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Safety and Tolerability of Single and Multiple Doses of LB-102 in Healthy Adults

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LB-102
Sponsored by
LB Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

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

Inclusion Criteria:

Subjects may be included in the study only if they meet all of the following criteria:

  1. Competent to provide informed consent.
  2. Voluntarily provide informed consent.
  3. Healthy adult male and female subjects between 18 to 55 years of age inclusive at the screening visit.
  4. Body Mass Index (BMI) ≥ 18 and ≤ 30 kg/m2 at screening visit.
  5. Subjects must be in good general health as determined by medical history and physical examination with no clinically significant medical findings and no history of significant medical disease (e.g. cardiovascular, pulmonary, renal, etc.) or acute condition with the past 30 days.
  6. Have normal clinical laboratory test results and ECG, which are not considered to be clinically significant by the investigator.
  7. Female subjects of child-bearing potential must agree to use two methods of an acceptable method of birth control (e.g., condom and spermicide, intrauterine device (IUD), oral contraception which has been stable for 30 days) and at least 90 days after stopping the investigational product. Female subjects using oral contraception whose partner consistently uses condoms or who is vasectomized is also acceptable.
  8. Male subjects must be surgically sterile or practicing at least one method of contraception, from initial study drug administration through 90 days after administration of the last dose of study drug:
  9. Male subjects must agree to abstain from sperm donation through 90 days after administration of the last dose of investigational drug.

Exclusion Criteria:

Subjects will be excluded from the study for any of the following reasons:

  1. Are pregnant or lactating.
  2. Have a history or presence of significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, or neurological disorders which, in the opinion of the investigator, increases the risk of the study drug or may confound the interpretation of study measures.
  3. Clinically significant abnormal findings on physical examination, vital signs, or ECG.
  4. History or presence of psychiatric or neurological disease or condition.
  5. History of seizures.
  6. Subject with any history or current evidence of suicidal behavior.
  7. Unwilling to complete any planned study assessments, including the Columbia-Suicide Severity Rating Scale (CSSRS).
  8. Recent history of alcohol or drug abuse (within the last two years).
  9. Any use of tobacco or tobacco-containing products (cigarettes, pipes, etc.) within one month prior to screening.
  10. Have a history of blood donation in excess of 500 mL of blood within 30 days prior to Screening.
  11. Have received treatment with an investigational drug or device within 30 days prior to Screening.
  12. Use of any prescription or over the counter medication, herbal medications, vitamins, or supplements within 14 days prior to study drug administration.
  13. Have a positive test for human immunodeficiency virus (HIV) antibodies 1 and 2, Hepatitis B surface antigen or Hepatitis C antibody.
  14. Any subject who is known to be allergic to the study drug or any components of the study drug.

Sites / Locations

  • Medpace Clinical Pharmacology LLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Part A Cohort 1

Part A Cohort 2

Part A Cohort 3

Part A Cohort 4

Part A Cohort 5

Part B Cohort 6

Part B Cohort 7

Part B Cohort 8

Arm Description

LB-102 50 mg (n=6) or Matching Placebo (n=2) x 1 day

LB-102 15 mg (n=6) or Matching Placebo (n=2) x 1 day

LB-102 100 mg (n=6) or Matching Placebo (n=2) x 1 day

LB-102 200 mg (n=6) or Matching Placebo (n=2) x 1 day

LB-102 150 mg (n=6) or Matching Placebo (n-2) x 1 day

LB-102 50 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)

LB-102 100 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)

LB-102 75 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)

Outcomes

Primary Outcome Measures

Percentage of participants who experience at least one treatment-emergent adverse event (TEAE)
A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A TEAE may also be a pre-treatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug, which increases in intensity after the start of dosing.

Secondary Outcome Measures

Tmax: Time to Reach the Maximum Plasma Concentration
Time to reach the maximum observed plasma concentration for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7).
Cmax: Maximum Observed Plasma Concentration
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. Cmax will be measured for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7).
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration
AUC(0-tlqc) is a measure of total plasma exposure to a drug from time 0 to time of the Last Quantifiable Concentration and will be measured for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7)
AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose
AUC(0-24) is a measure of total plasma exposure to the drug from Time 0 to 24 hours post-dose for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 14).

Full Information

First Posted
November 26, 2019
Last Updated
December 8, 2020
Sponsor
LB Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04187560
Brief Title
Safety and Tolerability of Single and Multiple Doses of LB-102 in Healthy Adults
Official Title
A Randomized, Double-blinded, Placebo-controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of LB-102 Administered Orally to Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
January 22, 2020 (Actual)
Primary Completion Date
July 1, 2020 (Actual)
Study Completion Date
November 9, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LB Pharmaceuticals Inc.

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
A Single Ascending Dose (SAD; Part A) and Multiple Ascending Dose (MAD; Part B) Phase 1 Study of LB-102 N-Methyl amisulpride) in healthy volunteers. The primary objective is to evaluate the safety and the tolerability of a single oral dose (SAD) and multiple oral doses (MAD) of LB-102 as compared to placebo. The secondary objectives are to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of LB-102.
Detailed Description
This is a Phase 1, randomized, double-blind, placebo-controlled study designed to evaluate the safety, tolerability, and pharmacokinetics of LB-102 in healthy subjects. The study will consist of two parts: Part A - Single Ascending Dose and Part B - Multiple Ascending Doses. There will be 5 cohorts in Part A and 3 Cohorts in Part B of this study. Each cohort consists of 8 subjects, with 6 subjects assigned to LB-102 and 2 subjects assigned to placebo. In Parts A and B, eligible subjects will be randomized on Day 1 (pre-dose) to placebo (n=2) or LB-102 (n=6). Eligible subjects will receive 1 dose on Day 1 (Part A) or 13 doses on Days 1-7 (Part B) of placebo or LB-102.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare Provider
Allocation
Non-Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A Cohort 1
Arm Type
Active Comparator
Arm Description
LB-102 50 mg (n=6) or Matching Placebo (n=2) x 1 day
Arm Title
Part A Cohort 2
Arm Type
Active Comparator
Arm Description
LB-102 15 mg (n=6) or Matching Placebo (n=2) x 1 day
Arm Title
Part A Cohort 3
Arm Type
Active Comparator
Arm Description
LB-102 100 mg (n=6) or Matching Placebo (n=2) x 1 day
Arm Title
Part A Cohort 4
Arm Type
Active Comparator
Arm Description
LB-102 200 mg (n=6) or Matching Placebo (n=2) x 1 day
Arm Title
Part A Cohort 5
Arm Type
Active Comparator
Arm Description
LB-102 150 mg (n=6) or Matching Placebo (n-2) x 1 day
Arm Title
Part B Cohort 6
Arm Type
Active Comparator
Arm Description
LB-102 50 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)
Arm Title
Part B Cohort 7
Arm Type
Active Comparator
Arm Description
LB-102 100 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)
Arm Title
Part B Cohort 8
Arm Type
Active Comparator
Arm Description
LB-102 75 mg (n=6) or Matching Placebo (n=2) BID x 7 days (QD on Day 7)
Intervention Type
Drug
Intervention Name(s)
LB-102
Other Intervention Name(s)
Active Drug
Intervention Description
(N-Methyl amisulpride)
Primary Outcome Measure Information:
Title
Percentage of participants who experience at least one treatment-emergent adverse event (TEAE)
Description
A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A TEAE may also be a pre-treatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug, which increases in intensity after the start of dosing.
Time Frame
Day 8 (Part A) or Day 15 (Part B)
Secondary Outcome Measure Information:
Title
Tmax: Time to Reach the Maximum Plasma Concentration
Description
Time to reach the maximum observed plasma concentration for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7).
Time Frame
Days 1, 2 and 3 (Part A) Days 1 through 9 (Part B)
Title
Cmax: Maximum Observed Plasma Concentration
Description
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. Cmax will be measured for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7).
Time Frame
Days 1, 2 and 3 (Part A) Days 1 through 9 (Part B)
Title
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration
Description
AUC(0-tlqc) is a measure of total plasma exposure to a drug from time 0 to time of the Last Quantifiable Concentration and will be measured for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 7)
Time Frame
Days 1, 2 and 3 (Part A) Days 1 through 9 (Part B)
Title
AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose
Description
AUC(0-24) is a measure of total plasma exposure to the drug from Time 0 to 24 hours post-dose for LB-102 and LB-102 metabolite amisulpride after a single dose (Day 1) and multiple dosing (Day 14).
Time Frame
Days 1, 2 and 3 (Part A) Days 1 through 9 (Part B)

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: Subjects may be included in the study only if they meet all of the following criteria: Competent to provide informed consent. Voluntarily provide informed consent. Healthy adult male and female subjects between 18 to 55 years of age inclusive at the screening visit. Body Mass Index (BMI) ≥ 18 and ≤ 30 kg/m2 at screening visit. Subjects must be in good general health as determined by medical history and physical examination with no clinically significant medical findings and no history of significant medical disease (e.g. cardiovascular, pulmonary, renal, etc.) or acute condition with the past 30 days. Have normal clinical laboratory test results and ECG, which are not considered to be clinically significant by the investigator. Female subjects of child-bearing potential must agree to use two methods of an acceptable method of birth control (e.g., condom and spermicide, intrauterine device (IUD), oral contraception which has been stable for 30 days) and at least 90 days after stopping the investigational product. Female subjects using oral contraception whose partner consistently uses condoms or who is vasectomized is also acceptable. Male subjects must be surgically sterile or practicing at least one method of contraception, from initial study drug administration through 90 days after administration of the last dose of study drug: Male subjects must agree to abstain from sperm donation through 90 days after administration of the last dose of investigational drug. Exclusion Criteria: Subjects will be excluded from the study for any of the following reasons: Are pregnant or lactating. Have a history or presence of significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, or neurological disorders which, in the opinion of the investigator, increases the risk of the study drug or may confound the interpretation of study measures. Clinically significant abnormal findings on physical examination, vital signs, or ECG. History or presence of psychiatric or neurological disease or condition. History of seizures. Subject with any history or current evidence of suicidal behavior. Unwilling to complete any planned study assessments, including the Columbia-Suicide Severity Rating Scale (CSSRS). Recent history of alcohol or drug abuse (within the last two years). Any use of tobacco or tobacco-containing products (cigarettes, pipes, etc.) within one month prior to screening. Have a history of blood donation in excess of 500 mL of blood within 30 days prior to Screening. Have received treatment with an investigational drug or device within 30 days prior to Screening. Use of any prescription or over the counter medication, herbal medications, vitamins, or supplements within 14 days prior to study drug administration. Have a positive test for human immunodeficiency virus (HIV) antibodies 1 and 2, Hepatitis B surface antigen or Hepatitis C antibody. Any subject who is known to be allergic to the study drug or any components of the study drug.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lukasz Biernat, MD
Organizational Affiliation
Medpace, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medpace Clinical Pharmacology LLC
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45227
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.LBPharma.us
Description
Corporate Website
Available IPD and Supporting Information:
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
http://lbpharma.us/wp-content/uploads/2020/12/lb-102-001-clinical-study-report-final.pdf

Learn more about this trial

Safety and Tolerability of Single and Multiple Doses of LB-102 in Healthy Adults

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