search
Back to results

Study to Assess the Absorption, Metabolism, Excretion, and Mass Balance of CT1812 in Healthy Adult Male Subjects (COG0108)

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
300 mg [C14] CT1812
Sponsored by
Cognition Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Alzheimer Disease

Eligibility Criteria

19 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy, adult, male, 19 - 55 years of age
  2. Male subjects must follow protocol specified contraception guidance as described in the protocol
  3. Continuous non smoker who has not used tobacco/nicotine containing products for at least 3 months prior to dosing.
  4. Body mass index (BMI) ≥18.0 and ≤30.0 kg/m2 at the Screening visit (subjects must not have experienced a weight loss or gain of >10% within 4 weeks of dosing).
  5. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI/designee at the Screening visit.
  6. History of a minimum of 1 bowel movement per day.
  7. Able to swallow multiple capsules.
  8. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.

Exclusion Criteria:

  1. Evidence of disease that, in the opinion of the PI/designee, may influence the outcome of the study within 4 weeks before dosing
  2. Clinically significant illness, in the opinion of the PI/designee, that requires medical treatment within 8 weeks prior to dosing, or a clinically significant infection that requires medical treatment within 4 weeks prior to dosing.
  3. Any history of GI surgery that may affect PK profiles of CT1812
  4. Has evidence of a clinically significant abnormality in physical examination findings, vital signs, or clinical laboratory determinations at the Screening visit or Check-in.
  5. Has a clinically significant ECG abnormality at the Screening visit or Check-in.
  6. Estimated creatinine clearance <80 ml/min/1.73 m2 at the Screening visit.
  7. Known history of clinically significant allergy to CT1812 or excipients at the Screening visit.
  8. Has been diagnosed with acquired immune deficiency syndrome, or tests positive for human immunodeficiency virus (HIV), Hepatitis B virus surface antigen (HBsAg), or Hepatitis C virus (HCV) at the Screening visit.
  9. Has a history of alcohol use disorder within the 2 years before the Screening visit.
  10. Positive urine drug or alcohol results at the Screening visit or Check in.
  11. Positive cotinine result at the Screening visit.
  12. Unable to refrain from or anticipates the use of:

    • Any drugs, including prescription and non prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to dosing except for those allowed in the protocol
    • Any drugs known to be significant inducers of CYP2D6 and CYP3A4 for 28 days prior to dosing.
  13. Donation of blood or significant blood loss within 56 days prior to dosing.
  14. Plasma donation within 7 days prior to dosing.
  15. Poor peripheral venous access.
  16. Recent history (within 2 weeks of Day 1) of abnormal bowel movements, such as diarrhea, loose stools, or constipation.
  17. Has exposure to significant diagnostic or therapeutic radiation (e.g., 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.
  18. Has participated in a radiolabeled drug study where exposures are known to the PI within the previous 3 months prior to admission to the clinic for this study or participated in a radiolabeled drug study where exposures are not known to the PI within the previous 6 months prior to admission to the clinic for this study.
  19. Has previously participated in a CT1812 investigational study.
  20. Evidence or history of active suicidal thoughts in the 6 months preceding the screening visit; or have a history of a suicide attempt in the previous 2 years, or more than 1 lifetime suicide attempt; or are at serious suicide risk per the PIs clinical judgment.
  21. Has any condition that would, in the opinion of the PI/designee or Sponsor, make the subject unsuitable for the study or is, in the opinion of the PI/designee, not likely to complete the study for any reason.
  22. Participation in another clinical study within 30 days prior to dosing.

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CT1812

Arm Description

Investigational Drug

Outcomes

Primary Outcome Measures

Plasma CT1812 Concentration at 96 Hours Timepoint
Plasma concentrations of CT1812 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Plasma M6/CP199 Concentration at 144 Hours Timepoint
Plasma concentrations of M6/CP199 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Plasma Total Radioactivity (TRA) Concentration CT1812-Equivalents at 168 Hours Timepoint
Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Whole Blood Total Radioactivity (TRA) Concentration CT1812-Equivalents at 144 Hours Timepoint
The analysis of Whole Blood Total Radioactivity Concentration of CT1812-Equivalents was performed using combustion followed by Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Cumulative Percentage of Radioactive Dose (Cum%Dose) Excreted in the Urine
Cumulative radioactive dose (Cum%Dose) excreted in the urine was determined using Liquid Scintillation Counting (LSC) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Cumulative Percentage of Radioactive Dose (Cum%Dose) Excreted in the Feces
Cumulative radioactive dose (Cum%Dose) excreted in the feces was performed using combustion followed by Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
CT1812 Plasma Exposure According to AUC0-last Pharmacokinetic Parameter
Plasma CT1812 Concentration were measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma concentrations of CT1812 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS).
M6/CP199 Plasma Exposure According to AUC0-last Pharmacokinetic Parameter
M6/CP199 Plasma Concentration was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. M6/CP199 plasma concentrations were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS).
Plasma Total Radioactivity According to AUC0-last Pharmacokinetic Parameter
Plasma Total Radioactivity was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC).
Whole Blood Total Radioactivity According to AUC0-last Pharmacokinetic Parameter
Whole Blood Total Radioactivity was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC)

Secondary Outcome Measures

Whole Blood:Plasma Total Radioactivity Partitioning Ratios Over Time up to 144 Hours Timepoint
This measure describes the percentage of TRA in whole blood relative to plasma. The fraction of [14C]-radioactivity associated with whole blood and plasma and with red blood cells and other cellular components of whole blood was determined by using the concentration of [14C]-radioactivity in whole blood and plasma.
Number of TEAEs, Related TEAEs, SAEs, and Related SAEs
Incidence and Severity of Adverse Events. All AEs that occurred during this clinical trial were coded using the Medical Dictionary for Regulatory Activities (MedDRA®), Version 24.1.

Full Information

First Posted
January 11, 2022
Last Updated
July 19, 2023
Sponsor
Cognition Therapeutics
Collaborators
National Institute on Aging (NIA)
search

1. Study Identification

Unique Protocol Identification Number
NCT05225389
Brief Title
Study to Assess the Absorption, Metabolism, Excretion, and Mass Balance of CT1812 in Healthy Adult Male Subjects
Acronym
COG0108
Official Title
A Phase 1, Open-Label Study to Assess the Absorption, Metabolism, Excretion, and Mass Balance of a Single Oral Dose of [14C] CT1812 in Healthy Adult Male Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
December 31, 2021 (Actual)
Primary Completion Date
January 17, 2022 (Actual)
Study Completion Date
January 24, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cognition Therapeutics
Collaborators
National Institute on Aging (NIA)

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
Open-label, single-dose study to assess the absorption, metabolism, excretion and mass balance of [C14] CT1812
Detailed Description
Open-label, single-dose study to assess the absorption, metabolism, excretion and mass balance of [C14] CT1812 in 8 healthy male subjects Subjects will be screened 28-days prior to dosing to determine eligibility. Eligible subjects will be admitted to the clinical research unit (CRU) on Day -1. On Day 1, subjects will receive a single dose of CT1812 with a microtracer dose of [14C] CT1812. Whole blood, plasma, urine and fecal samples will be collection during the confinement period. Safety will be monitored throughout the study by repeated clinical and laboratory evaluations. Subjects will be and discharged from the CRU following completion of procedures 168 hours post dose (Day 8)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Open-label, single-dose study
Masking
None (Open Label)
Allocation
N/A
Enrollment
8 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CT1812
Arm Type
Experimental
Arm Description
Investigational Drug
Intervention Type
Drug
Intervention Name(s)
300 mg [C14] CT1812
Intervention Description
Single dose of 300 mg CT1812 with microtracer dose of [C14]
Primary Outcome Measure Information:
Title
Plasma CT1812 Concentration at 96 Hours Timepoint
Description
Plasma concentrations of CT1812 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose through 96 hours postdose
Title
Plasma M6/CP199 Concentration at 144 Hours Timepoint
Description
Plasma concentrations of M6/CP199 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose through 144 hours postdose
Title
Plasma Total Radioactivity (TRA) Concentration CT1812-Equivalents at 168 Hours Timepoint
Description
Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours postdose
Title
Whole Blood Total Radioactivity (TRA) Concentration CT1812-Equivalents at 144 Hours Timepoint
Description
The analysis of Whole Blood Total Radioactivity Concentration of CT1812-Equivalents was performed using combustion followed by Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose through 144 hours postdose
Title
Cumulative Percentage of Radioactive Dose (Cum%Dose) Excreted in the Urine
Description
Cumulative radioactive dose (Cum%Dose) excreted in the urine was determined using Liquid Scintillation Counting (LSC) following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose and 0 to 4, 4 to 8, 8 to 12, and 12 to 24 hours postdose, and every 24 hours (pooled) until Day 8 (168 hours postdose).
Title
Cumulative Percentage of Radioactive Dose (Cum%Dose) Excreted in the Feces
Description
Cumulative radioactive dose (Cum%Dose) excreted in the feces was performed using combustion followed by Liquid Scintillation Counting (LSC) method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects.
Time Frame
Predose, 0-24, 24-48, 48-72, 72-96, 96-120, 120-144, 144-168 hours postdose
Title
CT1812 Plasma Exposure According to AUC0-last Pharmacokinetic Parameter
Description
Plasma CT1812 Concentration were measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma concentrations of CT1812 were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS).
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours postdose
Title
M6/CP199 Plasma Exposure According to AUC0-last Pharmacokinetic Parameter
Description
M6/CP199 Plasma Concentration was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. M6/CP199 plasma concentrations were determined using a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS).
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours postdose
Title
Plasma Total Radioactivity According to AUC0-last Pharmacokinetic Parameter
Description
Plasma Total Radioactivity was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC).
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours postdose
Title
Whole Blood Total Radioactivity According to AUC0-last Pharmacokinetic Parameter
Description
Whole Blood Total Radioactivity was measured using the area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method following a single oral dose of 300 mg (~1 μCi) [14C]-CT1812 administered in healthy adult male subjects. Plasma Total Radioactivity Concentration of CT1812-Equivalents was performed using Liquid Scintillation Counting (LSC)
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours postdose
Secondary Outcome Measure Information:
Title
Whole Blood:Plasma Total Radioactivity Partitioning Ratios Over Time up to 144 Hours Timepoint
Description
This measure describes the percentage of TRA in whole blood relative to plasma. The fraction of [14C]-radioactivity associated with whole blood and plasma and with red blood cells and other cellular components of whole blood was determined by using the concentration of [14C]-radioactivity in whole blood and plasma.
Time Frame
Predose through 144 hours postdose
Title
Number of TEAEs, Related TEAEs, SAEs, and Related SAEs
Description
Incidence and Severity of Adverse Events. All AEs that occurred during this clinical trial were coded using the Medical Dictionary for Regulatory Activities (MedDRA®), Version 24.1.
Time Frame
Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168 hours

10. Eligibility

Sex
Male
Gender Based
Yes
Gender Eligibility Description
Healthy, adult, males eligible for the study
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, adult, male, 19 - 55 years of age Male subjects must follow protocol specified contraception guidance as described in the protocol Continuous non smoker who has not used tobacco/nicotine containing products for at least 3 months prior to dosing. Body mass index (BMI) ≥18.0 and ≤30.0 kg/m2 at the Screening visit (subjects must not have experienced a weight loss or gain of >10% within 4 weeks of dosing). Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI/designee at the Screening visit. History of a minimum of 1 bowel movement per day. Able to swallow multiple capsules. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol. Exclusion Criteria: Evidence of disease that, in the opinion of the PI/designee, may influence the outcome of the study within 4 weeks before dosing Clinically significant illness, in the opinion of the PI/designee, that requires medical treatment within 8 weeks prior to dosing, or a clinically significant infection that requires medical treatment within 4 weeks prior to dosing. Any history of GI surgery that may affect PK profiles of CT1812 Has evidence of a clinically significant abnormality in physical examination findings, vital signs, or clinical laboratory determinations at the Screening visit or Check-in. Has a clinically significant ECG abnormality at the Screening visit or Check-in. Estimated creatinine clearance <80 ml/min/1.73 m2 at the Screening visit. Known history of clinically significant allergy to CT1812 or excipients at the Screening visit. Has been diagnosed with acquired immune deficiency syndrome, or tests positive for human immunodeficiency virus (HIV), Hepatitis B virus surface antigen (HBsAg), or Hepatitis C virus (HCV) at the Screening visit. Has a history of alcohol use disorder within the 2 years before the Screening visit. Positive urine drug or alcohol results at the Screening visit or Check in. Positive cotinine result at the Screening visit. Unable to refrain from or anticipates the use of: Any drugs, including prescription and non prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to dosing except for those allowed in the protocol Any drugs known to be significant inducers of CYP2D6 and CYP3A4 for 28 days prior to dosing. Donation of blood or significant blood loss within 56 days prior to dosing. Plasma donation within 7 days prior to dosing. Poor peripheral venous access. Recent history (within 2 weeks of Day 1) of abnormal bowel movements, such as diarrhea, loose stools, or constipation. Has exposure to significant diagnostic or therapeutic radiation (e.g., 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. Has participated in a radiolabeled drug study where exposures are known to the PI within the previous 3 months prior to admission to the clinic for this study or participated in a radiolabeled drug study where exposures are not known to the PI within the previous 6 months prior to admission to the clinic for this study. Has previously participated in a CT1812 investigational study. Evidence or history of active suicidal thoughts in the 6 months preceding the screening visit; or have a history of a suicide attempt in the previous 2 years, or more than 1 lifetime suicide attempt; or are at serious suicide risk per the PIs clinical judgment. Has any condition that would, in the opinion of the PI/designee or Sponsor, make the subject unsuitable for the study or is, in the opinion of the PI/designee, not likely to complete the study for any reason. Participation in another clinical study within 30 days prior to dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony Caggiano, MD
Organizational Affiliation
Cognition Therapeutics Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Celerion
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study to Assess the Absorption, Metabolism, Excretion, and Mass Balance of CT1812 in Healthy Adult Male Subjects

We'll reach out to this number within 24 hrs