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First-in-Human Trial in Healthy Adult Volunteers to Evaluate Safety, Tolerability and PK of LAPIX Study Drug; LPX-TI641

Primary Purpose

Autoimmune Diseases, Multiple Sclerosis

Status
Not yet recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
LPX-TI641
Sponsored by
LAPIX Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autoimmune Diseases

Eligibility Criteria

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

Inclusion Criteria: Healthy volunteers Subject has signed an Informed Consent Form (ICF) prior to any study-specific procedures being performed Healthy volunteers (HV) with no known acute or chronic medical conditions (respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, etc.) at the time of enrollment. All male and non-pregnant females aged 18-55 years old irrespective of their race and ethnicity. Body Mass Index (BMI) 18.0-30.0 kg/m2, inclusive at screening. Clinical laboratory evaluations performed at screening, are within acceptable normal reference ranges (Grade 1 abnormalities may be acceptable if deemed necessary by the investigator. Grade 2 or higher would be exclusionary). Subjects who are willing and able to adhere to study protocol requirements including but not limited to scheduled outpatient visits, inpatient hospital stay, laboratory tests, and 12-lead ECG. Contraception - All subjects (male and female) must agree to use any two of the highly effective contraception methods listed below. This criterion must be followed from the time of the first dose of study medication for 6 weeks after the last dose in females and for 90 days after the last dose for males. a. The following applies to all female volunteers with childbearing potential and female partners of male volunteers enrolled in the study. i. Implantable progestogen-only hormone contraception associated with inhibition of ovulation. ii. Intrauterine device. iii. Intrauterine hormone-releasing system. iv. Bilateral tubal occlusion. v. Combined (estrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation: 1) Oral 2) Intravaginal 3)Transdermal 4) Injectable vi. Progestogen-only hormone contraception (oral or injectable) is associated with inhibition of ovulation. vii. Vasectomized partner viii. Sexual abstinence -this is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study intervention. The reliability of sexual abstinence needs to be evaluated about the duration of the study and the preferred and usual lifestyle of the participant. b. The following applies to all male subjects in the study: i. Sexual abstinence- this is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study intervention. The reliability of sexual abstinence needs to be evaluated for the duration of the study and the preferred and usual lifestyle of the participant. ii. A combination of male condoms with either cervical cap, diaphragm, or sponge with spermicide (double-barrier methods). iii. Vasectomy Exclusion Criteria: Healthy volunteers Any known history of malignancy Any known history of asthma COVID-19: The subject has COVID-19 positive status (confirmed by clinical signs and symptoms and a positive SARS-CoV-2 NAAT result COVID test) at any time during the screening period. OR has had recent COVID-19 vaccination including a booster dose in the past 30 days OR has received anti-viral therapy intended to prevent COVID-19 such as nelmetavir/ritonavir, remdesivir, molnupiravir, interferons, Anti-SARS-CoV-2 monoclonal antibodies, IVIG SARS-CoV-2, COVID-19 Convalescent plasma, etc. within the past 30 days Subject with positive results for HBsAg (hepatitis B surface antigens) and/or HBcAb (Hepatitis B core antibodies) and/or HCV Ab (hepatitis C antibodies), and/or HIV Ab (human immunodeficiency virus antibodies). Blood loss of >250 mL or donated blood within 56 days or donated plasma within 7 days of screening. Recent vaccination with live attenuated vaccines such as influenza, MMR, Herpes zoster, varicella, yellow fever, Rotavirus vaccine, etc., or inactivated vaccines such as Hepatitis A, Rabies vaccine, etc. in the past 30 days. Abnormal amylase levels (Grade 2 or greater) Clinically significant ECG abnormalities (QTcF >450 ms for males and QTcF >470 ms for females). History of or current compulsive abuse of alcohol or positive test for alcohol at screening or Day 0 of Visit 1 History of or current use of or positive test at screening or Day 0 of Visit 1 for drugs such as marijuana, cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives. Consumption of any beverages or food containing alcohol or drugs such as marijuana, cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives from screening until donating the last sample of the study Use of medications for the timeframes specified below, except for medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption): prescription medications within 14 days prior to dosing or 5 half-lives, whichever is longer; over-the-counter products and natural health products (including herbal remedies homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 14 days prior to dosing or 5 half-lives, whichever is longer, except for the occasional use of paracetamol (up to 2 g daily); any prescription or over-the-counter medication or natural health products used for the treatment of irregular bowel transit (e.g,. diarrhea, constipation) within 4 weeks prior to dosing; depot injection or implant of any drug within 3 months prior to dosing; use of any drugs known to induce or inhibit hepatic metabolism (including St. John's Wort [hypericin]) within 14 days prior to dosing. The subject has participated in another investigational study involving any investigational product within 60 days, or 5 half-lives, whichever is longer, before the dose of the study drug. Pregnant or lactating women or women currently undergoing infertility treatments or women who intend to become pregnant during the time of study enrollment. Involvement in the planning and conduct of the study (applies to CRO staff or staff at the study site).

Sites / Locations

  • AXIS Clinicals
  • Triumpharma clinical research unit at Alessra Hospital

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

Cohort-1

Cohort-2

Cohort-3

Cohort-4

Cohort-5

Cohort-6

Arm Description

First dose of SAD cohort (6 treatment + 2 placebo)

Second dose of SAD cohort (6 treatment + 2 placebo)

Third dose of SAD cohort (6 treatment + 2 placebo)

Fourth dose of SAD cohort (6 treatment + 2 placebo)

Fifth dose of SAD cohort (6 treatment + 2 placebo)

Sixth dose of SAD cohort (6 treatment + 2 placebo)

Outcomes

Primary Outcome Measures

To evaluate the safety and tolerability after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Proportion of subjects with AEs, SAEs and DLTs will be recorded.

Secondary Outcome Measures

To evaluate (Cmax)
To evaluate the Maximum observed plasma concentration (Cmax),after single ascending oral doses of LPX-TI641 in healthy adult volunteers
To evaluate tmax
To evaluate the time to first occurrence of Cmax (tmax), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate AUC0-last
To evaluate Area under the plasma concentration-time curve from time 0 to the time last concentration measurement (AUC0-last) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate AUC0-24
To evaluate Area under the plasma concentration-time curve from time 0 to 24 hr (AUC0-24)after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate AUC0-∞
To evaluate area under the plasma concentration-time curve from time 0 to infinity (AUC0-∞), after single ascending oral dose of LPX-TI641 in healthy adult volunteers.
To evaluate %AUCextrap
To evaluate percentage AUC extrapolated (%AUCextrap) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate t1/2z
To evaluate terminal disposition phase half-life (t1/2z), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate Vz/F
To evaluate apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
To evaluate CL/F
To evaluate apparent clearance after extravascular administration (CL/F), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.

Full Information

First Posted
April 28, 2023
Last Updated
October 23, 2023
Sponsor
LAPIX Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05853835
Brief Title
First-in-Human Trial in Healthy Adult Volunteers to Evaluate Safety, Tolerability and PK of LAPIX Study Drug; LPX-TI641
Official Title
A PHASE I, FIRST IN HUMAN, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY IN HEALTHY ADULT VOLUNTEERS TO EVALUATE SAFETY, TOLERABILITY, AND PHARMACOKINETICS OF LPX-TI641 AFTER SINGLE ORAL DOSES.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
October 25, 2023 (Anticipated)
Primary Completion Date
April 15, 2024 (Anticipated)
Study Completion Date
August 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LAPIX Therapeutics Inc.

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
A Phase I First-in-Human, Randomized, Double-Blind, Placebo-Controlled Study in Healthy Adult Volunteers to Evaluate Safety, Tolerability, and Pharmacokinetics after Single Oral Dose of LPX-TI641.
Detailed Description
This is a first-in-human, multi center, randomized, double-blinded, single ascending doses (SAD) Phase I study in healthy adult volunteers (HV). The study will consist of six cohorts (Cohorts 1 to 6) of eight HV subjects administered study drug (LPX-TI641/treatment or placebo oral solution) randomized in a 3:1 ratio (6 treatment + 2 placebo) in each cohort (Total 48 HV). Additional cohorts may be enrolled if deemed appropriate by the Sponsor to repeat a dose level or study another dose level based on the observed safety and PK data from the previous cohorts. Each entire cohort of 8 HV subjects will be enrolled at the same site.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autoimmune Diseases, Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
The investigational drug blind will be maintained through a randomization schedule held by the dispensing pharmacist. The investigational drug blind shall not be broken by the site Investigator unless information concerning the investigational drug is necessary for the medical treatment of the subject. All study assessments and causality will be performed, if possible, prior to unblinding.
Allocation
Randomized
Enrollment
48 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort-1
Arm Type
Experimental
Arm Description
First dose of SAD cohort (6 treatment + 2 placebo)
Arm Title
Cohort-2
Arm Type
Experimental
Arm Description
Second dose of SAD cohort (6 treatment + 2 placebo)
Arm Title
Cohort-3
Arm Type
Experimental
Arm Description
Third dose of SAD cohort (6 treatment + 2 placebo)
Arm Title
Cohort-4
Arm Type
Experimental
Arm Description
Fourth dose of SAD cohort (6 treatment + 2 placebo)
Arm Title
Cohort-5
Arm Type
Experimental
Arm Description
Fifth dose of SAD cohort (6 treatment + 2 placebo)
Arm Title
Cohort-6
Arm Type
Experimental
Arm Description
Sixth dose of SAD cohort (6 treatment + 2 placebo)
Intervention Type
Drug
Intervention Name(s)
LPX-TI641
Intervention Description
LAPIX Therapeutics Inc (LAPIX) has developed LPX-TI641, a small molecule for immune tolerance restoration/induction that is an orally bioavailable Tim family agonist (Tim-3 and Tim-4).
Primary Outcome Measure Information:
Title
To evaluate the safety and tolerability after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Description
Proportion of subjects with AEs, SAEs and DLTs will be recorded.
Time Frame
14 days
Secondary Outcome Measure Information:
Title
To evaluate (Cmax)
Description
To evaluate the Maximum observed plasma concentration (Cmax),after single ascending oral doses of LPX-TI641 in healthy adult volunteers
Time Frame
1 day
Title
To evaluate tmax
Description
To evaluate the time to first occurrence of Cmax (tmax), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate AUC0-last
Description
To evaluate Area under the plasma concentration-time curve from time 0 to the time last concentration measurement (AUC0-last) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate AUC0-24
Description
To evaluate Area under the plasma concentration-time curve from time 0 to 24 hr (AUC0-24)after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate AUC0-∞
Description
To evaluate area under the plasma concentration-time curve from time 0 to infinity (AUC0-∞), after single ascending oral dose of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate %AUCextrap
Description
To evaluate percentage AUC extrapolated (%AUCextrap) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate t1/2z
Description
To evaluate terminal disposition phase half-life (t1/2z), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate Vz/F
Description
To evaluate apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day
Title
To evaluate CL/F
Description
To evaluate apparent clearance after extravascular administration (CL/F), after single ascending oral doses of LPX-TI641 in healthy adult volunteers.
Time Frame
1 day

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: Healthy volunteers Subject has signed an Informed Consent Form (ICF) prior to any study-specific procedures being performed Healthy volunteers (HV) with no known acute or chronic medical conditions (respiratory, gastrointestinal, renal, hepatic, hematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, etc.) at the time of enrollment. All male and non-pregnant females aged 18-55 years old irrespective of their race and ethnicity. Body Mass Index (BMI) 18.0-30.0 kg/m2, inclusive at screening. Clinical laboratory evaluations performed at screening, are within acceptable normal reference ranges (Grade 1 abnormalities may be acceptable if deemed necessary by the investigator. Grade 2 or higher would be exclusionary). Subjects who are willing and able to adhere to study protocol requirements including but not limited to scheduled outpatient visits, inpatient hospital stay, laboratory tests, and 12-lead ECG. Contraception - All subjects (male and female) must agree to use any two of the highly effective contraception methods listed below. This criterion must be followed from the time of the first dose of study medication for 6 weeks after the last dose in females and for 90 days after the last dose for males. a. The following applies to all female volunteers with childbearing potential and female partners of male volunteers enrolled in the study. i. Implantable progestogen-only hormone contraception associated with inhibition of ovulation. ii. Intrauterine device. iii. Intrauterine hormone-releasing system. iv. Bilateral tubal occlusion. v. Combined (estrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation: 1) Oral 2) Intravaginal 3)Transdermal 4) Injectable vi. Progestogen-only hormone contraception (oral or injectable) is associated with inhibition of ovulation. vii. Vasectomized partner viii. Sexual abstinence -this is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study intervention. The reliability of sexual abstinence needs to be evaluated about the duration of the study and the preferred and usual lifestyle of the participant. b. The following applies to all male subjects in the study: i. Sexual abstinence- this is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study intervention. The reliability of sexual abstinence needs to be evaluated for the duration of the study and the preferred and usual lifestyle of the participant. ii. A combination of male condoms with either cervical cap, diaphragm, or sponge with spermicide (double-barrier methods). iii. Vasectomy Exclusion Criteria: Healthy volunteers Any known history of malignancy Any known history of asthma COVID-19: The subject has COVID-19 positive status (confirmed by clinical signs and symptoms and a positive SARS-CoV-2 NAAT result COVID test) at any time during the screening period. OR has had recent COVID-19 vaccination including a booster dose in the past 30 days OR has received anti-viral therapy intended to prevent COVID-19 such as nelmetavir/ritonavir, remdesivir, molnupiravir, interferons, Anti-SARS-CoV-2 monoclonal antibodies, IVIG SARS-CoV-2, COVID-19 Convalescent plasma, etc. within the past 30 days Subject with positive results for HBsAg (hepatitis B surface antigens) and/or HBcAb (Hepatitis B core antibodies) and/or HCV Ab (hepatitis C antibodies), and/or HIV Ab (human immunodeficiency virus antibodies). Blood loss of >250 mL or donated blood within 56 days or donated plasma within 7 days of screening. Recent vaccination with live attenuated vaccines such as influenza, MMR, Herpes zoster, varicella, yellow fever, Rotavirus vaccine, etc., or inactivated vaccines such as Hepatitis A, Rabies vaccine, etc. in the past 30 days. Abnormal amylase levels (Grade 2 or greater) Clinically significant ECG abnormalities (QTcF >450 ms for males and QTcF >470 ms for females). History of or current compulsive abuse of alcohol or positive test for alcohol at screening or Day 0 of Visit 1 History of or current use of or positive test at screening or Day 0 of Visit 1 for drugs such as marijuana, cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives. Consumption of any beverages or food containing alcohol or drugs such as marijuana, cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives from screening until donating the last sample of the study Use of medications for the timeframes specified below, except for medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption): prescription medications within 14 days prior to dosing or 5 half-lives, whichever is longer; over-the-counter products and natural health products (including herbal remedies homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 14 days prior to dosing or 5 half-lives, whichever is longer, except for the occasional use of paracetamol (up to 2 g daily); any prescription or over-the-counter medication or natural health products used for the treatment of irregular bowel transit (e.g,. diarrhea, constipation) within 4 weeks prior to dosing; depot injection or implant of any drug within 3 months prior to dosing; use of any drugs known to induce or inhibit hepatic metabolism (including St. John's Wort [hypericin]) within 14 days prior to dosing. The subject has participated in another investigational study involving any investigational product within 60 days, or 5 half-lives, whichever is longer, before the dose of the study drug. Pregnant or lactating women or women currently undergoing infertility treatments or women who intend to become pregnant during the time of study enrollment. Involvement in the planning and conduct of the study (applies to CRO staff or staff at the study site).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
LAPIX Therapeutics Inc.
Phone
6172035516
Email
lpx641-101@lapixtherapeutics.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mustafa Mahmoud Shennak, MD
Organizational Affiliation
Triumpharma
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
John Mickelson, DO
Organizational Affiliation
AXIS Clinicals, Dilworth, Minnesota USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
AXIS Clinicals
City
Dilworth
State/Province
Minnesota
ZIP/Postal Code
56529
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
John Mickelson, DO
Facility Name
Triumpharma clinical research unit at Alessra Hospital
City
Amman
Country
Jordan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Triumpharma
First Name & Middle Initial & Last Name & Degree
Mustafa Mahmoud Shennak, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

First-in-Human Trial in Healthy Adult Volunteers to Evaluate Safety, Tolerability and PK of LAPIX Study Drug; LPX-TI641

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