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Safety, Tolerability and Pharmacokinetics of L608 in Healthy Adults

Primary Purpose

Pulmonary Arterial Hypertension

Status
Recruiting
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
L608 Inhalation Solution
Placebo solution
Sponsored by
Pharmosa Biopharm Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pulmonary Arterial Hypertension

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Key Inclusion Criteria: Men and women aged between 18 and 65 (inclusive) at the time of Screening visit. Females must not be pregnant or lactating. Body Mass Index (BMI) of ≥18.5 and ≤30.0 kg/m2 Non-smokers or former smokers who have smoked ≤ 100 cigarettes in their lifetime and have not consumed any tobacco or tobacco-containing products for at least 3 months prior to Screening. Females must not be pregnant or lactating and must use acceptable, highly effective double contraception from Screening until 3 months after the last dose of the Investigational product. Key Exclusion Criteria: Subjects with contraindications or sensitivity to any components of the study treatment. Subjects with medical histories (within 3 months prior to Screening) or ongoing conditions of any clinically significant and/or any other medical conditions which may jeopardize the safety of the subjects and/or effect the results of the study at the Investigator's discretion. Subjects with histories or active conditions of unexplained bleeding events, hemoptysis, abnormal bleeding tendencies, and/or coagulation disorders. Subjects who voluntarily participate in this study and sign the informed consent form prior to any study procedures. Subjects with histories or active conditions of asthma, sleep apnea, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, bronchiectasis, bronchospasm, and/or reactive airway. Subjects who have had childhood asthma which have resolved as deemed by the PI can be considered. Subjects with histories or active conditions of myocardial infarction (MI), cerebrovascular accident (CVA), coronary artery disease (CAD), unstable angina, heart failure, significant cardiac arrhythmias, congenital or acquired valvular heart disease with clinically insignificant symptom, suspected lung congestion, and/or pulmonary arterial hypertension (PAH) causing by venous thromboembolism. Subjects with systolic blood pressure < 90 mmHg or > 160 mmHg and/or diastolic blood pressure < 50 mmHg or > 95 mmHg at Screening or check-in visit. Subjects with FEV1 less than 80% predicted, FVC ˂80% predicted, or resting oxygen saturation less than 95% at Screening or check-in visit. Subjects with histories of drug or alcohol abuse within 1 year prior to subject check-in (Day -1). Regular alcohol consumption defined as > 10 standard drinks per week. Consumption of products containing caffeine/methylxanthines, poppy seeds and/or alcohol within 48 hours before dosing and products containing grapefruit and/or pomelo (shown to inhibit cytochrome P450 [CYP] 3A4 activity) within 10 days prior to drug administration. Positive results of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and pregnancy test. Blood donation or significant blood loss (>480 ml) within 3 months prior to Screening. Subjects are pregnant or breast feeding.

Sites / Locations

  • CMAX Clinical Research Pty LtdRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

L608 Liposomal inhalation solution

Placebo

Arm Description

Eight subjects will be enrolled in each cohort and be randomized to receive assigned dose of L608 or placebo (6:2).

Eight subjects will be enrolled in each cohort and be randomized to receive assigned dose of L608 or placebo (6:2).

Outcomes

Primary Outcome Measures

The incidence of dose limiting toxicity (DLT)
The percentage of subjects with dose limiting toxicity (DLT) within 14 days after dosing
The incidence of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
The percentage of subjects with treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.
Frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
The frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.

Secondary Outcome Measures

AUC0-t
Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration
AUC0-∞
Area under the plasma concentration-time curve from time 0 to infinity
%AUCextrap
AUC extrapolated from the last measurable concentration to infinity as a percentage of total AUC
Cmax
Maximum observed plasma concentration
Tmax
Time to reach the maximum observed plasma concentration
T1/2
Apparent plasma terminal elimination half-life
CL/F
Apparent total plasma clearance
Vz/F
Apparent volume of distribution during the terminal phase
kel
Terminal elimination rate constant

Full Information

First Posted
June 9, 2023
Last Updated
September 21, 2023
Sponsor
Pharmosa Biopharm Inc.
Collaborators
Novotech (Australia) Pty Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05938946
Brief Title
Safety, Tolerability and Pharmacokinetics of L608 in Healthy Adults
Official Title
A Phase I, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single Ascending Doses of L608 for Inhalation in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 30, 2023 (Actual)
Primary Completion Date
May 31, 2024 (Anticipated)
Study Completion Date
June 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pharmosa Biopharm Inc.
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
This is a Phase I, randomized, double-blinded, placebo-controlled single ascending dose, sequential-group study to evaluate the safety, tolerability, and PK of single ascending doses of L608 inhalation in healthy volunteers.
Detailed Description
L608 inhalation Solution (L608) is developed by Pharmosa Biopharm Inc. (PBI) as a new liposomal Iloprost formulation for inhalation use in the treatment of patients with PAH (WHO Group 1). As a liposomal formulation of iloprost, L608 is intended to reduce the dosing frequency, as well as provide sustained and selective release along with achieving therapeutically relevant iloprost level. Meanwhile, L608 is expected to mitigate burst release related local irritation and systemic side effects (e.g., hypotension due to plasma peak) in clinical practice. This Phase I, randomized, double-blinded, placebo-controlled study will be conducted in healthy volunteers in Australia to evaluate the safety, tolerability, and pharmacokinetic of L608. The dose escalation design is applied in this study. The sentinel dosing design will be applied for all cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Arterial Hypertension

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Randomized, Placebo-controlled, double-blinded, single ascending dose escalation
Masking
ParticipantInvestigator
Masking Description
This is a double-blinded, single ascending dose escalation design. After confirmation of eligibility, subjects will be randomized at a ratio of 1:1 (for sentinel dosing) followed by 5:1 for rest of the cohorts to receive the assigned dose of L608 or placebo
Allocation
Randomized
Enrollment
64 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
L608 Liposomal inhalation solution
Arm Type
Experimental
Arm Description
Eight subjects will be enrolled in each cohort and be randomized to receive assigned dose of L608 or placebo (6:2).
Arm Title
Placebo
Arm Type
Experimental
Arm Description
Eight subjects will be enrolled in each cohort and be randomized to receive assigned dose of L608 or placebo (6:2).
Intervention Type
Drug
Intervention Name(s)
L608 Inhalation Solution
Intervention Description
subjects will be randomized at a ratio of 1:1 (for Sentinel dosing) followed by 5:1 for rest of the cohort to receive the assigned dose of L608 or placebo
Intervention Type
Drug
Intervention Name(s)
Placebo solution
Intervention Description
subjects will be randomized at a ratio of 1:1 (for Sentinel dosing) followed by 5:1 for rest of the cohort to receive the assigned dose of L608 or placebo
Primary Outcome Measure Information:
Title
The incidence of dose limiting toxicity (DLT)
Description
The percentage of subjects with dose limiting toxicity (DLT) within 14 days after dosing
Time Frame
Baseline to Day 14
Title
The incidence of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Description
The percentage of subjects with treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.
Time Frame
Baseline to Day 21
Title
Frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
Description
The frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.
Time Frame
Baseline to Day 21
Secondary Outcome Measure Information:
Title
AUC0-t
Description
Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration
Time Frame
Baseline to 24 hours
Title
AUC0-∞
Description
Area under the plasma concentration-time curve from time 0 to infinity
Time Frame
Baseline to 24 hours
Title
%AUCextrap
Description
AUC extrapolated from the last measurable concentration to infinity as a percentage of total AUC
Time Frame
Baseline to 24 hours
Title
Cmax
Description
Maximum observed plasma concentration
Time Frame
Baseline to 24 hours
Title
Tmax
Description
Time to reach the maximum observed plasma concentration
Time Frame
Baseline to 24 hours
Title
T1/2
Description
Apparent plasma terminal elimination half-life
Time Frame
Baseline to 24 hours
Title
CL/F
Description
Apparent total plasma clearance
Time Frame
Baseline to 24 hours
Title
Vz/F
Description
Apparent volume of distribution during the terminal phase
Time Frame
Baseline to 24 hours
Title
kel
Description
Terminal elimination rate constant
Time Frame
Baseline to 24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Inclusion Criteria: Men and women aged between 18 and 65 (inclusive) at the time of Screening visit. Females must not be pregnant or lactating. Body Mass Index (BMI) of ≥18.5 and ≤30.0 kg/m2 Non-smokers or former smokers who have smoked ≤ 100 cigarettes in their lifetime and have not consumed any tobacco or tobacco-containing products for at least 3 months prior to Screening. Females must not be pregnant or lactating and must use acceptable, highly effective double contraception from Screening until 3 months after the last dose of the Investigational product. Key Exclusion Criteria: Subjects with contraindications or sensitivity to any components of the study treatment. Subjects with medical histories (within 3 months prior to Screening) or ongoing conditions of any clinically significant and/or any other medical conditions which may jeopardize the safety of the subjects and/or effect the results of the study at the Investigator's discretion. Subjects with histories or active conditions of unexplained bleeding events, hemoptysis, abnormal bleeding tendencies, and/or coagulation disorders. Subjects who voluntarily participate in this study and sign the informed consent form prior to any study procedures. Subjects with histories or active conditions of asthma, sleep apnea, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, bronchiectasis, bronchospasm, and/or reactive airway. Subjects who have had childhood asthma which have resolved as deemed by the PI can be considered. Subjects with histories or active conditions of myocardial infarction (MI), cerebrovascular accident (CVA), coronary artery disease (CAD), unstable angina, heart failure, significant cardiac arrhythmias, congenital or acquired valvular heart disease with clinically insignificant symptom, suspected lung congestion, and/or pulmonary arterial hypertension (PAH) causing by venous thromboembolism. Subjects with systolic blood pressure < 90 mmHg or > 160 mmHg and/or diastolic blood pressure < 50 mmHg or > 95 mmHg at Screening or check-in visit. Subjects with FEV1 less than 80% predicted, FVC ˂80% predicted, or resting oxygen saturation less than 95% at Screening or check-in visit. Subjects with histories of drug or alcohol abuse within 1 year prior to subject check-in (Day -1). Regular alcohol consumption defined as > 10 standard drinks per week. Consumption of products containing caffeine/methylxanthines, poppy seeds and/or alcohol within 48 hours before dosing and products containing grapefruit and/or pomelo (shown to inhibit cytochrome P450 [CYP] 3A4 activity) within 10 days prior to drug administration. Positive results of human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and pregnancy test. Blood donation or significant blood loss (>480 ml) within 3 months prior to Screening. Subjects are pregnant or breast feeding.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Pei Kan, PhD
Phone
886-2782-7561
Ext
102
Email
peikan@pharmosa.com.tw
First Name & Middle Initial & Last Name or Official Title & Degree
Sydney Chuang
Phone
886-2782-7561
Ext
111
Email
sydney@pharmosa.com.tw
Facility Information:
Facility Name
CMAX Clinical Research Pty Ltd
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
SA 5000
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nicholas Farinola, MD

12. IPD Sharing Statement

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Safety, Tolerability and Pharmacokinetics of L608 in Healthy Adults

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