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First-In-Human Study of CU06-1004 Following Single and Multiple Ascending Doses in Healthy Volunteers

Primary Purpose

Diabetic Macular Edema

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CU06-1004, Single dose
CU06-1004, Multiple doses
Placebo
Sponsored by
Curacle Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema focused on measuring DME, Endothelial dysfunction blocker

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy, adult, male or female (of non-childbearing potential only), 19-55 years of age, inclusive, at screening.
  2. Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at screening.
  3. Continuous non-smoker who has not used nicotine-containing products for at least 3 months prior to the first dosing and throughout the study, based on subject self-reporting.
  4. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee.
  5. Female must be of non-childbearing potential and must have undergone one of the following sterilization procedures at least 6 months prior to the first dosing:

    • hysteroscopic sterilization;
    • bilateral tubal ligation or bilateral salpingectomy;
    • hysterectomy;
    • bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dosing and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status.
  6. A non-vasectomized, male subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days after the last dosing.

    (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to the first dosing. A male who has been vasectomized less than 4 months prior to the first dosing must follow the same restrictions as a non-vasectomized male).

  7. If male, must agree not to donate sperm from the first dosing until 90 days after the last dosing.
  8. Able to swallow multiple capsules.
  9. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.

Exclusion Criteria:

  1. Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
  2. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee.
  3. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  4. History or presence of alcohol or drug abuse within the past 2 years prior to the first dosing.
  5. History or presence of hypersensitivity or idiosyncratic reaction to the study drug or related compounds.
  6. Female subjects of childbearing potential.
  7. Female subjects with a positive pregnancy test at screening or first check-in or who are lactating.
  8. Positive urine drug or alcohol results at screening or first check-in.
  9. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  10. Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg, at screening.
  11. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening.
  12. QTcF interval is >460 msec (males) or >470 msec (females) or has ECG findings deemed abnormal with clinical significance by the PI or designee at screening.
  13. Unable to refrain from or anticipates the use of:

    • Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements (especially sulforaphane-containing supplement) beginning 14 days prior to the first dosing and throughout the study. After randomization, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee.
    • Food and beverages containing xanthines/caffeine for 24 hours prior to the first dosing (small amounts of caffeine derived from normal foodstuffs e.g.,250 mL/8 oz./1 cup decaffeinated coffee or other decaffeinated beverage, per day, with the exception of espresso; 45 g/1.5 oz. chocolate bar, per day, would not be considered a deviation to this restriction).
    • Food and beverages containing alcohol for 48 hours prior to the first dosing.
    • Food and beverages containing grapefruit/Seville orange for 14 days prior to the first dosing.
    • Food and beverages containing vegetables from the mustard green family (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard) and charbroiled meats for 14 days prior to the first dosing.
  14. Has received COVID-19 vaccine within 30 days of first dosing and until the end of the study.
  15. Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 30 days prior to the first dosing and throughout the study.
  16. Is lactose intolerant (FE cohort only).
  17. Donation of blood or significant blood loss within 56 days prior to the first dosing.
  18. Plasma donation within 7 days prior to the first dosing.
  19. Participation in another clinical study within 30 days prior to the first dosing. The 30-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to the first dose of study drug in the current study.

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

CU06-1004 for SAD

Placebo for SAD

CU06-1004 for MAD

Placebo for MAD

Arm Description

Fifty-six (56) healthy subjects are planned to be enrolled in 7 cohorts 6 of out 8 subjects per cohort will be randomized to receive CU06-1004

Fifty-six (56) healthy subjects are planned to be enrolled in 7 cohorts 2 of out 8 subjects per cohort will be randomized to receive placebo

Twenty-four (24) healthy subjects are planned to be enrolled in 3 cohorts 6 of out 8 subjects per cohort will be randomized to receive CU06-1004

Twenty-four (24) healthy subjects are planned to be enrolled in 3 cohorts 2 of out 8 subjects per cohort will be randomized to receive placebo

Outcomes

Primary Outcome Measures

The number and severity of treatment emergent adverse events (TEAEs)
To assess the safety and tolerability of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects.

Secondary Outcome Measures

Maximum plasma concentration (Cmax)
To assess Cmax of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time to reach maximum plasma concentration (Tmax)
To assess Tmax of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Area under the concentration-time curve (AUC)
To assess AUC of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Terminal elimination rate constant (Kel)
To assess Kel of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Terminal elimination half-life (t½)
To assess t½ of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Maximum plasma concentration (Cmax) under fed conditions
To assess Cmax of single oral dose under fed conditions
Area under the concentration-time curve (AUC) under fed conditions
To assess AUC of single oral dose under fed conditions
Amount of unchanged drug excreted in the urine collection (Ae)
To assess Ae of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Renal Clearance (CLR)
To assess CLR of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Fraction of drug excreted unchanged in urine (Fe)
To assess Fe of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects

Full Information

First Posted
March 5, 2021
Last Updated
July 18, 2022
Sponsor
Curacle Co., Ltd.
Collaborators
KCRN Research, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04795037
Brief Title
First-In-Human Study of CU06-1004 Following Single and Multiple Ascending Doses in Healthy Volunteers
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Safety, Tolerability, and Pharmacokinetic Study of Escalating Single and Multiple Doses of CU06-1004 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
July 15, 2021 (Actual)
Primary Completion Date
March 2, 2022 (Actual)
Study Completion Date
June 25, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Curacle Co., Ltd.
Collaborators
KCRN Research, LLC

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
This clinical trial is the first-in-human study of CU06-1004. The purpose of this phase 1 study is to assess the safety and tolerability of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema
Keywords
DME, Endothelial dysfunction blocker

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
A Single Ascending Dose(SAD) study with 7 Cohorts including 1 Cohorts for Food effect (FE) assessment with 8 subjects each (6 active and 2 placebo) and A Multiple Ascending Dose(MAD) study with 3 Cohorts with 8 subjects each (6 active and 2 placebo).
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
81 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CU06-1004 for SAD
Arm Type
Experimental
Arm Description
Fifty-six (56) healthy subjects are planned to be enrolled in 7 cohorts 6 of out 8 subjects per cohort will be randomized to receive CU06-1004
Arm Title
Placebo for SAD
Arm Type
Placebo Comparator
Arm Description
Fifty-six (56) healthy subjects are planned to be enrolled in 7 cohorts 2 of out 8 subjects per cohort will be randomized to receive placebo
Arm Title
CU06-1004 for MAD
Arm Type
Experimental
Arm Description
Twenty-four (24) healthy subjects are planned to be enrolled in 3 cohorts 6 of out 8 subjects per cohort will be randomized to receive CU06-1004
Arm Title
Placebo for MAD
Arm Type
Placebo Comparator
Arm Description
Twenty-four (24) healthy subjects are planned to be enrolled in 3 cohorts 2 of out 8 subjects per cohort will be randomized to receive placebo
Intervention Type
Drug
Intervention Name(s)
CU06-1004, Single dose
Other Intervention Name(s)
SAC-1004, CU06, CU06-RE
Intervention Description
Single dose of CU06-1004, 7 dose levels, oral capsule : 6 Cohorts (100mg, 300mg, 600mg, 900mg, 1200mg, 300mg bid) + 1 Cohort (Food effect)* *Cohort S7(TBD mg) will receive a single oral dose of CU06-1004 or placebo under fed conditions. When administered under fed conditions, CU06-1004 or placebo will be administered following a high-fat/high-calorie breakfast. Cohort S7 will be conducted following completion of Cohort S5
Intervention Type
Drug
Intervention Name(s)
CU06-1004, Multiple doses
Other Intervention Name(s)
SAC-1004, CU06, CU06-RE
Intervention Description
Multiple doses of CU06-1004, 7 days, 3 dose levels*, oral capsule *The dose levels, regimen (i.e., schedule), and conditions (i.e., fasted versus fed conditions) will be determined based on the safety, tolerability, and plasma PK data from SAD
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matched to CU06-1004, oral capsule
Primary Outcome Measure Information:
Title
The number and severity of treatment emergent adverse events (TEAEs)
Description
To assess the safety and tolerability of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects.
Time Frame
From the date of first dose through 7 days after the last dose
Secondary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax)
Description
To assess Cmax of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Time to reach maximum plasma concentration (Tmax)
Description
To assess Tmax of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Area under the concentration-time curve (AUC)
Description
To assess AUC of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Terminal elimination rate constant (Kel)
Description
To assess Kel of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Terminal elimination half-life (t½)
Description
To assess t½ of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Maximum plasma concentration (Cmax) under fed conditions
Description
To assess Cmax of single oral dose under fed conditions
Time Frame
Day 1 through Day 4 (SAD)
Title
Area under the concentration-time curve (AUC) under fed conditions
Description
To assess AUC of single oral dose under fed conditions
Time Frame
Day 1 through Day 4 (SAD)
Title
Amount of unchanged drug excreted in the urine collection (Ae)
Description
To assess Ae of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Renal Clearance (CLR)
Description
To assess CLR of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)
Title
Fraction of drug excreted unchanged in urine (Fe)
Description
To assess Fe of single and multiple ascending oral doses of CU06-1004 in healthy adult subjects
Time Frame
Day 1 through Day 4 (SAD), Day 1 through Day 10 (MAD)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy, adult, male or female (of non-childbearing potential only), 19-55 years of age, inclusive, at screening. Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at screening. Continuous non-smoker who has not used nicotine-containing products for at least 3 months prior to the first dosing and throughout the study, based on subject self-reporting. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. Female must be of non-childbearing potential and must have undergone one of the following sterilization procedures at least 6 months prior to the first dosing: hysteroscopic sterilization; bilateral tubal ligation or bilateral salpingectomy; hysterectomy; bilateral oophorectomy; or be postmenopausal with amenorrhea for at least 1 year prior to the first dosing and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status. A non-vasectomized, male subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study until 90 days after the last dosing. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to the first dosing. A male who has been vasectomized less than 4 months prior to the first dosing must follow the same restrictions as a non-vasectomized male). If male, must agree not to donate sperm from the first dosing until 90 days after the last dosing. Able to swallow multiple capsules. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol. Exclusion Criteria: Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study. History or presence of alcohol or drug abuse within the past 2 years prior to the first dosing. History or presence of hypersensitivity or idiosyncratic reaction to the study drug or related compounds. Female subjects of childbearing potential. Female subjects with a positive pregnancy test at screening or first check-in or who are lactating. Positive urine drug or alcohol results at screening or first check-in. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV). Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg, at screening. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening. QTcF interval is >460 msec (males) or >470 msec (females) or has ECG findings deemed abnormal with clinical significance by the PI or designee at screening. Unable to refrain from or anticipates the use of: Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements (especially sulforaphane-containing supplement) beginning 14 days prior to the first dosing and throughout the study. After randomization, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the PI or designee. Food and beverages containing xanthines/caffeine for 24 hours prior to the first dosing (small amounts of caffeine derived from normal foodstuffs e.g.,250 mL/8 oz./1 cup decaffeinated coffee or other decaffeinated beverage, per day, with the exception of espresso; 45 g/1.5 oz. chocolate bar, per day, would not be considered a deviation to this restriction). Food and beverages containing alcohol for 48 hours prior to the first dosing. Food and beverages containing grapefruit/Seville orange for 14 days prior to the first dosing. Food and beverages containing vegetables from the mustard green family (e.g., kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard) and charbroiled meats for 14 days prior to the first dosing. Has received COVID-19 vaccine within 30 days of first dosing and until the end of the study. Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 30 days prior to the first dosing and throughout the study. Is lactose intolerant (FE cohort only). Donation of blood or significant blood loss within 56 days prior to the first dosing. Plasma donation within 7 days prior to the first dosing. Participation in another clinical study within 30 days prior to the first dosing. The 30-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to the first dose of study drug in the current study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ji-Hye Kang, Ph.D
Organizational Affiliation
Curacle Co., Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Celerion
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68502
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
18446514
Citation
Maganti L, Panebianco DL, Maes AL. Evaluation of methods for estimating time to steady state with examples from phase 1 studies. AAPS J. 2008;10(1):141-7. doi: 10.1208/s12248-008-9014-y. Epub 2008 Feb 28.
Results Reference
background
PubMed Identifier
3450848
Citation
Schuirmann DJ. A comparison of the two one-sided tests procedure and the power approach for assessing the equivalence of average bioavailability. J Pharmacokinet Biopharm. 1987 Dec;15(6):657-80. doi: 10.1007/BF01068419.
Results Reference
background

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First-In-Human Study of CU06-1004 Following Single and Multiple Ascending Doses in Healthy Volunteers

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