A Study of HS-10380 in Chinese Participants
Primary Purpose
Schizophrenia
Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
HS-10380
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Schizophrenia focused on measuring Schizophrenia, HS-10380
Eligibility Criteria
Inclusion Criteria:
- Healthy subject aged from 18 to 45 years;
- Subject has a Body Mass Index (BMI) between 18.5 and 26.0 kg/m2 at screening and the weight of male subjects is not less than 50 kg, and the weight of female subjects is not less than 45 kg;
- Voluntary subject who signs the informed consent form after understanding the purpose, content, process and possible risks of the trial;
- Subject is able to communicate well with the investigator and comply with the lifestyle constraints specified in the protocol, and cooperate to complete the trial procedures.
Exclusion Criteria:
- Subject has history or presence of disease or dysfunction affecting the clinical trial, including but not limited to neuropsychiatric system, cardiovascular system, urinary system, digestive system, respiratory system, musculoskeletal system, metabolic endocrine system, skin disease, blood system disease, immune system and tumor, etc.;
- Subject has any surgical condition or condition that may significantly affect the absorption, distribution, metabolism, and excretion of the drug, or any surgical condition or condition that may pose a hazard to the subjects participating in the trial, such as gastrointestinal surgery (gastrectomy, Gastrointestinal anastomosis, intestinal resection, etc.), urinary tract obstruction or dysuria, gastroenteritis, peptic ulcer, history of gastrointestinal bleeding, etc.;
- Subject has a history of significant drug allergies or known allergies to the components of the test drug;
- Subject has history or presence of psychiatric disorders and cerebral dysfunction, or subjects at risk of suicide according to the Columbia Suicide Severity Rating Scale (C-SSRS) or at risk of suicide according to the investigator's clinical judgment, or has a history of self-harm;
- Subject has a history of drug abuse within 1 year prior to screening, or has a positive urine drug result screen at screening;
- Subject has 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 one year prior to screening or a positive breath test for alcohol at screening;
- Subject has smoked ≥5 cigarettes per day or consumed an average of ≥5 (200mL/cup) cups of coffee or tea per day in the 3 months before screening, or could not stop users during the study;
- Subject has special requirements for food or is unwilling to accept a uniform diet or has difficulty swallowing;
- Pregnant or breastfeeding women, or those who refuse to use effective contraception (eg, abstinence, IUD) throughout the study period and 6 months after the end of the study, or those who have a sperm or egg donation plan;
- Subject has clinically significant abnormal comprehensive physical examination, vital signs, laboratory tests, and 12-lead electrocardiograms, which are judged by the investigator (eg: QTcF>450ms for men and >470ms for women, Friericia correction);
- Subject with resting pulse rate <55 bpm or >100 bpm; systolic blood pressure <90mmHg or >140mmHg; diastolic blood pressure <60mmHg or >90mmHg at screening;
- Subject has detectable hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), or human immunodeficiency virus (HIV) antibody at screening;
- Subject with alanine aminotransferase (ALT), creatinine (Cr), blood urea nitrogen (BUN) exceeding the upper limit of normal or serum prolactin greater than 2 times the upper limit of normal at the time of screening;
- Subject has donated blood or lost blood ≥ 400ml within 3 months before screening, or donated blood or lost blood ≥ 200ml within one month, or has a history of using blood products;
- Subject with a history of surgery within 3 months prior to screening, or who have not recovered from surgery, or who have anticipated surgery plans during the trial;
- Subject has taken any medication within 2 weeks (or 5 half-lives, whichever is longer) prior to screening or takes any medication throughout study, including prescription and over-the-counter medications, Chinese herbal medicines, and any drugs that inhibit or induce liver drug metabolizing enzymes (such as inducers and/or inhibitors of CYP3A4, CYP2D6 and CYP3A5);
- Subject has participated in any clinical trial or took any clinical trial drugs within 3 months before screening;
- Subject has dieted or received dietary therapy, or had significant changes in dietary habits within 30 days prior to screening;
- Subject has a history of vaccination within 30 days prior to screening, or has a vaccination schedule throughout the study;
- Subject with poor compliance or other problems which the investigator considers unsuitable for subject to participate.
Sites / Locations
- Shanghai Mental Health CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Single Ascending Dose (SAD)
Multiple Ascending Dose (MAD)
Arm Description
Subjects in cohorts 1-6 will receive oral administration of single dose of HS-10380 tablets or matching placebo.
Subjects in cohorts 7 will receive oral administration of 7 dose of HS-10380 tablets or matching placebo.
Outcomes
Primary Outcome Measures
Number of Subjects Experiencing Adverse Events (AEs)
AE include adverse events (AEs) and serious adverse events (SAEs)
Changes from baseline in laboratory tests
Laboratory tests include blood routine, urine routine, blood biochemistry, coagulation function, thyroid function and serum prolactin;
Changes from baseline in vital signs
Vital signs include respiration, pulse, blood pressure, body temperature and SpO2
Change from baseline in Electrocardiogram (ECG)
ECG parameters including heart rate, PR interval, RR interval and QTcF, etc.
Change from baseline in weight (kg)
Change from baseline in physical examination
Including general condition, heart, chest and abdomen, skin and mucous membranes, lymph node examination, etc.
Change from baseline in Simpson-Angus Scale (SAS) score
The SAS is a 10-item testing instrument used to evaluate drug-related extrapyramidal syndromes. The following items are included in the SAS: gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, glabella reflex, tremor, and salivation. Total score ranges from 0 to 40 with a higher score indicating increased severity.
Change from baseline in Abnormal Involuntary Movement Scale (AIMS) score
AIMS is a rating scale measuring involuntary movements known as tardive dyskinesia, that sometimes develop as a side effect of long-term treatment with antipsychotic medications. The AIMS score was calculated as the sum of questions 1 through 7 of the AIMS instrument, which includes assessments of involuntary movements in the face, lips, jaw, tongue, upper and lower extremities, and neck/shoulders/hips. Each item is rated on a five-point scale of severity from 0-4 with 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). Total scores range from 0 to 28.
Change from baseline in Barnes Akathisia Rating Scale (BARS) score
BAS is a rating scale that is administered by physicians to assess the severity of drug-induced akathisia, which is a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, as well as by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, and crossing and uncrossing the legs while sitting. The following subcategories are scored: objective akathisia, subjective awareness of restlessness and subjective distress related to restlessness and are rated on a 4-point scale from 0-3. In addition, the global clinical assessment of akathisia uses a 6-point scale ranging from 0-5. Total score ranges from 0 to 14 with a higher score indicating increased severity.
Secondary Outcome Measures
Maximum plasma concentration (Cmax) of single-dose HS-10380 administration
Time of the Maximum Concentration (Tmax) of single-dose HS-10380 administration
Terminal rate constant (λz) of single-dose HS-10380 administration
Elimination half-life (t1/2) of single-dose HS-10380 administration
Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC0-t) of single-dose HS-10380 administration
Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC0-∞) of single-dose HS-10380 administration
Apparent clearance (CL/F) of single-dose HS-10380 administration
Apparent volume of distribution (Vd/F) of single-dose HS-10380 administration
Mean retention time (MRT) of single-dose HS-10380 administration
Maximum plasma concentration (Cmax) of first HS-10380 administration
Time of the Maximum Concentration (Tmax) of first HS-10380 administration
Area under the plasma concentration-time curve from time zero to 24 hours (AUC0-24) first HS-10380 administration
Maximum concentration at steady state (Css, max) of multiple-dose HS-10380 administration
Time of the maximum concentration at steady state (Tss, max) of multiple-dose HS-10380 administration
Minimum concentration at steady state (Css, min) of multiple-dose HS-10380 administration
Area under the concentration-time curve at steady state (AUCss) of multiple-dose HS-10380 administration
Accumulation ratio (RAC) after multiple doses
Full Information
NCT ID
NCT05480592
First Posted
July 5, 2022
Last Updated
March 7, 2023
Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT05480592
Brief Title
A Study of HS-10380 in Chinese Participants
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Dose Escalation Phase I Clinical Trial to Evaluate the Safety, Tolerability and Pharmacokinetic Characteristics of HS-10380 in Chinese Healthy Adult Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 1, 2022 (Actual)
Primary Completion Date
June 30, 2023 (Anticipated)
Study Completion Date
July 30, 2023 (Anticipated)
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-10380 in Chinese healthy 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-10380 in Chinese healthy subjects.
There will be four phases in SAD and MAD study: a 2-week screening phase, a 1-day baseline phase, a double-blind treatment phase, and a 1-week post-treatment (follow-up) phase.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia
Keywords
Schizophrenia, HS-10380
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
76 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Single Ascending Dose (SAD)
Arm Type
Experimental
Arm Description
Subjects in cohorts 1-6 will receive oral administration of single dose of HS-10380 tablets or matching placebo.
Arm Title
Multiple Ascending Dose (MAD)
Arm Type
Placebo Comparator
Arm Description
Subjects in cohorts 7 will receive oral administration of 7 dose of HS-10380 tablets or matching placebo.
Intervention Type
Drug
Intervention Name(s)
HS-10380
Intervention Description
Administered orally as a tablet
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered orally as a tablet
Primary Outcome Measure Information:
Title
Number of Subjects Experiencing Adverse Events (AEs)
Description
AE include adverse events (AEs) and serious adverse events (SAEs)
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Changes from baseline in laboratory tests
Description
Laboratory tests include blood routine, urine routine, blood biochemistry, coagulation function, thyroid function and serum prolactin;
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Changes from baseline in vital signs
Description
Vital signs include respiration, pulse, blood pressure, body temperature and SpO2
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in Electrocardiogram (ECG)
Description
ECG parameters including heart rate, PR interval, RR interval and QTcF, etc.
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in weight (kg)
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in physical examination
Description
Including general condition, heart, chest and abdomen, skin and mucous membranes, lymph node examination, etc.
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in Simpson-Angus Scale (SAS) score
Description
The SAS is a 10-item testing instrument used to evaluate drug-related extrapyramidal syndromes. The following items are included in the SAS: gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, glabella reflex, tremor, and salivation. Total score ranges from 0 to 40 with a higher score indicating increased severity.
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in Abnormal Involuntary Movement Scale (AIMS) score
Description
AIMS is a rating scale measuring involuntary movements known as tardive dyskinesia, that sometimes develop as a side effect of long-term treatment with antipsychotic medications. The AIMS score was calculated as the sum of questions 1 through 7 of the AIMS instrument, which includes assessments of involuntary movements in the face, lips, jaw, tongue, upper and lower extremities, and neck/shoulders/hips. Each item is rated on a five-point scale of severity from 0-4 with 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). Total scores range from 0 to 28.
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Title
Change from baseline in Barnes Akathisia Rating Scale (BARS) score
Description
BAS is a rating scale that is administered by physicians to assess the severity of drug-induced akathisia, which is a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, as well as by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, and crossing and uncrossing the legs while sitting. The following subcategories are scored: objective akathisia, subjective awareness of restlessness and subjective distress related to restlessness and are rated on a 4-point scale from 0-3. In addition, the global clinical assessment of akathisia uses a 6-point scale ranging from 0-5. Total score ranges from 0 to 14 with a higher score indicating increased severity.
Time Frame
Baseline to end of follow-up (a maximum of 20 days)
Secondary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Time of the Maximum Concentration (Tmax) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Terminal rate constant (λz) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Elimination half-life (t1/2) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC0-t) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC0-∞) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Apparent clearance (CL/F) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Apparent volume of distribution (Vd/F) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Mean retention time (MRT) of single-dose HS-10380 administration
Time Frame
Up to 120 hours post-dose
Title
Maximum plasma concentration (Cmax) of first HS-10380 administration
Time Frame
Up to 12 days
Title
Time of the Maximum Concentration (Tmax) of first HS-10380 administration
Time Frame
Up to 12 days
Title
Area under the plasma concentration-time curve from time zero to 24 hours (AUC0-24) first HS-10380 administration
Time Frame
Up to 24 hours
Title
Maximum concentration at steady state (Css, max) of multiple-dose HS-10380 administration
Time Frame
Up to 12 days
Title
Time of the maximum concentration at steady state (Tss, max) of multiple-dose HS-10380 administration
Time Frame
Up to 12 days
Title
Minimum concentration at steady state (Css, min) of multiple-dose HS-10380 administration
Time Frame
Up to 12 days
Title
Area under the concentration-time curve at steady state (AUCss) of multiple-dose HS-10380 administration
Time Frame
Up to 12 days
Title
Accumulation ratio (RAC) after multiple doses
Time Frame
Up to 12 days
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
Inclusion Criteria:
Healthy subject aged from 18 to 45 years;
Subject has a Body Mass Index (BMI) between 18.5 and 26.0 kg/m2 at screening and the weight of male subjects is not less than 50 kg, and the weight of female subjects is not less than 45 kg;
Voluntary subject who signs the informed consent form after understanding the purpose, content, process and possible risks of the trial;
Subject is able to communicate well with the investigator and comply with the lifestyle constraints specified in the protocol, and cooperate to complete the trial procedures.
Exclusion Criteria:
Subject has history or presence of disease or dysfunction affecting the clinical trial, including but not limited to neuropsychiatric system, cardiovascular system, urinary system, digestive system, respiratory system, musculoskeletal system, metabolic endocrine system, skin disease, blood system disease, immune system and tumor, etc.;
Subject has any surgical condition or condition that may significantly affect the absorption, distribution, metabolism, and excretion of the drug, or any surgical condition or condition that may pose a hazard to the subjects participating in the trial, such as gastrointestinal surgery (gastrectomy, Gastrointestinal anastomosis, intestinal resection, etc.), urinary tract obstruction or dysuria, gastroenteritis, peptic ulcer, history of gastrointestinal bleeding, etc.;
Subject has a history of significant drug allergies or known allergies to the components of the test drug;
Subject has history or presence of psychiatric disorders and cerebral dysfunction, or subjects at risk of suicide according to the Columbia Suicide Severity Rating Scale (C-SSRS) or at risk of suicide according to the investigator's clinical judgment, or has a history of self-harm;
Subject has a history of drug abuse within 1 year prior to screening, or has a positive urine drug result screen at screening;
Subject has 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 one year prior to screening or a positive breath test for alcohol at screening;
Subject has smoked ≥5 cigarettes per day or consumed an average of ≥5 (200mL/cup) cups of coffee or tea per day in the 3 months before screening, or could not stop users during the study;
Subject has special requirements for food or is unwilling to accept a uniform diet or has difficulty swallowing;
Pregnant or breastfeeding women, or those who refuse to use effective contraception (eg, abstinence, IUD) throughout the study period and 6 months after the end of the study, or those who have a sperm or egg donation plan;
Subject has clinically significant abnormal comprehensive physical examination, vital signs, laboratory tests, and 12-lead electrocardiograms, which are judged by the investigator (eg: QTcF>450ms for men and >470ms for women, Friericia correction);
Subject with resting pulse rate <55 bpm or >100 bpm; systolic blood pressure <90mmHg or >140mmHg; diastolic blood pressure <60mmHg or >90mmHg at screening;
Subject has detectable hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV), or human immunodeficiency virus (HIV) antibody at screening;
Subject with alanine aminotransferase (ALT), creatinine (Cr), blood urea nitrogen (BUN) exceeding the upper limit of normal or serum prolactin greater than 2 times the upper limit of normal at the time of screening;
Subject has donated blood or lost blood ≥ 400ml within 3 months before screening, or donated blood or lost blood ≥ 200ml within one month, or has a history of using blood products;
Subject with a history of surgery within 3 months prior to screening, or who have not recovered from surgery, or who have anticipated surgery plans during the trial;
Subject has taken any medication within 2 weeks (or 5 half-lives, whichever is longer) prior to screening or takes any medication throughout study, including prescription and over-the-counter medications, Chinese herbal medicines, and any drugs that inhibit or induce liver drug metabolizing enzymes (such as inducers and/or inhibitors of CYP3A4, CYP2D6 and CYP3A5);
Subject has participated in any clinical trial or took any clinical trial drugs within 3 months before screening;
Subject has dieted or received dietary therapy, or had significant changes in dietary habits within 30 days prior to screening;
Subject has a history of vaccination within 30 days prior to screening, or has a vaccination schedule throughout the study;
Subject with poor compliance or other problems which the investigator considers unsuitable for subject to participate.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Huafang Li, MD
Phone
021-34773128
Email
lhlh_5@163.com
Facility Information:
Facility Name
Shanghai Mental Health Center
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200030
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yan Li, MD
Phone
021-34773128
Email
liyan7721@163.com
12. IPD Sharing Statement
Learn more about this trial
A Study of HS-10380 in Chinese Participants
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