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A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of SM04755 Following Topical Administration to Healthy Subjects

Primary Purpose

Tendinopathy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SM04755
Vehicle
Sponsored by
Biosplice Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tendinopathy focused on measuring SM04755, topical, Samumed, Wnt inhibitor

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Body mass index of 18 to 30 kg/m^2 at study start
  • Subject must have read and understood the informed consent form, and must have signed it prior to any study-related procedure being performed
  • Willingness to comply with all scheduled study visits, laboratory tests, contraception requirements and other study procedures
  • Appropriate skin characteristics at site of application (inner thigh) (for example, consistent pigmentation, no tattoos, no scarring or noted injury, no varicose veins or structural repair)
  • Willing to avoid extensive sun exposure, phototherapy, or use of a tanning salon for the duration of the study

Exclusion Criteria:

  • Women who are pregnant or lactating
  • Women of childbearing potential who are sexually active and are not willing to use a highly effective method of birth control during the study period that includes double barrier, intrauterine device (IUD), or hormonal contraceptive combined with single barrier, or abstinence
  • Males who are sexually active and not willing to use a condom, and have a partner who is capable of becoming pregnant, if neither has had surgery to become sterilized, and/or who are not willing to use double barrier or whose partner is not using a highly effective method of birth control (e.g., IUD or hormonal contraception combined with single barrier).
  • History of, or current, skin disease (for example, psoriasis, atopic dermatitis, seborrheic dermatitis, and skin cancer)
  • History of, or current, skin damage at the treatment site (inner thigh) (for example, cuts, abrasion, sunburn, sun-damage, or scarring)
  • Phototherapy or use of a tanning salon 2 weeks prior to study start until end of the study (Day 28)
  • History of, or current, allergy to investigational product/placebo ingredients
  • Known allergy to adhesive tape
  • Current evidence of malignancy or history of malignancy within the last 5 years prior to study start; prior history of in situ cancer or basal or squamous cell skin cancer, completely excised, is allowed
  • Treatment with an investigational product within 12 weeks prior to study start; the last date of participation in the trial, not the last date of receipt of investigational product, must be at least 12 weeks prior to study start
  • Use of any prescription or nonprescription drugs [except birth control or hormone replacement therapy (HRT)], topical skin treatments on the application site (inner thigh), vitamins, grapefruit/grapefruit juice, or dietary or herbal supplements within 14 days prior to study start
  • Blood donation of ≥ 1 pint (473 mL) within 56 days prior to study start or unwilling to refrain from blood donation for the duration of the study
  • Plasma or platelet donation within 14 days prior to study start or unwilling to refrain from plasma or platelet donation for the duration of the study
  • Unwilling to refrain from sperm donation for the duration of the study and until 90 days after dose administration
  • Prior or current latent or active tuberculosis (TB) or nontuberculous mycobacteria infection.
  • Evidence of active infection or illness involving fever within 7 days prior to study start
  • Occurrence of serious illness requiring hospitalization within 6 months prior to study start
  • Regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for men (1 drink = 5 ounces [150 mL] of wine or 12 ounces [360 mL] of beer or 1.5 ounces [45 mL] of hard liquor) within 6 months prior to study start
  • Use of tobacco- or nicotine-containing products (cigarettes, pipe, cigar, chewing tobacco or nicotine gum, lozenges or patches) within 30 days prior to study start
  • A history of abuse of prescription or illicit drugs within 6 months prior to study start
  • Marijuana use within 28 days prior to study start
  • Previous treatment with SM04755
  • Subjects who have a current or pending disability claim, workers' compensation, or litigation(s) that may compromise response to treatment
  • Subjects who are immediate family members (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study at the investigative site, or are directly affiliated with the study at the investigative site
  • Subjects employed by Samumed, LLC, or any of its affiliates or development partners (that is, an employee, temporary contract worker, or designee) responsible for the conduct of the study

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Low Dose

Mid Dose

High Dose

Vehicle

Arm Description

Topical SM04755 solution (15 mg/mL) applied once per day for 14 days

Topical SM04755 solution (45 mg/mL) applied once per day for 14 days

Topical SM04755 solution (90 mg/mL) applied once per day for 14 days

Vehicle solution applied once per day for 14 days

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs)
Incidence and severity of AEs events during the treatment and observation periods of the study
Incidence of clinical laboratory abnormalities
Incidence and severity of clinical laboratory measurements that are outside the normal range
Change in vital signs: blood pressure
Change from baseline in blood pressure
Change in vital signs: temperature
Change from baseline in temperature
Change in vital signs: respiratory rate
Change from baseline in respiratory rate
Change in vital signs: pulse rate
Change from baseline in pulse rate
Change in electrocardiogram (ECG) parameters
Change from baseline in 12-lead ECG parameters
Plasma pharmacokinetics (PK): Cmax
Maximum plasma concentration (Cmax) estimate for SM04755 following first dose
Plasma pharmacokinetics (PK):tmax
Time to Cmax estimate for SM04755 following first dose
Plasma pharmacokinetics (PK): AUC
Area under the plasma concentration-time curve (AUC) estimate for SM04755 following first dose
Plasma pharmacokinetics (PK):half-life
Plasma terminal phase half-life estimate for SM04755 following first dose
Plasma pharmacokinetics (PK):Cmax
Maximum plasma concentration (Cmax) estimate for SM04755 following last dose
Plasma pharmacokinetics (PK):tmax
Time to Cmax estimate for SM04755 following last dose
Plasma pharmacokinetics (PK): AUC
AUC estimate for SM04755 following last dose
Plasma pharmacokinetics (PK):half-life
Plasma terminal phase half-life estimate for SM04755 following last dose
Change in skin score assessment: erythema
Change from baseline in erythema skin score assessment
Change in skin score assessment: scaling
Change from baseline in scaling skin score assessment
Change in skin score assessment: pruritus/itching
Change from baseline in pruritus/itching skin score assessment
Change in skin score assessment: burning/stinging
Change from baseline in burning/stinging skin score assessment

Secondary Outcome Measures

Incidence of AEs relative to exposure
Incidence and severity of AEs relative to measured plasma exposure to SM04755

Full Information

First Posted
July 18, 2017
Last Updated
July 21, 2017
Sponsor
Biosplice Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03229291
Brief Title
A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of SM04755 Following Topical Administration to Healthy Subjects
Official Title
A Phase 1, Single-Center, Randomized, Single-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of SM04755 Following Topical Administration to Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
November 3, 2016 (Actual)
Primary Completion Date
June 11, 2017 (Actual)
Study Completion Date
June 11, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biosplice 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
This study is a single-center, randomized, single-blind, placebo-controlled, multiple ascending dose study of SM04755 solution applied topically once daily for 14 days to intact skin overlying the inner thigh of healthy subjects at an estimated body surface area (BSA) of 80 cm^2. Dosing cohorts will consist of 8 subjects who will be randomized 3:1 (SM04755:placebo).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tendinopathy
Keywords
SM04755, topical, Samumed, Wnt inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low Dose
Arm Type
Experimental
Arm Description
Topical SM04755 solution (15 mg/mL) applied once per day for 14 days
Arm Title
Mid Dose
Arm Type
Experimental
Arm Description
Topical SM04755 solution (45 mg/mL) applied once per day for 14 days
Arm Title
High Dose
Arm Type
Experimental
Arm Description
Topical SM04755 solution (90 mg/mL) applied once per day for 14 days
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Vehicle solution applied once per day for 14 days
Intervention Type
Drug
Intervention Name(s)
SM04755
Intervention Description
SM04755 is a small molecule inhibitor of the Wnt pathway.
Intervention Type
Drug
Intervention Name(s)
Vehicle
Intervention Description
Same formulation as topical SM04755 solution, without SM04755 included.
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs)
Description
Incidence and severity of AEs events during the treatment and observation periods of the study
Time Frame
Day 28
Title
Incidence of clinical laboratory abnormalities
Description
Incidence and severity of clinical laboratory measurements that are outside the normal range
Time Frame
Day 28
Title
Change in vital signs: blood pressure
Description
Change from baseline in blood pressure
Time Frame
Baseline and Day 28
Title
Change in vital signs: temperature
Description
Change from baseline in temperature
Time Frame
Baseline and Day 28
Title
Change in vital signs: respiratory rate
Description
Change from baseline in respiratory rate
Time Frame
Baseline and Day 28
Title
Change in vital signs: pulse rate
Description
Change from baseline in pulse rate
Time Frame
Baseline and Day 28
Title
Change in electrocardiogram (ECG) parameters
Description
Change from baseline in 12-lead ECG parameters
Time Frame
Baseline and Day 28
Title
Plasma pharmacokinetics (PK): Cmax
Description
Maximum plasma concentration (Cmax) estimate for SM04755 following first dose
Time Frame
Day 1
Title
Plasma pharmacokinetics (PK):tmax
Description
Time to Cmax estimate for SM04755 following first dose
Time Frame
Day 1
Title
Plasma pharmacokinetics (PK): AUC
Description
Area under the plasma concentration-time curve (AUC) estimate for SM04755 following first dose
Time Frame
Day 1
Title
Plasma pharmacokinetics (PK):half-life
Description
Plasma terminal phase half-life estimate for SM04755 following first dose
Time Frame
Day 1
Title
Plasma pharmacokinetics (PK):Cmax
Description
Maximum plasma concentration (Cmax) estimate for SM04755 following last dose
Time Frame
Day 14
Title
Plasma pharmacokinetics (PK):tmax
Description
Time to Cmax estimate for SM04755 following last dose
Time Frame
Day 14
Title
Plasma pharmacokinetics (PK): AUC
Description
AUC estimate for SM04755 following last dose
Time Frame
Day 14
Title
Plasma pharmacokinetics (PK):half-life
Description
Plasma terminal phase half-life estimate for SM04755 following last dose
Time Frame
Day 14
Title
Change in skin score assessment: erythema
Description
Change from baseline in erythema skin score assessment
Time Frame
Baseline and Day 28
Title
Change in skin score assessment: scaling
Description
Change from baseline in scaling skin score assessment
Time Frame
Baseline and Day 28
Title
Change in skin score assessment: pruritus/itching
Description
Change from baseline in pruritus/itching skin score assessment
Time Frame
Baseline and Day 28
Title
Change in skin score assessment: burning/stinging
Description
Change from baseline in burning/stinging skin score assessment
Time Frame
Baseline and Day 28
Secondary Outcome Measure Information:
Title
Incidence of AEs relative to exposure
Description
Incidence and severity of AEs relative to measured plasma exposure to SM04755
Time Frame
Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Body mass index of 18 to 30 kg/m^2 at study start Subject must have read and understood the informed consent form, and must have signed it prior to any study-related procedure being performed Willingness to comply with all scheduled study visits, laboratory tests, contraception requirements and other study procedures Appropriate skin characteristics at site of application (inner thigh) (for example, consistent pigmentation, no tattoos, no scarring or noted injury, no varicose veins or structural repair) Willing to avoid extensive sun exposure, phototherapy, or use of a tanning salon for the duration of the study Exclusion Criteria: Women who are pregnant or lactating Women of childbearing potential who are sexually active and are not willing to use a highly effective method of birth control during the study period that includes double barrier, intrauterine device (IUD), or hormonal contraceptive combined with single barrier, or abstinence Males who are sexually active and not willing to use a condom, and have a partner who is capable of becoming pregnant, if neither has had surgery to become sterilized, and/or who are not willing to use double barrier or whose partner is not using a highly effective method of birth control (e.g., IUD or hormonal contraception combined with single barrier). History of, or current, skin disease (for example, psoriasis, atopic dermatitis, seborrheic dermatitis, and skin cancer) History of, or current, skin damage at the treatment site (inner thigh) (for example, cuts, abrasion, sunburn, sun-damage, or scarring) Phototherapy or use of a tanning salon 2 weeks prior to study start until end of the study (Day 28) History of, or current, allergy to investigational product/placebo ingredients Known allergy to adhesive tape Current evidence of malignancy or history of malignancy within the last 5 years prior to study start; prior history of in situ cancer or basal or squamous cell skin cancer, completely excised, is allowed Treatment with an investigational product within 12 weeks prior to study start; the last date of participation in the trial, not the last date of receipt of investigational product, must be at least 12 weeks prior to study start Use of any prescription or nonprescription drugs [except birth control or hormone replacement therapy (HRT)], topical skin treatments on the application site (inner thigh), vitamins, grapefruit/grapefruit juice, or dietary or herbal supplements within 14 days prior to study start Blood donation of ≥ 1 pint (473 mL) within 56 days prior to study start or unwilling to refrain from blood donation for the duration of the study Plasma or platelet donation within 14 days prior to study start or unwilling to refrain from plasma or platelet donation for the duration of the study Unwilling to refrain from sperm donation for the duration of the study and until 90 days after dose administration Prior or current latent or active tuberculosis (TB) or nontuberculous mycobacteria infection. Evidence of active infection or illness involving fever within 7 days prior to study start Occurrence of serious illness requiring hospitalization within 6 months prior to study start Regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for men (1 drink = 5 ounces [150 mL] of wine or 12 ounces [360 mL] of beer or 1.5 ounces [45 mL] of hard liquor) within 6 months prior to study start Use of tobacco- or nicotine-containing products (cigarettes, pipe, cigar, chewing tobacco or nicotine gum, lozenges or patches) within 30 days prior to study start A history of abuse of prescription or illicit drugs within 6 months prior to study start Marijuana use within 28 days prior to study start Previous treatment with SM04755 Subjects who have a current or pending disability claim, workers' compensation, or litigation(s) that may compromise response to treatment Subjects who are immediate family members (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study at the investigative site, or are directly affiliated with the study at the investigative site Subjects employed by Samumed, LLC, or any of its affiliates or development partners (that is, an employee, temporary contract worker, or designee) responsible for the conduct of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yusuf Yazici, M.D.
Organizational Affiliation
Biosplice Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85283
Country
United States

12. IPD Sharing Statement

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A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Multiple Ascending Doses of SM04755 Following Topical Administration to Healthy Subjects

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