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Safety, Pharmacokinetics, and Food Effect of PS1 in Healthy Subjects

Primary Purpose

Type II Diabetes

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
PS1
Placebo
Sponsored by
Pharmasaga Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type II Diabetes

Eligibility Criteria

20 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Both genders aged 20 to 80 years, inclusive at screening
  • Overtly healthy subject, who is considered to be generally healthy based on medical history, vital signs, laboratory tests, 12-lead EKG, and physical examination, as judged by the investigator
  • With HbA1c value of < 6.5% at Screening
  • Fasting plasma glucose < 110 mg/dL at Screening
  • Body mass index (BMI) between 18.5 and 28.0 kg/m2
  • Negative test for hepatitis B surface antigen (HBsAg), Anti-HCV antibody, or human immunodeficiency virus (HIV) at screening
  • Is willing to comply with the trial restrictions
  • Able to understand and sign the informed consent form

Exclusion Criteria:

  • History of diabetes mellitus
  • Under the systemic treatment of any prescription medication or over-the-counter (OTC) medication within 7 days before Screening
  • Received any vaccination within 14 days before Screening
  • Known hypersensitivity to any of the components of PS1 tablet
  • History of clinically significant hematological, renal, endocrine, pulmonary, respiratory, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, musculoskeletal, immune, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing) within 3 months of Screening that may significantly alter the biomarker panel, require receiving any systemic medications, or interfere with the interpretation of data, as judged by the investigator
  • History of cancer (malignancy) or have ever received any anti-cancer therapy
  • Regular smoker
  • Consumed greater than 3 glasses of alcoholic beverages per day for the past 4 weeks before Screening
  • Received any investigational therapy from another clinical study, performed any major surgeries, or took glucose-lowering medications within the last 12 weeks prior to Screening
  • Received any systemic steroids (inhaled and intranasal steroids are permitted) or other immunosuppressive medications within 4 weeks prior to Screening
  • Have ever received cell therapy or organ transplantation
  • Other conditions not suitable for participating in this study as judged by the investigator
  • Any conditions that forbid the completion of study procedures due to the local regulatory restrictions
  • Female subject of childbearing potential who:

Is lactating; or Has a positive pregnancy test result from signing informed consent to the end of the study; or Refuses to adopt at least one form of birth control (refer to Section 5.3) from signing informed consent to the end of the study.

  • Male subject with a female spouse/partner who is of childbearing potential refuses to adopt at least one form of birth control (refer to Section 5.3) from signing informed consent to the end of the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    SAD portion - Cohort 1 (100mg)

    SAD portion - Cohort 2 (200mg)

    SAD portion - Cohort 3 (400mg)

    FE portion - Cohort 4 (100mg)

    MAD portion - Cohort 5 (50mg)

    MAD portion - Cohort 6 (100mg)

    Arm Description

    An eligible subject will receive a single dose of 100 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.

    An eligible subject will receive a single dose of 200 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.

    An eligible subject will receive a single dose of 400 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.

    An eligible subject will receive a single dose of 100 mg PS1 or Placebo tablets in a fasted condition on Day 1 and be followed for 14 days.

    An eligible subject will receive 50 mg PS1 or Placebo tablets once daily in a fed condition for 28 days and be followed for additional 14 days.

    An eligible subject will receive 100 mg PS1 or Placebo tablets once daily in a fed condition for 28 days and be followed for additional 14 days.

    Outcomes

    Primary Outcome Measures

    Incidence of dose-limiting toxicity (DLT) during the DLT observation period
    DLT is defined as: (1) any adverse event (AE) ≥ Grade 3 (CTCAE v5.0) or (2) Grade 2 AE that does not resolve to grade 1 or less within 72 hours, that occurs in the DLT observation period and is causally related (possibly, probably, or definitely related) to the test article judged by the investigator.

    Secondary Outcome Measures

    Incidence of adverse events (AEs) and serious adverse events (SAEs)
    All adverse events (AEs) will be assessed for severity by the investigator based on NCI-CTCAE v5.0
    Number of participants with abnormalities in Vital signs
    Number of participants with abnormal systolic/diastolic blood pressure (in mmHg), respiratory rate, pulse rate (in beat per minute, bpm), and body temperature (in ℃)
    Number of participants with abnormalities in Laboratory examinations
    Number of participants with abnormal Hematology (hemoglobin, hematocrit, RBC, platelet, WBC, WBC differentials (neutrophils, eosinophils, basophils, lymphocytes, monocytes), MCV, MCH, MCHC), biochemistry (HbA1c, fasting plasma glucose, albumin, alkaline phosphatase, ALT, AST, BUN, creatinine, cholestero1, γ-GT, total protein, total bilirubin, direct bilirubin, triglyceride, amylase, lipase, calcium, sodium, potassium, chloride), and urinalysis (pH, protein, glucose, bilirubin, urobilinogen, ketone body, specific gravity, occult blood, RBC, WBC, creatinine, ratio of albumin/creatinine) results
    Acute kidney injury (AKI) marker - NGAL
    Urine samples will be collected for analyzing acute kidney injury (AKI) markers
    Acute kidney injury (AKI) marker - KIM-1
    Urine samples will be collected for analyzing acute kidney injury (AKI) markers
    Number of participants with abnormalities in 12-lead electrocardiogram (EKG)
    Number of participants with abnormal Ventricular rate, PR interval, QRS interval, and QT interval
    Number of participants with abnormalities in Physical examination
    Number of participants with abnormal Physical examination results, including general appearance, skin, eyes, ears, nose, throat, head and neck (including thyroid), heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological system, and other body systems
    Pharmacokinetics of PS1 - AUC
    Area under the serum concentration-time profile
    Pharmacokinetics of PS1 - Cmax
    The peak post-dose concentration
    Pharmacokinetics of PS1 - Tmax
    Time at which Cmax is observed
    Pharmacokinetics of PS1 - T1/2
    Terminal phase elimination half-life
    Pharmacokinetics of PS1 - MRT
    Mean Residence Time
    Pharmacokinetics of PS1 - CL/F
    Apparent Clearance

    Full Information

    First Posted
    November 29, 2021
    Last Updated
    September 27, 2022
    Sponsor
    Pharmasaga Co. Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05176210
    Brief Title
    Safety, Pharmacokinetics, and Food Effect of PS1 in Healthy Subjects
    Official Title
    A Phase I, Double-Blind, Placebo-Controlled, Randomized, Single- and Multiple-Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Food Effect of PS1 in Healthy Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    March 2023 (Anticipated)
    Primary Completion Date
    December 2023 (Anticipated)
    Study Completion Date
    December 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Pharmasaga Co. Ltd.

    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 is a phase I, double-blind, placebo-controlled, randomized, single- and multiple-ascending dose study to evaluate new study intervention, PS1. PS1 is a potential blood glucose control medication, which is developed by Pharmasaga Co. Ltd. planned for treating type II diabetes mellitus (T2DM). This is a first-in-human study to evaluate the safety, tolerability, pharmacokinetics (PK), and food effect of PS1 in healthy subjects.
    Detailed Description
    This first-in-human Phase I study consists of a single ascending-dose (SAD) portion, a food effect (FE) portion, and a multiple ascending-dose (MAD) portion, aiming to evaluate the safety, tolerability, pharmacokinetics, and food effect of PS1 in healthy subjects. A randomized, double-blinded, placebo-controlled study design will be applied for the SAD portion with three SAD dose cohorts-100 mg (Cohort 1), 200 mg (Cohort 2), and 400 mg (Cohort 3). An eligible subject in this portion will receive a single dose of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days. In FE portion, only one cohort (Cohort 4) is assigned. The FE cohort (Cohort 4) will use the same study design as the SAD cohorts. An eligible subject in this portion will receive a single dose of 100 mg PS1 or Placebo tablets in a fasted condition on Day 1 and be followed for 14 days. Two cohorts are assigned in the MAD portion: 50 mg/day (Cohort 5) and 100 mg/day (Cohort 6). Only the dose level of MAD lower than the maximum tolerated dose (MTD) of SAD portion can be activated (If 100 mg was determined as the MTD of SAD, only cohort 5 could be activated). An eligible subject will receive PS1 or Placebo tablets once daily in a fed condition for 28 days and be followed for additional 14 days.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type II Diabetes

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Sequential Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SAD portion - Cohort 1 (100mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive a single dose of 100 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.
    Arm Title
    SAD portion - Cohort 2 (200mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive a single dose of 200 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.
    Arm Title
    SAD portion - Cohort 3 (400mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive a single dose of 400 mg of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 14 days.
    Arm Title
    FE portion - Cohort 4 (100mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive a single dose of 100 mg PS1 or Placebo tablets in a fasted condition on Day 1 and be followed for 14 days.
    Arm Title
    MAD portion - Cohort 5 (50mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive 50 mg PS1 or Placebo tablets once daily in a fed condition for 28 days and be followed for additional 14 days.
    Arm Title
    MAD portion - Cohort 6 (100mg)
    Arm Type
    Experimental
    Arm Description
    An eligible subject will receive 100 mg PS1 or Placebo tablets once daily in a fed condition for 28 days and be followed for additional 14 days.
    Intervention Type
    Drug
    Intervention Name(s)
    PS1
    Other Intervention Name(s)
    PS-001
    Intervention Description
    PS1 will be provided as a 120 mg tablet with 25 mg active pharmaceutical ingredient
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo
    Primary Outcome Measure Information:
    Title
    Incidence of dose-limiting toxicity (DLT) during the DLT observation period
    Description
    DLT is defined as: (1) any adverse event (AE) ≥ Grade 3 (CTCAE v5.0) or (2) Grade 2 AE that does not resolve to grade 1 or less within 72 hours, that occurs in the DLT observation period and is causally related (possibly, probably, or definitely related) to the test article judged by the investigator.
    Time Frame
    Day 1~ Day 8 (SAD cohort); Day 1~ Day 36 (MAD cohort)
    Secondary Outcome Measure Information:
    Title
    Incidence of adverse events (AEs) and serious adverse events (SAEs)
    Description
    All adverse events (AEs) will be assessed for severity by the investigator based on NCI-CTCAE v5.0
    Time Frame
    SAD, FE: up to 4 weeks; MAD: up to 8 weeks
    Title
    Number of participants with abnormalities in Vital signs
    Description
    Number of participants with abnormal systolic/diastolic blood pressure (in mmHg), respiratory rate, pulse rate (in beat per minute, bpm), and body temperature (in ℃)
    Time Frame
    SAD, FE: Baseline,1~2 weeks; MAD: Baseline,1~6 weeks
    Title
    Number of participants with abnormalities in Laboratory examinations
    Description
    Number of participants with abnormal Hematology (hemoglobin, hematocrit, RBC, platelet, WBC, WBC differentials (neutrophils, eosinophils, basophils, lymphocytes, monocytes), MCV, MCH, MCHC), biochemistry (HbA1c, fasting plasma glucose, albumin, alkaline phosphatase, ALT, AST, BUN, creatinine, cholestero1, γ-GT, total protein, total bilirubin, direct bilirubin, triglyceride, amylase, lipase, calcium, sodium, potassium, chloride), and urinalysis (pH, protein, glucose, bilirubin, urobilinogen, ketone body, specific gravity, occult blood, RBC, WBC, creatinine, ratio of albumin/creatinine) results
    Time Frame
    SAD, FE: Baseline,1~2 weeks; MAD: Baseline,1~6 weeks
    Title
    Acute kidney injury (AKI) marker - NGAL
    Description
    Urine samples will be collected for analyzing acute kidney injury (AKI) markers
    Time Frame
    SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
    Title
    Acute kidney injury (AKI) marker - KIM-1
    Description
    Urine samples will be collected for analyzing acute kidney injury (AKI) markers
    Time Frame
    SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
    Title
    Number of participants with abnormalities in 12-lead electrocardiogram (EKG)
    Description
    Number of participants with abnormal Ventricular rate, PR interval, QRS interval, and QT interval
    Time Frame
    SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
    Title
    Number of participants with abnormalities in Physical examination
    Description
    Number of participants with abnormal Physical examination results, including general appearance, skin, eyes, ears, nose, throat, head and neck (including thyroid), heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological system, and other body systems
    Time Frame
    SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
    Title
    Pharmacokinetics of PS1 - AUC
    Description
    Area under the serum concentration-time profile
    Time Frame
    Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
    Title
    Pharmacokinetics of PS1 - Cmax
    Description
    The peak post-dose concentration
    Time Frame
    Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
    Title
    Pharmacokinetics of PS1 - Tmax
    Description
    Time at which Cmax is observed
    Time Frame
    Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
    Title
    Pharmacokinetics of PS1 - T1/2
    Description
    Terminal phase elimination half-life
    Time Frame
    Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
    Title
    Pharmacokinetics of PS1 - MRT
    Description
    Mean Residence Time
    Time Frame
    Day 1 and 2 (SAD and FE portion only)
    Title
    Pharmacokinetics of PS1 - CL/F
    Description
    Apparent Clearance
    Time Frame
    Day 1 and 2 (SAD and FE portion only)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Both genders aged 20 to 80 years, inclusive at screening Overtly healthy subject, who is considered to be generally healthy based on medical history, vital signs, laboratory tests, 12-lead EKG, and physical examination, as judged by the investigator With HbA1c value of < 6.5% at Screening Fasting plasma glucose < 110 mg/dL at Screening Body mass index (BMI) between 18.5 and 28.0 kg/m2 Negative test for hepatitis B surface antigen (HBsAg), Anti-HCV antibody, or human immunodeficiency virus (HIV) at screening Is willing to comply with the trial restrictions Able to understand and sign the informed consent form Exclusion Criteria: History of diabetes mellitus Under the systemic treatment of any prescription medication or over-the-counter (OTC) medication within 7 days before Screening Received any vaccination within 14 days before Screening Known hypersensitivity to any of the components of PS1 tablet History of clinically significant hematological, renal, endocrine, pulmonary, respiratory, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, musculoskeletal, immune, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing) within 3 months of Screening that may significantly alter the biomarker panel, require receiving any systemic medications, or interfere with the interpretation of data, as judged by the investigator History of cancer (malignancy) or have ever received any anti-cancer therapy Regular smoker Consumed greater than 3 glasses of alcoholic beverages per day for the past 4 weeks before Screening Received any investigational therapy from another clinical study, performed any major surgeries, or took glucose-lowering medications within the last 12 weeks prior to Screening Received any systemic steroids (inhaled and intranasal steroids are permitted) or other immunosuppressive medications within 4 weeks prior to Screening Have ever received cell therapy or organ transplantation Other conditions not suitable for participating in this study as judged by the investigator Any conditions that forbid the completion of study procedures due to the local regulatory restrictions Female subject of childbearing potential who: Is lactating; or Has a positive pregnancy test result from signing informed consent to the end of the study; or Refuses to adopt at least one form of birth control (refer to Section 5.3) from signing informed consent to the end of the study. Male subject with a female spouse/partner who is of childbearing potential refuses to adopt at least one form of birth control (refer to Section 5.3) from signing informed consent to the end of the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jeff Pan, PhD
    Phone
    +886-2-7750-5500
    Ext
    1595
    Email
    jeffpan@gate.sinica.edu.tw
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Yi-Cheng Chang, MD., PhD
    Organizational Affiliation
    National Taiwan University Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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