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LMT503 First-in-human SAD, MAD, and FE Study

Primary Purpose

Inflammatory Bowel Disease, Colitis, Ulcerative, Crohn Disease

Status
Not yet recruiting
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
LMT503
Placebo
Sponsored by
Lmito Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inflammatory Bowel Disease focused on measuring Macrophage Polarization, Cell metabolism modulation

Eligibility Criteria

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

Inclusion Criteria: Age : 18 to 65 years, inclusive, at screening Weight : 50 to 110 kg, inclusive, at screening Body mass index : 18.0 to 30.0 kg/m2, inclusive, at screening At screening, females can be of childbearing potential (but not pregnant or lactating), or of nonchildbearing potential (either surgically sterilized or physiologically incapable of becoming pregnant, or at least 1 year postmenopausal [amenorrhea duration of 12 consecutive months]); nonpregnancy will be confirmed for all females by a negative serum pregnancy test at screening, (each) admission, and follow-up. Female subjects of childbearing potential who have a fertile male sexual partner must agree to use adequate contraception from at least 4 weeks prior to (first) administration of the study drug until 90 days after the follow up visit. Adequate contraception is defined as using hormonal contraceptives or an intrauterine device combined with at least 1 of the following forms of contraception: a diaphragm, a cervical cap, or a condom. Total abstinence from heterosexual intercourse, in accordance with the lifestyle of the subject, is also acceptable. Male subjects, if not surgically sterilized, must agree to use adequate contraception and not donate sperm from (first) admission to the clinical research center until 90 days after the follow-up visit. Adequate contraception for the male subject (and his female partner, if she is of childbearing potential) is defined as using hormonal contraceptives or an intrauterine device combined with at least 1 of the following forms of contraception: a diaphragm, a cervical cap, or a condom. Total abstinence from heterosexual intercourse, in accordance with the lifestyle of the subject, is also acceptable. Supine systolic blood pressure between 90 to 140 mmHg, inclusive, diastolic blood pressure between 45 to 90 mmHg, inclusive, and a heart rate between 40 to 100 bpm, inclusive, at screening. If initial results do not meet these criteria, blood pressure may be repeated if in the judgment of the Investigator there is a reason to believe the initial result is inaccurate. All prescribed medication must have been stopped at least 30 days prior to (first) admission to the clinical research center. An exception is made for hormonal contraceptives, which may be used throughout the study. All over-the-counter medication, vitamin preparations and other food supplements, or herbal medications (eg, St. John's wort) must have been stopped at least 14 days prior to (first) admission to the clinical research center. An exception is made for paracetamol, which is allowed up to admission to the clinical research center. Ability and willingness to abstain from alcohol from 48 hours (2 days) prior to screening and (first) admission to the clinical research center. Ability and willingness to abstain from methylxanthine-containing beverages or food (coffee, tea, cola, chocolate, energy drinks) and grapefruit (juice) from 48 hours (2 days) prior to (each) admission to the clinical research center. Good physical and mental health on the basis of medical history, physical examination, clinical laboratory, ECG, and vital signs, as judged by the Investigator. Willing and able to sign the ICF. Exclusion Criteria: Previous participation in the current study. Employee of ICON or the Sponsor. History of relevant drug and/or food allergies. Using tobacco products within 2 months prior to (first) admission. History of alcohol abuse or drug addiction (including soft drugs like cannabis products). Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, gamma hydroxybutyric acid, tricyclic antidepressants, and alcohol) at screening or (at one of the) admission(s) to the clinical research center. Average intake of more than 24 units of alcohol per week: 1 unit of alcohol equals approximately 250 mL of beer, 100 mL of wine, or 35 mL of spirits). Positive screen for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies, or human immunodeficiency virus (HIV) 1 and 2 antibodies. Participation in a drug study within 30 days prior to (the first) drug administration in the current study. Participation in 4 or more other drug studies in the 12 months prior to (the first) drug administration in the current study. Donation or loss of more than 450 mL of blood within 60 days prior to (the first) drug administration. Donation or loss of more than 1.5 liters of blood (for male subjects)/more than 1.0 liters of blood (for female subjects) in the 10 months prior to (the first) drug administration in the current study. Significant and/or acute illness within 5 days prior to (the first) drug administration that may impact safety assessments, in the opinion of the Investigator. Unwillingness to consume the FDA breakfast. Unsuitable veins for infusion or blood sampling. Vaccination against SARS-CoV-2 planned between 2 weeks prior to (first) admission and follow-up. Positive nasopharyngeal PCR test for SARS-CoV-2 on Day -1 or if there was any known close contact with a person who tested positive for SARS-CoV-2 or with a COVID-19 patient within 2 weeks prior to admission.

Sites / Locations

  • ICON plc Company - Early Development Services

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LMT503

Placebo

Arm Description

Subjects receiving LMT503 orally

Subjects receiving Matched Placebo orally

Outcomes

Primary Outcome Measures

Number of Treatment Emergent Adverse Events (TEAEs) in the SAD and MAD part
Incidence and severity of AEs including clinical significant changes in safety laboratory, vital signs, 12-lead ECG, continuous cardiac monitoring (telemetry), and physical examination

Secondary Outcome Measures

PK parameter
Maximum observed concentration (Cmax) of LMT503 in plasma
PK parameter
Time to maximum observed concentration (Tmax) of LMT503 in plasma
PK parameter
Apparent terminal elimination half-life (t1/2) of LMT503 in plasma
PK parameter
Area under the plasma concentration-time curve from time 0 to time tau (AUC0-tau) of LMT503 in plasma
PK parameter
Terminal elimination rate constant (kel) of LMT503 in plasma
PK parameter
Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) of LMT503 in plasma (SAD and FE part)
PK parameter
Area under the plasma concentration-time curve up to time t (AUC0-t) of LMT503 in plasma (SAD and FE part)
PK parameter
Concentration at the end of the dosing interval (Ctrough) of LMT503 in plasma (MAD only)
PK parameter
Cumulative amount of LMT503 excreted in urine to time t (Aeurine) (SAD and FE part)
PK parameter
Cumulative amount of LMT503 excreted in urine to time tau (Aeurine,ss) (MAD only)
Number of Treatment Emergent Adverse Events (TEAEs) in Food Effect part
Incidence and severity of AEs including clinical significant changes in safety laboratory, vital signs, 12-lead ECG, continuous cardiac monitoring (telemetry), and physical examination

Full Information

First Posted
November 25, 2022
Last Updated
December 13, 2022
Sponsor
Lmito Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05659953
Brief Title
LMT503 First-in-human SAD, MAD, and FE Study
Official Title
A Phase 1, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose, Multiple Ascending Dose and Food Effect Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of LMT503 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 1, 2023 (Anticipated)
Primary Completion Date
December 1, 2023 (Anticipated)
Study Completion Date
March 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lmito 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
This is a double-blind, randomized, placebo-controlled study, consisting of a single ascending dose (SAD) part with integrated food effect (FE) arm, and a multiple ascending dose (MAD) part to assess the safety, tolerability, and PK of ascending single and multiple oral doses of LMT503. The study will start with the SAD part.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammatory Bowel Disease, Colitis, Ulcerative, Crohn Disease
Keywords
Macrophage Polarization, Cell metabolism modulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
72 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
LMT503
Arm Type
Experimental
Arm Description
Subjects receiving LMT503 orally
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects receiving Matched Placebo orally
Intervention Type
Drug
Intervention Name(s)
LMT503
Intervention Description
Subjects will receive one of several different oral doses of LMT503 once daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subjects will receive one of several different oral doses of Placebo once daily
Primary Outcome Measure Information:
Title
Number of Treatment Emergent Adverse Events (TEAEs) in the SAD and MAD part
Description
Incidence and severity of AEs including clinical significant changes in safety laboratory, vital signs, 12-lead ECG, continuous cardiac monitoring (telemetry), and physical examination
Time Frame
up to Day 17
Secondary Outcome Measure Information:
Title
PK parameter
Description
Maximum observed concentration (Cmax) of LMT503 in plasma
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Time to maximum observed concentration (Tmax) of LMT503 in plasma
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Apparent terminal elimination half-life (t1/2) of LMT503 in plasma
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Area under the plasma concentration-time curve from time 0 to time tau (AUC0-tau) of LMT503 in plasma
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Terminal elimination rate constant (kel) of LMT503 in plasma
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) of LMT503 in plasma (SAD and FE part)
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Area under the plasma concentration-time curve up to time t (AUC0-t) of LMT503 in plasma (SAD and FE part)
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Concentration at the end of the dosing interval (Ctrough) of LMT503 in plasma (MAD only)
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Cumulative amount of LMT503 excreted in urine to time t (Aeurine) (SAD and FE part)
Time Frame
up to Day 10, 72 hours post dose
Title
PK parameter
Description
Cumulative amount of LMT503 excreted in urine to time tau (Aeurine,ss) (MAD only)
Time Frame
up to Day 10, 72 hours post dose
Title
Number of Treatment Emergent Adverse Events (TEAEs) in Food Effect part
Description
Incidence and severity of AEs including clinical significant changes in safety laboratory, vital signs, 12-lead ECG, continuous cardiac monitoring (telemetry), and physical examination
Time Frame
up to Day 4, 72 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: Age : 18 to 65 years, inclusive, at screening Weight : 50 to 110 kg, inclusive, at screening Body mass index : 18.0 to 30.0 kg/m2, inclusive, at screening At screening, females can be of childbearing potential (but not pregnant or lactating), or of nonchildbearing potential (either surgically sterilized or physiologically incapable of becoming pregnant, or at least 1 year postmenopausal [amenorrhea duration of 12 consecutive months]); nonpregnancy will be confirmed for all females by a negative serum pregnancy test at screening, (each) admission, and follow-up. Female subjects of childbearing potential who have a fertile male sexual partner must agree to use adequate contraception from at least 4 weeks prior to (first) administration of the study drug until 90 days after the follow up visit. Adequate contraception is defined as using hormonal contraceptives or an intrauterine device combined with at least 1 of the following forms of contraception: a diaphragm, a cervical cap, or a condom. Total abstinence from heterosexual intercourse, in accordance with the lifestyle of the subject, is also acceptable. Male subjects, if not surgically sterilized, must agree to use adequate contraception and not donate sperm from (first) admission to the clinical research center until 90 days after the follow-up visit. Adequate contraception for the male subject (and his female partner, if she is of childbearing potential) is defined as using hormonal contraceptives or an intrauterine device combined with at least 1 of the following forms of contraception: a diaphragm, a cervical cap, or a condom. Total abstinence from heterosexual intercourse, in accordance with the lifestyle of the subject, is also acceptable. Supine systolic blood pressure between 90 to 140 mmHg, inclusive, diastolic blood pressure between 45 to 90 mmHg, inclusive, and a heart rate between 40 to 100 bpm, inclusive, at screening. If initial results do not meet these criteria, blood pressure may be repeated if in the judgment of the Investigator there is a reason to believe the initial result is inaccurate. All prescribed medication must have been stopped at least 30 days prior to (first) admission to the clinical research center. An exception is made for hormonal contraceptives, which may be used throughout the study. All over-the-counter medication, vitamin preparations and other food supplements, or herbal medications (eg, St. John's wort) must have been stopped at least 14 days prior to (first) admission to the clinical research center. An exception is made for paracetamol, which is allowed up to admission to the clinical research center. Ability and willingness to abstain from alcohol from 48 hours (2 days) prior to screening and (first) admission to the clinical research center. Ability and willingness to abstain from methylxanthine-containing beverages or food (coffee, tea, cola, chocolate, energy drinks) and grapefruit (juice) from 48 hours (2 days) prior to (each) admission to the clinical research center. Good physical and mental health on the basis of medical history, physical examination, clinical laboratory, ECG, and vital signs, as judged by the Investigator. Willing and able to sign the ICF. Exclusion Criteria: Previous participation in the current study. Employee of ICON or the Sponsor. History of relevant drug and/or food allergies. Using tobacco products within 2 months prior to (first) admission. History of alcohol abuse or drug addiction (including soft drugs like cannabis products). Positive drug and alcohol screen (opiates, methadone, cocaine, amphetamines [including ecstasy], cannabinoids, barbiturates, benzodiazepines, gamma hydroxybutyric acid, tricyclic antidepressants, and alcohol) at screening or (at one of the) admission(s) to the clinical research center. Average intake of more than 24 units of alcohol per week: 1 unit of alcohol equals approximately 250 mL of beer, 100 mL of wine, or 35 mL of spirits). Positive screen for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies, or human immunodeficiency virus (HIV) 1 and 2 antibodies. Participation in a drug study within 30 days prior to (the first) drug administration in the current study. Participation in 4 or more other drug studies in the 12 months prior to (the first) drug administration in the current study. Donation or loss of more than 450 mL of blood within 60 days prior to (the first) drug administration. Donation or loss of more than 1.5 liters of blood (for male subjects)/more than 1.0 liters of blood (for female subjects) in the 10 months prior to (the first) drug administration in the current study. Significant and/or acute illness within 5 days prior to (the first) drug administration that may impact safety assessments, in the opinion of the Investigator. Unwillingness to consume the FDA breakfast. Unsuitable veins for infusion or blood sampling. Vaccination against SARS-CoV-2 planned between 2 weeks prior to (first) admission and follow-up. Positive nasopharyngeal PCR test for SARS-CoV-2 on Day -1 or if there was any known close contact with a person who tested positive for SARS-CoV-2 or with a COVID-19 patient within 2 weeks prior to admission.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Maria Velinova, MD, PhD
Phone
0800-0292044
Email
info@praclinicaltrials.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wheeseong LEE, PhD
Organizational Affiliation
Lmito Therapeutics Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
ICON plc Company - Early Development Services
City
Groningen
State/Province
NZ
ZIP/Postal Code
9728
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
No

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LMT503 First-in-human SAD, MAD, and FE Study

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