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Study to Evaluate Safety, Tolerability, and Pharmacokinetics of XNW4107 Alone or in Combination With Imipenem/Cilastatin

Primary Purpose

Bacterial Infections

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
XNW4107
Sponsored by
Evopoint Biosciences Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Bacterial Infections focused on measuring XNW4107, Pharmacokinetics

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male adults aged 18-65 years
  • Body Mass Index (BMI) between 18.5 - 32.0, inclusive.
  • In good general health, as determined by the Investigator, based on medical history, physical examination, 12 lead electrocardiogram (ECG), vital sign (VS) measurements, and laboratory test results.
  • Normal blood pressure (BP), defined as: systolic BP (SBP) ≥90 mmHg and ≤140 mmHg; and diastolic BP (DBP) <90 mmHg at the time of Screening
  • Male subjects with female partners of reproductive potential must agree to practice abstinence or to use a condom (male subject) in addition to an acceptable method (female partner) of contraception for the duration of the study and for at least 90 days post last dose.
  • Negative serology results for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), human immunodeficiency virus antibody (HIV Ab), hepatitis E immunoglobulin M antibody (IgM anti HEV), and Treponema pallidum antibody chemiluminescent immunoassay (TP IA).
  • Negative serology results for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), human immunodeficiency virus antibody (HIV Ab), hepatitis E immunoglobulin M antibody (IgM anti HEV), and Treponema pallidum antibody chemiluminescent immunoassay (TP IA).
  • Non smoker (with no use of other tobacco or nicotine containing products, in any form), as documented by history (no nicotine within 3 months prior to Screening)
  • Negative results for drugs of abuse, alcohol, and cotinine at Screening and Admission

Exclusion Criteria:

  • History of clinically significant psychiatric disorder within the past 5 years.
  • History of stroke, chronic seizures, or other major neurological disorder.
  • History or evidence of drug/alcohol abuse within 1 year prior to Screening.
  • History of clinically significant endocrine, neurological, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or disease.
  • History of cancer (malignancy).
  • History of any illness that, in the opinion of the study investigator, may confound the results of the study or pose additional risk to the subject if he participates in the study.
  • Administration of another investigational medication within 30 days (or 5 half lives, whichever is longer) prior to study drug administration.
  • Participation in an investigational device study within 30 days prior to study drug administration.
  • Excessive consumption of alcohol, defined as >3 alcoholic beverages per day (10 ounces of beer [284 mL], 4 ounces of wine [125 mL], or 1 ounce of distilled spirits [25 mL] is approximately equivalent to 1 alcoholic beverage)
  • Excessive consumption of coffee, tea, cola, or other caffeinated beverages; excessive consumption is defined as >6 servings per day (1 serving contains approximately 120 mg caffeine)
  • History and/or family history of congenital long QT syndrome, unexplained syncope, or other additional risks of Torsade de Pointes or sudden premature death.
  • Any ECG abnormality considered to be clinically significant by the principal investigator (PI)/designee;
  • Glomerular filtration rate (GFR) ≤80 mL/min/1.73 m2, as estimated by the Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) equation.
  • Ongoing liver disease or unexplained liver function test (LFT) elevations
  • History of hypersensitivity to β lactam antibiotics (including, but not limited to imipenem)
  • History of significant multiple and/or severe allergies (including latex allergy);
  • Loss or donation of blood (approximately 500 mL) within 60 days prior to study drug administration on Day 1, or donation of bone marrow or peripheral stem cells within 90 days prior to study drug administration on Day 1.
  • History of infectious disease within 28 days prior to study drug administration on Day 1 that, in the opinion of the investigator, would affect the subject's ability to participate in the trial.
  • Venous access considered inadequate for PK sample collection and IV infusion; history or evidence of adverse symptoms associated with IV access, phlebotomy, or blood donation.
  • Employee or family member of the investigator, study site personnel, or sponsor.
  • Any other clinically relevant abnormality in the opinion of the investigators from the following: medical and/or surgical history, physical examination, vital signs, 12-lead ECG, serum chemistry, hematology, and urinalysis.
  • Any other reason that, in the opinion of the investigator, would render the subject unsuitable for study enrollment.

Sites / Locations

  • Pharmaron CPC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Single Ascending Dose Study

Multiple Ascending Dose Study

Multiple Dose Study of XNW4107 +Imipenem/Cilastatin

Arm Description

Six XNW4107 doses ( 50-1250 mg ), each administered as a single dose with 60-minute IV infusion

Three XNW4107 doses (167-500 mg), each administered as 60-minute IV infusion every 6 hours for 7 days

500 mg XNW4107 co-administered with imipenem/cilastatin as 60-minute IV infusion every 6 hours for 14 days

Outcomes

Primary Outcome Measures

Safety as assessed by number of participants experiencing adverse events
Number of participants who experience adverse events in different grades, as defined by Common Terminology for Adverse Events (CTCAE) v5.0

Secondary Outcome Measures

Full Information

First Posted
July 18, 2020
Last Updated
February 15, 2023
Sponsor
Evopoint Biosciences Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04482569
Brief Title
Study to Evaluate Safety, Tolerability, and Pharmacokinetics of XNW4107 Alone or in Combination With Imipenem/Cilastatin
Official Title
A Phase 1, Randomized, Double Blind, Placebo Controlled Sequential Group Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending Doses of XNW4107 for Injection, and Multiple Doses of XNW4107 for Injection in Combination With Imipenem/Cilastatin for Injection in Healthy Adult Male Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
July 10, 2020 (Actual)
Primary Completion Date
February 28, 2021 (Actual)
Study Completion Date
September 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Evopoint Biosciences 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
This is a 3-part, first-in-human study to evaluate the safety, tolerability and pharmacokinetics of escalating doses of XNW4107 given as intravenous (IV) infusion in healthy male subjects. In part 1, subjects will receive a single dose of XNW4107. In part 2, subjects will receive XNW4107 for 7 days. In Part 3, subjects will receive XNW4107 in combination with imipenem/cilastatin for 14 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections
Keywords
XNW4107, Pharmacokinetics

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
88 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Ascending Dose Study
Arm Type
Experimental
Arm Description
Six XNW4107 doses ( 50-1250 mg ), each administered as a single dose with 60-minute IV infusion
Arm Title
Multiple Ascending Dose Study
Arm Type
Experimental
Arm Description
Three XNW4107 doses (167-500 mg), each administered as 60-minute IV infusion every 6 hours for 7 days
Arm Title
Multiple Dose Study of XNW4107 +Imipenem/Cilastatin
Arm Type
Experimental
Arm Description
500 mg XNW4107 co-administered with imipenem/cilastatin as 60-minute IV infusion every 6 hours for 14 days
Intervention Type
Drug
Intervention Name(s)
XNW4107
Intervention Description
Single or multiple dose ascending study for XNW4107 alone or multiple dose study of XNW4107 in combination with imipenem/cilastatin
Primary Outcome Measure Information:
Title
Safety as assessed by number of participants experiencing adverse events
Description
Number of participants who experience adverse events in different grades, as defined by Common Terminology for Adverse Events (CTCAE) v5.0
Time Frame
Change from baseline up to day 43 post-intervention

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male adults aged 18-65 years Body Mass Index (BMI) between 18.5 - 32.0, inclusive. In good general health, as determined by the Investigator, based on medical history, physical examination, 12 lead electrocardiogram (ECG), vital sign (VS) measurements, and laboratory test results. Normal blood pressure (BP), defined as: systolic BP (SBP) ≥90 mmHg and ≤140 mmHg; and diastolic BP (DBP) <90 mmHg at the time of Screening Male subjects with female partners of reproductive potential must agree to practice abstinence or to use a condom (male subject) in addition to an acceptable method (female partner) of contraception for the duration of the study and for at least 90 days post last dose. Negative serology results for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), human immunodeficiency virus antibody (HIV Ab), hepatitis E immunoglobulin M antibody (IgM anti HEV), and Treponema pallidum antibody chemiluminescent immunoassay (TP IA). Negative serology results for hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV Ab), human immunodeficiency virus antibody (HIV Ab), hepatitis E immunoglobulin M antibody (IgM anti HEV), and Treponema pallidum antibody chemiluminescent immunoassay (TP IA). Non smoker (with no use of other tobacco or nicotine containing products, in any form), as documented by history (no nicotine within 3 months prior to Screening) Negative results for drugs of abuse, alcohol, and cotinine at Screening and Admission Exclusion Criteria: History of clinically significant psychiatric disorder within the past 5 years. History of stroke, chronic seizures, or other major neurological disorder. History or evidence of drug/alcohol abuse within 1 year prior to Screening. History of clinically significant endocrine, neurological, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or disease. History of cancer (malignancy). History of any illness that, in the opinion of the study investigator, may confound the results of the study or pose additional risk to the subject if he participates in the study. Administration of another investigational medication within 30 days (or 5 half lives, whichever is longer) prior to study drug administration. Participation in an investigational device study within 30 days prior to study drug administration. Excessive consumption of alcohol, defined as >3 alcoholic beverages per day (10 ounces of beer [284 mL], 4 ounces of wine [125 mL], or 1 ounce of distilled spirits [25 mL] is approximately equivalent to 1 alcoholic beverage) Excessive consumption of coffee, tea, cola, or other caffeinated beverages; excessive consumption is defined as >6 servings per day (1 serving contains approximately 120 mg caffeine) History and/or family history of congenital long QT syndrome, unexplained syncope, or other additional risks of Torsade de Pointes or sudden premature death. Any ECG abnormality considered to be clinically significant by the principal investigator (PI)/designee; Glomerular filtration rate (GFR) ≤80 mL/min/1.73 m2, as estimated by the Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) equation. Ongoing liver disease or unexplained liver function test (LFT) elevations History of hypersensitivity to β lactam antibiotics (including, but not limited to imipenem) History of significant multiple and/or severe allergies (including latex allergy); Loss or donation of blood (approximately 500 mL) within 60 days prior to study drug administration on Day 1, or donation of bone marrow or peripheral stem cells within 90 days prior to study drug administration on Day 1. History of infectious disease within 28 days prior to study drug administration on Day 1 that, in the opinion of the investigator, would affect the subject's ability to participate in the trial. Venous access considered inadequate for PK sample collection and IV infusion; history or evidence of adverse symptoms associated with IV access, phlebotomy, or blood donation. Employee or family member of the investigator, study site personnel, or sponsor. Any other clinically relevant abnormality in the opinion of the investigators from the following: medical and/or surgical history, physical examination, vital signs, 12-lead ECG, serum chemistry, hematology, and urinalysis. Any other reason that, in the opinion of the investigator, would render the subject unsuitable for study enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jason Le
Organizational Affiliation
Evopoint Biosciences Inc.
Official's Role
Study Chair
Facility Information:
Facility Name
Pharmaron CPC
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States

12. IPD Sharing Statement

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Study to Evaluate Safety, Tolerability, and Pharmacokinetics of XNW4107 Alone or in Combination With Imipenem/Cilastatin

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