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Open-label, Crossover, Food Effect Study to Evaluate CT-044 in Healthy Human Volunteers

Primary Purpose

Pain, Acute, Acute Pain, Surgery

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CT-044
Sponsored by
Lotus Clinical Research, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pain, Acute focused on measuring Safety, Tolerability, Single Dose, Pharmacokinetics, PK, CT-044 HCl, Food Effect

Eligibility Criteria

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

Inclusion Criteria:

  • Men and women aged 18 through 55 years, inclusive.
  • Body mass index within the range 18.5 to 32.0 kg/m2 (inclusive).
  • Healthy subjects as determined by medical history, physical examination including neurological examination, vital signs, electrocardiogram (ECG), and clinical laboratory tests.
  • Negative tests for hepatitis B surface antigen, hepatitis C virus antibodies and human immunodeficiency virus (HIV-1 or HIV-2) antibody, and syphilis at screening.
  • Nonsmokers or ex-smokers and agrees not to use nicotine containing products from screening through 48 hours after final discharge from the Clinical Trial Unit.
  • Negative screen for alcohol and drugs of abuse at screening and admission.
  • Women must not be of childbearing potential by reason of surgery or at least 1 year postmenopausal (i.e., 12 months without menstrual period), or menopause confirmed with an estradiol level of <30 pg/mL and follicle-stimulating hormone level of >40 IU/L at screening.
  • Men must be infertile, or truly abstinent of heterosexual intercourse, or heterosexual partner is not of childbearing potential, or must agree to use an effective method of contraception throughout the study and for 28 days after last dose of study drug. Men must agree to not provide sperm donation during that same period.
  • Able and willing to be available for the duration of the study.
  • Willing and able to give written informed consent to participate.
  • Able to understand and comply with protocol instructions.
  • Agree not to receive any vaccination within 21 days prior to admission and through Day 7 after final discharge from the Clinical Trial Unit.
  • Agrees not to use nonprescription drugs, including vitamins, antacids, and herbal and dietary supplements within 14 days or 5 drug elimination half-lives, whichever is longer.

Exclusion Criteria:

- Subjects with significant previous or ongoing disease or disorder, including for example: cardiovascular diseases; hypertension; cancer or neoplasia; diabetes; hepatic, endocrine, metabolic, respiratory, renal, gastrointestinal (except appendectomy), hematological or Axis I or II psychiatric disorders.

  • Clinical laboratory test results outside the normal range at screening that are considered clinically significant by the Investigator.
  • Clinically significant, in the opinion of the Investigator, infection or inflammation at time of screening or admission.
  • Acute gastrointestinal symptoms at time of screening or admission or a clinical diagnosis of irritable bowel syndrome (IBS) per ROME IV criteria.
  • Average QTcF interval recorded on screening and pre-dose ECG must be not more than 450 msec.
  • Any current or previous illicit use of Class A drugs such as opiates, cocaine, ecstasy, lysergic acid diethylamide (LSD), and amphetamines (Class B).
  • An alcoholic intake greater than 14 units per week or unwillingness to stop alcohol consumption for the duration of the study.
  • Use of any investigational medication within 3 months prior to the start of this study or scheduled to receive an investigational drug during the course of this study, or for 30 days or five half-lives, whichever is longer, following the last dose of study medication.
  • History of severe allergies or multiple adverse drug reactions, including penicillin and cephalosporins.
  • Any condition which compromises their ability to give informed consent or to communicate with the Investigator as required for the completion of this study.

Sites / Locations

  • Lotus Clinical Resarch,LLC

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CT-044 600 mg

Arm Description

The dose to be utilized for the evaluation of food effect will be CT-044 600 mg single dose.

Outcomes

Primary Outcome Measures

Comparison of the maximum drug concentration
Following administration with and without food (Cmax) of oral single dose of CT-044
Comparison of the Time of maximum drug concentration (tmax)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Area under the drug concentration Time curve from time 0 extrapolated to infinity (AUC0-∞)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Area under the drug concentration Time curve from time 0 to the time of the last quantifiable concentration (AUC0-last)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Apparent oral clearance (CL/F)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Apparent volume distribution (Vz/F)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Terminal half-life (t1/2)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Terminal rate constant (λz)
Following a single oral dose of CT-044 following administration with and without food
Comparison of the Relative bioavailability
Following a single oral dose of CT-044 after administration of a high-fat meal (F)
Peak Plasma Concentration (Cmax)
Linear mixed model appropriate for a 2-period cross-over design with fixed terms for sequence, period and food condition will be used to investigate the food interaction on the Peak Plasma Concentration (Cmax)
Plasma concentration versus time curve (AUC)
Linear mixed model appropriate for a 2-period cross-over design with fixed terms for sequence, period and food condition will be used to investigate the food interaction Area under the plasma concentration versus time curve (AUC)

Secondary Outcome Measures

Full Information

First Posted
December 3, 2019
Last Updated
June 11, 2020
Sponsor
Lotus Clinical Research, LLC
Collaborators
CerSci Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04252833
Brief Title
Open-label, Crossover, Food Effect Study to Evaluate CT-044 in Healthy Human Volunteers
Official Title
Open-label, Crossover, Food Effect Study to Evaluate the Single Dose Pharmacokinetics of CT-044, a Reactive Species Decomposition Accelerant, in Healthy Human Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
February 18, 2020 (Actual)
Primary Completion Date
March 16, 2020 (Actual)
Study Completion Date
March 16, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lotus Clinical Research, LLC
Collaborators
CerSci Therapeutics

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 open-label study will be conducted to assess the bioavailability and PK of oral single doses of CT-044 following administration with and without food and to evaluate the safety and tolerability of CT-044 when given with and without food.
Detailed Description
The food effect study will be an open-label, 2-sequence, balanced crossover design in 12 subjects previously untreated with CT-044. Eligible subjects will be admitted to the Clinical Trial Unit on the day prior to dosing and remain in house until Day 3. Each subject will receive CT-044 single oral dose once under fed conditions (i.e., a high fat meal per FDA recommendations) and once in the fasted state. 9 Subjects will return to the Clinical Trial Unit on an outpatient basis for follow-up. Subjects will return to the Clinical Trial Unit to be treated by the second sequence after a washout period of at least 7 days, but no more than 14 days. All procedures will be repeated for the second treatment sequence. When possible, the procedures conducted at the 144-hour follow-up visit for the first sequence may serve as baseline for the second sequence of the crossover.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pain, Acute, Acute Pain, Surgery, Neuropathy
Keywords
Safety, Tolerability, Single Dose, Pharmacokinetics, PK, CT-044 HCl, Food Effect

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
The dose to be utilized for the evaluation of food effect will be CT-044 600 mg single dose.
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CT-044 600 mg
Arm Type
Experimental
Arm Description
The dose to be utilized for the evaluation of food effect will be CT-044 600 mg single dose.
Intervention Type
Drug
Intervention Name(s)
CT-044
Intervention Description
CT-044 HCl is a reactive species decomposition accelerant
Primary Outcome Measure Information:
Title
Comparison of the maximum drug concentration
Description
Following administration with and without food (Cmax) of oral single dose of CT-044
Time Frame
7 days
Title
Comparison of the Time of maximum drug concentration (tmax)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Area under the drug concentration Time curve from time 0 extrapolated to infinity (AUC0-∞)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Area under the drug concentration Time curve from time 0 to the time of the last quantifiable concentration (AUC0-last)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Apparent oral clearance (CL/F)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Apparent volume distribution (Vz/F)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Terminal half-life (t1/2)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Terminal rate constant (λz)
Description
Following a single oral dose of CT-044 following administration with and without food
Time Frame
7 days
Title
Comparison of the Relative bioavailability
Description
Following a single oral dose of CT-044 after administration of a high-fat meal (F)
Time Frame
7 days
Title
Peak Plasma Concentration (Cmax)
Description
Linear mixed model appropriate for a 2-period cross-over design with fixed terms for sequence, period and food condition will be used to investigate the food interaction on the Peak Plasma Concentration (Cmax)
Time Frame
7 days
Title
Plasma concentration versus time curve (AUC)
Description
Linear mixed model appropriate for a 2-period cross-over design with fixed terms for sequence, period and food condition will be used to investigate the food interaction Area under the plasma concentration versus time curve (AUC)
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Men and women aged 18 through 55 years, inclusive. Body mass index within the range 18.5 to 32.0 kg/m2 (inclusive). Healthy subjects as determined by medical history, physical examination including neurological examination, vital signs, electrocardiogram (ECG), and clinical laboratory tests. Negative tests for hepatitis B surface antigen, hepatitis C virus antibodies and human immunodeficiency virus (HIV-1 or HIV-2) antibody, and syphilis at screening. Nonsmokers or ex-smokers and agrees not to use nicotine containing products from screening through 48 hours after final discharge from the Clinical Trial Unit. Negative screen for alcohol and drugs of abuse at screening and admission. Women must not be of childbearing potential by reason of surgery or at least 1 year postmenopausal (i.e., 12 months without menstrual period), or menopause confirmed with an estradiol level of <30 pg/mL and follicle-stimulating hormone level of >40 IU/L at screening. Men must be infertile, or truly abstinent of heterosexual intercourse, or heterosexual partner is not of childbearing potential, or must agree to use an effective method of contraception throughout the study and for 28 days after last dose of study drug. Men must agree to not provide sperm donation during that same period. Able and willing to be available for the duration of the study. Willing and able to give written informed consent to participate. Able to understand and comply with protocol instructions. Agree not to receive any vaccination within 21 days prior to admission and through Day 7 after final discharge from the Clinical Trial Unit. Agrees not to use nonprescription drugs, including vitamins, antacids, and herbal and dietary supplements within 14 days or 5 drug elimination half-lives, whichever is longer. Exclusion Criteria: - Subjects with significant previous or ongoing disease or disorder, including for example: cardiovascular diseases; hypertension; cancer or neoplasia; diabetes; hepatic, endocrine, metabolic, respiratory, renal, gastrointestinal (except appendectomy), hematological or Axis I or II psychiatric disorders. Clinical laboratory test results outside the normal range at screening that are considered clinically significant by the Investigator. Clinically significant, in the opinion of the Investigator, infection or inflammation at time of screening or admission. Acute gastrointestinal symptoms at time of screening or admission or a clinical diagnosis of irritable bowel syndrome (IBS) per ROME IV criteria. Average QTcF interval recorded on screening and pre-dose ECG must be not more than 450 msec. Any current or previous illicit use of Class A drugs such as opiates, cocaine, ecstasy, lysergic acid diethylamide (LSD), and amphetamines (Class B). An alcoholic intake greater than 14 units per week or unwillingness to stop alcohol consumption for the duration of the study. Use of any investigational medication within 3 months prior to the start of this study or scheduled to receive an investigational drug during the course of this study, or for 30 days or five half-lives, whichever is longer, following the last dose of study medication. History of severe allergies or multiple adverse drug reactions, including penicillin and cephalosporins. Any condition which compromises their ability to give informed consent or to communicate with the Investigator as required for the completion of this study.
Facility Information:
Facility Name
Lotus Clinical Resarch,LLC
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
34145168
Citation
Squillace S, Salvemini D. Nitroxidative stress in pain and opioid-induced adverse effects: therapeutic opportunities. Pain. 2022 Feb 1;163(2):205-213. doi: 10.1097/j.pain.0000000000002347. No abstract available.
Results Reference
derived

Learn more about this trial

Open-label, Crossover, Food Effect Study to Evaluate CT-044 in Healthy Human Volunteers

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