search
Back to results

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SPG302 in Healthy Volunteers and ALS Participants

Primary Purpose

Amyotrophic Lateral Sclerosis

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
SPG302
Placebo
Sponsored by
Spinogenix
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Amyotrophic Lateral Sclerosis focused on measuring Amyotrophic Lateral Sclerosis, regenerative, synapse

Eligibility Criteria

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

Inclusion Criteria: Age 18-55 Must be in good health with no significant medical history Clinical laboratory values within normal range BMI 18-32 (inclusive) Contraceptive use by men or women consistent with local regulations Able and willing to provide written informed consent Exclusion Criteria: Any physical or psychological condition that prohibits study completion Known cardiac disease Active or history of malignancy in the past 5 years Serious infection within 1 month of screening Acute illness within 30 days of Day 1 Surgery, bone fracture, or major musculoskeletal injury in the past 3 months History of suicidal behavior or suicidal ideation Active cigarette smokers and users of nicotine-containing products HIV, hepatitis B and hepatitis C positive SBP >140 or <90 DBP >90 or <40 HR <40 or >100 QTcF >450ms, cardiac arrhythmia, or clinically significant abnormal ECG Prescriptions, over-the-counter, or herbal medication within 7 days Vaccines within 14 days Other investigational products within 30 days Blood donation within 30 days Plasma donation within 7 days Pregnant or breastfeeding Otherwise unfit, on metabolic-altering lifestyle/diet, positive urine drug screen or intake of alcohol or caffeine-containing products ALS Cohort Inclusion Criteria: Age 18-80 ALS FVC>80% ALSFRS-R >=12 points Stable dose of standard of care treatment Contraception use by men or women consistent with local regulations Able and willing to provide written informed consent ALS Cohort Exclusion Criteria: Underlying physical or psychological condition prohibiting study completion Known cardiac disease Active or history of malignancy in the past 5 years Serious infection within 1 month of screening Acute illness within 30 days of Day 1 Surgery, bone fracture, or major musculoskeletal injury in the past 3 months History of suicidal behavior or suicidal ideation Active cigarette smokers and users of nicotine-containing products Neurodegenerative disease External respiratory support or supplemental oxygen requirement HIV, hepatitis B and hepatitis C positive SBP >140 or <90 DBP >90 or <40 HR <40 or >100 QTcF >450ms, cardiac arrhythmia, or clinically significant abnormal ECG Vaccines within 14 days Other investigational products within 30 days Blood donation within 30 days Plasma donation within 7 days Pregnant or breastfeeding Otherwise unfit

Sites / Locations

  • Nucleus MelbourneRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Experimental Part 1: Active SPG302 to be administered to healthy volunteers (SAD)

Placebo Comparator Part 1: Placebo comparator to be administered to healthy volunteers (SAD)

Experimental Part 2: Active SPG302 to be administered to healthy volunteers (MAD)

Placebo Comparator Part 2: Placebo comparator to be administered to healthy volunteers (MAD)

Experimental Part 3: Active SPG302 to be administered to participants with ALS

Placebo Comparator Part 3: Placebo comparator to be administered to participants with ALS

Arm Description

8 participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner; initially 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed and after a safety evaluation period after the dose without clinically significant adverse events (AEs) and investigator approval, then, 6 additional participants will be randomized and dosed (5 active and 1 placebo) at the discretion of the Investigator according to the randomization schedule

8 participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner; initially 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed and after a safety evaluation period after the dose without clinically significant adverse events (AEs) and investigator approval, then, 6 additional participants will be randomized and dosed (5 active and 1 placebo) at the discretion of the Investigator according to the randomization schedule

8 participants will be randomized in a 3:1 ratio to active or placebo. Participants will receive study intervention QD over 5 days and will be discharged on Day 6. A follow-up safety visit will be conducted on Day 12 (±3 days).

8 participants will be randomized in a 3:1 ratio to active or placebo. Participants will receive study intervention QD over 5 days and will be discharged on Day 6. A follow-up safety visit will be conducted on Day 12 (±3 days).

12 participants with ALS will be randomized to receive SPG302 or placebo at a 3:1 ratio. Study intervention will be administered QD over 28 days. A follow-up safety visit will be conducted 30 days after last dose (±7 days). Participants who complete Part 3 may be offered to participate in an open-label extension.

12 participants with ALS will be randomized to receive SPG302 or placebo at a 3:1 ratio. Study intervention will be administered QD over 28 days. A follow-up safety visit will be conducted 30 days after last dose (±7 days). Participants who complete Part 3 may be offered to participate in an open-label extension.

Outcomes

Primary Outcome Measures

Safety and tolerability in healthy volunteers (SAD cohort)
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Safety and tolerability in healthy volunteers (SAD food effect cohort)
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Safety and tolerability in healthy volunteers (MAD cohort)
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Safety and tolerability in participants with ALS
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)

Secondary Outcome Measures

Plasma pharmacokinetics of SPG302 in healthy volunteers (SAD cohort)
PK parameters of SPG302 on concentrations in plasma
Plasma pharmacokinetics of SPG302 in healthy volunteers (SAD food effect cohort)
Effects of food on SPG302 PK profile
Plasma pharmacokinetics of SPG302 in healthy volunteers (MAD cohort)
PK parameters of SPG302 on concentrations in plasma
Plasma pharmacokinetics of SPG302 in participants with ALS
PK parameters of SPG302 on concentrations in plasma
Clinical outcomes of multiple oral doses of SPG302 in participants with ALS
Spirometry

Full Information

First Posted
May 22, 2023
Last Updated
July 6, 2023
Sponsor
Spinogenix
Collaborators
Novotech (Australia) Pty Limited
search

1. Study Identification

Unique Protocol Identification Number
NCT05882695
Brief Title
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SPG302 in Healthy Volunteers and ALS Participants
Official Title
A Phase 1, Randomized, Double Blind, Placebo Controlled, Single and Multiple Dose Escalation Study in Healthy Volunteers and an Expansion Cohort in Adult Participants With Amyotrophic Lateral Sclerosis (ALS) to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SPG302
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 3, 2023 (Actual)
Primary Completion Date
May 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Spinogenix
Collaborators
Novotech (Australia) Pty Limited

4. Oversight

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

5. Study Description

Brief Summary
The first-in-human Phase 1 study described herein will evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of SPG302 in healthy volunteers and ALS participants
Detailed Description
This study is a Phase 1 randomized, double-blind, placebo-controlled, single, and multiple ascending dose study in HV with food effect cohort, and a repeat dose expansion cohort(s) in participants with ALS. The study consists of 3 parts, as follows: Part 1: SAD in HV with up to 6 cohorts including a food effect cohort. Part 2: MAD over 5 days in HV with up to 5 cohorts Part 3: ALS cohorts with once daily (QD) dosing over 28 days

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Amyotrophic Lateral Sclerosis
Keywords
Amyotrophic Lateral Sclerosis, regenerative, synapse

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Phase 1 randomized, double-blind, placebo-controlled, single, and multiple ascending dose study in HV and a repeat dose expansion in cohort(s)
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blinded
Allocation
Randomized
Enrollment
112 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental Part 1: Active SPG302 to be administered to healthy volunteers (SAD)
Arm Type
Experimental
Arm Description
8 participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner; initially 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed and after a safety evaluation period after the dose without clinically significant adverse events (AEs) and investigator approval, then, 6 additional participants will be randomized and dosed (5 active and 1 placebo) at the discretion of the Investigator according to the randomization schedule
Arm Title
Placebo Comparator Part 1: Placebo comparator to be administered to healthy volunteers (SAD)
Arm Type
Placebo Comparator
Arm Description
8 participants will be randomized in a 3:1 ratio to active or placebo. Study intervention will be administered orally once. Randomization to each SAD cohort will be done in a staggered manner; initially 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed and after a safety evaluation period after the dose without clinically significant adverse events (AEs) and investigator approval, then, 6 additional participants will be randomized and dosed (5 active and 1 placebo) at the discretion of the Investigator according to the randomization schedule
Arm Title
Experimental Part 2: Active SPG302 to be administered to healthy volunteers (MAD)
Arm Type
Experimental
Arm Description
8 participants will be randomized in a 3:1 ratio to active or placebo. Participants will receive study intervention QD over 5 days and will be discharged on Day 6. A follow-up safety visit will be conducted on Day 12 (±3 days).
Arm Title
Placebo Comparator Part 2: Placebo comparator to be administered to healthy volunteers (MAD)
Arm Type
Placebo Comparator
Arm Description
8 participants will be randomized in a 3:1 ratio to active or placebo. Participants will receive study intervention QD over 5 days and will be discharged on Day 6. A follow-up safety visit will be conducted on Day 12 (±3 days).
Arm Title
Experimental Part 3: Active SPG302 to be administered to participants with ALS
Arm Type
Experimental
Arm Description
12 participants with ALS will be randomized to receive SPG302 or placebo at a 3:1 ratio. Study intervention will be administered QD over 28 days. A follow-up safety visit will be conducted 30 days after last dose (±7 days). Participants who complete Part 3 may be offered to participate in an open-label extension.
Arm Title
Placebo Comparator Part 3: Placebo comparator to be administered to participants with ALS
Arm Type
Placebo Comparator
Arm Description
12 participants with ALS will be randomized to receive SPG302 or placebo at a 3:1 ratio. Study intervention will be administered QD over 28 days. A follow-up safety visit will be conducted 30 days after last dose (±7 days). Participants who complete Part 3 may be offered to participate in an open-label extension.
Intervention Type
Drug
Intervention Name(s)
SPG302
Intervention Description
synthetic small molecule
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Safety and tolerability in healthy volunteers (SAD cohort)
Description
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
7 days
Title
Safety and tolerability in healthy volunteers (SAD food effect cohort)
Description
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
15 days
Title
Safety and tolerability in healthy volunteers (MAD cohort)
Description
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
12 days
Title
Safety and tolerability in participants with ALS
Description
• Incidence, nature, and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
60 days
Secondary Outcome Measure Information:
Title
Plasma pharmacokinetics of SPG302 in healthy volunteers (SAD cohort)
Description
PK parameters of SPG302 on concentrations in plasma
Time Frame
7 days
Title
Plasma pharmacokinetics of SPG302 in healthy volunteers (SAD food effect cohort)
Description
Effects of food on SPG302 PK profile
Time Frame
15 days
Title
Plasma pharmacokinetics of SPG302 in healthy volunteers (MAD cohort)
Description
PK parameters of SPG302 on concentrations in plasma
Time Frame
12 days
Title
Plasma pharmacokinetics of SPG302 in participants with ALS
Description
PK parameters of SPG302 on concentrations in plasma
Time Frame
60 days
Title
Clinical outcomes of multiple oral doses of SPG302 in participants with ALS
Description
Spirometry
Time Frame
60 days
Other Pre-specified Outcome Measures:
Title
Effect of repeated dosing of SPG302 on electroencephalogram in healthy volunteers (MAD cohort)
Description
Change from baseline in EEG parameters
Time Frame
12 days
Title
Clinical outcomes of multiple oral doses of SPG302 in participants with ALS
Description
Spirometry
Time Frame
60 days
Title
Clinical outcomes of multiple oral doses of SPG302 in participants with ALS
Description
Number of respiratory complications
Time Frame
60 days
Title
Clinical outcomes of multiple oral doses of SPG302 in participants with ALS
Description
Functional outcomes
Time Frame
60 days
Title
Effect of SPG302 on proteins and biomarkers in participants with ALS
Description
Multiple protein and immunological biomarkers
Time Frame
60 days

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: Age 18-55 Must be in good health with no significant medical history Clinical laboratory values within normal range BMI 18-32 (inclusive) Contraceptive use by men or women consistent with local regulations Able and willing to provide written informed consent Exclusion Criteria: Any physical or psychological condition that prohibits study completion Known cardiac disease Active or history of malignancy in the past 5 years Serious infection within 1 month of screening Acute illness within 30 days of Day 1 Surgery, bone fracture, or major musculoskeletal injury in the past 3 months History of suicidal behavior or suicidal ideation Active cigarette smokers and users of nicotine-containing products HIV, hepatitis B and hepatitis C positive SBP >140 or <90 DBP >90 or <40 HR <40 or >100 QTcF >450ms, cardiac arrhythmia, or clinically significant abnormal ECG Prescriptions, over-the-counter, or herbal medication within 7 days Vaccines within 14 days Other investigational products within 30 days Blood donation within 30 days Plasma donation within 7 days Pregnant or breastfeeding Otherwise unfit, on metabolic-altering lifestyle/diet, positive urine drug screen or intake of alcohol or caffeine-containing products ALS Cohort Inclusion Criteria: Age 18-80 ALS FVC>80% ALSFRS-R >=12 points Stable dose of standard of care treatment Contraception use by men or women consistent with local regulations Able and willing to provide written informed consent ALS Cohort Exclusion Criteria: Underlying physical or psychological condition prohibiting study completion Known cardiac disease Active or history of malignancy in the past 5 years Serious infection within 1 month of screening Acute illness within 30 days of Day 1 Surgery, bone fracture, or major musculoskeletal injury in the past 3 months History of suicidal behavior or suicidal ideation Active cigarette smokers and users of nicotine-containing products Neurodegenerative disease External respiratory support or supplemental oxygen requirement HIV, hepatitis B and hepatitis C positive SBP >140 or <90 DBP >90 or <40 HR <40 or >100 QTcF >450ms, cardiac arrhythmia, or clinically significant abnormal ECG Vaccines within 14 days Other investigational products within 30 days Blood donation within 30 days Plasma donation within 7 days Pregnant or breastfeeding Otherwise unfit
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Public queries
Phone
+61 1800 243 733
Email
melbourne@nucleusnetwork.com
First Name & Middle Initial & Last Name or Official Title & Degree
Ofer M Gonen, MD
Phone
+61 3 8593 9800
Email
o.gonen@nucleusnetwork.com.au
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ofer M Gonen, MD
Organizational Affiliation
Nucleus Network
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nucleus Melbourne
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cameron Johnson
Phone
+61 3 8593 9800
Email
c.johnson@nucleusnetwork.com.au

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of SPG302 in Healthy Volunteers and ALS Participants

We'll reach out to this number within 24 hrs