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Study to Assess Safety, Tolerability and Pharmacokinetics of XC221 in Healthy Volunteers

Primary Purpose

Influenza, Acute Respiratory Infection

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
XC221 60 mg
XC221 200 mg
Placebo
Sponsored by
PHARMENTERPRISES LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza focused on measuring Healthy volunteers, Phase I, PHARMENTERPRISES

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Non-smoking men aged 18 to 45 years (inclusive);
  2. Verified diagnosis "healthy" according to standard clinical, laboratory and instrumental methods of examination;
  3. Body mass >50 kg and body mass index of 18.5 to 30 kg/m2 (inclusive);
  4. Negative result of tests for alcohol and drugs;
  5. Consent to use reliable methods of contraception during the study and 3 months after its completion (condoms with spermicide);
  6. Signed patient information sheet and informed consent form for participation in the study.

Exclusion Criteria:

  1. Chronic diseases of cardiovascular, bronchopulmonary, neuroendocrine, musculoskeletal system and also disease of digestive tract, liver, kidneys, blood;
  2. Laboratory abnormalities at screening;
  3. Surgical interventions on digestive tract in the anamnesis (except for an appendectomies);
  4. Systolic pressure is less than 90 mm Hg. or more than 130 mm Hg., diastolic pressure is less than 60 mm Hg. or more than 85 mm Hg., pulse rate less than 60/min. or more than 80/min.;
  5. Course intake of medicinal products (including herbs and biologically active additives) for preventive or curative purposes within 1 month prior to screening;
  6. Antibodies to HIV and hepatitis C virus, the presence of the hepatitis B surface antigen, a positive syphilis test;
  7. The presence of a sleep disorder (for example, night work, sleep disturbances, insomnia, recent return from another time zone, etc.);
  8. Signs of alcohol or drug abuse; taking alcohol or drugs during 4 days before screening; smoking 3 months before screening;
  9. History of allergies (including medicines and food products);
  10. Blood donation / plasma, surgical intervention (in a hospital environment) during 12 weeks before screening;
  11. Participation in other clinical trials or taking the study drug during 3 months before screening;
  12. Acute infectious diseases less than 4 weeks before the start of the study;
  13. Impossibility to understand or follow protocol instructions/

Sites / Locations

  • SBEI HPE The First Moscow State Medical University n.a. Sechenov of Ministry of Health of Russian Federation, University Hospital #2, Department of Development of New Medicines

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

XC221 60 mg

XC221 200 mg

Placebo

Arm Description

Cohort 1:16 subjects were randomized in a 3:1 ratio to be treated either with 60 mg XC221 (12 subjects) or placebo (4 subjects, see placebo arm).

Cohort 2: 16 subjects were randomized in a 3:1 ratio to be treated either with 200 mg XC221 (12 subjects) or placebo (4 subjects, see placebo arm).

Placebo comparator arm consists of 8 subjects (4 subjects from each cohort).

Outcomes

Primary Outcome Measures

Number of Adverse events per treatment arm
Adverse events have been classified according to CTCAE ver 4.03. Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects

Secondary Outcome Measures

Pharmacokinetics of XC221GI by assessing AUC0-inf
Area under the curve "concentration of the drug-time" from the time of administration of the drug till infinity
Pharmacokinetics of XC221A by assessing AUC0-inf
Area under the curve "concentration of the drug-time" from the time of administration of the drug till infinity
Pharmacokinetics of XC221GI by assessing Cmax
Maximum plasma concentration
Pharmacokinetics of XC221A by assessing Cmax
Maximum plasma concentration
Pharmacokinetics of XC221GI by assessing AUC0-t
Area under the curve "concentration of the drug-time" from the time of administration of the drug till the time (t) the last blood sampling
Pharmacokinetics of XC221A by assessing AUC0-t
Area under the curve "concentration of the drug-time" from the time of administration of the drug till the time (t) the last blood sampling
Pharmacokinetics of XC221GI by assessing Tmax
Time to maximum drug concentration in the blood plasma administration
Pharmacokinetics of XC221A by assessing Tmax
Time to maximum drug concentration in the blood plasma administration
Pharmacokinetics of XC221GI by assessing T1/2
Terminal elimination half-life
Pharmacokinetics of XC221A by assessing T1/2
Terminal elimination half-life

Full Information

First Posted
February 26, 2018
Last Updated
March 2, 2018
Sponsor
PHARMENTERPRISES LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03459391
Brief Title
Study to Assess Safety, Tolerability and Pharmacokinetics of XC221 in Healthy Volunteers
Official Title
A Double-blind, Randomized, Placebo-controlled Study of the Safety,Tolerability and Pharmacokinetics of Increasing Doses of XC221 After Single and Repeated Oral Administration in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
May 22, 2017 (Actual)
Primary Completion Date
September 26, 2017 (Actual)
Study Completion Date
September 26, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PHARMENTERPRISES LLC

4. Oversight

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

5. Study Description

Brief Summary
A double-blind, randomized, placebo-controlled, Phase I clinical study of the safety and tolerability of increasing doses of drug XC221 after single and repeated oral administration in healthy volunteers. The volunteers received the study drug once, and then continued daily intake for 5 days after a 6-day break. The primary objective of the study was to evaluate the safety and tolerability profile for drug XC221 after single and multiple administration based on the frequency and severity of adverse events and changes in vital signs, laboratory results, electrocardiography and results of the physical examination. The secondary objective of the study was to assess pharmacokinetics of active pharmaceutical substance XC221GI and its metabolite XC221A.
Detailed Description
One Russian center was approved for participation in this study. One center was initiated. Healthy volunteers were enrolled in 1 center. The study consisted of 4 periods: screening, single administration, multiple administration and follow-up. All eligible subjects were randomized into the study in appropriate cohort groups sequentially. Cohort 1 - XC221 or Placebo 60 mg once and then daily 5 days after a 6-day break; Cohort 2 - XC221 or Placebo 200 mg once and then daily during 5 days after a 6-day break. The decision regarding increasing of the study drug dose for a subsequent cohort was made by the Data Safety Monitoring Committee on the basis of preliminary safety results assessment. A total of 24 volunteers received XC221 (60 mg or 200 mg) and a total of 8 volunteers received the placebo during the study participation. The follow-up period lasted for 4 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Acute Respiratory Infection
Keywords
Healthy volunteers, Phase I, PHARMENTERPRISES

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
The dose cohorts were included into the study subsequently based on preliminary safety results evaluation performed by the Data Safety Monitoring Committee. 2 doses of XC221/placebo (60 mg and 200 mg) were used in the study.The duration of exposure to the study drug was 6 days in each cohort: Day 1, once, at the step of single administration, and then in 6 days, daily, 1 time a day for 5 days at the step of multiple administration.
Masking
ParticipantInvestigator
Masking Description
Blinding was carried out by using Placebo equivalent to XC221 tablets without active substance and the corresponding labeling of the study drug.
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XC221 60 mg
Arm Type
Experimental
Arm Description
Cohort 1:16 subjects were randomized in a 3:1 ratio to be treated either with 60 mg XC221 (12 subjects) or placebo (4 subjects, see placebo arm).
Arm Title
XC221 200 mg
Arm Type
Experimental
Arm Description
Cohort 2: 16 subjects were randomized in a 3:1 ratio to be treated either with 200 mg XC221 (12 subjects) or placebo (4 subjects, see placebo arm).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo comparator arm consists of 8 subjects (4 subjects from each cohort).
Intervention Type
Drug
Intervention Name(s)
XC221 60 mg
Intervention Description
The volunteers received the study drug once, and then continued daily intake for 5 days after a 6-day break.
Intervention Type
Drug
Intervention Name(s)
XC221 200 mg
Intervention Description
The volunteers received the study drug once, and then continued daily intake for 5 days after a 6-day break.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
The volunteers received the study drug once, and then continued daily intake for 5 days after a 6-day break.
Primary Outcome Measure Information:
Title
Number of Adverse events per treatment arm
Description
Adverse events have been classified according to CTCAE ver 4.03. Adverse events will be summarized descriptively by treatment arm. Verbatim terms will be mapped to preferred terms and organ systems using the current Medical Dictionary for Regulatory Activities version. For each preferred term, frequency counts and percentages will be calculated by cohort.The nature, severity, seriousness, and relationship to study medication will be summarized for all study subjects
Time Frame
Change from pre-dose to Day 28
Secondary Outcome Measure Information:
Title
Pharmacokinetics of XC221GI by assessing AUC0-inf
Description
Area under the curve "concentration of the drug-time" from the time of administration of the drug till infinity
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221A by assessing AUC0-inf
Description
Area under the curve "concentration of the drug-time" from the time of administration of the drug till infinity
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221GI by assessing Cmax
Description
Maximum plasma concentration
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221A by assessing Cmax
Description
Maximum plasma concentration
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221GI by assessing AUC0-t
Description
Area under the curve "concentration of the drug-time" from the time of administration of the drug till the time (t) the last blood sampling
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221A by assessing AUC0-t
Description
Area under the curve "concentration of the drug-time" from the time of administration of the drug till the time (t) the last blood sampling
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221GI by assessing Tmax
Description
Time to maximum drug concentration in the blood plasma administration
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221A by assessing Tmax
Description
Time to maximum drug concentration in the blood plasma administration
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221GI by assessing T1/2
Description
Terminal elimination half-life
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)
Title
Pharmacokinetics of XC221A by assessing T1/2
Description
Terminal elimination half-life
Time Frame
Day 1 and 11 (Pre dose, 15 min, 30 min, 1,1.5, 2, 2.5, 3, 4, 5, 6, 8,12 and 16 h post dose), Day 2 and Day 12 (24 h ±10 min post dose), Day 3 and Day 13 (48 h ±10 min post dose), Day 4 and Day 14 (72 h ±10 min post dose), Day 7 to 10 (Pre dose)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Non-smoking men aged 18 to 45 years (inclusive); Verified diagnosis "healthy" according to standard clinical, laboratory and instrumental methods of examination; Body mass >50 kg and body mass index of 18.5 to 30 kg/m2 (inclusive); Negative result of tests for alcohol and drugs; Consent to use reliable methods of contraception during the study and 3 months after its completion (condoms with spermicide); Signed patient information sheet and informed consent form for participation in the study. Exclusion Criteria: Chronic diseases of cardiovascular, bronchopulmonary, neuroendocrine, musculoskeletal system and also disease of digestive tract, liver, kidneys, blood; Laboratory abnormalities at screening; Surgical interventions on digestive tract in the anamnesis (except for an appendectomies); Systolic pressure is less than 90 mm Hg. or more than 130 mm Hg., diastolic pressure is less than 60 mm Hg. or more than 85 mm Hg., pulse rate less than 60/min. or more than 80/min.; Course intake of medicinal products (including herbs and biologically active additives) for preventive or curative purposes within 1 month prior to screening; Antibodies to HIV and hepatitis C virus, the presence of the hepatitis B surface antigen, a positive syphilis test; The presence of a sleep disorder (for example, night work, sleep disturbances, insomnia, recent return from another time zone, etc.); Signs of alcohol or drug abuse; taking alcohol or drugs during 4 days before screening; smoking 3 months before screening; History of allergies (including medicines and food products); Blood donation / plasma, surgical intervention (in a hospital environment) during 12 weeks before screening; Participation in other clinical trials or taking the study drug during 3 months before screening; Acute infectious diseases less than 4 weeks before the start of the study; Impossibility to understand or follow protocol instructions/
Facility Information:
Facility Name
SBEI HPE The First Moscow State Medical University n.a. Sechenov of Ministry of Health of Russian Federation, University Hospital #2, Department of Development of New Medicines
City
Moscow
ZIP/Postal Code
119435
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

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Study to Assess Safety, Tolerability and Pharmacokinetics of XC221 in Healthy Volunteers

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