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SAD, MAD and Food Effect Evaluation of Safety, Tolerability, and PK of AQ280 in Healthy Subjects

Primary Purpose

Eosinophilic Esophagitis (EoE)

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
AQ280
Placebo
Sponsored by
AQILION AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eosinophilic Esophagitis (EoE)

Eligibility Criteria

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

Inclusion Criteria:

Subjects must satisfy all of the following criteria at the screening visit (and/or at check-in, where noted):

  1. Males or females, of any race, between 18 and 65 years of age, inclusive.
  2. Body mass index between 18.0 and 32.0 kg/m2, inclusive.
  3. In good health, determined by no clinically significant findings from medical history, 12 lead ECG, vital sign measurements, and clinical laboratory evaluations at screening and check-in and from the physical examination at check-in, as assessed by the investigator (or designee).
  4. Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception.
  5. Able to comprehend and willing to sign an informed consent form (ICF) and to abide by the study restrictions.

Exclusion Criteria:

Subjects will be excluded from the study if they satisfy any of the following criteria at the screening visit (or at check-in, where noted):

Medical conditions

  1. Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee).
  2. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, as determined by the investigator (or designee).
  3. History of any surgical (eg, stomach or intestinal surgery or resection) or medical condition that would potentially alter absorption, distribution, metabolism, and/or excretion of orally administered drugs. Uncomplicated appendectomy and hernia repair will be allowed. Cholecystectomy will not be allowed.
  4. History of any significant infectious disease, as assessed by the investigator, within 2 weeks prior to the first dose of IMP.
  5. Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) values >1.2 × upper limit of normal (ULN).
  6. Congenital nonhemolytic hyperbilirubinemia (including suspicion of Gilbert's syndrome).
  7. Hemoglobin value, neutrophil count, and/or lymphocyte count <lower limit of normal.
  8. Clinically significant abnormal ECG at screening or check-in.
  9. Positive hepatitis panel and/or positive human immunodeficiency virus test. Subjects whose results are compatible with prior immunization may be included at the discretion of the investigator
  10. Current active tuberculosis based on Quantiferon™ tuberculosis Gold test.

    Prior/concomitant therapy

  11. Administration of a coronavirus disease 2019 vaccine in the past 30 days prior to the first dose of investigational medicinal product (IMP).
  12. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to the first dose of IMP, unless deemed acceptable by the investigator (or designee).
  13. Use or intend to use any prescription medications/products other than hormone replacement therapy, oral, implantable, transdermal, injectable, or intrauterine contraceptives within 14 days prior to the first dose of IMP, unless deemed acceptable by the investigator (or designee).
  14. Use or intend to use slow release medications/products considered to still be active within 14 days prior to check in, unless deemed acceptable by the investigator (or designee).
  15. Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to check in, unless deemed acceptable by the investigator (or designee).

    Prior/concurrent clinical study experience

  16. Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days prior to dosing.
  17. Have previously completed or withdrawn from this study.

    Diet and lifestyle

  18. Alcohol consumption of >21 units per week for males and >14 units for females. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits.
  19. Positive alcohol breath test result or positive urine drug screen (confirmed by repeat) at screening or check-in.
  20. History of alcoholism or drug/chemical abuse within 2 years prior to check-in.
  21. Smoking >5 cigarettes per day, on average, or use the equivalent tobacco- or nicotine containing products per day.
  22. Ingestion of poppy seed , Seville orange , star fruit-, or grapefruit containing foods or beverages within 7 days prior to check-in.

    Other exclusions

  23. Receipt of blood products within 2 months prior to check-in.
  24. Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening.
  25. Poor peripheral venous access.
  26. Subjects who, in the opinion of the investigator (or designee), should not participate in this study.

Sites / Locations

  • Fortrea Clinical Research Unit Ltd.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A (SAD): Group A1

Part A (SAD): Group A2

Part A (SAD): Group A3

Part A (SAD): Group A4

Part A (SAD): Group A5

Part B (MAD): Group B1

Part B (MAD): Group B2

Part B (MAD): Group B3

Arm Description

Single dose of AQ280, 3 mg or placebo

Single dose of AQ280, dose to be determined (TBD) or placebo

Single dose of AQ280, dose TBD or placebo

Single dose of AQ280, dose TBD or placebo

Single dose of AQ280, dose TBD or placebo

AQ280 dose TBD or placebo, once daily (QD) for seven days

AQ280 dose TBD or placebo, once daily (QD) for seven days

AQ280 dose TBD or placebo, once daily (QD) for seven days

Outcomes

Primary Outcome Measures

Part A (SAD): Number of treatment emergent adverse events (TEAEs) per subject
Part A (SAD): Number of subjects with clinically significant abnormalities in vital signs
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Part A (SAD): Number of subjects with abnormal ECG
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Part A (SAD): Number of subjects with clinically significant changes in laboratory evaluations
Part A (Food Effect): Number of treatment emergent adverse events (TEAEs) per subject
Part A (Food Effect): Number of subjects with clinically significant abnormalities in vital signs
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Part A (Food Effect): Number of subjects with abnormal ECG
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Part A (Food Effect): Number of subjects with clinically significant changes in laboratory evaluations
Part B (MAD): Number of treatment emergent adverse events (TEAEs) per subject
Part B (MAD): Number of subjects with clinically significant abnormalities in vital signs
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Part B (MAD): Number of subjects with abnormal ECG
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Part B (MAD): Number of subjects with clinically significant changes in laboratory evaluations

Secondary Outcome Measures

Part A (SAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve from time 0 extrapolated to infinity
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax)
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: area under the concentration time curve from time 0 extrapolated to infinity
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: maximum observed concentration (Cmax)
Part A (SAD) - Difference in Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve from time 0 extrapolated to infinity in fasted state and in fed state
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Part A (SAD) - Difference in Primary PK parameters derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax) in fasted state and in fed state
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: accumulation ratio (AR)
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve over a dosing interval (AUCτ)
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax)
Part B (MAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: area under the concentration time curve over a dosing interval (AUCτ)
Part B (MAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: maximum observed concentration (Cmax)

Full Information

First Posted
July 15, 2022
Last Updated
August 4, 2023
Sponsor
AQILION AB
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1. Study Identification

Unique Protocol Identification Number
NCT05485779
Brief Title
SAD, MAD and Food Effect Evaluation of Safety, Tolerability, and PK of AQ280 in Healthy Subjects
Official Title
A Randomized, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose, and Food Effect Evaluation Trial to Evaluate the Safety, Tolerability, and Pharmacokinetics of AQ280 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
July 20, 2022 (Actual)
Primary Completion Date
July 10, 2023 (Actual)
Study Completion Date
July 10, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AQILION AB

4. Oversight

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

5. Study Description

Brief Summary
The principal aim of this study is to obtain safety and tolerability data when AQ280 is administered orally as single and multiple doses to healthy subjects. This information, together with the pharmacokinetic (PK) data, will help establish the doses and dosing regimen suitable for future studies in patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eosinophilic Esophagitis (EoE)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A (SAD): Group A1
Arm Type
Experimental
Arm Description
Single dose of AQ280, 3 mg or placebo
Arm Title
Part A (SAD): Group A2
Arm Type
Experimental
Arm Description
Single dose of AQ280, dose to be determined (TBD) or placebo
Arm Title
Part A (SAD): Group A3
Arm Type
Experimental
Arm Description
Single dose of AQ280, dose TBD or placebo
Arm Title
Part A (SAD): Group A4
Arm Type
Experimental
Arm Description
Single dose of AQ280, dose TBD or placebo
Arm Title
Part A (SAD): Group A5
Arm Type
Experimental
Arm Description
Single dose of AQ280, dose TBD or placebo
Arm Title
Part B (MAD): Group B1
Arm Type
Experimental
Arm Description
AQ280 dose TBD or placebo, once daily (QD) for seven days
Arm Title
Part B (MAD): Group B2
Arm Type
Experimental
Arm Description
AQ280 dose TBD or placebo, once daily (QD) for seven days
Arm Title
Part B (MAD): Group B3
Arm Type
Experimental
Arm Description
AQ280 dose TBD or placebo, once daily (QD) for seven days
Intervention Type
Drug
Intervention Name(s)
AQ280
Intervention Description
Dose form: capsule, hard Strength: 3 to 100 mg Method of administration: oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Active substance: none Dose form: capsule, hard Strength/dose: not applicable Method of administration: oral
Primary Outcome Measure Information:
Title
Part A (SAD): Number of treatment emergent adverse events (TEAEs) per subject
Time Frame
Part A (SAD): Screening up to Day 8(±2)
Title
Part A (SAD): Number of subjects with clinically significant abnormalities in vital signs
Description
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Time Frame
Part A (SAD): Screening up to Day 3
Title
Part A (SAD): Number of subjects with abnormal ECG
Description
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Time Frame
Part A (SAD): Screening up to Day 3
Title
Part A (SAD): Number of subjects with clinically significant changes in laboratory evaluations
Time Frame
Part A (SAD): Screening up to Day 3
Title
Part A (Food Effect): Number of treatment emergent adverse events (TEAEs) per subject
Time Frame
Part A (Food Effect): Screening up to Day 18(±2)
Title
Part A (Food Effect): Number of subjects with clinically significant abnormalities in vital signs
Description
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Time Frame
Part A (Food Effect): Screening up to Day 13
Title
Part A (Food Effect): Number of subjects with abnormal ECG
Description
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Time Frame
Part A (Food Effect): Screening up to Day 13
Title
Part A (Food Effect): Number of subjects with clinically significant changes in laboratory evaluations
Time Frame
Part A (Food Effect): Screening up to Day 13
Title
Part B (MAD): Number of treatment emergent adverse events (TEAEs) per subject
Time Frame
Part B (MAD): Screening up to Day 14(±3)
Title
Part B (MAD): Number of subjects with clinically significant abnormalities in vital signs
Description
Vital signs: systolic and diastolic blood pressure, pulse rate, and oral body temperature
Time Frame
Part B (MAD): Screening up to Day 14(±3)
Title
Part B (MAD): Number of subjects with abnormal ECG
Description
QTcF interval of >450 msec for males and >470 msec for females, or change from baseline of >30 msec
Time Frame
Part B (MAD): Screening up to Day 14(±3)
Title
Part B (MAD): Number of subjects with clinically significant changes in laboratory evaluations
Time Frame
Part B (MAD): Screening up to Day 14(±3)
Secondary Outcome Measure Information:
Title
Part A (SAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve from time 0 extrapolated to infinity
Description
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Time Frame
Days 1, 2 and 3
Title
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax)
Time Frame
Days 1, 2 and 3
Title
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: area under the concentration time curve from time 0 extrapolated to infinity
Description
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Time Frame
Days 1, 2 and 3
Title
Part A (SAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: maximum observed concentration (Cmax)
Time Frame
Days 1, 2 and 3
Title
Part A (SAD) - Difference in Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve from time 0 extrapolated to infinity in fasted state and in fed state
Description
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Time Frame
Days 1, 2 and 3
Title
Part A (SAD) - Difference in Primary PK parameters derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax) in fasted state and in fed state
Description
Area under the concentration time curve over a dosing interval (AUCτ) may be included as a primary PK parameter if AUC 0-infinity cannot be calculated
Time Frame
Days 1, 2 and 3
Title
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: accumulation ratio (AR)
Time Frame
Day 1 and Day 7
Title
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: area under the concentration time curve over a dosing interval (AUCτ)
Time Frame
Day 1 and Day 7
Title
Part B (MAD) - Primary PK parameters derived from plasma concentration-time profile of AQ280: maximum observed concentration (Cmax)
Time Frame
Day 1 and Day 7
Title
Part B (MAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: area under the concentration time curve over a dosing interval (AUCτ)
Time Frame
Day 1 and Day 7
Title
Part B (MAD) - Primary PK parameter derived from plasma concentration-time profile of the AQ280 main metabolite, AQ282: maximum observed concentration (Cmax)
Time Frame
Day 1 and Day 7

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: Subjects must satisfy all of the following criteria at the screening visit (and/or at check-in, where noted): Males or females, of any race, between 18 and 65 years of age, inclusive. Body mass index between 18.0 and 32.0 kg/m2, inclusive. In good health, determined by no clinically significant findings from medical history, 12 lead ECG, vital sign measurements, and clinical laboratory evaluations at screening and check-in and from the physical examination at check-in, as assessed by the investigator (or designee). Females will not be pregnant or lactating, and females of childbearing potential and males will agree to use contraception. Able to comprehend and willing to sign an informed consent form (ICF) and to abide by the study restrictions. Exclusion Criteria: Subjects will be excluded from the study if they satisfy any of the following criteria at the screening visit (or at check-in, where noted): Medical conditions Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee). History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, as determined by the investigator (or designee). History of any surgical (eg, stomach or intestinal surgery or resection) or medical condition that would potentially alter absorption, distribution, metabolism, and/or excretion of orally administered drugs. Uncomplicated appendectomy and hernia repair will be allowed. Cholecystectomy will not be allowed. History of any significant infectious disease, as assessed by the investigator, within 2 weeks prior to the first dose of IMP. Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) values >1.2 × upper limit of normal (ULN). Congenital nonhemolytic hyperbilirubinemia (including suspicion of Gilbert's syndrome). Hemoglobin value, neutrophil count, and/or lymphocyte count <lower limit of normal. Clinically significant abnormal ECG at screening or check-in. Positive hepatitis panel and/or positive human immunodeficiency virus test. Subjects whose results are compatible with prior immunization may be included at the discretion of the investigator Current active tuberculosis based on Quantiferon™ tuberculosis Gold test. Prior/concomitant therapy Administration of a coronavirus disease 2019 vaccine in the past 30 days prior to the first dose of investigational medicinal product (IMP). Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to the first dose of IMP, unless deemed acceptable by the investigator (or designee). Use or intend to use any prescription medications/products other than hormone replacement therapy, oral, implantable, transdermal, injectable, or intrauterine contraceptives within 14 days prior to the first dose of IMP, unless deemed acceptable by the investigator (or designee). Use or intend to use slow release medications/products considered to still be active within 14 days prior to check in, unless deemed acceptable by the investigator (or designee). Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to check in, unless deemed acceptable by the investigator (or designee). Prior/concurrent clinical study experience Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days prior to dosing. Have previously completed or withdrawn from this study. Diet and lifestyle Alcohol consumption of >21 units per week for males and >14 units for females. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits. Positive alcohol breath test result or positive urine drug screen (confirmed by repeat) at screening or check-in. History of alcoholism or drug/chemical abuse within 2 years prior to check-in. Smoking >5 cigarettes per day, on average, or use the equivalent tobacco- or nicotine containing products per day. Ingestion of poppy seed , Seville orange , star fruit-, or grapefruit containing foods or beverages within 7 days prior to check-in. Other exclusions Receipt of blood products within 2 months prior to check-in. Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening. Poor peripheral venous access. Subjects who, in the opinion of the investigator (or designee), should not participate in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jan Törnell, MD, PhD
Organizational Affiliation
AQILION AB
Official's Role
Study Director
Facility Information:
Facility Name
Fortrea Clinical Research Unit Ltd.
City
Leeds
ZIP/Postal Code
LS2 9LH
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

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SAD, MAD and Food Effect Evaluation of Safety, Tolerability, and PK of AQ280 in Healthy Subjects

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