Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides
Primary Purpose
Alzheimer Disease
Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MCTprocal medical food
Milk/tricaprilin oil blend
AC-1207
AC-1205
AC-1206
AC-1202
Sponsored by
About this trial
This is an interventional other trial for Alzheimer Disease
Eligibility Criteria
Inclusion Criteria:
- Healthy, adult, male 18 55 years of age, inclusive, at Screening.
- Continuous non smoker who has not used nicotine containing products for at least 3 months prior to Day -1 of Period 1 and throughout the study based on self-reporting.
- Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening.
- Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. At screening, subjects must have alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) ≤ the upper limit of normal and triglyceride levels must be < 250 mg/dL.
- Hemoglobin levels ≥ the lower limit of normal at Screening and Day -1 of Period 1.
- A non vasectomized subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to Day -1 of Period 1. A subject who has been vasectomized less than 4 months prior to Day -1 of Period 1 must follow the same restrictions as a non vasectomized male).
- Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.
Exclusion Criteria:
- Subject 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 alcoholism or drug abuse within the past year prior to Day -1 of Period 1.
- History or presence of galactosemia or hypersensitivity or idiosyncratic reaction to the study drugs, related compounds, milk, palm or coconut oil, or soy.
- History or presence of symptomatic diverticular disease, uncontrolled gastroesophageal reflux disease, ulcers, inflammatory bowel disease, irritable bowel syndrome or recurrent diarrhea, or gout.
- Positive urine drug results at Screening or Check-in.
- Positive alcohol results at Screening or Check-in. One repeat assessment is permitted.
- 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. One repeat assessment is permitted.
- Seated heart rate is lower than 40 bpm or higher than 99 bpm at Screening.
- QTcF interval is >460 msec or subject has ECG findings deemed abnormal with clinical significance by the PI or designee at Screening.
- Estimated creatinine clearance ≤ 80 mL/min at Screening.
- Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to Day -1 of Period 1 and throughout the study. Acetaminophen (up to 2 g per 24 hours) may be permitted during the study.
- Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 28 days prior to Day -1 of Period 1 and throughout the study.
- Has been following a ketogenic diet, in the opinion of the PI or designee, within 2 weeks prior to Day -1 of Period 1.
- Is lactose intolerant.
- Is unable to complete the standard breakfast prior to dosing on Day 1 of each Period.
- Donation of blood or significant blood loss within 56 days prior to Day -1 of Period 1.
- Plasma donation within 7 days prior to Day -1 of Period 1.
- Participation in another clinical study within 28 days prior to Day -1 of Period 1. The 28-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day -1 of Period 1 of the current study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm Type
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Experimental
Arm Label
MCTprocal medical food
Milk/tricaprilin oil blend
AC-1207
AC-1205
AC-1206
AC-1202
Arm Description
Vitaflo MCTprocal, single dose (20 g MCT)
Lactose-free milk and tricaprilin oil, blended,single dose (20 g tricaprilin)
AC-1207 liquid, single dose (20 g tricaprilin)
AC-1205 liquid, single dose (20 g tricaprilin)
AC-1206 liquid, single dose (20 g tricaprilin)
AC-1206 liquid, single dose (20 g tricaprilin)
Outcomes
Primary Outcome Measures
Total ketones
Area Under the Curve (AUC) AUC 0 - last
Total ketones
AUC 0 - 4
Total ketones
AUC 0 - 6
Total ketones
AUC 0 - 8
Total ketones
Maximum Plasma Concentration (Cmax)
B-hydroxybutyrate
AUC 0 - last
B-hydroxybutyrate
AUC 0 - 4
B-hydroxybutyrate
AUC 0 - 6
B-hydroxybutyrate
AUC 0 - 8
B-hydroxybutyrate
Cmax
Acetoacetate
AUC 0 - last
Acetoacetate
AUC 0 - 4
Acetoacetate
AUC 0 - 6
Acetoacetate
AUC 0 - 8
Acetoacetate
Cmax
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03635879
Brief Title
Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides
Official Title
A Phase 1, Single-Center, Pilot, Single-Dose, 6-Way Crossover Study to Compare Six Formulations of Medium Chain Triglycerides on the Pharmacokinetics of Ketone Body Production
Study Type
Interventional
2. Study Status
Record Verification Date
September 2018
Overall Recruitment Status
Withdrawn
Why Stopped
Study redesign
Study Start Date
February 13, 2019 (Anticipated)
Primary Completion Date
April 16, 2019 (Anticipated)
Study Completion Date
April 16, 2019 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cerecin
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a Phase I, open label, randomized, 6-way crossover, pilot PK study
Detailed Description
12 healthy, male subjects enrolled, subject will be randomized to receive a single dose of one of six treatment, with a 2 day washout in between each dosing period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
MCTprocal medical food
Arm Type
Active Comparator
Arm Description
Vitaflo MCTprocal, single dose (20 g MCT)
Arm Title
Milk/tricaprilin oil blend
Arm Type
Active Comparator
Arm Description
Lactose-free milk and tricaprilin oil, blended,single dose (20 g tricaprilin)
Arm Title
AC-1207
Arm Type
Active Comparator
Arm Description
AC-1207 liquid, single dose (20 g tricaprilin)
Arm Title
AC-1205
Arm Type
Active Comparator
Arm Description
AC-1205 liquid, single dose (20 g tricaprilin)
Arm Title
AC-1206
Arm Type
Active Comparator
Arm Description
AC-1206 liquid, single dose (20 g tricaprilin)
Arm Title
AC-1202
Arm Type
Experimental
Arm Description
AC-1206 liquid, single dose (20 g tricaprilin)
Intervention Type
Other
Intervention Name(s)
MCTprocal medical food
Intervention Description
32 g MCTprocal (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
Intervention Type
Other
Intervention Name(s)
Milk/tricaprilin oil blend
Intervention Description
154 mL of lactose-free skim milk/21 mL of tricaprilin oil blended and then mixed in 180 mL of water at Hour 0 Day 1
Intervention Type
Other
Intervention Name(s)
AC-1207
Intervention Description
AC-1207 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
Intervention Type
Other
Intervention Name(s)
AC-1205
Intervention Description
AC-1205 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
Intervention Type
Other
Intervention Name(s)
AC-1206
Intervention Description
AC-1206 (20 g MCT) mixed in 180 mL of water at Hour 0 Day 1
Intervention Type
Drug
Intervention Name(s)
AC-1202
Intervention Description
AC-1202 (20 g MCT) mixed in 240 mL of water at Hour 0 Day 1
Primary Outcome Measure Information:
Title
Total ketones
Description
Area Under the Curve (AUC) AUC 0 - last
Time Frame
1 day
Title
Total ketones
Description
AUC 0 - 4
Time Frame
1 day
Title
Total ketones
Description
AUC 0 - 6
Time Frame
1 day
Title
Total ketones
Description
AUC 0 - 8
Time Frame
1 day
Title
Total ketones
Description
Maximum Plasma Concentration (Cmax)
Time Frame
1 day
Title
B-hydroxybutyrate
Description
AUC 0 - last
Time Frame
1 day
Title
B-hydroxybutyrate
Description
AUC 0 - 4
Time Frame
1 day
Title
B-hydroxybutyrate
Description
AUC 0 - 6
Time Frame
1 day
Title
B-hydroxybutyrate
Description
AUC 0 - 8
Time Frame
1 day
Title
B-hydroxybutyrate
Description
Cmax
Time Frame
1 day
Title
Acetoacetate
Description
AUC 0 - last
Time Frame
1 day
Title
Acetoacetate
Description
AUC 0 - 4
Time Frame
1 day
Title
Acetoacetate
Description
AUC 0 - 6
Time Frame
1 day
Title
Acetoacetate
Description
AUC 0 - 8
Time Frame
1 day
Title
Acetoacetate
Description
Cmax
Time Frame
1 day
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy, adult, male 18 55 years of age, inclusive, at Screening.
Continuous non smoker who has not used nicotine containing products for at least 3 months prior to Day -1 of Period 1 and throughout the study based on self-reporting.
Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at Screening.
Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. At screening, subjects must have alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) ≤ the upper limit of normal and triglyceride levels must be < 250 mg/dL.
Hemoglobin levels ≥ the lower limit of normal at Screening and Day -1 of Period 1.
A non vasectomized subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to Day -1 of Period 1. A subject who has been vasectomized less than 4 months prior to Day -1 of Period 1 must follow the same restrictions as a non vasectomized male).
Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.
Exclusion Criteria:
Subject 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 alcoholism or drug abuse within the past year prior to Day -1 of Period 1.
History or presence of galactosemia or hypersensitivity or idiosyncratic reaction to the study drugs, related compounds, milk, palm or coconut oil, or soy.
History or presence of symptomatic diverticular disease, uncontrolled gastroesophageal reflux disease, ulcers, inflammatory bowel disease, irritable bowel syndrome or recurrent diarrhea, or gout.
Positive urine drug results at Screening or Check-in.
Positive alcohol results at Screening or Check-in. One repeat assessment is permitted.
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. One repeat assessment is permitted.
Seated heart rate is lower than 40 bpm or higher than 99 bpm at Screening.
QTcF interval is >460 msec or subject has ECG findings deemed abnormal with clinical significance by the PI or designee at Screening.
Estimated creatinine clearance ≤ 80 mL/min at Screening.
Unable to refrain from or anticipates the use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to Day -1 of Period 1 and throughout the study. Acetaminophen (up to 2 g per 24 hours) may be permitted during the study.
Has been on a diet incompatible with the on-study diet, in the opinion of the PI or designee, within the 28 days prior to Day -1 of Period 1 and throughout the study.
Has been following a ketogenic diet, in the opinion of the PI or designee, within 2 weeks prior to Day -1 of Period 1.
Is lactose intolerant.
Is unable to complete the standard breakfast prior to dosing on Day 1 of each Period.
Donation of blood or significant blood loss within 56 days prior to Day -1 of Period 1.
Plasma donation within 7 days prior to Day -1 of Period 1.
Participation in another clinical study within 28 days prior to Day -1 of Period 1. The 28-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day -1 of Period 1 of the current study.
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Medical Food Formulation Pharmacokinetic (PK) Study in Medium Chain Triglycerides
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