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Study to Assess Safety, Tolerability and Pharmacokinetics of XC7 (Which is Planned Use in the Treatment of COVID-19) in Healthy Volunteers

Primary Purpose

Covid19, Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
XC7 100 mg single
XC7 200 mg single
Placebo single
XC7 200 mg multiple
Placebo multiple
Sponsored by
NP Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring Coronavirus, Phase I

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Non-smoking men (nonsmokers at least within the last year before the screening) at the ages from 18 through 45;
  2. Verified diagnosis "healthy" according to standard clinical, laboratory and instrumental methods of examination;
  3. Body mass index from 18.5 to 30.0 kg/m2 with body weight of more than 45 kg and no more than 110 kg;
  4. Negative result for alcohol vapor content in the exhaled air, narcotic substances in the urine;
  5. Agreement to use adequate contraception methods during the study and 3 months after its completion: condoms with spermicide (foam, gel, cream, suppository);
  6. Signed patient explanation sheet and informed consent for participation in the study.

Exclusion Criteria:

  1. Chronic diseases of the cardiovascular, bronchopulmonary, nervous, endocrine, musculoskeletal system, as well as the gastrointestinal tract, liver, kidneys, blood, mental illness, epilepsy or convulsive seizures;
  2. Abnormal results of standard laboratory tests and investigations at the screening visit;
  3. Gastrointestinal surgery (except for appendectomy) in the past medical history;
  4. Systolic blood pressure of less than 90 mm Hg or above 139 mm Hg, diastolic blood pressure of less than 60 mm Hg or above 90 mm Hg, heart rate of less than 60 bpm or above 90 bpm - at screening;
  5. Regular administration of drugs within 2 weeks prior to screening (including herbal agents and dietary supplements);
  6. Use of drugs with significant effect on hemodynamics, hepatic function, etc. (e.g. barbiturates, omeprazole, cimetidine, etc.) within 30 days prior to screening;
  7. Antibodies to HIV and hepatitis C, hepatitis B surface antigen, positive test for syphilis;
  8. Unstable sleep architecture (e.g. night work, sleep disorders, insomnia, recently returned from another time zone, etc.), extreme physical activity (e.g. weight lifting);
  9. Special diet (for example, vegetarian, vegan, low calorie (less than 1000 kcal/day));
  10. Signs of alcohol abuse (intake of more than 10 units of alcohol per week) or 50 ml of hard alcohol; drinking alcohol within 4 days prior to screening;
  11. Signs of drug abuse; taking narcotic and psychotropic drugs (opiates/morphine, methamphetamine, amphetamine, cannabinoids/marijuana, cocaine, methadone, ecstasy, tricyclic antidepressants, barbiturates) at the moment and in the history;
  12. burdened past allergic history;
  13. Hypersensitivity to the components of the investigated drugs;
  14. Blood/plasma donation (from 450 ml blood or plasma) within 2 months prior to screening;
  15. Participation in other clinical studies within 3 months prior to screening;
  16. Acute infectious diseases within 4 weeks prior to screening;
  17. Inability to read or write; unwillingness to understand and follow the procedures of the study protocol; noncompliance with the drugs administration or procedures schedule, which according to the researchers may affect the study results or the volunteer safety and prevent the further participation of the volunteer in the study; any other associated medical or serious mental conditions that make the volunteer inadequate for participation in the clinical study and restrict the validity of informed consent or may affect the volunteer's ability to participate in the study.

Sites / Locations

  • Federal State Autonomous Educational Institution of Higher Education "The First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

XC7 100 mg single

XC7 200 mg single

Placebo single

XC7 200 mg multiple

Placebo multiple

Arm Description

Cohort 1 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 100 mg (3 subjects) or placebo (1 subject, see placebo single arm)

Cohort 2 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 200 mg (3 subjects) or placebo (1 subject, see placebo single arm)

Placebo comparator arm will consist of 2 subjects (1 subject from Сohorts 1 and 2)

Cohort 3 - 6 subjects will be randomized in a 6:2 ratio to be treated either XC7 200 mg (6 subjects) or placebo (1 subject, see placebo multiple arm)

Placebo comparator arm will consist of 2 subjects from cohort 3

Outcomes

Primary Outcome Measures

Number of Adverse events (AEs) per treatment arm
Adverse events will be 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.

Secondary Outcome Measures

Pharmacokinetics of XC7 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 XC7 by assessing Cmax
Maximum plasma concentration
Pharmacokinetics of XC7 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 XC7 by assessing Tmax
Time to maximum drug concentration in the blood plasma administration
Pharmacokinetics of XC7 by assessing T1/2
Terminal elimination half-life

Full Information

First Posted
December 18, 2020
Last Updated
September 21, 2021
Sponsor
NP Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04679493
Brief Title
Study to Assess Safety, Tolerability and Pharmacokinetics of XC7 (Which is Planned Use in the Treatment of COVID-19) in Healthy Volunteers
Official Title
Double Blind, Randomized, Placebo-controlled Study of Safety, Tolerability, and Pharmacokinetics of Ascending Doses of XC7 After Single and Multiple Oral Administration in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
December 17, 2020 (Actual)
Primary Completion Date
April 9, 2021 (Actual)
Study Completion Date
April 9, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NP Therapeutics

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, tolerability and pharmacokinetics (PK) of ascending doses of XC7 after single and multiple oral administration in healthy volunteers. It's planned to include sequentially 2 cohorts of 4 volunteers who will receive a single dose of XC7 (100 mg and 200 mg) or placebo (cohort ratio 3:1) and 1 cohort of 8 volunteers who will receive multiple doses of the XC7 (200 mg) or placebo during 14 days (cohort ratio 6:2).
Detailed Description
The study will be conducted in 1 centre. The study will consist of 3 periods: screening (7 days), treatment (1 or 14 days) and follow-up (7 or 28 days). The volunteers of single dosing cohorts will receive the investigated drug (ID) ХС7 or placebo once and stay at the study center for at least 24 hours after the ID administration to monitor the safety parameters and for sampling for PK analysis. The Follow-up will last 7 days, during which safety parameters and PK in volunteers will be studied. Based on all safety data from the XC7 100 mg cohort, the Data Safety Monitoring Committee (DSMC) will consider dose increase and entry of the 200 mg cohort. If the single dose of ХС7 200 mg is considered to be safe, the third multiple dosing cohort of 200 mg will be included in the study. The volunteers from multiple dosing cohort will receive the ID (ХС7 or placebo) once a day during 14 days and will stay at the hospital (study center) during the first five days after administration of the ID. The Follow-up will last 14 days, during which they will study safety parameters and PK in volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19, Healthy Volunteers
Keywords
Coronavirus, Phase I

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
The dose cohorts cohorts will be included into the study subsequently based on preliminary safety results evaluation performed by the DSMC. 2 doses of XC7/placebo (100 mg, 200 mg) were used in the study.The duration of exposure to the ID is planned 1 day in single dosing cohorts and 14 days in multiple dosing cohort.
Masking
ParticipantInvestigator
Masking Description
Blinding was carried out by using placebo equivalent to XC7 capsules without active pharmaceutical ingredients (API) and the corresponding labeling of the ID.
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
XC7 100 mg single
Arm Type
Experimental
Arm Description
Cohort 1 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 100 mg (3 subjects) or placebo (1 subject, see placebo single arm)
Arm Title
XC7 200 mg single
Arm Type
Experimental
Arm Description
Cohort 2 - 4 subjects will be randomized in a 3:1 ratio to be treated either XC7 200 mg (3 subjects) or placebo (1 subject, see placebo single arm)
Arm Title
Placebo single
Arm Type
Placebo Comparator
Arm Description
Placebo comparator arm will consist of 2 subjects (1 subject from Сohorts 1 and 2)
Arm Title
XC7 200 mg multiple
Arm Type
Experimental
Arm Description
Cohort 3 - 6 subjects will be randomized in a 6:2 ratio to be treated either XC7 200 mg (6 subjects) or placebo (1 subject, see placebo multiple arm)
Arm Title
Placebo multiple
Arm Type
Placebo Comparator
Arm Description
Placebo comparator arm will consist of 2 subjects from cohort 3
Intervention Type
Drug
Intervention Name(s)
XC7 100 mg single
Intervention Description
The volunteers will receive a single dose of the ID (1 capsule once, 100 mg)
Intervention Type
Drug
Intervention Name(s)
XC7 200 mg single
Intervention Description
The volunteers will receive a single dose of the ID (2 capsules once, 100 mg each)
Intervention Type
Drug
Intervention Name(s)
Placebo single
Intervention Description
The volunteers will receive a single dose of the ID (1 or 2 capsules once)
Intervention Type
Drug
Intervention Name(s)
XC7 200 mg multiple
Intervention Description
The volunteers will receive multiple doses of the ID during 14 days (2 capsules daily, 100 mg each)
Intervention Type
Drug
Intervention Name(s)
Placebo multiple
Intervention Description
The volunteers will receive multiple doses of the ID during 14 days (2 capsules daily)
Primary Outcome Measure Information:
Title
Number of Adverse events (AEs) per treatment arm
Description
Adverse events will be 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.
Time Frame
Day -7 (7 days before first dose) - Day 58
Secondary Outcome Measure Information:
Title
Pharmacokinetics of XC7 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 - Day 4
Title
Pharmacokinetics of XC7 by assessing Cmax
Description
Maximum plasma concentration
Time Frame
Day 1 - Day 4
Title
Pharmacokinetics of XC7 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 - Day 4
Title
Pharmacokinetics of XC7 by assessing Tmax
Description
Time to maximum drug concentration in the blood plasma administration
Time Frame
Day 1 - Day 4
Title
Pharmacokinetics of XC7 by assessing T1/2
Description
Terminal elimination half-life
Time Frame
Day 1 - Day 4

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 (nonsmokers at least within the last year before the screening) at the ages from 18 through 45; Verified diagnosis "healthy" according to standard clinical, laboratory and instrumental methods of examination; Body mass index from 18.5 to 30.0 kg/m2 with body weight of more than 45 kg and no more than 110 kg; Negative result for alcohol vapor content in the exhaled air, narcotic substances in the urine; Agreement to use adequate contraception methods during the study and 3 months after its completion: condoms with spermicide (foam, gel, cream, suppository); Signed patient explanation sheet and informed consent for participation in the study. Exclusion Criteria: Chronic diseases of the cardiovascular, bronchopulmonary, nervous, endocrine, musculoskeletal system, as well as the gastrointestinal tract, liver, kidneys, blood, mental illness, epilepsy or convulsive seizures; Abnormal results of standard laboratory tests and investigations at the screening visit; Gastrointestinal surgery (except for appendectomy) in the past medical history; Systolic blood pressure of less than 90 mm Hg or above 139 mm Hg, diastolic blood pressure of less than 60 mm Hg or above 90 mm Hg, heart rate of less than 60 bpm or above 90 bpm - at screening; Regular administration of drugs within 2 weeks prior to screening (including herbal agents and dietary supplements); Use of drugs with significant effect on hemodynamics, hepatic function, etc. (e.g. barbiturates, omeprazole, cimetidine, etc.) within 30 days prior to screening; Antibodies to HIV and hepatitis C, hepatitis B surface antigen, positive test for syphilis; Unstable sleep architecture (e.g. night work, sleep disorders, insomnia, recently returned from another time zone, etc.), extreme physical activity (e.g. weight lifting); Special diet (for example, vegetarian, vegan, low calorie (less than 1000 kcal/day)); Signs of alcohol abuse (intake of more than 10 units of alcohol per week) or 50 ml of hard alcohol; drinking alcohol within 4 days prior to screening; Signs of drug abuse; taking narcotic and psychotropic drugs (opiates/morphine, methamphetamine, amphetamine, cannabinoids/marijuana, cocaine, methadone, ecstasy, tricyclic antidepressants, barbiturates) at the moment and in the history; burdened past allergic history; Hypersensitivity to the components of the investigated drugs; Blood/plasma donation (from 450 ml blood or plasma) within 2 months prior to screening; Participation in other clinical studies within 3 months prior to screening; Acute infectious diseases within 4 weeks prior to screening; Inability to read or write; unwillingness to understand and follow the procedures of the study protocol; noncompliance with the drugs administration or procedures schedule, which according to the researchers may affect the study results or the volunteer safety and prevent the further participation of the volunteer in the study; any other associated medical or serious mental conditions that make the volunteer inadequate for participation in the clinical study and restrict the validity of informed consent or may affect the volunteer's ability to participate in the study.
Facility Information:
Facility Name
Federal State Autonomous Educational Institution of Higher Education "The First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation
City
Moscow
ZIP/Postal Code
119991
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Assess Safety, Tolerability and Pharmacokinetics of XC7 (Which is Planned Use in the Treatment of COVID-19) in Healthy Volunteers

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