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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Food-Effect of KQ-791

Primary Purpose

Healthy Volunteers, Insulin Resistance

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
KQ-791
KQ-791 (after meal)
Placebo
Sponsored by
Kaneq Bioscience Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Healthy Volunteers

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or non-childbearing potential female, which includes post-menopausal female (absence of menses for 12 months prior to drug administration, bilateral oophorectomy or hysterectomy with bilateral oophorectomy at least 6 months prior to drug administration) or surgically sterile female (hysterectomy or tubal ligation at least 6 months prior to drug administration)
  • Body Mass Index (BMI) greater than or equal to (≥) 27.0 and less than or equal to (≤) 35.0 kilogram per square meter (kg/m2)
  • Healthy as defined by:

    1. absence of clinically significant illness and surgery within last 4 weeks. Participants vomiting within 24 hours pre-dose will be evaluated for upcoming illness/disease
    2. the absence of clinically significant history of neurological, endocrine, cardiovascular, pulmonary, hematological, immunologic, psychiatric, gastrointestinal, renal, hepatic, or metabolic disease
  • Male participants who are not vasectomized for at least 6 months, and who are sexually active with non-sterile female partner (sterile female partners include post-menopausal females and surgically sterile females) must be willing to use one of the following acceptable contraceptive methods throughout the study and for 90 days after the last study drug administration:

    1. simultaneous use of a condom, and for the female partner hormonal contraceptives (used since at least 4 weeks) or intra-uterine contraceptive device (placed since at least 4 weeks)
    2. simultaneous use of a male condom, and for his female partner, a diaphragm with intravaginally applied spermicide
  • Some degree of insulin resistance, as shown by:

    1. fasting blood glucose ≥95.4 and ≤126 milligrams per deciliter (mg/dL) (equivalent to 5.3 to 7.0 millimoles per liter (mmol/L), respectively) and
    2. fasting triglycerides ≤ 4.0 mmol/L, and/or
    3. Low-Density Lipoprotein Cholesterol (LDL-C) ≤ 6.0 mmol/L
  • Capable of consent
  • Non-smoker (no use of tobacco products within the last 3 months)

Exclusion Criteria:

  • Any clinically significant abnormality or abnormal laboratory test results (other than glucose,triglycerides and LDL-C levels described in inclusion criterion)
  • Positive test for hepatitis B, hepatitis C, or Human Immunodeficiency Virus (HIV)
  • Evidence of clinically significant hepatic or renal impairment, including Alanine Aminotransferase (ALT) above 1.5x Upper Limit of Normal (ULN), Aspartate Aminotransferase (AST) above 2x ULN, total bilirubin above 2x ULN (total bilirubin accepted up to 2x ULN if direct bilirubin is within normal limits), or Estimated Glomerular Filtration Rate (eGFR) less than (<) 90 milliliters per minute (mL/minute)
  • Positive urine drug screen
  • History of significant allergic reactions (e.g. angioedema) to any drug.
  • Use of any drugs known to induce or inhibit hepatic drug metabolism within the last 30 days
  • Positive pregnancy test
  • Any reason which, in the opinion of the qualified investigator (QI) would prevent the subject from participating in the study
  • Clinically significant electrocardiogram (ECG) abnormalities at screening, or clinically significant personal or family history (in a first-degree relative) of heart diseases, including:

    1. Confirmed corrected QT (QTcF) interval greater than (>) 450 milliseconds (msec) for men and women
    2. Bundle branch blocks and other conduction abnormalities other than mild first degree atrio-ventricular block
    3. Irregular rhythms other than sinus arrhythmia or occasional, rare supraventricular ectopic beats
  • History of unexplained syncope
  • Family history of unexplained sudden death or sudden death due to long QT syndrome
  • T-wave configurations are not of sufficient quality for assessing QT interval
  • Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 150 mmHg, diastolic blood pressure lower than 50 or over 95 mmHg, or heart rate less than 50 or over 100 beats per minute (bpm))
  • History of significant alcohol abuse within one year prior to screening or regular use of alcohol within six months prior to the screening (regular use of more than three units of alcohol per day for males and more than two units of alcohol per day for females [1 unit = 150 (milliliter) mL of wine, 360 mL of beer, or 45 mL of 40% alcohol]) or positive alcohol breath test
  • History of significant drug abuse within the last year or use of soft drugs (such as marijuana) within 3 months prior, or hard drugs (such as cocaine, phencyclidine (PCP) and crack) within the last year
  • Participation in a clinical trial involving the administration of an investigational or marketed drug within the last 30 days (90 days for biologics) or concomitant participation in an investigational study
  • Use of medication other than topical products without significant systemic absorption:

    1. prescription medication within last 14 days
    2. over-the-counter products within the last 7 days, with the exception of the occasional use of acetaminophen (up to 2 grams (g) daily)
    3. natural health products (e.g. food supplements or herbal supplements) within last 14 days
    4. a depot injection or an implant of any drug within last 3 months
  • Donation of plasma within the last 7 days. Donation or loss of blood of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days
  • Hemoglobin <128 grams per liter (g/L) (males) and <115 g/L (females) and hematocrit <0.37 L/L (males) and <0.32 L/L (females)
  • Breast-feeding participant

Sites / Locations

  • Inventiv
  • inVentiv

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

KQ-791

KQ-791 (after meal)

Placebo

Arm Description

Escalating doses of KQ-791, starting at 15 milligrams

Single dose of KQ-791 in capsule form, after a meal

Single dose of placebo matching KQ-791 dose

Outcomes

Primary Outcome Measures

Number of Participants With One or More Serious Adverse Events (SAEs) Considered by the Investigator to be Related to Study Drug

Secondary Outcome Measures

Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Non-Zero Concentration (AUC0-t)
Area Under the Concentration-Time Curve From Time Zero to 24-hour Post-Dose (AUC0-24)
Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf)
Maximum Observed Drug Concentration (Cmax)
Residual Area
calculated as 100*(1- AUC0-t / AUC0-inf)
Time to Observed Cmax (Tmax)
Elimination Half-Life (T1/2 el)
Elimination Rate Constant (Kel)
Apparent Body Clearance (Cl/F)
Apparent Volume of Distribution (Vd/F)
Area Under the Concentration-time Curve From Time Zero to Infinity (AUC0-inf) in Fed Versus Fasting State
Area Under the Concentration-time Curve From Time Zero to the Last Non-Zero Concentration (AUC0-t) in Fed Versus Fasting State
Maximum Observed Drug Concentration (Cmax) in Fed Versus Fasting State
Time to Maximum Drug Concentration (Tmax) in Fed Versus Fasting State
Amount of Drug Excreted in Urine
Cumulative Urinary Excretion From Time Zero to Time t (Ae0-t)
Maximum Rate of Urinary Excretion (Rmax)
Time of Rmax Urinary Excretion (TRmax)
Renal Clearance (Clr)
Calculated by the following equation: Ae0-t/AUC0-24

Full Information

First Posted
February 18, 2015
Last Updated
November 14, 2019
Sponsor
Kaneq Bioscience Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02370043
Brief Title
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Food-Effect of KQ-791
Official Title
Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Food Effect of KQ-791 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
February 2015 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
July 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kaneq Bioscience Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety, tolerability, and the effect of food on KQ-791. Each participant may receive up to 3 single doses of KQ-791 (at up to 3 different dose levels) and 1 placebo dose over the course of the study. Up to 6 escalating dose levels may be studied, in two distinct groups or cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers, Insulin Resistance

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
KQ-791
Arm Type
Experimental
Arm Description
Escalating doses of KQ-791, starting at 15 milligrams
Arm Title
KQ-791 (after meal)
Arm Type
Experimental
Arm Description
Single dose of KQ-791 in capsule form, after a meal
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose of placebo matching KQ-791 dose
Intervention Type
Drug
Intervention Name(s)
KQ-791
Intervention Description
Capsules administered orally while fasting, in up to 3 periods
Intervention Type
Drug
Intervention Name(s)
KQ-791 (after meal)
Intervention Description
Single dose of KQ-791 in capsules, after a meal, in 1 period
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Capsules, administered orally, in 1 period
Primary Outcome Measure Information:
Title
Number of Participants With One or More Serious Adverse Events (SAEs) Considered by the Investigator to be Related to Study Drug
Time Frame
Baseline to study completion (up to 11 weeks)
Secondary Outcome Measure Information:
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Non-Zero Concentration (AUC0-t)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Area Under the Concentration-Time Curve From Time Zero to 24-hour Post-Dose (AUC0-24)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, and 24 hours post-dose
Title
Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg'
Title
Maximum Observed Drug Concentration (Cmax)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Residual Area
Description
calculated as 100*(1- AUC0-t / AUC0-inf)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Time to Observed Cmax (Tmax)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels
Title
Elimination Half-Life (T1/2 el)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Elimination Rate Constant (Kel)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Apparent Body Clearance (Cl/F)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Apparent Volume of Distribution (Vd/F)
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Area Under the Concentration-time Curve From Time Zero to Infinity (AUC0-inf) in Fed Versus Fasting State
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Area Under the Concentration-time Curve From Time Zero to the Last Non-Zero Concentration (AUC0-t) in Fed Versus Fasting State
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Maximum Observed Drug Concentration (Cmax) in Fed Versus Fasting State
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels, and on Day 28 for dose level 195 mg; on Days 14 and 28 for dose level 600 mg; and on Days 14, 28, and 56 for dose level 1800 mg
Title
Time to Maximum Drug Concentration (Tmax) in Fed Versus Fasting State
Time Frame
Pre-dose and 0.5, 1, 2, 4, 6, 8,10, 24, 48, 96, and 144 hours post-dose, and on Day 10 for all dose levels
Title
Amount of Drug Excreted in Urine
Time Frame
Four hour intervals up to 12 hours, and then 12-24 hours post dose
Title
Cumulative Urinary Excretion From Time Zero to Time t (Ae0-t)
Time Frame
Four hour intervals up to 12 hours, and then 12-24 hours post dose
Title
Maximum Rate of Urinary Excretion (Rmax)
Time Frame
Four hour intervals up to 12 hours, and then 12-24 hours post dose
Title
Time of Rmax Urinary Excretion (TRmax)
Time Frame
Four hour intervals up to 12 hours, and then 12-24 hours post dose
Title
Renal Clearance (Clr)
Description
Calculated by the following equation: Ae0-t/AUC0-24
Time Frame
Four hour intervals up to 12 hours, and then 12-24 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or non-childbearing potential female, which includes post-menopausal female (absence of menses for 12 months prior to drug administration, bilateral oophorectomy or hysterectomy with bilateral oophorectomy at least 6 months prior to drug administration) or surgically sterile female (hysterectomy or tubal ligation at least 6 months prior to drug administration) Body Mass Index (BMI) greater than or equal to (≥) 27.0 and less than or equal to (≤) 35.0 kilogram per square meter (kg/m2) Healthy as defined by: absence of clinically significant illness and surgery within last 4 weeks. Participants vomiting within 24 hours pre-dose will be evaluated for upcoming illness/disease the absence of clinically significant history of neurological, endocrine, cardiovascular, pulmonary, hematological, immunologic, psychiatric, gastrointestinal, renal, hepatic, or metabolic disease Male participants who are not vasectomized for at least 6 months, and who are sexually active with non-sterile female partner (sterile female partners include post-menopausal females and surgically sterile females) must be willing to use one of the following acceptable contraceptive methods throughout the study and for 90 days after the last study drug administration: simultaneous use of a condom, and for the female partner hormonal contraceptives (used since at least 4 weeks) or intra-uterine contraceptive device (placed since at least 4 weeks) simultaneous use of a male condom, and for his female partner, a diaphragm with intravaginally applied spermicide Some degree of insulin resistance, as shown by: fasting blood glucose ≥95.4 and ≤126 milligrams per deciliter (mg/dL) (equivalent to 5.3 to 7.0 millimoles per liter (mmol/L), respectively) and fasting triglycerides ≤ 4.0 mmol/L, and/or Low-Density Lipoprotein Cholesterol (LDL-C) ≤ 6.0 mmol/L Capable of consent Non-smoker (no use of tobacco products within the last 3 months) Exclusion Criteria: Any clinically significant abnormality or abnormal laboratory test results (other than glucose,triglycerides and LDL-C levels described in inclusion criterion) Positive test for hepatitis B, hepatitis C, or Human Immunodeficiency Virus (HIV) Evidence of clinically significant hepatic or renal impairment, including Alanine Aminotransferase (ALT) above 1.5x Upper Limit of Normal (ULN), Aspartate Aminotransferase (AST) above 2x ULN, total bilirubin above 2x ULN (total bilirubin accepted up to 2x ULN if direct bilirubin is within normal limits), or Estimated Glomerular Filtration Rate (eGFR) less than (<) 90 milliliters per minute (mL/minute) Positive urine drug screen History of significant allergic reactions (e.g. angioedema) to any drug. Use of any drugs known to induce or inhibit hepatic drug metabolism within the last 30 days Positive pregnancy test Any reason which, in the opinion of the qualified investigator (QI) would prevent the subject from participating in the study Clinically significant electrocardiogram (ECG) abnormalities at screening, or clinically significant personal or family history (in a first-degree relative) of heart diseases, including: Confirmed corrected QT (QTcF) interval greater than (>) 450 milliseconds (msec) for men and women Bundle branch blocks and other conduction abnormalities other than mild first degree atrio-ventricular block Irregular rhythms other than sinus arrhythmia or occasional, rare supraventricular ectopic beats History of unexplained syncope Family history of unexplained sudden death or sudden death due to long QT syndrome T-wave configurations are not of sufficient quality for assessing QT interval Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 150 mmHg, diastolic blood pressure lower than 50 or over 95 mmHg, or heart rate less than 50 or over 100 beats per minute (bpm)) History of significant alcohol abuse within one year prior to screening or regular use of alcohol within six months prior to the screening (regular use of more than three units of alcohol per day for males and more than two units of alcohol per day for females [1 unit = 150 (milliliter) mL of wine, 360 mL of beer, or 45 mL of 40% alcohol]) or positive alcohol breath test History of significant drug abuse within the last year or use of soft drugs (such as marijuana) within 3 months prior, or hard drugs (such as cocaine, phencyclidine (PCP) and crack) within the last year Participation in a clinical trial involving the administration of an investigational or marketed drug within the last 30 days (90 days for biologics) or concomitant participation in an investigational study Use of medication other than topical products without significant systemic absorption: prescription medication within last 14 days over-the-counter products within the last 7 days, with the exception of the occasional use of acetaminophen (up to 2 grams (g) daily) natural health products (e.g. food supplements or herbal supplements) within last 14 days a depot injection or an implant of any drug within last 3 months Donation of plasma within the last 7 days. Donation or loss of blood of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days Hemoglobin <128 grams per liter (g/L) (males) and <115 g/L (females) and hematocrit <0.37 L/L (males) and <0.32 L/L (females) Breast-feeding participant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Email: daniel.bouthillier@Kaneq.ca
Organizational Affiliation
Kaneq Bioscience
Official's Role
Study Director
Facility Information:
Facility Name
Inventiv
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3X 2Hp
Country
Canada
Facility Name
inVentiv
City
Quebec
ZIP/Postal Code
G1P 0A2
Country
Canada

12. IPD Sharing Statement

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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Food-Effect of KQ-791

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