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BIO 300 Oral Powder Safety and Pharmacokinetics

Primary Purpose

Acute Radiation Syndrome

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BIO 300 Oral Powder
Sponsored by
Humanetics Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Acute Radiation Syndrome

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adult non-smokers, 18-64 years old.
  2. BMI 18-32 kg/m^2.
  3. No ingestion of prescription or over-the-counter medications (including dietary and herbal supplements) for 7 days prior to first dose of study drug and no planned use during study participation. Acetaminophen of up to 3 g/day and ibuprofen up to 1 g/day will be allowed at discretion of the Investigator.
  4. At the discretion of the Investigator, blood routine, liver and kidney functions are within the controllable range.

    1. Adequate hepatic function as evidenced by ALT, AST or LDH < 1.25X ULN and bilirubin < 1.5X ULN for the reference lab.
    2. Adequate renal function as evidenced by a serum creatinine ≤ 1.5 X ULN for the reference laboratory OR a calculated creatinine clearance of ≥ 60 mL/min by the Cockcroft-Gault Equation.
    3. Adequate hematopoietic function as evidenced by white blood cells ≥ 3x10^9 / L and platelets ≥ 100x10^9 / L.
  5. Female subjects of childbearing potential must have a negative pregnancy test within 72 hours of the start of treatment.
  6. Subjects must agree to abstain from heterosexual intercourse or use a reliable method of contraception for 7 days after their last dose. Subjects using hormonal contraception are required to utilize condom/spermicide + additional barrier method for 7 days after their last dose.
  7. Ability to read and provide written informed consent.
  8. Subjects who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, dietary restrictions, and other study procedures.
  9. No clinically significant abnormalities identified by medical history, physical examination, vital signs, ECG, and clinical laboratory tests in the opinion of the Investigator.

Exclusion Criteria:

  1. Any prior use of the study test article.
  2. Any clinically significant weight loss any time in prior 4 weeks at discretion of Investigator based on medical history interview.
  3. Subjects with any of the following are not eligible;

    1. Previous history of QTc prolongation resulting from "known-risk" medications (www.Crediblemeds.org) that required discontinuation of that medication;
    2. Congenital long QT syndrome, or 1st degree relative with unexplained sudden death under 40 years of age;
    3. Presence of left bundle branch block (LBBB);
    4. QTc with Fridericia's correction (QTcF) that is unmeasurable, or ≥ 480 msec on screening ECG. The average QTcF from the screening ECG (completed in triplicate) must be < 480 msec in order for the subject to be eligible for the study.
  4. Subjects must not have had a clinically significant cardiac event such as myocardial infarction (within 6 months prior to the first dose of the study treatment); uncontrolled/symptomatic congestive heart failure (New York Heart Association (NYHA) classification of heart disease, Class III or IV, see Appendix 3) within 6 months before entry; or the presence of any other uncontrolled cardiovascular conditions [unstable hypertension at discretion of Investigator or arrhythmia, unstable angina pectoris, or severe valvular heart disease, etc.] that, in the opinion of the Investigator, increases the risk of ventricular arrhythmia.
  5. Subjects with a history of arrhythmia (multifocal premature ventricular contractions (PVCs), bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) which is symptomatic or requires treatment (CTCAE Grade 3) or asymptomatic sustained ventricular tachycardia are not eligible. Subjects with atrial fibrillation with well-controlled ventricular rate are eligible at the discretion of the Investigator.
  6. Psychiatric conditions, social situations or substance abuse that precludes the ability of the subject to cooperate with the requirements of the trial and protocol therapy at Investigator discretion.
  7. Inability to refrain from alcohol consumption for 48 hours prior to day 1 and for the duration of the study. Illicit drugs, including THC, must be avoided from screen through the duration of the study.
  8. Grade 2 or higher peripheral neuropathy.
  9. Positive results for Hep B surface antigen, Hep C antibody, or HIV 1/2 antibody at screening visit.
  10. Clinically significant immunodeficiency disorder in the opinion of the Investigator.
  11. Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception.
  12. Women who are breastfeeding are not eligible for this study.
  13. Subjects that are vegan, vegetarian or consume a soy-rich diet.
  14. Any history of systemic infection requiring hospitalization, systemic antibiotics, or as judged clinically significant by the investigator in the 3 months prior to day 1.
  15. Any condition possibly affecting drug absorption (e.g., prior bariatric surgery, gastrectomy, intestinal resection). Participants who have undergone appendectomy or cholecystectomy are allowed so long as the surgery occurred more than 6 months prior to day 1.
  16. Treatment with another investigational drug within 30 days or 5 half-lives (whichever is longer) proceeding Day 1.
  17. Positive drug screen or alcohol test at screen and day 1 predose.
  18. Blood donation of approximately 1 pint (500 ml) or more within 60 days of day 1; plasma donations within 14 days of day 1. Subjects must agree not to donate blood or plasma for the duration of the study and for 30 days following end of study procedures.
  19. Inability to swallow powdered medication followed with water.
  20. History of sensitivity to heparin or heparin-induced thrombocytopenia.
  21. Considered by the Investigator to be unsuitable to participate in the study for any other reason.

Sites / Locations

  • Nucleus Network, Ltd (Formally Prism Research, LLC)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Single Ascending Dose Cohort 1

Single Ascending Dose Cohort 2

Single Ascending Dose Cohort 3

Single Ascending Dose Cohort 4

Multiple Single Dose Cohort 5

Arm Description

500 mg BIO 300 Oral Powder administered as a single dose

1000 mg BIO 300 Oral Powder, if dose escalation criteria met, administered as a single dose

2000 mg BIO 300 Oral Powder, if dose escalation criteria met, administered as a single dose

Single dose to be determined based on the safety and pharmacokinetic profiles in cohorts 1-3

Highest dose or maximum tolerated dose from the Single Ascending Dose study administered as a single dose given daily for 6 consecutive days

Outcomes

Primary Outcome Measures

Adverse Events Related to BIO 300 Oral Powder
Evaluate the safety of single and multiple dose BIO 300 Oral Powder administration
Change in ECG QTc interval
Measurement of the average QTc interval with Fridericia's correction (completed in triplicate at each timepoint)
Change in Clinical Laboratory Values
Monitoring of blood serum levels of albumin and total protein (all reported as g/dL)
Change in Clinical Laboratory Values
Monitoring of blood serum levels of bicarbonate, chloride, potassium, and sodium (all reported as mEq/L)
Change in Clinical Laboratory Values
Monitoring of blood serum levels of bilirubin (total and direct), BUN, calcium, cholesterol (total), creatinine, HDL, glucose, magnesium, phosphorous, triglycerides, and uric acid (all reported as mg/dL)
Change in Clinical Laboratory Values
Monitoring of blood serum levels of alkaline phosphatase, ALT, amylase, AST, LDH, and lipase (all reported as IU/L)
BIO 300 Oral Powder Pharmacokinetics
Pharmacokinetics as assessed by analyzing serum concentrations of free genistein at multiple timepoints

Secondary Outcome Measures

BIO 300 Oral Powder Pharmacodynamics - gene expression
Pharmacodynamic biomarkers characterized by analyzing RNA from whole blood samples to identify differentially expressed genes at multiple timepoints

Full Information

First Posted
November 19, 2020
Last Updated
July 14, 2021
Sponsor
Humanetics Corporation
Collaborators
United States Department of Defense, Joint Warfighter Medical Research Program
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1. Study Identification

Unique Protocol Identification Number
NCT04650555
Brief Title
BIO 300 Oral Powder Safety and Pharmacokinetics
Official Title
A Phase 1 Dose Escalation Trial Evaluating the Safety and Pharmacokinetic Profile of BIO 300 Oral Powder in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
December 8, 2020 (Actual)
Primary Completion Date
July 6, 2021 (Actual)
Study Completion Date
July 6, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Humanetics Corporation
Collaborators
United States Department of Defense, Joint Warfighter Medical Research Program

4. Oversight

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

5. Study Description

Brief Summary
Open-label, single ascending dose and multiple single dose study in healthy volunteers to evaluate the safety and pharmacokinetics of BIO 300 Oral Powder (BIO 300). The single ascending dose study consists of 4 ascending dose cohorts and the multiple single dose study consists of a single dose given daily for 6 consecutive days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Radiation Syndrome

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Dose Cohort 1
Arm Type
Experimental
Arm Description
500 mg BIO 300 Oral Powder administered as a single dose
Arm Title
Single Ascending Dose Cohort 2
Arm Type
Experimental
Arm Description
1000 mg BIO 300 Oral Powder, if dose escalation criteria met, administered as a single dose
Arm Title
Single Ascending Dose Cohort 3
Arm Type
Experimental
Arm Description
2000 mg BIO 300 Oral Powder, if dose escalation criteria met, administered as a single dose
Arm Title
Single Ascending Dose Cohort 4
Arm Type
Experimental
Arm Description
Single dose to be determined based on the safety and pharmacokinetic profiles in cohorts 1-3
Arm Title
Multiple Single Dose Cohort 5
Arm Type
Experimental
Arm Description
Highest dose or maximum tolerated dose from the Single Ascending Dose study administered as a single dose given daily for 6 consecutive days
Intervention Type
Drug
Intervention Name(s)
BIO 300 Oral Powder
Other Intervention Name(s)
BIO 300, Genistein
Intervention Description
Amorphous solid dispersion of genistein milled into a powder
Primary Outcome Measure Information:
Title
Adverse Events Related to BIO 300 Oral Powder
Description
Evaluate the safety of single and multiple dose BIO 300 Oral Powder administration
Time Frame
Day 1 up to 1 week for Single Ascending Dose and Day 1 up to 2 weeks for Multiple Single Dose
Title
Change in ECG QTc interval
Description
Measurement of the average QTc interval with Fridericia's correction (completed in triplicate at each timepoint)
Time Frame
Day 1 up to 1 week for Single Ascending Dose and Day 1 up to 2 weeks for Multiple Single Dose
Title
Change in Clinical Laboratory Values
Description
Monitoring of blood serum levels of albumin and total protein (all reported as g/dL)
Time Frame
Day 3 and 7 for Single Ascending Dose and Day 3, 6 and 13 for Multiple Single Dose
Title
Change in Clinical Laboratory Values
Description
Monitoring of blood serum levels of bicarbonate, chloride, potassium, and sodium (all reported as mEq/L)
Time Frame
Day 3 and 7 for Single Ascending Dose and Day 3, 6 and 13 for Multiple Single Dose
Title
Change in Clinical Laboratory Values
Description
Monitoring of blood serum levels of bilirubin (total and direct), BUN, calcium, cholesterol (total), creatinine, HDL, glucose, magnesium, phosphorous, triglycerides, and uric acid (all reported as mg/dL)
Time Frame
Day 3 and 7 for Single Ascending Dose and Day 3, 6 and 13 for Multiple Single Dose
Title
Change in Clinical Laboratory Values
Description
Monitoring of blood serum levels of alkaline phosphatase, ALT, amylase, AST, LDH, and lipase (all reported as IU/L)
Time Frame
Day 3 and 7 for Single Ascending Dose and Day 3, 6 and 13 for Multiple Single Dose
Title
BIO 300 Oral Powder Pharmacokinetics
Description
Pharmacokinetics as assessed by analyzing serum concentrations of free genistein at multiple timepoints
Time Frame
Day 1 for the Single Ascending Dose and Day 6 for the Multiple Single Dose, prior to 1st dose then 0.5, 1, 2, 4, 6, 8, 12, 24, and 48 hours post dose and Day 1 Multiple Single Dose prior to dosing then 0.5, 1, 2, and 4 hours post dose
Secondary Outcome Measure Information:
Title
BIO 300 Oral Powder Pharmacodynamics - gene expression
Description
Pharmacodynamic biomarkers characterized by analyzing RNA from whole blood samples to identify differentially expressed genes at multiple timepoints
Time Frame
Day 1 for the Single Ascending Dose and Day 6 for the Multiple Single Dose, prior to dosing then 1, 2, 4, and 24 hours post dose and Day 1 Multiple Single Dose prior to dosing then 1, 2, and 4 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult non-smokers, 18-64 years old. BMI 18-32 kg/m^2. No ingestion of prescription or over-the-counter medications (including dietary and herbal supplements) for 7 days prior to first dose of study drug and no planned use during study participation. Acetaminophen of up to 3 g/day and ibuprofen up to 1 g/day will be allowed at discretion of the Investigator. At the discretion of the Investigator, blood routine, liver and kidney functions are within the controllable range. Adequate hepatic function as evidenced by ALT, AST or LDH < 1.25X ULN and bilirubin < 1.5X ULN for the reference lab. Adequate renal function as evidenced by a serum creatinine ≤ 1.5 X ULN for the reference laboratory OR a calculated creatinine clearance of ≥ 60 mL/min by the Cockcroft-Gault Equation. Adequate hematopoietic function as evidenced by white blood cells ≥ 3x10^9 / L and platelets ≥ 100x10^9 / L. Female subjects of childbearing potential must have a negative pregnancy test within 72 hours of the start of treatment. Subjects must agree to abstain from heterosexual intercourse or use a reliable method of contraception for 7 days after their last dose. Subjects using hormonal contraception are required to utilize condom/spermicide + additional barrier method for 7 days after their last dose. Ability to read and provide written informed consent. Subjects who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, dietary restrictions, and other study procedures. No clinically significant abnormalities identified by medical history, physical examination, vital signs, ECG, and clinical laboratory tests in the opinion of the Investigator. Exclusion Criteria: Any prior use of the study test article. Any clinically significant weight loss any time in prior 4 weeks at discretion of Investigator based on medical history interview. Subjects with any of the following are not eligible; Previous history of QTc prolongation resulting from "known-risk" medications (www.Crediblemeds.org) that required discontinuation of that medication; Congenital long QT syndrome, or 1st degree relative with unexplained sudden death under 40 years of age; Presence of left bundle branch block (LBBB); QTc with Fridericia's correction (QTcF) that is unmeasurable, or ≥ 480 msec on screening ECG. The average QTcF from the screening ECG (completed in triplicate) must be < 480 msec in order for the subject to be eligible for the study. Subjects must not have had a clinically significant cardiac event such as myocardial infarction (within 6 months prior to the first dose of the study treatment); uncontrolled/symptomatic congestive heart failure (New York Heart Association (NYHA) classification of heart disease, Class III or IV, see Appendix 3) within 6 months before entry; or the presence of any other uncontrolled cardiovascular conditions [unstable hypertension at discretion of Investigator or arrhythmia, unstable angina pectoris, or severe valvular heart disease, etc.] that, in the opinion of the Investigator, increases the risk of ventricular arrhythmia. Subjects with a history of arrhythmia (multifocal premature ventricular contractions (PVCs), bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) which is symptomatic or requires treatment (CTCAE Grade 3) or asymptomatic sustained ventricular tachycardia are not eligible. Subjects with atrial fibrillation with well-controlled ventricular rate are eligible at the discretion of the Investigator. Psychiatric conditions, social situations or substance abuse that precludes the ability of the subject to cooperate with the requirements of the trial and protocol therapy at Investigator discretion. Inability to refrain from alcohol consumption for 48 hours prior to day 1 and for the duration of the study. Illicit drugs, including THC, must be avoided from screen through the duration of the study. Grade 2 or higher peripheral neuropathy. Positive results for Hep B surface antigen, Hep C antibody, or HIV 1/2 antibody at screening visit. Clinically significant immunodeficiency disorder in the opinion of the Investigator. Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception. Women who are breastfeeding are not eligible for this study. Subjects that are vegan, vegetarian or consume a soy-rich diet. Any history of systemic infection requiring hospitalization, systemic antibiotics, or as judged clinically significant by the investigator in the 3 months prior to day 1. Any condition possibly affecting drug absorption (e.g., prior bariatric surgery, gastrectomy, intestinal resection). Participants who have undergone appendectomy or cholecystectomy are allowed so long as the surgery occurred more than 6 months prior to day 1. Treatment with another investigational drug within 30 days or 5 half-lives (whichever is longer) proceeding Day 1. Positive drug screen or alcohol test at screen and day 1 predose. Blood donation of approximately 1 pint (500 ml) or more within 60 days of day 1; plasma donations within 14 days of day 1. Subjects must agree not to donate blood or plasma for the duration of the study and for 30 days following end of study procedures. Inability to swallow powdered medication followed with water. History of sensitivity to heparin or heparin-induced thrombocytopenia. Considered by the Investigator to be unsuitable to participate in the study for any other reason.
Facility Information:
Facility Name
Nucleus Network, Ltd (Formally Prism Research, LLC)
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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BIO 300 Oral Powder Safety and Pharmacokinetics

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