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Phase1a, Dose-escalation Study of NNI-362 in Healthy Aged Volunteers

Primary Purpose

Alzheimer Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NNI-362
Placebo
Sponsored by
Neuronascent, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer Disease

Eligibility Criteria

50 Years - 72 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy aged volunteers of either sex between the ages of 50 and 72 inclusive at time of screening.

    • Subjects must be in reasonably good health as determined by investigator based on medical history, vital signs measurements, physical examination, screening laboratory results and ECG.
    • Normal age-related findings as well as well-controlled, chronic and stable medical conditions (e.g., hypertension, osteoarthritis, non-insulin dependent diabetes mellitus, osteoporosis, gout, Paget's disease, hypothyroidism) will not be exclusionary if they are not expected to compromise subject safety, study conduct, or study objectives.
    • Non-interacting medications for stable allowable medical conditions will be allowed following review and approval by the medical monitor.
    • An adequate understanding of the requirements of the study, provision of written informed consent, and agreement to abide by the study restrictions.
    • Negative urine screen for drugs of abuse within 24 h before the administration of the first dose of study drug and in the multiple dose study upon readmission to the clinical unit from outpatient status.
    • Body Mass Index (BMI) of between 18 and 30 kg/m2 inclusive, and a total body weight greater than 48kg at screening.

Exclusion Criteria:

  • • Women of child-bearing potential, defined as premenopausal (unless the potential research subject has previously undergone hysterectomy and/or bilateral salpingo-oophorectomy)

    • Pregnant or breastfeeding
    • Any clinically significant hematology, chemistry, coagulation, or urinalysis value at screening and day -1 Abnormal liver enzymes (ALT and/or AST >1.5X ULN) at screening and day -1
    • Serum creatinine > ULN at screening and day -1
    • Hemoglobin <13 g/dL for males or <11.5 g/dL for females, leukocytes <3.0 X 103/uL, absolute neutrophil count <1000/uL, or platelets <150 X 103/uL at screening and day -1
    • Any significant medical illness that could compromise the interpretability of study data or affect subject safety including, but not necessarily limited to:

      • Chronic pulmonary disease or sleep apnea
      • Clinically significant cardiac arrhythmia (either at screening or based on history)
      • Congestive heart failure, valvular heart disease or ischemic heart disease
      • Pulmonary hypertension
      • Any disorder of the kidney or urinary tract
      • Active peptic ulcer disease, gastrointestinal bleeding, inflammatory bowel disease, chronic pancreatitis
      • Liver disease (excluding Gilbert's syndrome)
      • Any neurologic disorder other than chronic Bell's Palsy
      • History of malignancy that has not been cured or in complete remission for at least 10 years (excluding resected non-metastatic basal cell carcinoma)
      • History of seizure activity other than early childhood
      • Any traumatic brain injury in adulthood
    • Current smoker or nicotine user (quit less than 2 months)
    • Active substance abuse.
    • Glomerular filtration rate <50 mL/min based on Cockcroft-Gault calculation using ideal (lean) body weight or present weight.
    • Difficulty swallowing

Sites / Locations

  • Parexel, International

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Placebo

NNI-362, 10 mg

NNI-362, 20 mg

NNI-362, 60 mg

NNI-362, 120 mg

NNI-362, 240 mg

Arm Description

Placebo liquid suspension.

NNI-362 at 10 mg in liquid suspension

NNI-362 at 20 mg in liquid suspension

NNI-362 at 60 mg in liquid suspension

NNI-362 at 120 mg in liquid suspension

NNI-362 at 240 mg in liquid suspension

Outcomes

Primary Outcome Measures

Measure number of treatment related adverse events following single and multiple dosing of NNI-362.
To examine the number of participants with treatment-related adverse events according to criteria of CTCAE v4.0

Secondary Outcome Measures

Measure Maximum Plasma Concentration with single or multiple dosing of NNI-362.
Following single and multiple dosing of oral NNI-362 assess the maximum plasma concentration [Cmax].
Measure Area Under the Curve with single and multiple dosing of NNI-362
Following single and multiple dosing of oral NNI-362 assess the area under the curve [AUC].

Full Information

First Posted
August 27, 2019
Last Updated
February 15, 2023
Sponsor
Neuronascent, Inc.
Collaborators
National Institute on Aging (NIA)
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1. Study Identification

Unique Protocol Identification Number
NCT04074837
Brief Title
Phase1a, Dose-escalation Study of NNI-362 in Healthy Aged Volunteers
Official Title
Phase1a, Randomized Placebo-controlled, Single and Multiple Dose, Dose-escalation Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Oral NNI-362 in Healthy Aged Volunteers 50 to 72 Years of Age
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
August 1, 2019 (Actual)
Primary Completion Date
July 31, 2021 (Actual)
Study Completion Date
August 15, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neuronascent, Inc.
Collaborators
National Institute on Aging (NIA)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to examine the safety, tolerability and pharmacokinetics of single and multiple doses of NNI-362 in healthy aged population.
Detailed Description
The early clinical development strategy consists of the initial evaluation of safety and tolerability of NNI-362. This FIH Phase I includes single and multiple ascending dose studies in healthy aged volunteers. Assessment of suicidal ideation/behavior will be performed at baseline and at all study visits and on days of inpatient confinement in conformance with FDA recommendations.

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
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Placebo versus NNI-362 at 10 mg, 20 mg, 60 and 120 mg liquid suspension
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Quadruple (Participant, Care Provider, Investigator, Outcome Assessor)
Allocation
Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo liquid suspension.
Arm Title
NNI-362, 10 mg
Arm Type
Active Comparator
Arm Description
NNI-362 at 10 mg in liquid suspension
Arm Title
NNI-362, 20 mg
Arm Type
Active Comparator
Arm Description
NNI-362 at 20 mg in liquid suspension
Arm Title
NNI-362, 60 mg
Arm Type
Active Comparator
Arm Description
NNI-362 at 60 mg in liquid suspension
Arm Title
NNI-362, 120 mg
Arm Type
Active Comparator
Arm Description
NNI-362 at 120 mg in liquid suspension
Arm Title
NNI-362, 240 mg
Arm Type
Active Comparator
Arm Description
NNI-362 at 240 mg in liquid suspension
Intervention Type
Drug
Intervention Name(s)
NNI-362
Intervention Description
NNI-362 small molecule in liquid suspension.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo liquid suspension
Primary Outcome Measure Information:
Title
Measure number of treatment related adverse events following single and multiple dosing of NNI-362.
Description
To examine the number of participants with treatment-related adverse events according to criteria of CTCAE v4.0
Time Frame
5 to 15 days
Secondary Outcome Measure Information:
Title
Measure Maximum Plasma Concentration with single or multiple dosing of NNI-362.
Description
Following single and multiple dosing of oral NNI-362 assess the maximum plasma concentration [Cmax].
Time Frame
48 hours
Title
Measure Area Under the Curve with single and multiple dosing of NNI-362
Description
Following single and multiple dosing of oral NNI-362 assess the area under the curve [AUC].
Time Frame
48 hours

10. Eligibility

Sex
All
Gender Based
Yes
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
72 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy aged volunteers of either sex between the ages of 50 and 72 inclusive at time of screening. Subjects must be in reasonably good health as determined by investigator based on medical history, vital signs measurements, physical examination, screening laboratory results and ECG. Normal age-related findings as well as well-controlled, chronic and stable medical conditions (e.g., hypertension, osteoarthritis, non-insulin dependent diabetes mellitus, osteoporosis, gout, Paget's disease, hypothyroidism) will not be exclusionary if they are not expected to compromise subject safety, study conduct, or study objectives. Non-interacting medications for stable allowable medical conditions will be allowed following review and approval by the medical monitor. An adequate understanding of the requirements of the study, provision of written informed consent, and agreement to abide by the study restrictions. Negative urine screen for drugs of abuse within 24 h before the administration of the first dose of study drug and in the multiple dose study upon readmission to the clinical unit from outpatient status. Body Mass Index (BMI) of between 18 and 30 kg/m2 inclusive, and a total body weight greater than 48kg at screening. Exclusion Criteria: • Women of child-bearing potential, defined as premenopausal (unless the potential research subject has previously undergone hysterectomy and/or bilateral salpingo-oophorectomy) Pregnant or breastfeeding Any clinically significant hematology, chemistry, coagulation, or urinalysis value at screening and day -1 Abnormal liver enzymes (ALT and/or AST >1.5X ULN) at screening and day -1 Serum creatinine > ULN at screening and day -1 Hemoglobin <13 g/dL for males or <11.5 g/dL for females, leukocytes <3.0 X 103/uL, absolute neutrophil count <1000/uL, or platelets <150 X 103/uL at screening and day -1 Any significant medical illness that could compromise the interpretability of study data or affect subject safety including, but not necessarily limited to: Chronic pulmonary disease or sleep apnea Clinically significant cardiac arrhythmia (either at screening or based on history) Congestive heart failure, valvular heart disease or ischemic heart disease Pulmonary hypertension Any disorder of the kidney or urinary tract Active peptic ulcer disease, gastrointestinal bleeding, inflammatory bowel disease, chronic pancreatitis Liver disease (excluding Gilbert's syndrome) Any neurologic disorder other than chronic Bell's Palsy History of malignancy that has not been cured or in complete remission for at least 10 years (excluding resected non-metastatic basal cell carcinoma) History of seizure activity other than early childhood Any traumatic brain injury in adulthood Current smoker or nicotine user (quit less than 2 months) Active substance abuse. Glomerular filtration rate <50 mL/min based on Cockcroft-Gault calculation using ideal (lean) body weight or present weight. Difficulty swallowing
Facility Information:
Facility Name
Parexel, International
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
This clinical trial will be available for peer-reviewed publication.
Citations:
PubMed Identifier
33436007
Citation
Sumien N, Wells MS, Sidhu A, Wong JM, Forster MJ, Zheng QX, Kelleher-Andersson JA. Novel pharmacotherapy: NNI-362, an allosteric p70S6 kinase stimulator, reverses cognitive and neural regenerative deficits in models of aging and disease. Stem Cell Res Ther. 2021 Jan 13;12(1):59. doi: 10.1186/s13287-020-02126-3.
Results Reference
derived

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Phase1a, Dose-escalation Study of NNI-362 in Healthy Aged Volunteers

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