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An Open-label, Adaptive Design, Positron Emission Tomography Study in Healthy Male Participants to Characterize Receptor Occupancy by MIJ821 in the Brain

Primary Purpose

Major Depressive Disorder

Status
Recruiting
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
MIJ821
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Major Depressive Disorder focused on measuring NR2B receptor modulator, Healthy subject, safety, pharmacokinetics receptor occupancy, PET scan, Major Depressive Disorder, adult

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Key Inclusion Criteria: Signed informed consent must be obtained prior to participation in the study Healthy males, aged 23 to 55 years (inclusive), and in good health as determined by past medical history, physical and neurological examination, vital signs, electrocardiogram, and laboratory tests at Screening and Baseline (whenever applicable) At screening and at baseline (Day -1), vital signs after 3 minutes resting (in sitting position during screening and supine position during baseline) must be within the following ranges: Body temperature (otic) from 35.0 °C to 37.5 °C, inclusive Systolic blood pressure (BP) from 90 to 139 mmHg, inclusive Diastolic BP from 50 to 89 mmHg, inclusive. Pulse rate from 50 to 90 beats per minute, inclusive Participants must weigh at least 50 kg to participate in the study and must have a body mass index (BMI) within the range of 18.0 to 29.9 kg/m² at screening. BMI = body weight (kg) / height2 (m2) Participants must be able to communicate well with the Investigator and to comply with the requirements of the entire study, including adhering to study restrictions and visit schedule Key Exclusion criteria: Hypersensitivity to NMDA antagonists (MIJ821 or other compounds with similar mechanism of action, like ketamine or compounds with similar chemical structure to ketamine) or to any excipients, local anesthetics, or anticoagulants used in this study. Any significant illness, including infectious diseases, which has not resolved within 2 weeks prior to baseline. Any of the following ECG abnormalities at Screening or Baseline: PR interval outside 110-200 ms QRS duration outside 70-120 ms Resting heart rate in sinus rhythm outside 50-90 bpm QTcF > 450 ms Exposure to ionizing radiation as part of a research study, which, in addition to the exposure from this study, would lead to a total effective dose of more than 10 mSv in a period of one year. Any history of neurological disorders, including, but not limited to any of the followings: Any history of stroke or known cerebrovascular disorders (e.g. aneurysm or arteriovenous malformation) or known aneurysmal vascular disease in other location (e.g. aorta) Any history or presence of epilepsy or of seizures or convulsions of any kind. Any history of head trauma leading to permanent sequelae or history of head trauma leading to clinically significant but transient symptoms within 2 years of baseline. Score "yes" on item 4 or item 5 of the Suicidal Ideation section of the C-SSRS, if this ideation occurred in the past 6 months from screening, or "yes" on any item of the Suicidal Behavior section, except for the "Non-Suicidal Self-Injurious Behavior" (item also included in the Suicidal Behavior section), if this behavior occurred in the past 2 years. Sexually active males unwilling to use a condom during intercourse while taking study treatment and for 90 days following dosing. A condom is required for all sexually active male participants for 90 days following dosing (including vasectomized men) to prevent them from fathering a child AND to prevent delivery of the investigational drug via seminal fluid to their partner.

Sites / Locations

  • Novartis Investigative SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Cohort 5

Arm Description

MIJ821, starting dose

MIJ821, dose will be defined based on the results of the previous cohort(s).

MIJ821, dose will be defined based on the results of the previous cohort(s).

MIJ821, dose will be defined based on the results of the previous cohort(s).

MIJ821, dose will be defined based on the results of the previous cohort(s).

Outcomes

Primary Outcome Measures

Human Brain Receptor Occupancy and Plasma Concentration of MIJ821
To evaluate the relationship between plasma concentration of MIJ821 and brain receptor occupancy by MIJ821 in healthy participants, by using positron emission tomography (PET) with [11C]Me-NB1

Secondary Outcome Measures

Binding parameters of [11C]-MeNB1
To characterize the binding properties of [11C]-Me-NB1 in the human brain
Percentage change in PET imaging outcome measures after treatment with MIJ821 compared to baseline and plasma concentration of MIJ821
To evaluate the relationship between displacement of central (brain) radioligand binding and systemic (plasma) concentration of MIJ821
Tmax will be calculated as a PK parameter of MIJ821 in plasma.
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
AUC will be calculated as a PK parameter of MIJ821 in plasma
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Cmax will be calculated as a PK parameter of MIJ821 in plasma
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Number of adverse events and serious adverse events.
The occurrence of adverse events must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments (e.g., CADSS and C-SSRS).

Full Information

First Posted
December 18, 2022
Last Updated
October 4, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05666687
Brief Title
An Open-label, Adaptive Design, Positron Emission Tomography Study in Healthy Male Participants to Characterize Receptor Occupancy by MIJ821 in the Brain
Official Title
An Open-label, Adaptive Design Study in Healthy Male Participants to Characterize the Occupancy of NR2B Subunit Containing NMDA Receptors in the Brain Following a Single Intravenous Dose of MIJ821 Using Positron Emission Tomography (PET) With the Radioligand [11C]Me-NB1
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 11, 2023 (Actual)
Primary Completion Date
November 9, 2023 (Anticipated)
Study Completion Date
November 9, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to confirm binding of MIJ821 to the NR2B-containing NMDA receptors in the human brain and assess the PC-RO relationship over time using positron emission tomography (PET).
Detailed Description
This is a Phase I, open-label, adaptive design study in healthy male participants using PET imaging with the radioligand [11C]Me-NB1 to measure occupancy of the NR2B-containing NMDA receptors by MIJ821. This exploratory study will be performed at a single clinical site and a separate PET imaging site. Up to 10 participants will be enrolled into 5 sequential cohorts. Each participant will receive a single dose of MIJ821 as an i.v. infusion. As part of the adaptive design, the dose of MIJ821 will be changed across cohorts to achieve the primary study objective in the smallest possible number of participants. After confirming eligibility during screening, each participant will undergo a baseline PET scan. Each participant will receive a single dose of i.v. MIJ821 during the treatment period, followed by up to two post dose PET scans. Post dose safety assessments will be performed up to End of Study visit which will happen once between Day 9 and Day 15.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
NR2B receptor modulator, Healthy subject, safety, pharmacokinetics receptor occupancy, PET scan, Major Depressive Disorder, adult

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
There will be 5 Cohorts
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
MIJ821, starting dose
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
MIJ821, dose will be defined based on the results of the previous cohort(s).
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
MIJ821, dose will be defined based on the results of the previous cohort(s).
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
MIJ821, dose will be defined based on the results of the previous cohort(s).
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
MIJ821, dose will be defined based on the results of the previous cohort(s).
Intervention Type
Drug
Intervention Name(s)
MIJ821
Intervention Description
MIJ821 will be administered as an i.v. infusion
Primary Outcome Measure Information:
Title
Human Brain Receptor Occupancy and Plasma Concentration of MIJ821
Description
To evaluate the relationship between plasma concentration of MIJ821 and brain receptor occupancy by MIJ821 in healthy participants, by using positron emission tomography (PET) with [11C]Me-NB1
Time Frame
Baseline PET Scan up to 15 days post dose
Secondary Outcome Measure Information:
Title
Binding parameters of [11C]-MeNB1
Description
To characterize the binding properties of [11C]-Me-NB1 in the human brain
Time Frame
Baseline PET scan up to 15 days post dose
Title
Percentage change in PET imaging outcome measures after treatment with MIJ821 compared to baseline and plasma concentration of MIJ821
Description
To evaluate the relationship between displacement of central (brain) radioligand binding and systemic (plasma) concentration of MIJ821
Time Frame
Baseline PET scan up to 36 hours post dose
Title
Tmax will be calculated as a PK parameter of MIJ821 in plasma.
Description
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time Frame
PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
Title
AUC will be calculated as a PK parameter of MIJ821 in plasma
Description
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time Frame
PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
Title
Cmax will be calculated as a PK parameter of MIJ821 in plasma
Description
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time Frame
PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
Title
Number of adverse events and serious adverse events.
Description
The occurrence of adverse events must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments (e.g., CADSS and C-SSRS).
Time Frame
Baseline up to Day 15, plus 30 days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Signed informed consent must be obtained prior to participation in the study Healthy males, aged 23 to 55 years (inclusive), and in good health as determined by past medical history, physical and neurological examination, vital signs, electrocardiogram, and laboratory tests at Screening and Baseline (whenever applicable) At screening and at baseline (Day -1), vital signs after 3 minutes resting (in sitting position during screening and supine position during baseline) must be within the following ranges: Body temperature (otic) from 35.0 °C to 37.5 °C, inclusive Systolic blood pressure (BP) from 90 to 139 mmHg, inclusive Diastolic BP from 50 to 89 mmHg, inclusive. Pulse rate from 50 to 90 beats per minute, inclusive Participants must weigh at least 50 kg to participate in the study and must have a body mass index (BMI) within the range of 18.0 to 29.9 kg/m² at screening. BMI = body weight (kg) / height2 (m2) Participants must be able to communicate well with the Investigator and to comply with the requirements of the entire study, including adhering to study restrictions and visit schedule Key Exclusion criteria: Hypersensitivity to NMDA antagonists (MIJ821 or other compounds with similar mechanism of action, like ketamine or compounds with similar chemical structure to ketamine) or to any excipients, local anesthetics, or anticoagulants used in this study. Any significant illness, including infectious diseases, which has not resolved within 2 weeks prior to baseline. Any of the following ECG abnormalities at Screening or Baseline: PR interval outside 110-200 ms QRS duration outside 70-120 ms Resting heart rate in sinus rhythm outside 50-90 bpm QTcF > 450 ms Exposure to ionizing radiation as part of a research study, which, in addition to the exposure from this study, would lead to a total effective dose of more than 10 mSv in a period of one year. Any history of neurological disorders, including, but not limited to any of the followings: Any history of stroke or known cerebrovascular disorders (e.g. aneurysm or arteriovenous malformation) or known aneurysmal vascular disease in other location (e.g. aorta) Any history or presence of epilepsy or of seizures or convulsions of any kind. Any history of head trauma leading to permanent sequelae or history of head trauma leading to clinically significant but transient symptoms within 2 years of baseline. Score "yes" on item 4 or item 5 of the Suicidal Ideation section of the C-SSRS, if this ideation occurred in the past 6 months from screening, or "yes" on any item of the Suicidal Behavior section, except for the "Non-Suicidal Self-Injurious Behavior" (item also included in the Suicidal Behavior section), if this behavior occurred in the past 2 years. Sexually active males unwilling to use a condom during intercourse while taking study treatment and for 90 days following dosing. A condom is required for all sexually active male participants for 90 days following dosing (including vasectomized men) to prevent them from fathering a child AND to prevent delivery of the investigational drug via seminal fluid to their partner.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Novartis Pharmaceuticals
Phone
+41613241111
Email
novartis.email@novartis.com
First Name & Middle Initial & Last Name or Official Title & Degree
Novartis Pharmaceuticals
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Steel, MD
Organizational Affiliation
Parexel Early Phase Clinical Unit (LONDON),
Official's Role
Principal Investigator
Facility Information:
Facility Name
Novartis Investigative Site
City
Watford Road Harrow
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

An Open-label, Adaptive Design, Positron Emission Tomography Study in Healthy Male Participants to Characterize Receptor Occupancy by MIJ821 in the Brain

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