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Study in Chinese Healthy Adults to Evaluate the Safety, Tolerability and Pharmacokinetics on ZSP0678, and the Effect of Food on ZSP0678 Pharmacokinetics

Primary Purpose

Nonalcoholic Steatohepatitis

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
ZSP0678-10mg
ZSP0678-30mg
ZSP0678-60mg
ZSP0678-120mg
ZSP0678-180mg
ZSP0678-240mg
ZSP0678-320mg
ZSP0678
ZSP0678-Dose 1
ZSP0678-Dose 2
ZSP0678-Dose 3
ZSP0678 Placebo
Sponsored by
Guangdong Raynovent Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nonalcoholic Steatohepatitis focused on measuring NASH

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects are required to meet the following criteria in order to be included in the trial:

    1. Signature signed informed consent before the trial, and fully understood the content, process and possible adverse reactions.
    2. Subjects must be willing and able to complete the research according to the experimental protocol.
    3. Subjects (including partners) are willing to take effective contraceptive measures and have no pregnancy plan during the whole study period until 6 months after drug withdrawal.
    4. Male and female subjects aged 18-50 (including 18 and 50)
    5. Body weight of male subjects should not be less than 50kg and that of female subjects should not be less than 45kg.Body mass index (BMI) = weight (kg)/height 2 (m2), the range of 19~26kg/m2 (including the critical value);
    6. Physical condition:No significant abnormalities in medical history, including cardiovascular system, liver, kidneys, gastrointestinal system, neural system, respiratory system (eg.asthma,asthma induced by exercise,chronic obstructive pulmonary disease), mental, metabolism, etc.
    7. Subjects in general good health or No significant abnormalities in the opinion of the investigator as determined by vital signs and a physical examination.

      Exclusion Criteria:

  • Eligible subjects must not meet any of the following exclusion criteria:

    1. Allergic constitution (allergic to many drugs, especially to ingredients similar to the test drug and food)
    2. The average daily smoking are more than 5 cigarettes within 3 months prior to screening.
    3. Known history of drug or alcohol abuse.(defined as consumption of more than 30g of ethanol a day for male and more than 20 g for female )
    4. Subjects who donated blood or bleeding profusely(> 400 mL)in the 3 months preceding study screening.
    5. History of dysphagia or any gastrointestinal illness that affects drug absorption, including a history of frequent nausea or vomiting from any cause, irregular gastrointestinal motility, such as habitual diarrhea, constipation, or irritable bowel syndrome.
    6. History or presence of any disease or condition known to increase the risk of bleeding, eg.acute gastritis, duodenal ulcer, etc.
    7. Participated in another clinical research study and received any investigational products within 3 months prior to dosing.
    8. Use of any prescription or over-the-counter (OTC) medications, vitamins and herbal within 14 days prior to screening.
    9. History of having any special food(including dragon fruit, mango, grapefruit, etc.),strenuous exercises,or other factors may interfere with the absorption, distribution, metabolism, or excretion of drug within 14 days prior to screening.
    10. Subjects who cannot tolerate standard meals (this clause only applies to subjects participating in food impact studies).
    11. Presence of clinically significant abnormalities in ECG or QTcB>450ms in males,or QTcB>470ms in females.
    12. Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial.
    13. Any clinically significant abnormality upon physical examination or in the clinical laboratory tests. History or presence of a clinically significant gastrointestinal, renal, hepatic, neurologic, hematic, endocrine, neoplastic, pulmonary, immune, psychiatric or cardiovascular and cerebrovascular disorder(s) (but not limited to above disorders).
    14. Presence of human immunodeficiency virus (HIV), viral hepatitis(including hepatitis C virus (HCV) or hepatitis B virus (HBV) ),treponema pallidum antibodies at screening.
    15. Any acute illness or concomitant medication from screening to first dosing.
    16. Have chocolate, any food or beverage that contains caffeine ,xanthine and alcohol within 24 hours prior to dosing.
    17. Positive for urine drug screening or history of substance abuse for a period of 5 consecutive years before screening.
    18. As judged by the researcher, it is not suitable to join the clinical researcher.

Sites / Locations

  • Beijing Friendship Hospital Affiliated to Capital Medical Universit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

ZSP0678-10mg (single dose)-Cohort 1

ZSP0678-30mg (single dose)-Cohort 2

ZSP0678-60mg (single dose)-Cohort 3

ZSP0678-120mg (single dose)-Cohort 4

ZSP0678-180mg (single dose)-Cohort 5

ZSP0678-240mg (single dose)-Cohort 6

ZSP0678-320mg (single dose)-Cohort 7

ZSP0678 (food effect)-Cohort FE

ZSP0678 Dose1 (multiple doses)-Cohort 8

ZSP0678 Dose2 (multiple doses)-Cohort 9

ZSP0678 Dose3 (multiple doses)-Cohort 10

Arm Description

ZSP0678/Placebo 10mg

ZSP0678/Placebo 30 mg Enrollment into Cohort 2 will begin upon assurance of safety for Cohort 1.

ZSP0678/Placebo 60mg Enrollment into Cohort 3 will begin upon assurance of safety for Cohort 2.

ZSP0678/Placebo 120mg Enrollment into Cohort 4 will begin upon assurance of safety for Cohort 3.

ZSP0678/Placebo 180mg Enrollment into Cohort 5 will begin upon assurance of safety for Cohort 4.

ZSP0678/Placebo 240mg Enrollment into Cohort 6 will begin upon assurance of safety for Cohort 5.

ZSP0678/Placebo 320mg Enrollment into Cohort 7 will begin upon assurance of safety for Cohort 6.

Period 1: Group A and Group B receive ZSP0678/Placebo under the fasting or fed condition ,respectively on Day1. Period 2: Group A and Group B receive ZSP0678/Placebo under the fed or fasting condition ,respectively on Day8. Enrollment into Cohort FE will begin upon assurance of safety for Cohort 4.

ZSP0678/Placebo Dose1 will be administrated according to the results of Cohort 2&3

ZSP0678/Placebo Dose2 will be administrated according to the results of Cohort 3&4

ZSP0678/Placebo Dose3 will be administrated according to the results of Cohort 4&5

Outcomes

Primary Outcome Measures

Number and severity of adverse events (AEs) and Serious Adverse Events(SAE) following oral doses of ZSP0678 and placebo.
Tmax
The time after dosing when Cmax occurs
Cmax
Maximum concentration
t1/2
t1/2 is defined as the time to decline half of the drug concentration in plasma.
AUCinf(AUC0-∞)
Area under the curve extrapolated until time is infinity (AUCinf)
AUClast(AUC0-t)
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
CL/F
CL/F is defined as the ratio of total clearance(Cl) to bioavailability(F).
λz
λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound.
CLr
CLr is defined as how many milliliters of plasma in which some substance can be completely eliminated in the unit time (per minute) of two kidneys.
Multiple-dose plasma PK parameter: Rac of ZSP0678 at steady state
Rac (Accumulation Index) is defined as the ratio between AUC0-XX in Day XX and AUC0-XX in Day1
Multiple-dose plasma PK parameter: DF of ZSP0678 at steady state
DF is defined as the percentage of fluctuation in steady state is 100 * (Cmax, ss - Cmin, ss)/Cavg, ss.
Multiple-dose plasma PK parameter: Cmin of ZSP0678 at steady state
Cmin is defined as the minimum observed concentration of drug in plasma at steady state.

Secondary Outcome Measures

Full Information

First Posted
October 15, 2019
Last Updated
July 26, 2021
Sponsor
Guangdong Raynovent Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04137055
Brief Title
Study in Chinese Healthy Adults to Evaluate the Safety, Tolerability and Pharmacokinetics on ZSP0678, and the Effect of Food on ZSP0678 Pharmacokinetics
Official Title
A Phase 1 Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ZSP0678 and the Effect of Food on ZSP0678 Pharmacokinetics in Chinese Healthy Subjects.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
November 19, 2019 (Actual)
Primary Completion Date
December 9, 2020 (Actual)
Study Completion Date
December 9, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangdong Raynovent Biotech Co., Ltd

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
This study will evaluate the safety, tolerability and pharmacokinetics (PK) of escalating single-and multiple-oral doses of ZSP0678 on fasted condition, and characterize PK of ZSP0678 on an empty stomach (fasted condition) and following a high fat, high calorie meal (fed condition) in a 2-period, 2-sequence manner. The study will be conducted in 3 parts (Ascending single dose, multiple dose and food effect). Participants will receive either ZSP0678 or placebo .

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nonalcoholic Steatohepatitis
Keywords
NASH

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
104 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZSP0678-10mg (single dose)-Cohort 1
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 10mg
Arm Title
ZSP0678-30mg (single dose)-Cohort 2
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 30 mg Enrollment into Cohort 2 will begin upon assurance of safety for Cohort 1.
Arm Title
ZSP0678-60mg (single dose)-Cohort 3
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 60mg Enrollment into Cohort 3 will begin upon assurance of safety for Cohort 2.
Arm Title
ZSP0678-120mg (single dose)-Cohort 4
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 120mg Enrollment into Cohort 4 will begin upon assurance of safety for Cohort 3.
Arm Title
ZSP0678-180mg (single dose)-Cohort 5
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 180mg Enrollment into Cohort 5 will begin upon assurance of safety for Cohort 4.
Arm Title
ZSP0678-240mg (single dose)-Cohort 6
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 240mg Enrollment into Cohort 6 will begin upon assurance of safety for Cohort 5.
Arm Title
ZSP0678-320mg (single dose)-Cohort 7
Arm Type
Experimental
Arm Description
ZSP0678/Placebo 320mg Enrollment into Cohort 7 will begin upon assurance of safety for Cohort 6.
Arm Title
ZSP0678 (food effect)-Cohort FE
Arm Type
Experimental
Arm Description
Period 1: Group A and Group B receive ZSP0678/Placebo under the fasting or fed condition ,respectively on Day1. Period 2: Group A and Group B receive ZSP0678/Placebo under the fed or fasting condition ,respectively on Day8. Enrollment into Cohort FE will begin upon assurance of safety for Cohort 4.
Arm Title
ZSP0678 Dose1 (multiple doses)-Cohort 8
Arm Type
Experimental
Arm Description
ZSP0678/Placebo Dose1 will be administrated according to the results of Cohort 2&3
Arm Title
ZSP0678 Dose2 (multiple doses)-Cohort 9
Arm Type
Experimental
Arm Description
ZSP0678/Placebo Dose2 will be administrated according to the results of Cohort 3&4
Arm Title
ZSP0678 Dose3 (multiple doses)-Cohort 10
Arm Type
Experimental
Arm Description
ZSP0678/Placebo Dose3 will be administrated according to the results of Cohort 4&5
Intervention Type
Drug
Intervention Name(s)
ZSP0678-10mg
Intervention Description
ZSP0678 tablet administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-30mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-60mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-120mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-180mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-240mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-320mg
Intervention Description
ZSP0678 tablets administered orally under fasted condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678
Intervention Description
ZSP0678 tablets administered orally under fasted or fed condition
Intervention Type
Drug
Intervention Name(s)
ZSP0678-Dose 1
Intervention Description
ZSP0678 tablets administered orally once daily for 14 Days
Intervention Type
Drug
Intervention Name(s)
ZSP0678-Dose 2
Intervention Description
ZSP0678 tablets administered orally once daily for 14 Days
Intervention Type
Drug
Intervention Name(s)
ZSP0678-Dose 3
Intervention Description
ZSP0678 tablets administered orally once daily for 14 Days
Intervention Type
Drug
Intervention Name(s)
ZSP0678 Placebo
Intervention Description
Participants will receive placebo matching to ZSP0678 orally.
Primary Outcome Measure Information:
Title
Number and severity of adverse events (AEs) and Serious Adverse Events(SAE) following oral doses of ZSP0678 and placebo.
Time Frame
SAD Group: Up to 5 days, MAD: Up to 18 days, FE group: Up to11 days after first dose ]
Title
Tmax
Description
The time after dosing when Cmax occurs
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
Cmax
Description
Maximum concentration
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
t1/2
Description
t1/2 is defined as the time to decline half of the drug concentration in plasma.
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
AUCinf(AUC0-∞)
Description
Area under the curve extrapolated until time is infinity (AUCinf)
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
AUClast(AUC0-t)
Description
AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration.
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
CL/F
Description
CL/F is defined as the ratio of total clearance(Cl) to bioavailability(F).
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
λz
Description
λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound.
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
CLr
Description
CLr is defined as how many milliliters of plasma in which some substance can be completely eliminated in the unit time (per minute) of two kidneys.
Time Frame
UP to 5, 18, 11 days for SAD, MAD, FE part respectively
Title
Multiple-dose plasma PK parameter: Rac of ZSP0678 at steady state
Description
Rac (Accumulation Index) is defined as the ratio between AUC0-XX in Day XX and AUC0-XX in Day1
Time Frame
UP to 18 days.
Title
Multiple-dose plasma PK parameter: DF of ZSP0678 at steady state
Description
DF is defined as the percentage of fluctuation in steady state is 100 * (Cmax, ss - Cmin, ss)/Cavg, ss.
Time Frame
UP to 18 days.
Title
Multiple-dose plasma PK parameter: Cmin of ZSP0678 at steady state
Description
Cmin is defined as the minimum observed concentration of drug in plasma at steady state.
Time Frame
UP to 18 days.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects are required to meet the following criteria in order to be included in the trial: Signature signed informed consent before the trial, and fully understood the content, process and possible adverse reactions. Subjects must be willing and able to complete the research according to the experimental protocol. Subjects (including partners) are willing to take effective contraceptive measures and have no pregnancy plan during the whole study period until 6 months after drug withdrawal. Male and female subjects aged 18-50 (including 18 and 50) Body weight of male subjects should not be less than 50kg and that of female subjects should not be less than 45kg.Body mass index (BMI) = weight (kg)/height 2 (m2), the range of 19~26kg/m2 (including the critical value); Physical condition:No significant abnormalities in medical history, including cardiovascular system, liver, kidneys, gastrointestinal system, neural system, respiratory system (eg.asthma,asthma induced by exercise,chronic obstructive pulmonary disease), mental, metabolism, etc. Subjects in general good health or No significant abnormalities in the opinion of the investigator as determined by vital signs and a physical examination. Exclusion Criteria: Eligible subjects must not meet any of the following exclusion criteria: Allergic constitution (allergic to many drugs, especially to ingredients similar to the test drug and food) The average daily smoking are more than 5 cigarettes within 3 months prior to screening. Known history of drug or alcohol abuse.(defined as consumption of more than 30g of ethanol a day for male and more than 20 g for female ) Subjects who donated blood or bleeding profusely(> 400 mL)in the 3 months preceding study screening. History of dysphagia or any gastrointestinal illness that affects drug absorption, including a history of frequent nausea or vomiting from any cause, irregular gastrointestinal motility, such as habitual diarrhea, constipation, or irritable bowel syndrome. History or presence of any disease or condition known to increase the risk of bleeding, eg.acute gastritis, duodenal ulcer, etc. Participated in another clinical research study and received any investigational products within 3 months prior to dosing. Use of any prescription or over-the-counter (OTC) medications, vitamins and herbal within 14 days prior to screening. History of having any special food(including dragon fruit, mango, grapefruit, etc.),strenuous exercises,or other factors may interfere with the absorption, distribution, metabolism, or excretion of drug within 14 days prior to screening. Subjects who cannot tolerate standard meals (this clause only applies to subjects participating in food impact studies). Presence of clinically significant abnormalities in ECG or QTcB>450ms in males,or QTcB>470ms in females. Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial. Any clinically significant abnormality upon physical examination or in the clinical laboratory tests. History or presence of a clinically significant gastrointestinal, renal, hepatic, neurologic, hematic, endocrine, neoplastic, pulmonary, immune, psychiatric or cardiovascular and cerebrovascular disorder(s) (but not limited to above disorders). Presence of human immunodeficiency virus (HIV), viral hepatitis(including hepatitis C virus (HCV) or hepatitis B virus (HBV) ),treponema pallidum antibodies at screening. Any acute illness or concomitant medication from screening to first dosing. Have chocolate, any food or beverage that contains caffeine ,xanthine and alcohol within 24 hours prior to dosing. Positive for urine drug screening or history of substance abuse for a period of 5 consecutive years before screening. As judged by the researcher, it is not suitable to join the clinical researcher.
Facility Information:
Facility Name
Beijing Friendship Hospital Affiliated to Capital Medical Universit
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100050
Country
China

12. IPD Sharing Statement

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Study in Chinese Healthy Adults to Evaluate the Safety, Tolerability and Pharmacokinetics on ZSP0678, and the Effect of Food on ZSP0678 Pharmacokinetics

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