search
Back to results

Drug-drug Interactions and Safety Among JP-1366, Amoxicillin, and Clarithromycin in Healthy Volunteers

Primary Purpose

Helicobacter Pylori Associated Gastrointestinal Disease

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
JP-1366 20mg 1capsule
Amoxicillin 500Mg Cap
Clarithromycin 500Mg Tab
Sponsored by
Onconic Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Helicobacter Pylori Associated Gastrointestinal Disease

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject who has fully informed about this study and understand completely, decide to participate voluntarily and agree with the written consent approved by the IRB in Bundang Cha hospital before screening test.
  • A healthy volunteer in the age of upper 19 at the time of the screening test.
  • Subject whose BMI was 18.0 or more and 30.0 or less and whose body weight was 50kg or more if in male, and 45kg or more if in female at the same time.

    • Body Mass Index (BMI) = Body weight(kg) / Height(m)2

Exclusion Criteria:

1. Medical History

  1. The Subject who has clinically significant diseases with liver, kidney, nervous system, digestive system, respiratory system, and endocrine system, musculoskeletal system or the blood or tumor disease, cardiovascular disease (including orthostatic hypotension), mental disorder or with history of the disease.
  2. The subject who has a history of gastrointestinal disorders (gastrointestinal ulcers, gastritis, gastric ulcer, gastroesophageal reflux disease, Crohn's disease, etc.) or history of gastrointestinal surgery that may affect the safety and PK/PD Evaluation of the investigational product (Except for simple cecal surgery and hernia surgery)
  3. The subject who has a hereditary disorder (galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption etc.).

2. Allergy drug hypersensitivity and drug abuse

  1. The subject with clinically significant hypersensitivity reactions (Except a slight allergic rhinitis which is no need to administration).
  2. The subject with the history of hypersensitivity reactions to the investigational product, the ingredients in investigational product (FCF, Sunset Yellow FCF), Digestive ulcer drugs and other drugs (aspirin, antibiotics, etc.)
  3. The subject who has a history of drug abuse or who has tested positive for an abuse drug in a drug screening test.

3. Laboratory Test

  1. Vital Sign Measures of resting blood pressure while the subject remained in the sitting position for at least 3 minutes. Systolic > 150 mmHg or < 90 mmHg, or diastolic > 100 mmHg or < 50 mmHg.
  2. Screening laboratory test showing any of the following abnormal laboratory results:

    - ALT, AST, Total bilirubin > 2.0 x ULN

    • e-GFR < 60 mL/min/1.73m2 (CKD-EPI formula)
    • Positive result for Serological test (HBsAg, HCV Ab, HIV Ab, Syphilis regain test)
  3. Clinically significant ECG abnormalities

4. Prohibited medication and therapy

  1. The subject taking drug of enzyme induction or inhibition within one month prior to the first scheduled drug administration.
  2. The subject who has participated in other clinical trials or bioequivalence studied and received and received clinical trial drug or bioequivalence study drug, within 6 months prior to the first scheduled drug administration.
  3. The subject taking any prohibited drug or herbal medicine, OTC drugs or vitamin within 2 weeks prior to the first scheduled drug administration.
  4. The subject who has taken any diet which affect to drug metabolism (Grapefruit juice, Broccoli, Garlic extract etc.) within 3 days prior to the first scheduled drug administration or who cannot be forbidden the ingestion of it.

5. Donating and Receiving blood

  1. The subject who did a whole blood donation within 2 months prior to the first scheduled drug administration or a component blood donation (pheresis) within one month
  2. The subject who has received blood transfusions within one month prior to the first scheduled drug administration.

6. Pregnant and Contraception

  1. Pregnant and Lactating women
  2. Subjects who do not agree to use medically acceptable methods of contraception during the period study - Use of an intrauterine device - Use of barrier contraception (for men or women) and using spermicidal at the same time - Vasectomy, tubectomy, tubal ligation, hysterectomy

7. And others

  1. Subjects who are judged unsuitable to participate in the study in the opinion of the investigator
  2. The subject who continue to drink (over 21units/week, 1 unit = 10g of pure alcohol) within 6 months from screening or who cannot abstain from drinking during the clinical trial period from 3days before the first administration date.
  3. The subject whose average smoking amount exceeds 10 cigarettes per day within 6 months.

Sites / Locations

  • Cha University Bundang Medical Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence A

Sequence B

Sequence C

Sequence D

Sequence E

Sequence F

Arm Description

T1→Washout period(D6~14)→ T3→Washout period(D20~28)→ T2 T1: JP-1366 1capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

T1 →Washout period(D6~14)→ T2→Washout period(D20~28) → T3 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

T2 →Washout period(D6~14)→ T3→Washout period(D20~28) → T1 T1: JP-1366 1capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

T2 →Washout period(D6~14)→ T1→Washout period(D20~28) → T3 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

T3 →Washout period(D6~14)→ T1→Washout period(D20~28) → T2 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

T3 →Washout period(D6~14)→ T2→Washout period(D20~28) → T1 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days

Outcomes

Primary Outcome Measures

Cmax,ss of JP-1366, Amoxicillin, Clarithromycin
AUCτ of JP-1366, Amoxicillin, Clarithromycin

Secondary Outcome Measures

Tmax of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
t1/2 of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
CLss/F of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Vdss/F of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Cmax,ss of 14-OH-Clarithromycin
AUCτ of 14-OH-Clarithromycin
14-OH-Clarithromycin/Clarithromycin metabolic ratio

Full Information

First Posted
November 30, 2021
Last Updated
January 3, 2022
Sponsor
Onconic Therapeutics Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT05194046
Brief Title
Drug-drug Interactions and Safety Among JP-1366, Amoxicillin, and Clarithromycin in Healthy Volunteers
Official Title
A Randomized, Open-label, Multiple-dose, 3-way Crossover Phase 1 Clinical Trial to Evaluate Drug-drug Interactions and Safety Among JP-1366, Amoxicillin, and Clarithromycin in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Completed
Study Start Date
November 18, 2020 (Actual)
Primary Completion Date
January 16, 2021 (Actual)
Study Completion Date
January 19, 2021 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
To evaluate the effect of coadministration of amoxicillin and clarithromycin on safety, tolerability and pharmacokinetics of JP-1366 in healthy subjects and the effect of JP-1366 on safety, tolerability and pharmacokinetics of amoxicillin and clarithromycin in healthy subjects

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Helicobacter Pylori Associated Gastrointestinal Disease

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
29 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence A
Arm Type
Experimental
Arm Description
T1→Washout period(D6~14)→ T3→Washout period(D20~28)→ T2 T1: JP-1366 1capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Arm Title
Sequence B
Arm Type
Experimental
Arm Description
T1 →Washout period(D6~14)→ T2→Washout period(D20~28) → T3 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Arm Title
Sequence C
Arm Type
Experimental
Arm Description
T2 →Washout period(D6~14)→ T3→Washout period(D20~28) → T1 T1: JP-1366 1capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Arm Title
Sequence D
Arm Type
Experimental
Arm Description
T2 →Washout period(D6~14)→ T1→Washout period(D20~28) → T3 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Arm Title
Sequence E
Arm Type
Experimental
Arm Description
T3 →Washout period(D6~14)→ T1→Washout period(D20~28) → T2 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Arm Title
Sequence F
Arm Type
Experimental
Arm Description
T3 →Washout period(D6~14)→ T2→Washout period(D20~28) → T1 T1: JP-1366 1 capsule, 2 times per 1 day, repetition administration for 5 days T2: amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days T3: JP-1366 1 capsule + amoxicillin 500mg 2 capsules + clarithromycin 500mg 1 tablet, 2 times per 1 day, repetition administration for 5 days
Intervention Type
Drug
Intervention Name(s)
JP-1366 20mg 1capsule
Intervention Description
will be orally administered
Intervention Type
Drug
Intervention Name(s)
Amoxicillin 500Mg Cap
Intervention Description
Amoxicilin 500Mg 2 capsules will be orally administered
Intervention Type
Drug
Intervention Name(s)
Clarithromycin 500Mg Tab
Intervention Description
Amoxicilin 500Mg 1 tablet will be orally administered
Primary Outcome Measure Information:
Title
Cmax,ss of JP-1366, Amoxicillin, Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
AUCτ of JP-1366, Amoxicillin, Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Secondary Outcome Measure Information:
Title
Tmax of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
t1/2 of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
CLss/F of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
Vdss/F of JP-1366, Amoxicillin, Clarithromycin, 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
Cmax,ss of 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
AUCτ of 14-OH-Clarithromycin
Time Frame
The time of steady state (after repetition administration for 5 days)
Title
14-OH-Clarithromycin/Clarithromycin metabolic ratio
Time Frame
The time of steady state (after repetition administration for 5 days)
Other Pre-specified Outcome Measures:
Title
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Description
Vital sign, Physical examination, Laboratory test, 12-lead ECG, Prior/ Concomitant medication, Adverse event.
Time Frame
Through study completion, an average of 46 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject who has fully informed about this study and understand completely, decide to participate voluntarily and agree with the written consent approved by the IRB in Bundang Cha hospital before screening test. A healthy volunteer in the age of upper 19 at the time of the screening test. Subject whose BMI was 18.0 or more and 30.0 or less and whose body weight was 50kg or more if in male, and 45kg or more if in female at the same time. Body Mass Index (BMI) = Body weight(kg) / Height(m)2 Exclusion Criteria: 1. Medical History The Subject who has clinically significant diseases with liver, kidney, nervous system, digestive system, respiratory system, and endocrine system, musculoskeletal system or the blood or tumor disease, cardiovascular disease (including orthostatic hypotension), mental disorder or with history of the disease. The subject who has a history of gastrointestinal disorders (gastrointestinal ulcers, gastritis, gastric ulcer, gastroesophageal reflux disease, Crohn's disease, etc.) or history of gastrointestinal surgery that may affect the safety and PK/PD Evaluation of the investigational product (Except for simple cecal surgery and hernia surgery) The subject who has a hereditary disorder (galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption etc.). 2. Allergy drug hypersensitivity and drug abuse The subject with clinically significant hypersensitivity reactions (Except a slight allergic rhinitis which is no need to administration). The subject with the history of hypersensitivity reactions to the investigational product, the ingredients in investigational product (FCF, Sunset Yellow FCF), Digestive ulcer drugs and other drugs (aspirin, antibiotics, etc.) The subject who has a history of drug abuse or who has tested positive for an abuse drug in a drug screening test. 3. Laboratory Test Vital Sign Measures of resting blood pressure while the subject remained in the sitting position for at least 3 minutes. Systolic > 150 mmHg or < 90 mmHg, or diastolic > 100 mmHg or < 50 mmHg. Screening laboratory test showing any of the following abnormal laboratory results: - ALT, AST, Total bilirubin > 2.0 x ULN e-GFR < 60 mL/min/1.73m2 (CKD-EPI formula) Positive result for Serological test (HBsAg, HCV Ab, HIV Ab, Syphilis regain test) Clinically significant ECG abnormalities 4. Prohibited medication and therapy The subject taking drug of enzyme induction or inhibition within one month prior to the first scheduled drug administration. The subject who has participated in other clinical trials or bioequivalence studied and received and received clinical trial drug or bioequivalence study drug, within 6 months prior to the first scheduled drug administration. The subject taking any prohibited drug or herbal medicine, OTC drugs or vitamin within 2 weeks prior to the first scheduled drug administration. The subject who has taken any diet which affect to drug metabolism (Grapefruit juice, Broccoli, Garlic extract etc.) within 3 days prior to the first scheduled drug administration or who cannot be forbidden the ingestion of it. 5. Donating and Receiving blood The subject who did a whole blood donation within 2 months prior to the first scheduled drug administration or a component blood donation (pheresis) within one month The subject who has received blood transfusions within one month prior to the first scheduled drug administration. 6. Pregnant and Contraception Pregnant and Lactating women Subjects who do not agree to use medically acceptable methods of contraception during the period study - Use of an intrauterine device - Use of barrier contraception (for men or women) and using spermicidal at the same time - Vasectomy, tubectomy, tubal ligation, hysterectomy 7. And others Subjects who are judged unsuitable to participate in the study in the opinion of the investigator The subject who continue to drink (over 21units/week, 1 unit = 10g of pure alcohol) within 6 months from screening or who cannot abstain from drinking during the clinical trial period from 3days before the first administration date. The subject whose average smoking amount exceeds 10 cigarettes per day within 6 months.
Facility Information:
Facility Name
Cha University Bundang Medical Center
City
Gyeonggi-do
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

Drug-drug Interactions and Safety Among JP-1366, Amoxicillin, and Clarithromycin in Healthy Volunteers

We'll reach out to this number within 24 hrs