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A Through QT/QTc Study of KW-6356

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
KW-6356
KW-6356
Placebo
Moxifloxacin
Sponsored by
Kyowa Kirin Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease

Eligibility Criteria

20 Years - 54 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects having issued written consent to this study at their own discretion
  • Men or women aged 20 to 54 years at the time of informed consent
  • Subjects with BMI ≥18.5 and <25.0 at screening
  • In case of women of childbearing potential,* subjects who have agreed to use highly effective and appropriate contraceptive methods from the time of informed consent to 4 weeks after the last dose of the investigational product or the index drug. Women of childbearing potential must have a negative serum pregnancy test at screening
  • At screening and Day -2, subjects with resting pulse rate of ≥45 and <100 bpm, systolic blood pressure of ≥90 and <140 mmHg, and diastolic blood pressure of ≥40 and <90 mmHg when measured in the supine position
  • Subjects whose standard 12-lead ECG data obtained at screening and Day -2 meet the following criteria and show no clinically significant abnormalities as confirmed by the investigator or subinvestigator Normal sinus rhythm: HR of ≥45 and ≤100 bpm QTc interval (QTcF): ≤450 msec QRS interval: ≤120 msec (must be re-measured manually if exceeding 120 msec) PR interval: ≤220 msec
  • Subjects whose potassium, sodium, calcium, and magnesium levels at screening are within institutional normal limits

Exclusion Criteria:

  • Subjects with any current disease requiring treatment
  • Subjects having drug allergy or its history
  • Subjects having psychiatric disease or its history
  • Positive results for any of the following infection-related items examined at screening: hepatitis B surface (HBs) antigen, HBs antibody, hepatitis B core (HBc) antibody, hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antigen/antibody, human T-lymphotropic virus (HTLV)-1 antibody, rapid plasma reagin (RPR) test, or Treponema pallidum (TP) antibody
  • Subjects being alcohol- or drug-dependent or having a positive result for any of the drug abuse test items
  • Subjects previously or concurrently having any of the following diseases or subjects with a family history of any of the following diseases:

Hypokalemia, hypocalcemia, and/or long QT syndrome Risk factors for torsade de pointes such as cardiac failure, cardiomyopathy, and a family history of long QT syndrome Sick sinus syndrome, second- or third-degree atrioventricular block, myocardial infarction, pulmonary congestion, cardiac arrhythmia, QT interval prolongation, or atrioventricular conduction disturbance Repeated or frequent syncope or vasovagal attack Hypertension, angina pectoris, bradycardia, or severe peripheral arterial circulatory disorder

  • Subjects categorized as patients listed in the warnings or contraindications section of the package insert of moxifloxacin hydrochloride
  • Subjects unable to be compliant with Specified "Concomitant Medication and Concomitant Therapy" and "Instruction for Subjects"
  • Subjects having participated in a clinical study of a pharmaceutical product or a medical device or any equivalent study and used the investigational product or the unapproved medical device within 4 months prior to administration of the investigational product
  • Subjects having used any drug within 2 weeks prior to administration of the investigational product
  • Subjects having consumed grapefruit or any food or beverage containing St John's wort within 1 week prior to administration of the investigational product
  • Subjects having smoked or used smoking cessation agents within 4 weeks prior to administration of the investigational product
  • Subjects categorized as "yes" to "active suicidal ideation with some intent to act, without specific plan" or "active suicidal ideation with specific plan and intent" on the Columbia-Suicide Severity Rating Scale assessed on Day -2 or subjects with a history of or currently observed suicidal behavior
  • Subjects having undergone ≥400 mL of blood collection within 12 weeks prior to administration of the investigational product or ≥200 mL of blood collection within 4 weeks prior to administration of the investigational product for blood donation or in a clinical trial, etc. or subjects having undergone blood collection for pheresis donation within 2 weeks prior to administration of the investigational product
  • Subjects having issued no consent to adoption of any appropriate contraceptive method during the period from day of informed consent to 4 weeks after the final administration of the investigational product or the index drug for women of childbearing potential and during the period from start day of study treatment to 12 weeks after the final administration of the investigational product or the index drug for men of reproductive potential. The appropriate contraceptive method

Sites / Locations

  • Medical Co. LTA Sumida Hospital
  • Medical Co. LTA Fukuoka Mirai Hospital Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

KW-6356 therapeutic dose

KW-6356 supratherapeutic dose

Placebo

Moxifloxacin

Arm Description

Oral administration

Oral administration

Oral administration

Oral administration

Outcomes

Primary Outcome Measures

Change from baseline in QTc interval [QTcF] (ΔQTcF)

Secondary Outcome Measures

Changes from baseline in the HR
Changes from baseline in the QTc interval [QTcF]
Changes from baseline in the PR interval
Changes from baseline in the QRS interval
Placebo-corrected ΔQTcF
Placebo-corrected ΔHR
Placebo-corrected ΔPR interval
Placebo-corrected ΔQRS interval
Outliers in terms of category for HR
Outliers in terms of category for QTc interval (QTcF)
Outliers in terms of category for PR interval
Outliers in terms of category for QRS interval
Frequency of morphological changes in T wave after administration of the investigational product
Frequency of morphological changes in U wave after administration of the investigational product
Incidence of treatment-emergent adverse events
Plasma concentrations of KW-6356

Full Information

First Posted
April 8, 2020
Last Updated
September 16, 2020
Sponsor
Kyowa Kirin Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04342273
Brief Title
A Through QT/QTc Study of KW-6356
Official Title
A Through QT/QTc Study of KW-6356 in Japanese Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
March 31, 2020 (Actual)
Primary Completion Date
September 5, 2020 (Actual)
Study Completion Date
September 5, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin 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 purpose of this study is to evaluate the effects of multiple therapeutic and supratherapeutic doses of KW-6356 on the QT interval corrected for heart rate in Japanese healthy adults.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson's Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
128 (Actual)

8. Arms, Groups, and Interventions

Arm Title
KW-6356 therapeutic dose
Arm Type
Experimental
Arm Description
Oral administration
Arm Title
KW-6356 supratherapeutic dose
Arm Type
Experimental
Arm Description
Oral administration
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral administration
Arm Title
Moxifloxacin
Arm Type
Active Comparator
Arm Description
Oral administration
Intervention Type
Drug
Intervention Name(s)
KW-6356
Intervention Description
KW-6356 will be administered once daily as therapeutic at Day 1 through Day 7
Intervention Type
Drug
Intervention Name(s)
KW-6356
Intervention Description
KW-6356 will be administered once daily as supratherapeutic dose at Day 1 through Day 7
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo will be administered once daily at Day 1 through Day 7
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Intervention Description
Placebo will be administered once daily at Day 1 through Day 6, followed by Moxifloxacin once daily at Day 7.
Primary Outcome Measure Information:
Title
Change from baseline in QTc interval [QTcF] (ΔQTcF)
Time Frame
Day 1 through Day 7
Secondary Outcome Measure Information:
Title
Changes from baseline in the HR
Time Frame
Day 1 through Day 7
Title
Changes from baseline in the QTc interval [QTcF]
Time Frame
Day 1 through Day 7
Title
Changes from baseline in the PR interval
Time Frame
Day 1 through Day 7
Title
Changes from baseline in the QRS interval
Time Frame
Day 1 through Day 7
Title
Placebo-corrected ΔQTcF
Time Frame
Day 1 through Day 7
Title
Placebo-corrected ΔHR
Time Frame
Day 1 through Day 7
Title
Placebo-corrected ΔPR interval
Time Frame
Day 1 through Day 7
Title
Placebo-corrected ΔQRS interval
Time Frame
Day 1 through Day 7
Title
Outliers in terms of category for HR
Time Frame
Day 1 through Day 7
Title
Outliers in terms of category for QTc interval (QTcF)
Time Frame
Day 1 through Day 7
Title
Outliers in terms of category for PR interval
Time Frame
Day 1 through Day 7
Title
Outliers in terms of category for QRS interval
Time Frame
Day 1 through Day 7
Title
Frequency of morphological changes in T wave after administration of the investigational product
Time Frame
Day 1 through Day 7
Title
Frequency of morphological changes in U wave after administration of the investigational product
Time Frame
Day 1 through Day 7
Title
Incidence of treatment-emergent adverse events
Time Frame
Day 1 through Day 20
Title
Plasma concentrations of KW-6356
Time Frame
Day 1 through Day 8, and Day 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
54 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects having issued written consent to this study at their own discretion Men or women aged 20 to 54 years at the time of informed consent Subjects with BMI ≥18.5 and <25.0 at screening In case of women of childbearing potential,* subjects who have agreed to use highly effective and appropriate contraceptive methods from the time of informed consent to 4 weeks after the last dose of the investigational product or the index drug. Women of childbearing potential must have a negative serum pregnancy test at screening At screening and Day -2, subjects with resting pulse rate of ≥45 and <100 bpm, systolic blood pressure of ≥90 and <140 mmHg, and diastolic blood pressure of ≥40 and <90 mmHg when measured in the supine position Subjects whose standard 12-lead ECG data obtained at screening and Day -2 meet the following criteria and show no clinically significant abnormalities as confirmed by the investigator or subinvestigator Normal sinus rhythm: HR of ≥45 and ≤100 bpm QTc interval (QTcF): ≤450 msec QRS interval: ≤120 msec (must be re-measured manually if exceeding 120 msec) PR interval: ≤220 msec Subjects whose potassium, sodium, calcium, and magnesium levels at screening are within institutional normal limits Exclusion Criteria: Subjects with any current disease requiring treatment Subjects having drug allergy or its history Subjects having psychiatric disease or its history Positive results for any of the following infection-related items examined at screening: hepatitis B surface (HBs) antigen, HBs antibody, hepatitis B core (HBc) antibody, hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antigen/antibody, human T-lymphotropic virus (HTLV)-1 antibody, rapid plasma reagin (RPR) test, or Treponema pallidum (TP) antibody Subjects being alcohol- or drug-dependent or having a positive result for any of the drug abuse test items Subjects previously or concurrently having any of the following diseases or subjects with a family history of any of the following diseases: Hypokalemia, hypocalcemia, and/or long QT syndrome Risk factors for torsade de pointes such as cardiac failure, cardiomyopathy, and a family history of long QT syndrome Sick sinus syndrome, second- or third-degree atrioventricular block, myocardial infarction, pulmonary congestion, cardiac arrhythmia, QT interval prolongation, or atrioventricular conduction disturbance Repeated or frequent syncope or vasovagal attack Hypertension, angina pectoris, bradycardia, or severe peripheral arterial circulatory disorder Subjects categorized as patients listed in the warnings or contraindications section of the package insert of moxifloxacin hydrochloride Subjects unable to be compliant with Specified "Concomitant Medication and Concomitant Therapy" and "Instruction for Subjects" Subjects having participated in a clinical study of a pharmaceutical product or a medical device or any equivalent study and used the investigational product or the unapproved medical device within 4 months prior to administration of the investigational product Subjects having used any drug within 2 weeks prior to administration of the investigational product Subjects having consumed grapefruit or any food or beverage containing St John's wort within 1 week prior to administration of the investigational product Subjects having smoked or used smoking cessation agents within 4 weeks prior to administration of the investigational product Subjects categorized as "yes" to "active suicidal ideation with some intent to act, without specific plan" or "active suicidal ideation with specific plan and intent" on the Columbia-Suicide Severity Rating Scale assessed on Day -2 or subjects with a history of or currently observed suicidal behavior Subjects having undergone ≥400 mL of blood collection within 12 weeks prior to administration of the investigational product or ≥200 mL of blood collection within 4 weeks prior to administration of the investigational product for blood donation or in a clinical trial, etc. or subjects having undergone blood collection for pheresis donation within 2 weeks prior to administration of the investigational product Subjects having issued no consent to adoption of any appropriate contraceptive method during the period from day of informed consent to 4 weeks after the final administration of the investigational product or the index drug for women of childbearing potential and during the period from start day of study treatment to 12 weeks after the final administration of the investigational product or the index drug for men of reproductive potential. The appropriate contraceptive method
Facility Information:
Facility Name
Medical Co. LTA Sumida Hospital
City
Sumida-ku
State/Province
Tokyo
Country
Japan
Facility Name
Medical Co. LTA Fukuoka Mirai Hospital Clinical Research Center
City
Fukuoka
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Through QT/QTc Study of KW-6356

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