treatment -Emergent Adverse Events (TEAEs)
Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward will be counted as treatment-emergent AE (TEAE).
Primary Part A&B: Incidence of clinically significant changes in electrocardiogram (ECG) results
Primary Part A&B: Incidence of clinically significant changes in vital sign measurements
Assessment of clinically significant changes in vital signs including temperature, systolic and diastolic blood pressure, and heart rate.
Primary Part A&B: Incidence of clinically significant changes in clinical laboratory results
Primary Part A&B: Incidence of clinically significant changes in physical and neurological examination results
Primary Part A&B: Changes in suicidality assessed using the Columbia Suicide-Severity Rating Scale (C-SSRS)
The C-SSRS includes 'yes' or 'no' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). Greater lethality or potential lethality of suicidal behaviors (endorsed on the Behavior subscale) indicates increased risk.

Secondary Outcome Measures

Full Information

First Posted
November 17, 2021
Last Updated
March 1, 2023
Sponsor
Cerevel Therapeutics, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05138653
Brief Title
A Single and Multiple Ascending Dose Trial of CVL-354 in Healthy Participants
Official Title
A Phase 1, Double-blind (Investigator and Participant), First-in-Human Trial to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending Doses of CVL-354 in Healthy Participants
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
October 18, 2021 (Actual)
Primary Completion Date
January 23, 2023 (Actual)
Study Completion Date
January 23, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cerevel Therapeutics, LLC

4. Oversight

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

5. Study Description

Brief Summary
This is a 2-part, double-blind, randomized, placebo-controlled, first-in-human trial evaluating a single ascending dose (4-way crossover, Part A) and multiple ascending doses (Part B) of CVL-354.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
Major Depressive Disorder, Healthy Volunteer, Mental Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Part A of the trial is a double-blind, randomized, placebo-controlled 4-period, 4-sequence, crossover design to evaluate the PK, safety, and tolerability of single doses of CVL-354 in healthy participants. Except for a potential food effect period, all treatments will be administered under fasted conditions. Part B of the trial is a double-blind, randomized, placebo-controlled trial to evaluate PK, safety, and tolerability of CVL-354 in multiple ascending doses.
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
73 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Dose (SAD) Cohorts 1-3
Arm Type
Experimental
Arm Description
In Cohorts 1 and 2, all participants will receive treatment with up to 3 single oral doses of CVL-354 and/or 1 single oral dose of placebo in a 4-period crossover design. The starting dose of CVL-354 will be 0.5 mg. Participants will be randomized to 1 of 4 treatment sequences. Cohort 3 may be used to evaluate additional doses or evaluate food effect, depending on the results from Cohorts 1 and 2.
Arm Title
Multiple Ascending Dose (MAD) Cohorts 1-5
Arm Type
Experimental
Arm Description
All participants will receive treatment with multiple oral doses of CVL-354 (dose and regimen to be determined) or matching placebo for 14 days.
Intervention Type
Drug
Intervention Name(s)
Drug: CVL-354
Intervention Description
Oral solution/suspension
Intervention Type
Drug
Intervention Name(s)
Drug: Placebo
Intervention Description
Oral solution/suspension
Primary Outcome Measure Information:
Title
Primary Part A&B: Incidence and severity of Treatment -Emergent Adverse Events (TEAEs)
Description
Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward will be counted as treatment-emergent AE (TEAE).
Time Frame
Up to 29 days following last dose with IMP
Title
Primary Part A&B: Incidence of clinically significant changes in electrocardiogram (ECG) results
Time Frame
Up to 17 days following last dose with IMP
Title
Primary Part A&B: Incidence of clinically significant changes in vital sign measurements
Description
Assessment of clinically significant changes in vital signs including temperature, systolic and diastolic blood pressure, and heart rate.
Time Frame
Up to 17 days following last dose with IMP
Title
Primary Part A&B: Incidence of clinically significant changes in clinical laboratory results
Time Frame
Up to 17 days following last dose with IMP
Title
Primary Part A&B: Incidence of clinically significant changes in physical and neurological examination results
Time Frame
Up to 17 days following last dose with IMP
Title
Primary Part A&B: Changes in suicidality assessed using the Columbia Suicide-Severity Rating Scale (C-SSRS)
Description
The C-SSRS includes 'yes' or 'no' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). Greater lethality or potential lethality of suicidal behaviors (endorsed on the Behavior subscale) indicates increased risk.
Time Frame
Up to 17 days following last dose with IMP

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: Women of nonchildbearing potential and men 18 to 55 years, inclusive. Healthy as determined by medical evaluation, including medical and psychiatric history, physical and neurological examinations, ECG, vital sign measurements, and laboratory test results, as evaluated by the investigator. Body mass index of 18.5 to 30.0 kg/m2, inclusive, and total body weight >50 kg (110 lb) at Screening. A male participant with a pregnant or a nonpregnant partner of childbearing potential must agree to use contraception during the trial and 14 days following the last dose of study drug. Capable of giving signed informed consent Ability, in the opinion of the investigator, to understand the nature of the trial and comply with protocol requirements. Exclusion Criteria: Current or past history of significant cardiovascular, pulmonary, gastrointestinal, renal, hepatic, metabolic, genitourinary, endocrine, hematological, immunological, or neurological, or psychiatric disease that, in the opinion of the investigator or medical monitor, could compromise either participant safety or the results of the trial. Serious risk of suicide in the opinion of the Investigator History of substance or alcohol-use disorder (excluding nicotine or caffeine) within 12 months prior to signing the ICF. Any condition that could possibly affect drug absorption Receipt of SARS-CoV2 vaccination or booster as follows: mRNA: within 14 days prior to dosing Non-mRNA: within 28 days prior to dosing In addition, participants who plan to receive SARS-CoV2 vaccination or booster while participating in the trial or for at least 14 days after the last dose of IMP will be excluded. Have recently been diagnosed with symptomatic COVID-19 or test positive for COVID-19 within 30 days prior to signing the ICF. Use of prohibited medication prior to randomization or likely to require prohibited concomitant therapy (eg, prescription and over-the-counter medications, herbal medications, vitamins, and supplements) during the trial Either of the following: History of HIV, hepatitis B, or hepatitis C infection Positive result for HIV antibody, hepatitis B surface antigen, hepatitis B core antibody, or hepatitis C antibody Positive drug screen (including nicotine) or a positive test for alcohol Abnormal clinical laboratory test results or vital measurements at Screening and Check-in Estimated glomerular filtration rate at Screening <90 mL/min/1.73 m2, as calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation Abnormal 12-lead ECG at Screening or initial Check-In (Day -1). Known allergy or hypersensitivity to the IMP, closely related compounds, or any of their specified ingredients. Current enrollment or past participation within 30 days or 5 half-lives (whichever is longer) prior to signing the ICF in any other clinical trial involving an IMP. Any other abnormal safety findings unless, based on the investigator's judgment, the findings are not medically significant and would not impact the safety of the participant or the interpretation of the trial results.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matthew Leoni, MD, MBA
Organizational Affiliation
Cerevel Therapeutics, LLC
Official's Role
Study Director
Facility Information:
Facility Name
Labcorp Drug Development
City
Dallas
State/Province
Texas
ZIP/Postal Code
75247
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Single and Multiple Ascending Dose Trial of CVL-354 in Healthy Participants

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