search
Back to results

A Study Assessing the Safety of Oral ATH-399A in Healthy Adult Participants

Primary Purpose

Healthy Volunteers

Status
Recruiting
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
ATH-399A
Placebo
Sponsored by
HanAll BioPharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy Volunteers focused on measuring ATH399A, HL192, Parkinson's Disease

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Healthy, as determined by the Investigator based on a medical evaluation including medical history, physical examination, neurological examination, laboratory tests and cardiac monitoring. Population Part 1a and 1b: Men and women, age 18-55 years inclusive at date of screening. Part 2: Men and women aged 18-55 years inclusive at date of screening. Additional cohort: Participants of the additional cohort will be of approximately equal numbers of male and post-menopausal or surgically sterile females, with a minimum of 2 of each gender, aged >55-80 years, inclusive. Women of childbearing potential (WOCBP) must be non-pregnant and non-lactating. Postmenopausal women must have had ≥12 months of spontaneous amenorrhea (with follicle-stimulating hormone [FSH] ≥40 milli-international units per milliliter (mIU/mL)). Surgically sterile women are defined as those who have had a hysterectomy and/or bilateral oophorectomy. Women who are surgically sterile must provide verbal confirmation. Male participants who are sexually active with WOCBP must: Agree to use condoms to protect their partners from becoming pregnant during the study (including washout periods) and not to donate sperm for at least 90 days after the last dose of study drug, and Agree to ensure that they and their partners are routinely using a medically approved contraceptive method. It is important that male participants not impregnate others while in the study. Body weight ≥50.0 kilogram (kg) for men and ≥45.0 kg for women and body mass index within the range of 18.0-30.0 kilogram/square meter (kg/m^2) (inclusive). Participants participating in Part 1b must be willing and able to consume the entire high-fat, high-calorie breakfast in the designated timeframe. Participants must understand the nature of the study, must be willing to participate in the study, and must provide signed and dated written informed consent in accordance with local regulations before the conduct of any study-related procedures. Participants must be, in the opinion of the Investigator, able to participate in all scheduled evaluations, likely to complete all required tests, and likely to be compliant. Participants must be fluent in English or French. Participants must agree not to post any personal medical data related to the study or information related to the study on any website or social media site. Exclusion Criteria: A positive urine cotinine, drug screen, or alcohol breath test at screening or Day -1. Any history of psychiatric disorders, including substance use disorders, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria that requires current treatment with psychiatric medications. Participants with mild anxiety or depression which is stable for >6 months are permitted. History of drug abuse within 1 year prior to screening or recreational use of soft drugs (such as marijuana) within 1 month or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 3 months prior to screening. A diagnosis of intellectual disability (intellectual developmental disorder) or mental retardation. A serious mental illness, dementia, or other neuropsychiatric disorder that would interfere with participation in the trial, or ability to provide informed consent in the opinion of the Investigator. Any active suicidal ideation as indicated by the C-SSRS (score of ≥4) or history of suicidal behaviour within the 12 months prior to screening. A positive Hepatitis B surface antigen or positive Hepatitis C antibody result at screening. A positive test at screening for human immunodeficiency virus (HIV) antigen or antibody or a history of positive test. Alanine aminotransferase or aspartate aminotransferase levels greater than 1.2 times the ULN at screening or Day -1. Frequently used any tobacco-containing (e.g., cigar, cigarette or snuff) or nicotine-containing product (e.g., nicotine chewing gum, nicotine plasters, or other product used for smoking cessation) within 30 days prior to first dose administration. History of alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to screening that exceeds 10 units for women or 15 units for men of alcohol per week (1 unit = 340 mL of beer 5%, 140 mL of wine 12%, or 45 mL of distilled alcohol 40%). Regularly consumed (e.g., more days than not) excessive quantities of xanthine-containing beverages (e.g., more than 2 cups of coffee or the equivalent per day) within 1 week prior to screening or between screening and first dose administration, or unwillingness to refrain from xanthine-containing beverages during the in-clinic stay. Received or used an investigational product (including placebo) or device within the following time period prior to the first dosing day in the current study: 30 days or 5 half-lives (whichever is longer). For biological products, administration of a biological product within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration. Other than those medications outlined in the protocol body and those allowed in the MAD additional cohort, use of prescription or non-prescription drugs, herbal, and dietary supplements (including St John's Wort) within 7 days (or 28 days if the drug is a potential hepatic enzyme inducer) or 5 half-lives (whichever is longer) prior to first dose administration, unless in the opinion of the Investigator and Medical Monitor, the medication will not interfere with the study procedures or compromise participant safety. History of clinically significant sensitivity to any of the study drugs, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates their participation. Donation of plasma within 7 days prior to the first dosing or donation or loss of 500 mL or more of whole blood within 8 weeks prior to the first dosing. A positive pregnancy test or lactation. A history or presence of any disease, condition, or surgery likely to affect drug absorption, distribution, metabolism, or excretion. Participants with a history of cholecystectomy should be excluded. A history or presence of a clinically significant hepatic, renal, gastrointestinal, cardiovascular, endocrine, pulmonary, ophthalmologic, immunologic, hematologic, dermatologic, or neurologic abnormality. Participants with fully resolved childhood asthma with no hospitalizations or recurrence in adulthood are permitted to enroll. For the additional cohort in Part 2, any of the above are acceptable where the condition is stable for >6 months and, in the opinion of the Investigator, it does not impact participant safety. A clinically significant abnormality on physical examination, neurological examination, electrocardiogram (ECG), or laboratory evaluations at screening and Day -1. A QT interval measurement corrected according to the Fridericia rule (QTcF) > 450 millisecond (msec) during controlled rest at screening and Day -1, or family history of long QT syndrome. Any clinically significant abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, in the judgement of the Investigator or Medical Monitor, may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology or left ventricular hypertrophy. A clinically significant vital sign abnormality at screening or between screening and first dose administration. Significant (> 10%) weight loss or gain within 30 days prior to screening or between screening and first dose administration. A history of seizures. Occurrence of a single febrile seizure is not exclusionary. A history of head trauma, including closed head injury with loss of consciousness. Concussions which did not lead to hospitalization or loss of consciousness, and for which there are no ongoing issues, are not exclusionary. A history of symptomatic orthostatic hypotension (i.e., postural syncope). A history of neuroleptic malignant syndrome. A history of chronic urinary tract infections (≥2 times per year). The participant is, in the opinion of the Investigator or Medical Monitor, unlikely to comply with the protocol or is unsuitable for any reason. Currently employed by NurrOn Pharmaceuticals, Inc., HanAll Biopharma Co. Ltd., or HanAll Pharmaceutical Inc, or by a clinical trial site participating in this study, or a first-degree relative of an NurrOn Pharmaceuticals, Inc. or HanAll Pharmaceutical Inc., or HanAll Biopharma Co. Ltd. employee or of an employee at a participating clinical trial site. Unsatisfactory venous access. Unable to swallow oral capsules. Positive result to a Corona Virus disease (COVID-19) Polymerase chain reaction (PCR) test. COVID-19 or flu vaccination within 30 days prior to study drug administration or any other vaccination which is judged by the investigator to potentially affect eligibility. Presence of fever (body temperature >37.5°C) (e.g., a fever associated with a symptomatic viral or bacterial infection) within 2 weeks prior to first dosing

Sites / Locations

  • Syneos Quebec CanadaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Part 1a (Single Ascending Doses (SAD)): ATH-399A

Part 1a (SAD): Placebo

Part 1b (High calorie): ATH-399A

Part 1b (Fasting): ATH-399A

Part 2 (Multiple Ascending doses (MAD)): ATH-399A

Part 2 (MAD): Placebo

Additional Cohort (Ages 56-80 years old): ATH-399A

Additional Cohort: (Ages 56-80 years old) Placebo

Arm Description

Participants will receive single oral dose of ATH-399A capsule in up to 5 ascending dose levels (5mg, 10mg, 20mg, 40mg, 80mg).

Participants will receive single oral dose of placebo-matched to ATH-399A capsule.

Participants will receive single oral dose of ATH-399A capsule after high-calorie, high-fat breakfast and then will cross over to receive single oral dose of ATH-399A capsule after fasting.

Participants will receive single oral dose of ATH-399A capsule after fasting and then will cross over to receive single oral dose of ATH-399A capsule after high-calorie, high-fat breakfast.

Participants will receive once daily (QD) dose of ATH-399A capsules from Day 1 to Day 12 in fasted state.

Participants will receive QD dose of placebo-matched to ATH-399A capsules from Day 1 to Day 12 in fasted state.

Participants will receive QD dose of ATH-399A capsules from Day 1 to Day 12 in fasted state following MAD dosing.

Participants will receive QD dose of placebo-matched to ATH-399A capsules from Day 1 to Day 12 in fasted state following MAD dosing.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment Emergent Adverse events (AEs) and serious adverse events (SAEs) for Part 1a, Part 1b and Part 2
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. NOTE: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. AEs were considered SAEs if the AE resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization or as deemed by the medical or scientific judgement of the Investigator is deemed serious in other situations such as important medical events.
Columbia Suicidality Severity Rating Scale (C-SSRS) for Part 1a, Part 1b and Part 2
C-SSRS is a participant rated questionnaire to assess suicidal ideation, suicidal behavior, actual attempts (yes or no responses), and intensity of ideation (rated 1=low severity to 5=high severity).
Changes in Vital Signs
Vital signs include temperature, blood pressure, pulse rate, and respiratory rate
Changes in ECGs
The ECG will electronically measure and calculate ventricular heart rate and the PR, RR, QRS, QT, and QTcF intervals. The QTcF interval will be used for clinical evaluations.
Changes in clinical laboratory tests
Hematology, Clinical Chemistry, HbA1c, and Urinalysis, Thyroid Panel, Coagulation Tests
Changes in telemetry
12-Lead continuous telemetry for evaluation of cardiac arrhythmias
Changes in physical examination and neurological examination
Assessments of the following: head, eyes, ears, nose, throat (HEENT), neck, chest, lungs, abdomen, musculoskeletal, dermatological, cardiovascular/peripheral vascular, and general neurological examination

Secondary Outcome Measures

AUC0-t
Plasma Pharmacokinetic (PK) parameter: Area Under the Concentration-Time Curve from Time Zero Until the Last Observed Concentration (AUC0-t) for Part 1a, Part 1b and Part 2
AUC0-inf
PK parameter: Area Under The Concentration-Time Curve From Time Zero To Infinity (Extrapolated) (AUC0-inf) for Part 1a, Part 1b and Part 2
Cmax
PK parameter: Maximal Observed Concentration (Cmax) for Part 1a, Part 1b and Part 2
Tmax
PK parameter: Time When The Maximal Concentration Is Observed (Tmax) for Part 1a, Part 1b and Part 2
λz
PK parameter: Individual Estimate Of The Terminal Elimination Rate Constant (λz) for Part 1a, Part 1b and Part 2
t½ el
PK parameter: Terminal Elimination Half-Life (t½ el) for Part 1a, Part 1b and Part 2
Cmax, ss
PK parameter: Maximal Observed Concentration at steady state (Cmax, ss) for Part 2
Cmin
PK parameter: Minimal Observed Concentration (Cmin) for Part 2
Cavg
PK parameter: Average Plasma Concentration (Cavg) for Part 2
Tmax, ss
PK parameter: Time When The Maximal Concentration Is Observed at Steady State (Tmax, ss) for Part 2
(AUC0-τ) Day 12 (AUC0-24) for Part 2
PK parameter: Area Under The Concentration-Time Curve For One Dosing Interval (Τ) (AUC0-τ) Day 12 (AUC0-24) for Part 2
AUC0-24 for Part 2
PK parameter: Area Under The Concentration-Time Curve From Time Zero To 24 hours (AUC0-24) for Part 2
AR
PK parameter: Accumulation Ratio (AR) for Part 2
Concentrations of ATH-399A and metabolites in blood for Part 1a
Concentrations of ATH-399A and metabolites in blood for Part 1a
Concentrations of ATH-399A and metabolites in urine for Part 1a
Concentrations of ATH-399A and metabolites in urine for Part 1a

Full Information

First Posted
October 5, 2023
Last Updated
October 11, 2023
Sponsor
HanAll BioPharma Co., Ltd.
Collaborators
NurrOn Pharmaceuticals, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT06088784
Brief Title
A Study Assessing the Safety of Oral ATH-399A in Healthy Adult Participants
Official Title
A Randomized, Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics of Single and Multiple Doses as Well as the Food Effect of Orally Administered ATH-399A in Healthy Adult Participants
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 19, 2023 (Actual)
Primary Completion Date
April 24, 2024 (Anticipated)
Study Completion Date
April 24, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HanAll BioPharma Co., Ltd.
Collaborators
NurrOn Pharmaceuticals, Inc.

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 study will evaluate the safety, tolerability and pharmacokinetics of single and multiple doses of ATH-399A in healthy adults and also evaluate the effect of food on ATH-399A in order to develop mechanism-based and/or disease-modifying treatments for Parkinson Disease.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers
Keywords
ATH399A, HL192, Parkinson's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Parts 1a and 2 are double-blind and Part 1b is open label.
Allocation
Randomized
Enrollment
76 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1a (Single Ascending Doses (SAD)): ATH-399A
Arm Type
Experimental
Arm Description
Participants will receive single oral dose of ATH-399A capsule in up to 5 ascending dose levels (5mg, 10mg, 20mg, 40mg, 80mg).
Arm Title
Part 1a (SAD): Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive single oral dose of placebo-matched to ATH-399A capsule.
Arm Title
Part 1b (High calorie): ATH-399A
Arm Type
Experimental
Arm Description
Participants will receive single oral dose of ATH-399A capsule after high-calorie, high-fat breakfast and then will cross over to receive single oral dose of ATH-399A capsule after fasting.
Arm Title
Part 1b (Fasting): ATH-399A
Arm Type
Experimental
Arm Description
Participants will receive single oral dose of ATH-399A capsule after fasting and then will cross over to receive single oral dose of ATH-399A capsule after high-calorie, high-fat breakfast.
Arm Title
Part 2 (Multiple Ascending doses (MAD)): ATH-399A
Arm Type
Experimental
Arm Description
Participants will receive once daily (QD) dose of ATH-399A capsules from Day 1 to Day 12 in fasted state.
Arm Title
Part 2 (MAD): Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive QD dose of placebo-matched to ATH-399A capsules from Day 1 to Day 12 in fasted state.
Arm Title
Additional Cohort (Ages 56-80 years old): ATH-399A
Arm Type
Experimental
Arm Description
Participants will receive QD dose of ATH-399A capsules from Day 1 to Day 12 in fasted state following MAD dosing.
Arm Title
Additional Cohort: (Ages 56-80 years old) Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive QD dose of placebo-matched to ATH-399A capsules from Day 1 to Day 12 in fasted state following MAD dosing.
Intervention Type
Drug
Intervention Name(s)
ATH-399A
Other Intervention Name(s)
ATH-399A, HL192
Intervention Description
Orally administered drug in capsule form.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Orally administered drug in capsule form.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment Emergent Adverse events (AEs) and serious adverse events (SAEs) for Part 1a, Part 1b and Part 2
Description
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. NOTE: An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. AEs were considered SAEs if the AE resulted in death, was life-threatening, resulted in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, resulted in congenital anomaly, or birth defect or required inpatient hospitalization or led to prolongation of hospitalization or as deemed by the medical or scientific judgement of the Investigator is deemed serious in other situations such as important medical events.
Time Frame
From time of informed consent up to follow-up visit [Day 8-11 (Part 1a), Day 16-19 (Part 1b), Day 13 (Part 2)]
Title
Columbia Suicidality Severity Rating Scale (C-SSRS) for Part 1a, Part 1b and Part 2
Description
C-SSRS is a participant rated questionnaire to assess suicidal ideation, suicidal behavior, actual attempts (yes or no responses), and intensity of ideation (rated 1=low severity to 5=high severity).
Time Frame
Baseline and Day 8-11 (Part 1a), Day 16-19 (Part 1b), Day 13 (Part 2)
Title
Changes in Vital Signs
Description
Vital signs include temperature, blood pressure, pulse rate, and respiratory rate
Time Frame
Baseline and up to follow-up visit [Day 8-11 (Part 1a), Day 16-19 (Part 1b), Day 13 (Part 2)]
Title
Changes in ECGs
Description
The ECG will electronically measure and calculate ventricular heart rate and the PR, RR, QRS, QT, and QTcF intervals. The QTcF interval will be used for clinical evaluations.
Time Frame
Baseline and up to follow-up visit [Day 8-11 (Part 1a), Day 16-19 (Part 1b), Day 13 (Part 2)]
Title
Changes in clinical laboratory tests
Description
Hematology, Clinical Chemistry, HbA1c, and Urinalysis, Thyroid Panel, Coagulation Tests
Time Frame
Part 1a, 1b, 2: Hematology, Clinical Chemistry, HbA1c, and Urinalysis baseline and up to follow-up visit; Thyroid Panel at baseline, discharge and follow-up; Coagulation tests at baseline and discharge
Title
Changes in telemetry
Description
12-Lead continuous telemetry for evaluation of cardiac arrhythmias
Time Frame
Part 1a, 1b: Day 1 approximately 1-2 hours pre-dose and continued to approximately 48 hours post-dose; Part 2: Day 1 and Day 12 approximately 1-2 hours pre-dose and continued to approximately 24 hours post dose
Title
Changes in physical examination and neurological examination
Description
Assessments of the following: head, eyes, ears, nose, throat (HEENT), neck, chest, lungs, abdomen, musculoskeletal, dermatological, cardiovascular/peripheral vascular, and general neurological examination
Time Frame
Part 1a, 1b, 2: baseline and at discharge
Secondary Outcome Measure Information:
Title
AUC0-t
Description
Plasma Pharmacokinetic (PK) parameter: Area Under the Concentration-Time Curve from Time Zero Until the Last Observed Concentration (AUC0-t) for Part 1a, Part 1b and Part 2
Time Frame
pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
AUC0-inf
Description
PK parameter: Area Under The Concentration-Time Curve From Time Zero To Infinity (Extrapolated) (AUC0-inf) for Part 1a, Part 1b and Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
Cmax
Description
PK parameter: Maximal Observed Concentration (Cmax) for Part 1a, Part 1b and Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
Tmax
Description
PK parameter: Time When The Maximal Concentration Is Observed (Tmax) for Part 1a, Part 1b and Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
λz
Description
PK parameter: Individual Estimate Of The Terminal Elimination Rate Constant (λz) for Part 1a, Part 1b and Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
t½ el
Description
PK parameter: Terminal Elimination Half-Life (t½ el) for Part 1a, Part 1b and Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36 & for Part 1 only: 48 hours post-dose
Title
Cmax, ss
Description
PK parameter: Maximal Observed Concentration at steady state (Cmax, ss) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
Cmin
Description
PK parameter: Minimal Observed Concentration (Cmin) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
Cavg
Description
PK parameter: Average Plasma Concentration (Cavg) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
Tmax, ss
Description
PK parameter: Time When The Maximal Concentration Is Observed at Steady State (Tmax, ss) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
(AUC0-τ) Day 12 (AUC0-24) for Part 2
Description
PK parameter: Area Under The Concentration-Time Curve For One Dosing Interval (Τ) (AUC0-τ) Day 12 (AUC0-24) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
AUC0-24 for Part 2
Description
PK parameter: Area Under The Concentration-Time Curve From Time Zero To 24 hours (AUC0-24) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
AR
Description
PK parameter: Accumulation Ratio (AR) for Part 2
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
Concentrations of ATH-399A and metabolites in blood for Part 1a
Description
Concentrations of ATH-399A and metabolites in blood for Part 1a
Time Frame
Pre-dose (within 2 hours of dosing) and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, and 36 hours post-dose
Title
Concentrations of ATH-399A and metabolites in urine for Part 1a
Description
Concentrations of ATH-399A and metabolites in urine for Part 1a
Time Frame
Day 1 pre-dose and 0-4 hours, 4-8 hours, 8-12 hours, and 12-24 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, as determined by the Investigator based on a medical evaluation including medical history, physical examination, neurological examination, laboratory tests and cardiac monitoring. Population Part 1a and 1b: Men and women, age 18-55 years inclusive at date of screening. Part 2: Men and women aged 18-55 years inclusive at date of screening. Additional cohort: Participants of the additional cohort will be of approximately equal numbers of male and post-menopausal or surgically sterile females, with a minimum of 2 of each gender, aged >55-80 years, inclusive. Women of childbearing potential (WOCBP) must be non-pregnant and non-lactating. Postmenopausal women must have had ≥12 months of spontaneous amenorrhea (with follicle-stimulating hormone [FSH] ≥40 milli-international units per milliliter (mIU/mL)). Surgically sterile women are defined as those who have had a hysterectomy and/or bilateral oophorectomy. Women who are surgically sterile must provide verbal confirmation. Male participants who are sexually active with WOCBP must: Agree to use condoms to protect their partners from becoming pregnant during the study (including washout periods) and not to donate sperm for at least 90 days after the last dose of study drug, and Agree to ensure that they and their partners are routinely using a medically approved contraceptive method. It is important that male participants not impregnate others while in the study. Body weight ≥50.0 kilogram (kg) for men and ≥45.0 kg for women and body mass index within the range of 18.0-30.0 kilogram/square meter (kg/m^2) (inclusive). Participants participating in Part 1b must be willing and able to consume the entire high-fat, high-calorie breakfast in the designated timeframe. Participants must understand the nature of the study, must be willing to participate in the study, and must provide signed and dated written informed consent in accordance with local regulations before the conduct of any study-related procedures. Participants must be, in the opinion of the Investigator, able to participate in all scheduled evaluations, likely to complete all required tests, and likely to be compliant. Participants must be fluent in English or French. Participants must agree not to post any personal medical data related to the study or information related to the study on any website or social media site. Exclusion Criteria: A positive urine cotinine, drug screen, or alcohol breath test at screening or Day -1. Any history of psychiatric disorders, including substance use disorders, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria that requires current treatment with psychiatric medications. Participants with mild anxiety or depression which is stable for >6 months are permitted. History of drug abuse within 1 year prior to screening or recreational use of soft drugs (such as marijuana) within 1 month or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 3 months prior to screening. A diagnosis of intellectual disability (intellectual developmental disorder) or mental retardation. A serious mental illness, dementia, or other neuropsychiatric disorder that would interfere with participation in the trial, or ability to provide informed consent in the opinion of the Investigator. Any active suicidal ideation as indicated by the C-SSRS (score of ≥4) or history of suicidal behaviour within the 12 months prior to screening. A positive Hepatitis B surface antigen or positive Hepatitis C antibody result at screening. A positive test at screening for human immunodeficiency virus (HIV) antigen or antibody or a history of positive test. Alanine aminotransferase or aspartate aminotransferase levels greater than 1.2 times the ULN at screening or Day -1. Frequently used any tobacco-containing (e.g., cigar, cigarette or snuff) or nicotine-containing product (e.g., nicotine chewing gum, nicotine plasters, or other product used for smoking cessation) within 30 days prior to first dose administration. History of alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to screening that exceeds 10 units for women or 15 units for men of alcohol per week (1 unit = 340 mL of beer 5%, 140 mL of wine 12%, or 45 mL of distilled alcohol 40%). Regularly consumed (e.g., more days than not) excessive quantities of xanthine-containing beverages (e.g., more than 2 cups of coffee or the equivalent per day) within 1 week prior to screening or between screening and first dose administration, or unwillingness to refrain from xanthine-containing beverages during the in-clinic stay. Received or used an investigational product (including placebo) or device within the following time period prior to the first dosing day in the current study: 30 days or 5 half-lives (whichever is longer). For biological products, administration of a biological product within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration. Other than those medications outlined in the protocol body and those allowed in the MAD additional cohort, use of prescription or non-prescription drugs, herbal, and dietary supplements (including St John's Wort) within 7 days (or 28 days if the drug is a potential hepatic enzyme inducer) or 5 half-lives (whichever is longer) prior to first dose administration, unless in the opinion of the Investigator and Medical Monitor, the medication will not interfere with the study procedures or compromise participant safety. History of clinically significant sensitivity to any of the study drugs, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates their participation. Donation of plasma within 7 days prior to the first dosing or donation or loss of 500 mL or more of whole blood within 8 weeks prior to the first dosing. A positive pregnancy test or lactation. A history or presence of any disease, condition, or surgery likely to affect drug absorption, distribution, metabolism, or excretion. Participants with a history of cholecystectomy should be excluded. A history or presence of a clinically significant hepatic, renal, gastrointestinal, cardiovascular, endocrine, pulmonary, ophthalmologic, immunologic, hematologic, dermatologic, or neurologic abnormality. Participants with fully resolved childhood asthma with no hospitalizations or recurrence in adulthood are permitted to enroll. For the additional cohort in Part 2, any of the above are acceptable where the condition is stable for >6 months and, in the opinion of the Investigator, it does not impact participant safety. A clinically significant abnormality on physical examination, neurological examination, electrocardiogram (ECG), or laboratory evaluations at screening and Day -1. A QT interval measurement corrected according to the Fridericia rule (QTcF) > 450 millisecond (msec) during controlled rest at screening and Day -1, or family history of long QT syndrome. Any clinically significant abnormalities in rhythm, conduction, or morphology of the resting ECG and any abnormalities in the 12-lead ECG that, in the judgement of the Investigator or Medical Monitor, may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology or left ventricular hypertrophy. A clinically significant vital sign abnormality at screening or between screening and first dose administration. Significant (> 10%) weight loss or gain within 30 days prior to screening or between screening and first dose administration. A history of seizures. Occurrence of a single febrile seizure is not exclusionary. A history of head trauma, including closed head injury with loss of consciousness. Concussions which did not lead to hospitalization or loss of consciousness, and for which there are no ongoing issues, are not exclusionary. A history of symptomatic orthostatic hypotension (i.e., postural syncope). A history of neuroleptic malignant syndrome. A history of chronic urinary tract infections (≥2 times per year). The participant is, in the opinion of the Investigator or Medical Monitor, unlikely to comply with the protocol or is unsuitable for any reason. Currently employed by NurrOn Pharmaceuticals, Inc., HanAll Biopharma Co. Ltd., or HanAll Pharmaceutical Inc, or by a clinical trial site participating in this study, or a first-degree relative of an NurrOn Pharmaceuticals, Inc. or HanAll Pharmaceutical Inc., or HanAll Biopharma Co. Ltd. employee or of an employee at a participating clinical trial site. Unsatisfactory venous access. Unable to swallow oral capsules. Positive result to a Corona Virus disease (COVID-19) Polymerase chain reaction (PCR) test. COVID-19 or flu vaccination within 30 days prior to study drug administration or any other vaccination which is judged by the investigator to potentially affect eligibility. Presence of fever (body temperature >37.5°C) (e.g., a fever associated with a symptomatic viral or bacterial infection) within 2 weeks prior to first dosing
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mary Bearkland
Phone
315-399-6874
Email
Mary.Bearkland@hanall.com
Facility Information:
Facility Name
Syneos Quebec Canada
City
Quebec
ZIP/Postal Code
QC G1P 0A2
Country
Canada
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dr. Lidia Facchinelli
Phone
+1 866-262-7427
Email
lidia.facchinelli@syneoshealth.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study Assessing the Safety of Oral ATH-399A in Healthy Adult Participants

We'll reach out to this number within 24 hrs