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A Study to Assess the Absorption, Metabolism and Excretion of Migalastat Hydrochloride (AT1001-014)

Primary Purpose

Fabry Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
[14C] AT1001
Sponsored by
Amicus Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Fabry Disease focused on measuring excretion, healthy volunteer, migalastat hydrochloride, AT1001, pharmacokinetics, Fabry disease

Eligibility Criteria

30 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male subjects between the ages of 30 and 55 years, inclusive
  • Body mass index (BMI) of >=18.0 to <=30.0 and weighing at least 60 kg
  • Anticipated, regular, average bowel movements of 1-2 per day
  • No clinically significant abnormal findings on the physical exam, vital signs, serum chemistry, hematology, and urinalysis values, as deemed by the principal investigator
  • Willing to avoid taking of all over-the-counter medications 7 days and all prescription drugs 14 days prior to Day -1
  • Willing to abstain from sexual intercourse or employ a barrier method of contraception during the inpatient clinic confinement and until the follow-up visit
  • Willing to avoid ingestion of broccoli, brussels sprouts, grapefruit, grapefruit juice, or charbroiled meat during the period of confinement in the clinical unit
  • Willingness to consume a fiber-rich diet during the period of confinement in the clinic
  • Willingness to avoid vigorous physical activity during inpatient clinic confinement and through the follow-up visit
  • Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, other study procedures, and study restrictions
  • Provide written informed consent to participate in the study

Exclusion Criteria:

  • Any previous or ongoing clinically significant illness, medical condition, medical history, physical findings, ECG finding, or laboratory abnormality that, in the investigator's opinion, could affect the safety of the subject, or alter the absorption, distribution, metabolism, or excretion of the study drug, or could impair the assessment of study results
  • History or presence of significant ophthalmic, cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic or psychiatric disease
  • History of a major surgical procedure within 30 days before screening
  • History of blood or plasma donation or blood loss (>400 mL) within 60 days before screening
  • History of drug or alcohol abuse or addiction within 2 years before screening
  • Intake of more than 2 alcoholic drinks per day within the past 7 days or use of alcohol-, grapefruit-, or caffeine-containing foods or beverages within 72 hours prior to Day -1
  • Self-reported smoker (occasional or frequent) or positive urine cotinine test (measured at screening and baseline) exceeding the local laboratory's lower limit of detection.
  • Presence or history of severe adverse reaction to any drug; history of hypersensitivity or allergic reaction to AT1001 or related iminosugars
  • Receipt of any investigational agent or participation in any other interventional clinical trial within the past 30 days
  • Participation in any clinical study involving administration of [14C] labeled compound(s) within the last 12 months. A subject's previous effective dose will be reviewed by the medical investigator to ensure there is no risk of contamination/carryover into the current study
  • At Day -1, a drug toxicology screen positive for any illicit substances, or alcohol
  • Anticipated need for alcohol, tobacco, or any drug during the period of confinement in the clinical unit

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    [14C] AT1001 Arm

    Arm Description

    Each subject will receive a single oral dose of 150 mg of [14C] AT1001 as an aqueous solution containing 1 μCi AT1001 on Study Day 1.

    Outcomes

    Primary Outcome Measures

    Recovery of total radioactivity in urine
    Urine will be collected: pre-dose (-12-0 hours), 0-12 and 12-24 hours on Day 1, 24-hourly on Days 2-10; the last sample will be collected on Day 11. Total radioactivity excreted in urine will be calculated for the entire collection period. The excretion rate will be calculated from total radioactivity collected in urine, divided by the duration of collection. The percentage of dose excreted in urine will be calculated from the total amount excreted in urine divided by the dose administered, multiplied by 100.
    Recovery of total radioactivity in feces
    Feces will be collected: predose (-24 to 0 hours); all bowel movements post-dose will be collected on Days 1 to 10; the last sample will be collected on Day 11. Total radioactivity excreted in feces will be calculated for the entire collection period. The excretion rate will be calculated from total radioactivity collected in feces, divided by the duration of collection. The percentage of dose excreted in feces will be calculated from the total amount excreted in feces divided by the dose administered, multiplied by 100.
    Presence of radioactivity in expired air
    Expired air will be collected: pre-dose and at 2, 4, 6 and 24 hours after dosing. Each subject will blow into a measured volume of sodium hydroxide solution containing phenolphthalein, until an indicator changes color, showing that the sodium hydroxide is saturated. This sodium hydroxide solution will be analysed for radioactive content. If radioactivity is detected the total amount in expired air during the collection period will be calculated.
    Plasma AT1001 pharmacokinetic parameters
    Blood samples will be collected: Pre-dose, at 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216 and 240 hours after dosing. Non-compartmental pharmacokinetic parameters will be calculated for plasma AT1001: area under the drug concentration-time curve (AUC) from time zero to the time of the last measurable concentration, AUC from time zero to infinity, maximum observed drug concentration, time of the maximum drug concentration, apparent terminal elimination rate constant and apparent elimination half life.
    Plasma total radioactivity pharmacokinetic parameters
    Blood samples will be collected: Pre-dose, at 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216 and 240 hours after dosing. Non-compartmental pharmacokinetic parameters will be calculated for plasma radioactivity: area under the drug concentration-time curve (AUC) from time zero to the time of the last measurable concentration, AUC from time zero to infinity, maximum observed drug concentration, time of the maximum drug concentration, apparent terminal elimination rate constant and apparent elimination half life.

    Secondary Outcome Measures

    Number of subjects with adverse events as a measure of safety and tolerability
    Adverse events (AEs) will be collected from the start of Investigation Product and until the follow-up visit.
    Measure of clinical laboratory test values to access safety and tolerability
    Clinical laboratory tests will include hematology, coagulation tests, clinical chemistry, urinalysis, drug and toxicology screen, Hepatitis A and HIV screen.
    Physical examination to access safety and tolerability
    Physical examination results will be categorized as normal, abnormal clinically significant, or abnormal not clinically significant
    Measure of vital signs to access safety and tolerability
    Vital sign measurements will include pulse, respiratory rate, blood pressure, and oral temperature). Subjects should be in a supine position for at least 5 minutes prior to taking measurements.
    Measure of ECG to access safety and tolerability
    Electrocardiograph (ECG) is a machine that measures the electrical activity of the heart and records changes in the hearts' rhythm. All subjects will undergo ECG testing.
    The blood to plasma ratio of total radioactivity
    The ratio of plasma to blood radioactivity will be calculated at 2, 4, 6 and 24 hours after administration of AT1001.
    Characterization of metabolites in plasma, urine, duodenal bile and fecal homogenates
    An Entero-Test capsule will be ingested to collect duodenal bile and will be removed after sample collection. Metabolite elucidation and identification will be performed in the collected plasma, urine doudenal bile, and fecal samples, if feasible, under a separate study. Results will be summarized in a separate report.

    Full Information

    First Posted
    November 8, 2012
    Last Updated
    December 17, 2013
    Sponsor
    Amicus Therapeutics
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01730482
    Brief Title
    A Study to Assess the Absorption, Metabolism and Excretion of Migalastat Hydrochloride (AT1001-014)
    Official Title
    A Phase 1 Study to Investigate the Absorption, Metabolism and Excretion of [14C] AT1001 (Migalastat Hydrochloride) Following a Single Oral Administration in Healthy Volunteers (AT1001-014)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    August 2011 (undefined)
    Primary Completion Date
    September 2011 (Actual)
    Study Completion Date
    September 2011 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amicus Therapeutics

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study is designed to describe the metabolism of AT1001 (migalastat HCl) and the contribution of metabolism and urinary excretion to its overall elimination as part of the continuing assessment of the safety and effectiveness of the drug. This is a Phase 1, single-site, open-label, single dose study of the absorption, metabolism and excretion of radiolabeled AT1001 in healthy male subjects between 30 and 55 years of age, inclusive. Six subjects will be dosed, with the goal of having at least 4 subjects complete the study through follow-up. All subjects will be screened within 28 days before admission to the Clinical Unit. Subjects will be confined to the clinical unit for 10 days after dosing and will return to the clinic for a follow-up visit 28 days after dosing. Each subject will receive a single oral dose of AT1001 as an aqueous solution containing 150 mg [14C] AT1001 (1 μCi). Blood, duodenal bile, expired air, urine, and feces samples will be collected at specified time points after dosing throughout the period of confinement at the study site. Safety will be assessed throughout the study by monitoring clinical laboratory tests, ECGs, physical examinations, vital signs, and adverse events. The total duration of the study for each subject is approximately 8 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Fabry Disease
    Keywords
    excretion, healthy volunteer, migalastat hydrochloride, AT1001, pharmacokinetics, Fabry disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    6 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    [14C] AT1001 Arm
    Arm Type
    Experimental
    Arm Description
    Each subject will receive a single oral dose of 150 mg of [14C] AT1001 as an aqueous solution containing 1 μCi AT1001 on Study Day 1.
    Intervention Type
    Drug
    Intervention Name(s)
    [14C] AT1001
    Intervention Description
    150 mg of [14C] labelled AT1001 will be administered as a solution (prepared by weighing 150 mg of AT1001 powder and dissolving in 100 mL of water). The entire solution will be swallowed orally. After ingestion of study medication, the dosing bottle will be rinsed with 50 mL of water and this will be ingested by the subject. This rinse procedure should be performed twice. Following the second rinse ingestion, the subjects should be instructed to drink additional water to bring the total volume ingested to 240 mL.
    Primary Outcome Measure Information:
    Title
    Recovery of total radioactivity in urine
    Description
    Urine will be collected: pre-dose (-12-0 hours), 0-12 and 12-24 hours on Day 1, 24-hourly on Days 2-10; the last sample will be collected on Day 11. Total radioactivity excreted in urine will be calculated for the entire collection period. The excretion rate will be calculated from total radioactivity collected in urine, divided by the duration of collection. The percentage of dose excreted in urine will be calculated from the total amount excreted in urine divided by the dose administered, multiplied by 100.
    Time Frame
    Days 1 to 11
    Title
    Recovery of total radioactivity in feces
    Description
    Feces will be collected: predose (-24 to 0 hours); all bowel movements post-dose will be collected on Days 1 to 10; the last sample will be collected on Day 11. Total radioactivity excreted in feces will be calculated for the entire collection period. The excretion rate will be calculated from total radioactivity collected in feces, divided by the duration of collection. The percentage of dose excreted in feces will be calculated from the total amount excreted in feces divided by the dose administered, multiplied by 100.
    Time Frame
    Days 1 to 11
    Title
    Presence of radioactivity in expired air
    Description
    Expired air will be collected: pre-dose and at 2, 4, 6 and 24 hours after dosing. Each subject will blow into a measured volume of sodium hydroxide solution containing phenolphthalein, until an indicator changes color, showing that the sodium hydroxide is saturated. This sodium hydroxide solution will be analysed for radioactive content. If radioactivity is detected the total amount in expired air during the collection period will be calculated.
    Time Frame
    Day 1
    Title
    Plasma AT1001 pharmacokinetic parameters
    Description
    Blood samples will be collected: Pre-dose, at 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216 and 240 hours after dosing. Non-compartmental pharmacokinetic parameters will be calculated for plasma AT1001: area under the drug concentration-time curve (AUC) from time zero to the time of the last measurable concentration, AUC from time zero to infinity, maximum observed drug concentration, time of the maximum drug concentration, apparent terminal elimination rate constant and apparent elimination half life.
    Time Frame
    Days 1 to 10
    Title
    Plasma total radioactivity pharmacokinetic parameters
    Description
    Blood samples will be collected: Pre-dose, at 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216 and 240 hours after dosing. Non-compartmental pharmacokinetic parameters will be calculated for plasma radioactivity: area under the drug concentration-time curve (AUC) from time zero to the time of the last measurable concentration, AUC from time zero to infinity, maximum observed drug concentration, time of the maximum drug concentration, apparent terminal elimination rate constant and apparent elimination half life.
    Time Frame
    Days 1 to 10
    Secondary Outcome Measure Information:
    Title
    Number of subjects with adverse events as a measure of safety and tolerability
    Description
    Adverse events (AEs) will be collected from the start of Investigation Product and until the follow-up visit.
    Time Frame
    Day 1 to Day 29
    Title
    Measure of clinical laboratory test values to access safety and tolerability
    Description
    Clinical laboratory tests will include hematology, coagulation tests, clinical chemistry, urinalysis, drug and toxicology screen, Hepatitis A and HIV screen.
    Time Frame
    Upto 8 weeks
    Title
    Physical examination to access safety and tolerability
    Description
    Physical examination results will be categorized as normal, abnormal clinically significant, or abnormal not clinically significant
    Time Frame
    Upto 8 weeks
    Title
    Measure of vital signs to access safety and tolerability
    Description
    Vital sign measurements will include pulse, respiratory rate, blood pressure, and oral temperature). Subjects should be in a supine position for at least 5 minutes prior to taking measurements.
    Time Frame
    Upto 8 weeks
    Title
    Measure of ECG to access safety and tolerability
    Description
    Electrocardiograph (ECG) is a machine that measures the electrical activity of the heart and records changes in the hearts' rhythm. All subjects will undergo ECG testing.
    Time Frame
    Upto 8 weeks
    Title
    The blood to plasma ratio of total radioactivity
    Description
    The ratio of plasma to blood radioactivity will be calculated at 2, 4, 6 and 24 hours after administration of AT1001.
    Time Frame
    Day 1
    Title
    Characterization of metabolites in plasma, urine, duodenal bile and fecal homogenates
    Description
    An Entero-Test capsule will be ingested to collect duodenal bile and will be removed after sample collection. Metabolite elucidation and identification will be performed in the collected plasma, urine doudenal bile, and fecal samples, if feasible, under a separate study. Results will be summarized in a separate report.
    Time Frame
    Day -1 to Day 11

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    30 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male subjects between the ages of 30 and 55 years, inclusive Body mass index (BMI) of >=18.0 to <=30.0 and weighing at least 60 kg Anticipated, regular, average bowel movements of 1-2 per day No clinically significant abnormal findings on the physical exam, vital signs, serum chemistry, hematology, and urinalysis values, as deemed by the principal investigator Willing to avoid taking of all over-the-counter medications 7 days and all prescription drugs 14 days prior to Day -1 Willing to abstain from sexual intercourse or employ a barrier method of contraception during the inpatient clinic confinement and until the follow-up visit Willing to avoid ingestion of broccoli, brussels sprouts, grapefruit, grapefruit juice, or charbroiled meat during the period of confinement in the clinical unit Willingness to consume a fiber-rich diet during the period of confinement in the clinic Willingness to avoid vigorous physical activity during inpatient clinic confinement and through the follow-up visit Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, other study procedures, and study restrictions Provide written informed consent to participate in the study Exclusion Criteria: Any previous or ongoing clinically significant illness, medical condition, medical history, physical findings, ECG finding, or laboratory abnormality that, in the investigator's opinion, could affect the safety of the subject, or alter the absorption, distribution, metabolism, or excretion of the study drug, or could impair the assessment of study results History or presence of significant ophthalmic, cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic or psychiatric disease History of a major surgical procedure within 30 days before screening History of blood or plasma donation or blood loss (>400 mL) within 60 days before screening History of drug or alcohol abuse or addiction within 2 years before screening Intake of more than 2 alcoholic drinks per day within the past 7 days or use of alcohol-, grapefruit-, or caffeine-containing foods or beverages within 72 hours prior to Day -1 Self-reported smoker (occasional or frequent) or positive urine cotinine test (measured at screening and baseline) exceeding the local laboratory's lower limit of detection. Presence or history of severe adverse reaction to any drug; history of hypersensitivity or allergic reaction to AT1001 or related iminosugars Receipt of any investigational agent or participation in any other interventional clinical trial within the past 30 days Participation in any clinical study involving administration of [14C] labeled compound(s) within the last 12 months. A subject's previous effective dose will be reviewed by the medical investigator to ensure there is no risk of contamination/carryover into the current study At Day -1, a drug toxicology screen positive for any illicit substances, or alcohol Anticipated need for alcohol, tobacco, or any drug during the period of confinement in the clinical unit
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor, Clinical Research
    Organizational Affiliation
    Amicus Therapeutics
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Assess the Absorption, Metabolism and Excretion of Migalastat Hydrochloride (AT1001-014)

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