Phase I Trial of a Single Dose of CRS3123
Clostridium Difficile Colitis
About this trial
This is an interventional treatment trial for Clostridium Difficile Colitis focused on measuring C. diff, C. difficile, Clostridium difficile, CRS3123
Eligibility Criteria
Inclusion Criteria:
-Men and women 18 to 45 years of age, inclusive -Ability to understand the consent process and procedures -Informed consent obtained and signed -Comprehension of the protocol, which will be determined by the recruiter using a series of questions after explaining the procedures. Spanish speaking subjects will utilize a Spanish translation of the consent form with verbal discussion of the study's consent form and protocol by a JHU certified Spanish interpreter. -Subjects agree to be available for all study visits. Subjects will be asked if they have any travel plans, and whether staff could use alternate contact information that will be provided. -General good health, without current medical illness or clinically significant abnormal physical examination findings that classify the subject as other than healthy as determined by study investigators -Negative serum pregnancy test at screening and a negative urine pregnancy test on the day of admittance to the inpatient phase for all female subjects of child bearing potential -Negative urine toxicity screen for marijuana, cocaine metabolite, amphetamines, opiates, PCP, barbiturates, benzodiazepines -Negative breathalyzer -Body mass index (BMI) of < 35 [weight (kg)]/[height (m)^2] -Agreement by subjects with reproductive potential to use an adequate method of contraception during the study and for 4 weeks after study drug administration. Female subjects must agree to the use of TWO reliable methods of contraception while receiving study drug and for 4 weeks after study drug administration, which can include: condoms, spermicidal gel, diaphragm, hormonal or non-hormonal intrauterine device, surgical sterilization, oral contraceptive pill, depot progesterone injections, and sexual abstinence. If a male subject is sexually active, the subject and his partner mus agree to use at least one of the above listed contraceptive methods. -If the subject uses abstinence and becomes sexually active during the study, they must agree to use TWO if female and one if male, of the above listed contraceptive methods.
Exclusion Criteria:
-Medical condition that precludes participation, including the following: a. Hypertension with confirmed systolic blood pressure >140 mmHg or confirmed diastolic blood pressure >90 mmHg, measured after 10 - 15 minutes of rest b. Morbid obesity (BMI>35) c. Current diagnosis of pulmonary disease d. Current diagnosis of asthma, which has required use of asthma medications within the past year e. History of or current diagnosis of diabetes f. Autoimmune disorder, such as lupus, Wegener's, rheumatoid arthritis g. History of malignancy except low-grade skin cancer, (i.e., basal cell carcinoma has been surgically cured) h. Chronic renal, hepatic, or pulmonary disease condition that could interfere with the absorption of the study drug (e.g., surgical resection of significant proportions of the stomach or bowel, gastric bypass, gastric banding, irritable bowel syndrome, inflammatory bowel disease) i. History of known Clostridium difficile infection j. Blood donation within the previous 6 weeks k. History of cardiac rhythm abnormality including Wolff/Parkinson/White syndrome l. History of prolonged QT interval m. History of ovarian cysts -Prolongation of QTcB interval (i.e., confirmed QTcB interval >450 milliseconds) -Clinically significant abnormal electrocardiogram at screening in the judgment of the investigator, or based on the formal ECG reading; history of any cardiac abnormalities, including conduction abnormalities such as Wolff-Parkinson-White, dysrhythmias, or coronary artery disease -Laboratory values outside the expanded ranges in Appendix B for the following tests: blood cell counts (white blood cell counts [WBC], hemoglobin, platelets), serum chemistry (sodium, potassium, calcium, chloride, CO2, creatinine, glucose, BUN, AST, AP, ALT, total bilirubin, protein, albumin, amylase), urinalysis for glucose, protein and blood(with proviso for re-testing females in Section 6). If CK is above normal range at baseline, but not clinically significant, the subject can be included. -Positive serology results for HIV, HBsAg, or HCV antibodies -Febrile illness with temperature documented >38 degrees C within 7 days of dosing -Pregnancy or breastfeeding -Known allergic reactions to study drug components, including ingredients present in the formulation. -Treatment with another investigational drug within 30 days of dosing -Lack of ability to fully understand the informed consent. This will be determined by the recruiter/interviewer after explaining the consent and observing the subject reading the consent. -Ingestion of prescription medications, grapefruit juice, or St John's Wort starting 14 days or 5 half-lives before dosing, whichever is longer. Women may use oral contraceptives. -Ingestion of herbal supplements or over-the-counter medications starting 7 days before dosing -Use of any form of tobacco, including cigarette smoking, pipe smoking, or oral tobacco; if a former smoker or tobacco user, the subject must not have used tobacco for 30 days before screening -Any specific condition that, in the judgment of the Investigator, precludes participation because it could affect subject safety
Sites / Locations
- Johns Hopkins Bayview Medical Center - Infectious Diseases
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Experimental
Cohort A
Cohort B
Cohort C
Cohort D
Cohort E
8 subjects (6 active, 2 placebo) receive a single oral dose of 100 mg CRS3123 or placebo
8 subjects (6 active, 2 placebo) receive a single oral dose of 200 mg CRS3123 or placebo
8 subjects (6 active, 2 placebo) receive a single oral dose of 400 mg CRS3123 or placebo
8 subjects (6 active, 2 placebo) receive a single oral dose of 800 mg CRS3123 or placebo
8 subjects (6 active, 2 placebo) receive a single oral dose of 1200 mg CRS3123 or placebo