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A Study to Evaluate the Safety and Efficacy of DDO-3055 in Healthy Volunteers and Patients With Chronic Kidney Disease

Primary Purpose

Chronic Kidney Disease

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
DDO-3055
Placebos
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Chronic Kidney Disease

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy volunteers:

Male or female volunteers aged 18 to 45 years of age inclusive ; Hemoglobin is 120 to 160 g/L; In good health, at the discretion of the investigator, as determined by: medical history, physical examination, vital sign assessment, 12-lead ECG, clinical laboratory evaluations.

- Patients with chronic kidney disease : Male or female patients with chronic kidney disease who are 18 to 45 years of age inclusive; Hemoglobin is ≤100 g/L; 30mL/min/1.73m2 ≤ eGFR ≤ 60mL/min/1.73m2(according to CKD-EPI formula);

  • Body weight is ≥ 50kg, and 19kg/m2 ≤ body mass index<26kg/m2 .
  • Normal iron reserves (serum iron >61 g/dL and serum ferritin normal >30ng/mL).
  • Signed informed consent.

Exclusion Criteria:

Healthy volunteers:

- The serum creatinine exceeded the upper limit of normal value in the screening period.

Healthy volunteers and patients with chronic kidney disease:

  • Allergic to the study drug or any of its ingredients.
  • Treating or treated with erythropoiesis stimulating agents for 1 month before screening.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or gamma-glutamyl transferase (GGT) or total bilirubin above 1.5 times normal upper limit (ULN) in the screening period.
  • Have a history of blood donation or blood transfusion within 3 months.
  • Vein blood collection is difficult or physical condition can not afford blood collection.
  • Hepatitis b surface antigen (HBsAg), hepatitis c antibody (HCVAb), syphilis antibody, or human immunodeficiency virus (HIV) antibody test is positive in the screening period.
  • Smoking 5 cigarettes per day on average within 3 months; or the average daily intake of alcohol within one week is more than 15g (15g alcohol is equivalent to 450mL beer or 150mL wine or 50mL low-alcohol liquor) or 2 days before taking the study drug and during the study period, tobacco, alcohol and caffeinated food or beverage are not prohibited, or those with special dietary requirements cannot comply with the unified diet.
  • Those who have participated in clinical trials of any drug or medical device within 3 months prior to screening, or those who have participated in the drug trial within 5 half-lives prior to screening; any health product (within 1 week prior to administration), over-the-counter drug (2 weeks prior to administration) or prescription drug (1 month prior to administration) that affects the absorption, distribution, metabolism or excretion of the tested drug.
  • With a history of drug abuse or positive screening/baseline test for substance abuse and drug urinalysis.
  • During the study period and within 30 days after administration, men who are unwilling to take contraceptive measures and promise not to donate sperm are not allowed to participate in the study. Childbearing women who did not use contraception at least 14 days before administration; men and women who did not agree to use physical contraception during the study period.
  • Women with serum HCG ≥ 5 mIU/mL or nursing in the screening period or baseline
  • Any physical or mental illness or condition that may increase the risk of the study, affect the subject's compliance with the protocol, or affect the subject's ability to complete the study, as determined by the study physician.

Sites / Locations

  • Guangdong Provincial People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1. healthy volunteers

2. Patients with chronic kidney disease

Arm Description

3x single dose of DDO-3055 and placebo

3x single dose of DDO-3055 and placebo

Outcomes

Primary Outcome Measures

Adverse Events(AEs) and Serious Adverse Events (SAEs)
Incidence of AEs and SAEs, incidence of Treatment-Emergent Adverse Events

Secondary Outcome Measures

Area under the plasma concentration versus time curve (AUC) of DDO-3055
Maximum observed serum concentration (Cmax) of DDO-3055
Time to maximum observed serum concentration (tmax) of DDO-3055
Time to elimination half-life (t1/2) of DDO-3055
Apparent total clearance of the drug from plasma after oral administration (CL/F) of DDO-3055
Apparent volume of distribution after non-intravenous administration (V/F) of DDO-3055
Renal clearance of the drug from plasma (CLR) of DDO-3055
Changes in red blood cell count relative to baseline
Changes in reticulocyte count relative to baseline
Changes in hemoglobin relative to baseline
Changes in endogenous erythropoietin relative to baseline

Full Information

First Posted
May 29, 2019
Last Updated
June 12, 2022
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03976115
Brief Title
A Study to Evaluate the Safety and Efficacy of DDO-3055 in Healthy Volunteers and Patients With Chronic Kidney Disease
Official Title
A Randomized, Double-Blind, Dose-escalating, Placebo Controlled, Phase I Study to Evaluate the Safety and Pharmacokinetics and Pharmacodynamics of DDO-3055 in Healthy Volunteers and Patients With Chronic Kidney Disease
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
July 18, 2019 (Actual)
Primary Completion Date
May 11, 2021 (Actual)
Study Completion Date
May 11, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine 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
Yes

5. Study Description

Brief Summary
This is a randomized, double-blind, dose-escalating, placebo controlled, Phase I study to evaluate the safety, pharmacokinetics and pharmacodynamics of DDO-3055 in healthy volunteers and patients with chronic kidney disease. 48 healthy volunteers will be enrolled in Part A, and 18 patients with chronic kidney disease will be enrolled in Part B.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1. healthy volunteers
Arm Type
Experimental
Arm Description
3x single dose of DDO-3055 and placebo
Arm Title
2. Patients with chronic kidney disease
Arm Type
Experimental
Arm Description
3x single dose of DDO-3055 and placebo
Intervention Type
Drug
Intervention Name(s)
DDO-3055
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Placebos
Intervention Description
Oral
Primary Outcome Measure Information:
Title
Adverse Events(AEs) and Serious Adverse Events (SAEs)
Description
Incidence of AEs and SAEs, incidence of Treatment-Emergent Adverse Events
Time Frame
from informed consent form signature to the end of the study (up to 14 days)
Secondary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve (AUC) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Maximum observed serum concentration (Cmax) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Time to maximum observed serum concentration (tmax) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Time to elimination half-life (t1/2) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Apparent total clearance of the drug from plasma after oral administration (CL/F) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Apparent volume of distribution after non-intravenous administration (V/F) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Renal clearance of the drug from plasma (CLR) of DDO-3055
Time Frame
Pre-dose to 72 hours after dose administration
Title
Changes in red blood cell count relative to baseline
Time Frame
up to 14 days
Title
Changes in reticulocyte count relative to baseline
Time Frame
up to 14 days
Title
Changes in hemoglobin relative to baseline
Time Frame
up to 14 days
Title
Changes in endogenous erythropoietin relative to baseline
Time Frame
up to 14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy volunteers: Male or female volunteers aged 18 to 45 years of age inclusive ; Hemoglobin is 120 to 160 g/L; In good health, at the discretion of the investigator, as determined by: medical history, physical examination, vital sign assessment, 12-lead ECG, clinical laboratory evaluations. - Patients with chronic kidney disease : Male or female patients with chronic kidney disease who are 18 to 45 years of age inclusive; Hemoglobin is ≤100 g/L; 30mL/min/1.73m2 ≤ eGFR ≤ 60mL/min/1.73m2(according to CKD-EPI formula); Body weight is ≥ 50kg, and 19kg/m2 ≤ body mass index<26kg/m2 . Normal iron reserves (serum iron >61 g/dL and serum ferritin normal >30ng/mL). Signed informed consent. Exclusion Criteria: Healthy volunteers: - The serum creatinine exceeded the upper limit of normal value in the screening period. Healthy volunteers and patients with chronic kidney disease: Allergic to the study drug or any of its ingredients. Treating or treated with erythropoiesis stimulating agents for 1 month before screening. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) or gamma-glutamyl transferase (GGT) or total bilirubin above 1.5 times normal upper limit (ULN) in the screening period. Have a history of blood donation or blood transfusion within 3 months. Vein blood collection is difficult or physical condition can not afford blood collection. Hepatitis b surface antigen (HBsAg), hepatitis c antibody (HCVAb), syphilis antibody, or human immunodeficiency virus (HIV) antibody test is positive in the screening period. Smoking 5 cigarettes per day on average within 3 months; or the average daily intake of alcohol within one week is more than 15g (15g alcohol is equivalent to 450mL beer or 150mL wine or 50mL low-alcohol liquor) or 2 days before taking the study drug and during the study period, tobacco, alcohol and caffeinated food or beverage are not prohibited, or those with special dietary requirements cannot comply with the unified diet. Those who have participated in clinical trials of any drug or medical device within 3 months prior to screening, or those who have participated in the drug trial within 5 half-lives prior to screening; any health product (within 1 week prior to administration), over-the-counter drug (2 weeks prior to administration) or prescription drug (1 month prior to administration) that affects the absorption, distribution, metabolism or excretion of the tested drug. With a history of drug abuse or positive screening/baseline test for substance abuse and drug urinalysis. During the study period and within 30 days after administration, men who are unwilling to take contraceptive measures and promise not to donate sperm are not allowed to participate in the study. Childbearing women who did not use contraception at least 14 days before administration; men and women who did not agree to use physical contraception during the study period. Women with serum HCG ≥ 5 mIU/mL or nursing in the screening period or baseline Any physical or mental illness or condition that may increase the risk of the study, affect the subject's compliance with the protocol, or affect the subject's ability to complete the study, as determined by the study physician.
Facility Information:
Facility Name
Guangdong Provincial People's Hospital
City
Guangzhou
State/Province
Guangdong
Country
China

12. IPD Sharing Statement

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A Study to Evaluate the Safety and Efficacy of DDO-3055 in Healthy Volunteers and Patients With Chronic Kidney Disease

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