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A Study of HS-10353 in Chinese Participants.

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
HS-10353
Placebo
Sponsored by
Jiangsu Hansoh Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder focused on measuring Phase I, major depressive disorder, healthy subject, SAD, MAD

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

SAD Inclusion Criteria

  1. Healthy male or female subjects between 18 and 45 years old;
  2. Body weight more than 50.0kg (male) or 45.0kg (female), body mass index (BMI) within the range of 19.0~26.0kg/m2;
  3. Volunteers agree to refrain from smoking, drinking alcohol. Avoid xanthine or caffeine (including chocolate, tea, coffee, cola, etc.) and avoid strenuous exercise;
  4. The male volunteers agreed to refrain from donating sperm from the start of the drug until six months after they stopped the study;
  5. The female volunteers agreed to avoid ovum donation from the start of the drug until six months after they stopped the study;
  6. Pregnancy test results of female volunteers must be negative within 3 days of administration.

SAD Exclusion Criteria

  1. Pregnant and breastfeeding female.
  2. Volunteers with a history of cardiovascular, respiratory, liver, kidney, digestive tract, mental, neurological, hematological, metabolic and other systemic diseases, who are not suitable to participate in this study as assessed by the investigator.
  3. The results of vital signs, physical examination, laboratory examination and 12-lead ECG during screening were abnormal with clinical significance.
  4. Hepatitis B virus surface antigen (HBsAg), hepatitis C virus antibody (HCVAb), human immunodeficiency virus antibody (HIVAb) or syphilis antibody is positive
  5. Volunteers had a history of drug dependence or abuse.
  6. A heavy smoker or smokers who smoked 5 or more cigarettes per day for 3 months prior to screening or tested positive for nicotine during screening.
  7. A history of alcohol abuse or a single consumption of more than 14 units of alcohol (1 unit = 285 mL of beer, 25 mL of spirits, 150 mL of wine) in the nearly two weeks prior to screening or a positive breath test for alcohol at screening.
  8. Participate in clinical trials of any drug or medical device within 3 months prior to screening.
  9. Any medication taken within 2 weeks of administration, including prescription, over-the-counter, and herbal medicines.
  10. Diet or dietary treatment or significant change in dietary habits within 30 days prior to administration for whatever reason.
  11. Volunteers who have difficulty swallowing solid tablets or capsule.
  12. Volunteers with difficulty in blood collection, unable to tolerate multiple venous blood collection and any blood collection contraindications.

MAD Inclusion Criteria

  1. Subject has signed an ICF prior to any study-specific procedures being performed.
  2. Subject is an ambulatory male or female between 18 and 65 years of age, inclusive.
  3. Subject has a diagnosis of MDD that has been present for at least a 4-week period as diagnosed by DSM-5.
  4. Subject has a HAM-D17 total score of ≥22 at screening and Day 1 (prior to dosing).
  5. Subject is willing to discontinue other antidepressant or anti-anxiety medications (such as benzodiazepines) or antipsychotics during screening and treatment.

MAD Exclusion criteria:

  1. Subject has a history of suicide attempt.
  2. Subject has a recent history or active clinically significant manifestations of metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, musculoskeletal, dermatological, urogenital, neurological, or eyes, ears, nose, and throat disorders, or any other acute or chronic condition that, in the Investigator's opinion, would limit the subject's ability to complete or participate in this clinical study.
  3. Subject has a history of treatment-resistant depression, defined as persistent depressive symptoms despite treatment with adequate doses of antidepressants from two different classes for an adequate amount of time (ie, at least 4 weeks of treatment).
  4. Subject has detectable hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), or human immunodeficiency virus (HIV) antibody at screening.
  5. Subject has active psychosis per Investigator assessment.
  6. Subject has a medical history of seizures.
  7. Subject has a medical history of bipolar disorder, schizophrenia, and/or schizoaffective disorder.
  8. Subject has had exposure to another investigational medication or device within 30 days prior to screening.
  9. Subject has had administration of psychotropics that have been initiated within 14 days prior to screening and/or are not being taken at a stable dose.
  10. Use of any known strong inhibitors and/or inducers of cytochrome P450 (CYP)3A4 within the 14 days or five half-lives (whichever is longer) or consumed grapefruit juice, grapefruit, Seville oranges, or products containing these within 30 days prior to receiving the first dose of study drug.

Sites / Locations

  • West China Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HS-10353

Placebo

Arm Description

Capsules;Single dose: only one administration; Multiple doses: continuous administration for 7 days

Capsules;Single dose: only one administration; Multiple doses: continuous administration for 7 days

Outcomes

Primary Outcome Measures

Endpoints of the trial:AE,SAE
The incidence, severity, and association of AE, SAE and AE leading to withdrawal from the trial

Secondary Outcome Measures

SAD pharmacokinetic endpoints:Cmax
The maximum plasma concentration (Cmax)
SAD pharmacokinetic endpoints:Tmax
Time to Cmax (Tmax)
SAD pharmacokinetic endpoints:AUC0-t
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUC0-t)
SAD pharmacokinetic endpoints:AUC0-∞
The area under the plasma concentration-time curve from time zero to infinite time (AUC0-∞)
SAD pharmacokinetic endpoints:λz
Terminal rate constant (λz)
SAD pharmacokinetic endpoints:t½
Half-life (t½)
SAD pharmacokinetic endpoints:CL/F
Apparent clearance following oral administration (CL/F)
SAD pharmacokinetic endpoints:Vz/F
Apparent volume of distribution following oral administration (Vz/F)
SAD pharmacokinetic endpoints:MRT
Mean residence time (MRT)
MAD pharmacokinetic endpoints:Css,max
The maximum steady state drug concentration in plasma during dosing interval (Css,max)
MAD pharmacokinetic endpoints:Css,av
Average steady state drug concentration in plasma during dosing interval (Css,av)
MAD pharmacokinetic endpoints:Tss,max
Time to Css, max (Tss,max)
MAD pharmacokinetic endpoints:AUCss, 0-t
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration over the dosing interval at steady state (AUCss, 0-t)
MAD pharmacokinetic endpoints:DF
Coefficient of fluctuation(DF)
MAD pharmacokinetic endpoints:Rac
Accumulation ratio (Rac)
MAD pharmacokinetic endpoints:Css,min
The minimum steady state drug concentration in plasma during dosing interval (Css,min)

Full Information

First Posted
August 12, 2021
Last Updated
August 1, 2023
Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05195203
Brief Title
A Study of HS-10353 in Chinese Participants.
Official Title
A Phase I Randomized, Double-blinded, Placebo-controlled Dose Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetic of HS-10353 in Chinese Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
January 27, 2021 (Actual)
Primary Completion Date
March 11, 2023 (Actual)
Study Completion Date
March 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The primary objective of this study is to assess the safety and tolerability of single and multiple oral administered doses of HS-10353 separately in Chinese healthy and major depressive disorder subjects.
Detailed Description
This is a phase I, randomized, double-blinded, placebo-controlled, both single ascending doses (SAD) study and multiple ascending dose (MAD) clinical trial to assess the safety, tolerability, and pharmacokinetics of HS-10353 tablet(s) separately in Chinese healthy and major depressive disorder (MDD) subjects. Approximately six sequential dose cohorts will be evaluated in SAD study. Sentinel dosing will be employed for the first SAD cohort to protect the subjects' safety. Escalation to the next dose cohort will be undertaken only after safety and PK data are reviewed by the Safety Review Committee (SRC) and agreement reach that it is safe to increase the dose. Each SAD cohort is dosed at approximately weekly intervals to allow adequate time for collection and review of safety and PK data. Approximately three sequential dose cohorts will be evaluated in MAD study. The total daily dose for each MAD cohort will be based on information obtained from the SAD study. Each subject will receive only one dose regimen in this study. Safety data up to Day14 (±1) in SAD and up to Day20 (±1) in MAD will be reviewed prior to the next dose level. The number of Cohorts in SAD and MAD would be adjusted based on the assessment of SRC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
Phase I, major depressive disorder, healthy subject, SAD, MAD

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HS-10353
Arm Type
Experimental
Arm Description
Capsules;Single dose: only one administration; Multiple doses: continuous administration for 7 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Capsules;Single dose: only one administration; Multiple doses: continuous administration for 7 days
Intervention Type
Drug
Intervention Name(s)
HS-10353
Other Intervention Name(s)
HS-10353 capsules
Intervention Description
Single or multiple dose(s) of HS-10353
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
HS-10353 placebo
Intervention Description
Single or multiple dose(s) of placebo
Primary Outcome Measure Information:
Title
Endpoints of the trial:AE,SAE
Description
The incidence, severity, and association of AE, SAE and AE leading to withdrawal from the trial
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Secondary Outcome Measure Information:
Title
SAD pharmacokinetic endpoints:Cmax
Description
The maximum plasma concentration (Cmax)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:Tmax
Description
Time to Cmax (Tmax)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:AUC0-t
Description
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUC0-t)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:AUC0-∞
Description
The area under the plasma concentration-time curve from time zero to infinite time (AUC0-∞)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:λz
Description
Terminal rate constant (λz)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:t½
Description
Half-life (t½)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:CL/F
Description
Apparent clearance following oral administration (CL/F)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:Vz/F
Description
Apparent volume of distribution following oral administration (Vz/F)
Time Frame
Day1-Day6
Title
SAD pharmacokinetic endpoints:MRT
Description
Mean residence time (MRT)
Time Frame
Day1-Day6
Title
MAD pharmacokinetic endpoints:Css,max
Description
The maximum steady state drug concentration in plasma during dosing interval (Css,max)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:Css,av
Description
Average steady state drug concentration in plasma during dosing interval (Css,av)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:Tss,max
Description
Time to Css, max (Tss,max)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:AUCss, 0-t
Description
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration over the dosing interval at steady state (AUCss, 0-t)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:DF
Description
Coefficient of fluctuation(DF)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:Rac
Description
Accumulation ratio (Rac)
Time Frame
Day1-Day12
Title
MAD pharmacokinetic endpoints:Css,min
Description
The minimum steady state drug concentration in plasma during dosing interval (Css,min)
Time Frame
Day1-Day12
Other Pre-specified Outcome Measures:
Title
MAD pharmacodynamics endpoints:Ham-D17 response rate
Description
Ham-D17 response rate (score decreased ≥50% from baseline) and (score ≤7)
Time Frame
Day1-Day12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
SAD Inclusion Criteria Healthy male or female subjects between 18 and 45 years old; Body weight more than 50.0kg (male) or 45.0kg (female), body mass index (BMI) within the range of 19.0~26.0kg/m2; Volunteers agree to refrain from smoking, drinking alcohol. Avoid xanthine or caffeine (including chocolate, tea, coffee, cola, etc.) and avoid strenuous exercise; The male volunteers agreed to refrain from donating sperm from the start of the drug until six months after they stopped the study; The female volunteers agreed to avoid ovum donation from the start of the drug until six months after they stopped the study; Pregnancy test results of female volunteers must be negative within 3 days of administration. SAD Exclusion Criteria Pregnant and breastfeeding female. Volunteers with a history of cardiovascular, respiratory, liver, kidney, digestive tract, mental, neurological, hematological, metabolic and other systemic diseases, who are not suitable to participate in this study as assessed by the investigator. The results of vital signs, physical examination, laboratory examination and 12-lead ECG during screening were abnormal with clinical significance. Hepatitis B virus surface antigen (HBsAg), hepatitis C virus antibody (HCVAb), human immunodeficiency virus antibody (HIVAb) or syphilis antibody is positive Volunteers had a history of drug dependence or abuse. A heavy smoker or smokers who smoked 5 or more cigarettes per day for 3 months prior to screening or tested positive for nicotine during screening. A history of alcohol abuse or a single consumption of more than 14 units of alcohol (1 unit = 285 mL of beer, 25 mL of spirits, 150 mL of wine) in the nearly two weeks prior to screening or a positive breath test for alcohol at screening. Participate in clinical trials of any drug or medical device within 3 months prior to screening. Any medication taken within 2 weeks of administration, including prescription, over-the-counter, and herbal medicines. Diet or dietary treatment or significant change in dietary habits within 30 days prior to administration for whatever reason. Volunteers who have difficulty swallowing solid tablets or capsule. Volunteers with difficulty in blood collection, unable to tolerate multiple venous blood collection and any blood collection contraindications. MAD Inclusion Criteria Subject has signed an ICF prior to any study-specific procedures being performed. Subject is an ambulatory male or female between 18 and 65 years of age, inclusive. Subject has a diagnosis of MDD that has been present for at least a 4-week period as diagnosed by DSM-5. Subject has a HAM-D17 total score of ≥22 at screening and Day 1 (prior to dosing). Subject is willing to discontinue other antidepressant or anti-anxiety medications (such as benzodiazepines) or antipsychotics during screening and treatment. MAD Exclusion criteria: Subject has a history of suicide attempt. Subject has a recent history or active clinically significant manifestations of metabolic, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, musculoskeletal, dermatological, urogenital, neurological, or eyes, ears, nose, and throat disorders, or any other acute or chronic condition that, in the Investigator's opinion, would limit the subject's ability to complete or participate in this clinical study. Subject has a history of treatment-resistant depression, defined as persistent depressive symptoms despite treatment with adequate doses of antidepressants from two different classes for an adequate amount of time (ie, at least 4 weeks of treatment). Subject has detectable hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), or human immunodeficiency virus (HIV) antibody at screening. Subject has active psychosis per Investigator assessment. Subject has a medical history of seizures. Subject has a medical history of bipolar disorder, schizophrenia, and/or schizoaffective disorder. Subject has had exposure to another investigational medication or device within 30 days prior to screening. Subject has had administration of psychotropics that have been initiated within 14 days prior to screening and/or are not being taken at a stable dose. Use of any known strong inhibitors and/or inducers of cytochrome P450 (CYP)3A4 within the 14 days or five half-lives (whichever is longer) or consumed grapefruit juice, grapefruit, Seville oranges, or products containing these within 30 days prior to receiving the first dose of study drug.
Facility Information:
Facility Name
West China Hospital
City
Chengdu
State/Province
Sichuan
Country
China

12. IPD Sharing Statement

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A Study of HS-10353 in Chinese Participants.

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