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A Study to Evaluate the Safety and Tolerability of Single and Multiple Ascending Doses of HPN-01 in Healthy Subjects

Primary Purpose

Non-Alcoholic Steatohepatitis (NASH)

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
HPN-01
Placebo
Sponsored by
Hepanova Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Alcoholic Steatohepatitis (NASH)

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Are capable of giving informed consent and complying with study procedures;
  2. Are between the ages of 18 and 55 years, inclusive;
  3. Female subjects have a negative pregnancy test result at screening and admission to the study site, and meet one of the following criteria:

    1. Using a medically acceptable form of birth control for at least 1 month prior to screening (3 months on oral contraceptives) [e.g., hormonal contraceptives (oral, patch, injectable or vaginal ring), implantable device (implantable rod or intrauterine device), or a double barrier (e.g., diaphragm, cervical cap, oral, patch or vaginal hormonal contraceptive, condom, spermicide, or sponge)]
    2. Surgically sterile for at least 3 months prior to screening by one of the following means:

      • Bilateral tubal ligation
      • Bilateral salpingectomy (with or without oophorectomy)
      • Surgical hysterectomy
      • Bilateral oophorectomy (with or without hysterectomy)
    3. Postmenopausal, defined as the following:

      • Last menstrual period greater than 12 months prior to screening
      • Postmenopausal status confirmed by serum FSH and estradiol levels at screening;
  4. Considered healthy by the Investigator, based on subject's reported medical history, full physical examination, clinical laboratory tests, 12-lead ECG, and vital signs;
  5. Normal renal function (eGFR > 90 ml/min/1.75 m2) as determined by Investigator following review of clinical laboratory test results;
  6. Non-smoker and has not been exposed to any products containing nicotine in the last 6 months;
  7. Body mass index (BMI) of 18.0 to 32.0 kg/m2 inclusive and body weight not less than 50 kg;
  8. Willing and able to adhere to study restrictions and to be confined at the clinical research center;
  9. Male subjects must agree to utilize a highly effective method of contraception (condom plus spermicide) during heterosexual intercourse from clinic admission until 12 weeks following the end of study visit;
  10. Male subjects with female partners of child-bearing potential must agree to use condoms for the duration of the study and until 12 weeks after dosing with the study drug and must refrain from donating sperm for this same period.

Exclusion Criteria:

  1. Clinically significant history of gastrointestinal, cardiovascular, musculoskeletal, endocrine, hematologic, psychiatric, renal, hepatic, bronchopulmonary, neurologic, immunologic, lipid metabolism disorders, or drug hypersensitivity as determined by the Investigator;
  2. Known or suspected malignancy;
  3. Reported history of pancreatitis or gall stones;
  4. Reported history of unexplained syncope, symptomatic hypotension or hypoglycemia;
  5. Family history of long QTc syndrome;
  6. History of chronic diarrhea, malabsorption, unexplained weight loss, food allergies or intolerance;
  7. Poor venous access;
  8. Positive blood screen for human immunodeficiency virus (HIV), hepatitis B core (IgG and IgM) and surface antigen (HBsAg), Hepatitis A antibody (IgM), hepatitis C antibody (IgG), or hepatitis E (IgG and IgM) at Screening;
  9. Donated or lost >500 mL of blood in the previous 3 months prior to screening;
  10. Taken an investigational drug or participated in a clinical trial within 3 months (or 5 half-lives) prior to first dose of study drug, whichever is longer;
  11. Taken any prescription medications (with the exception of hormonal contraceptive) within 14 days or 5 half-lives (whichever is longer) of the first dose of study drug;
  12. Hospital admission or major surgery within 6 months prior to screening;
  13. A history of prescription drug abuse, or illicit drug use within 9 months prior to screening;
  14. A history of alcohol abuse according to medical history (≥ 2 drinks per day for male and ≥ 1 drink per day for female) within 9 months prior to screening;
  15. A positive screen for alcohol, drugs of abuse at screening or admission;
  16. An unwillingness or inability to comply with food and beverage restrictions during study participation;
  17. Use of over-the-counter (OTC) medication within 7 days, and/or herbal medications (including St John's Wort, herbal teas, garlic extracts) within 7 days prior to first dose of study drug (Note: Use of acetaminophen at < 2 g/day is permitted until 24 hours prior to dosing);
  18. Any condition or finding that in the Investigators opinion would put the subject or study conduct at risk if the subject were to participate in the study.

Sites / Locations

  • Frontage Clinical Services, IncRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HPN-01

Placebo

Arm Description

Part 1: Including 6 dose cohorts (25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg). Each dose cohort will receive a single dose of HPN-01. One cohort of Part 1 will receive HPN-01 after a standard high fat/high calorie breakfast (the fed condition) to investigate the effect of food on the pharmacokinetics of HPN-01. Part 2: Including 3 dose cohorts (50 mg, 100 mg and 200 mg). Each dose cohort will receive HPN-01 once daily for a consecutive 14 days.

Part 1: Including 6 dose cohorts (25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg). Each dose cohort will receive a single dose of HPN-01 placebo. Part 2: Including 3 dose cohorts (50 mg, 100 mg and 200 mg). Each dose cohort will receive HPN-01 placebo once daily for a consecutive 14 days.

Outcomes

Primary Outcome Measures

Single-dose PK Parameter
Cmax of HPN-01
Single-dose PK Parameter
AUClast of HPN-01
Single-dose PK Parameter
AUCinf of HPN-01
Multiple-dose PK Parameters
Cmax of HPN-01
Multiple-dose PK Parameters
Ctau of HPN-01
Multiple-dose PK Parameters
AUCtau of HPN-01
Incidence of Adverse Events
Proportion of Participants with 12-lead ECG Abnormalities
Proportion of Participants with Clinical Laboratory Abnormalities

Secondary Outcome Measures

Measurement of PD Biomarker Level of Fibroblast Growth Factor 19 (FGF19) Following Oral Single and Multiple Ascending Dose Administration
Measurement of PD Biomarker Level of C4 Following Oral Single and Multiple Ascending Dose Administration

Full Information

First Posted
July 16, 2020
Last Updated
February 8, 2021
Sponsor
Hepanova Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04481594
Brief Title
A Study to Evaluate the Safety and Tolerability of Single and Multiple Ascending Doses of HPN-01 in Healthy Subjects
Official Title
A Randomized, Double-Blind, Placebo Controlled, Sequential Parallel Group, Single and Multiple Ascending Doses (SAD/MAD) Study Following Oral Administration in Healthy Subjects to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of HPN-01
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
September 8, 2020 (Actual)
Primary Completion Date
July 2021 (Anticipated)
Study Completion Date
July 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hepanova Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study is a randomized, double-blind, placebo-controlled first-in-human study in which the safety, tolerability, pharmacokinetics and pharmacodynamics of orally administered HPN-01 will be evaluated in healthy subjects
Detailed Description
This study aims to obtain safety, tolerability, pharmacokinetic and pharmacodynamic data when HPN-01 is orally administered as single doses and as multiple doses to healthy subjects. The study will be conducted in 2 parts: a single ascending dose (SAD) phase (Part 1) and a multiple ascending dose (MAD) phase (Part 2). One cohort of Part 1 will receive HPN-01 after a standard high fat/high calorie breakfast (the fed condition) to investigate the effect of food on the pharmacokinetics of HPN-01.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Alcoholic Steatohepatitis (NASH)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
Parallel Assignment
Masking
ParticipantInvestigator
Masking Description
double-blind (participant, investigator)
Allocation
Randomized
Enrollment
72 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HPN-01
Arm Type
Experimental
Arm Description
Part 1: Including 6 dose cohorts (25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg). Each dose cohort will receive a single dose of HPN-01. One cohort of Part 1 will receive HPN-01 after a standard high fat/high calorie breakfast (the fed condition) to investigate the effect of food on the pharmacokinetics of HPN-01. Part 2: Including 3 dose cohorts (50 mg, 100 mg and 200 mg). Each dose cohort will receive HPN-01 once daily for a consecutive 14 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Part 1: Including 6 dose cohorts (25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg). Each dose cohort will receive a single dose of HPN-01 placebo. Part 2: Including 3 dose cohorts (50 mg, 100 mg and 200 mg). Each dose cohort will receive HPN-01 placebo once daily for a consecutive 14 days.
Intervention Type
Drug
Intervention Name(s)
HPN-01
Intervention Description
25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg HPN-01 capsules
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
25 mg, 50 mg, 100 mg, 150 mg, 200 mg and 300 mg HPN-01 placebo capsules
Primary Outcome Measure Information:
Title
Single-dose PK Parameter
Description
Cmax of HPN-01
Time Frame
Up to 72 hours postdose
Title
Single-dose PK Parameter
Description
AUClast of HPN-01
Time Frame
Up to 72 hours postdose
Title
Single-dose PK Parameter
Description
AUCinf of HPN-01
Time Frame
Up to 72 hours postdose
Title
Multiple-dose PK Parameters
Description
Cmax of HPN-01
Time Frame
Up to 24 hours postdose
Title
Multiple-dose PK Parameters
Description
Ctau of HPN-01
Time Frame
Up to 24 hours postdose
Title
Multiple-dose PK Parameters
Description
AUCtau of HPN-01
Time Frame
Up to 24 hours postdose
Title
Incidence of Adverse Events
Time Frame
Up to 15 days plus 6 days
Title
Proportion of Participants with 12-lead ECG Abnormalities
Time Frame
Up to 15 days plus 6 days
Title
Proportion of Participants with Clinical Laboratory Abnormalities
Time Frame
Up to 15 days plus 6 days
Secondary Outcome Measure Information:
Title
Measurement of PD Biomarker Level of Fibroblast Growth Factor 19 (FGF19) Following Oral Single and Multiple Ascending Dose Administration
Time Frame
Up to 24 hours postdose
Title
Measurement of PD Biomarker Level of C4 Following Oral Single and Multiple Ascending Dose Administration
Time Frame
Up to 24 hours postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Are capable of giving informed consent and complying with study procedures; Are between the ages of 18 and 55 years, inclusive; Female subjects have a negative pregnancy test result at screening and admission to the study site, and meet one of the following criteria: Using a medically acceptable form of birth control for at least 1 month prior to screening (3 months on oral contraceptives) [e.g., hormonal contraceptives (oral, patch, injectable or vaginal ring), implantable device (implantable rod or intrauterine device), or a double barrier (e.g., diaphragm, cervical cap, oral, patch or vaginal hormonal contraceptive, condom, spermicide, or sponge)] Surgically sterile for at least 3 months prior to screening by one of the following means: Bilateral tubal ligation Bilateral salpingectomy (with or without oophorectomy) Surgical hysterectomy Bilateral oophorectomy (with or without hysterectomy) Postmenopausal, defined as the following: Last menstrual period greater than 12 months prior to screening Postmenopausal status confirmed by serum FSH and estradiol levels at screening; Considered healthy by the Investigator, based on subject's reported medical history, full physical examination, clinical laboratory tests, 12-lead ECG, and vital signs; Normal renal function (eGFR > 90 ml/min/1.75 m2) as determined by Investigator following review of clinical laboratory test results; Non-smoker and has not been exposed to any products containing nicotine in the last 6 months; Body mass index (BMI) of 18.0 to 32.0 kg/m2 inclusive and body weight not less than 50 kg; Willing and able to adhere to study restrictions and to be confined at the clinical research center; Male subjects must agree to utilize a highly effective method of contraception (condom plus spermicide) during heterosexual intercourse from clinic admission until 12 weeks following the end of study visit; Male subjects with female partners of child-bearing potential must agree to use condoms for the duration of the study and until 12 weeks after dosing with the study drug and must refrain from donating sperm for this same period. Exclusion Criteria: Clinically significant history of gastrointestinal, cardiovascular, musculoskeletal, endocrine, hematologic, psychiatric, renal, hepatic, bronchopulmonary, neurologic, immunologic, lipid metabolism disorders, or drug hypersensitivity as determined by the Investigator; Known or suspected malignancy; Reported history of pancreatitis or gall stones; Reported history of unexplained syncope, symptomatic hypotension or hypoglycemia; Family history of long QTc syndrome; History of chronic diarrhea, malabsorption, unexplained weight loss, food allergies or intolerance; Poor venous access; Positive blood screen for human immunodeficiency virus (HIV), hepatitis B core (IgG and IgM) and surface antigen (HBsAg), Hepatitis A antibody (IgM), hepatitis C antibody (IgG), or hepatitis E (IgG and IgM) at Screening; Donated or lost >500 mL of blood in the previous 3 months prior to screening; Taken an investigational drug or participated in a clinical trial within 3 months (or 5 half-lives) prior to first dose of study drug, whichever is longer; Taken any prescription medications (with the exception of hormonal contraceptive) within 14 days or 5 half-lives (whichever is longer) of the first dose of study drug; Hospital admission or major surgery within 6 months prior to screening; A history of prescription drug abuse, or illicit drug use within 9 months prior to screening; A history of alcohol abuse according to medical history (≥ 2 drinks per day for male and ≥ 1 drink per day for female) within 9 months prior to screening; A positive screen for alcohol, drugs of abuse at screening or admission; An unwillingness or inability to comply with food and beverage restrictions during study participation; Use of over-the-counter (OTC) medication within 7 days, and/or herbal medications (including St John's Wort, herbal teas, garlic extracts) within 7 days prior to first dose of study drug (Note: Use of acetaminophen at < 2 g/day is permitted until 24 hours prior to dosing); Any condition or finding that in the Investigators opinion would put the subject or study conduct at risk if the subject were to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Michelle Pluviose, MS
Phone
201-416-7763
Email
mpluviose@frontagelab.com
First Name & Middle Initial & Last Name or Official Title & Degree
Annie Li, MD
Phone
201-416-7770
Email
ali@frontagelab.com
Facility Information:
Facility Name
Frontage Clinical Services, Inc
City
Secaucus
State/Province
New Jersey
ZIP/Postal Code
07094
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michelle Pluviose, MS
Phone
201-416-7763
Email
mpluviose@frontagelab.com
First Name & Middle Initial & Last Name & Degree
Annie Li, MD
Phone
2014167770
Email
ali@frontagelab.com

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate the Safety and Tolerability of Single and Multiple Ascending Doses of HPN-01 in Healthy Subjects

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