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The Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of HEC96719 Tablets in Healthy Subjects

Primary Purpose

Non-alcoholic Fatty Liver Disease, Non-alcoholic Steatohepatitis

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
HEC96719
Sponsored by
Sunshine Lake Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-alcoholic Fatty Liver Disease

Eligibility Criteria

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

Inclusion Criteria:

  1. Males or females, of any race, between 18 and 55 years of age, inclusive, at Screening.
  2. Body mass index between 18.0 and 32.0 kg/m2, inclusive, at Screening.
  3. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital sign measurements, and clinical laboratory evaluations at Screening and/or Check-in as assessed by the Investigator (or designee).
  4. Females will be nonpregnant and nonlactating. Females of childbearing potential and male subjects will agree to use contraception
  5. Able to comprehend and willing to provide a written Informed Consent Form (ICF) and to abide by the study restrictions.

Exclusion Criteria:

  1. Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the Investigator (or designee).
  2. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator (or designee).
  3. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed).
  4. History of gallstone disease or diseases affecting the bile ducts.
  5. History of inflammation, ulceration, bleeding affecting the gastrointestinal tract.
  6. Alanine transaminase (ALT) or Glutamic oxalacetic transaminase(AST) is out of the normal range.
  7. Bilirubin is more than 1.5 x upper limit of normal.
  8. Positive test result for hepatitis B surface antigen, hepatitis C virus antibody, and/or human immunodeficiency virus antibodies .
  9. History of active tuberculosis or exposure to endemic areas within 8 weeks prior to QuantiFERON®-tuberculosis(TB) testing performed at screening.
  10. Positive QuantiFERON®-tuberculosis(TB) indicating possible tuberculosis infection.
  11. Immunization with a live attenuated vaccine within 1 month prior to dosing or planned vaccination during the course of the study.
  12. History of clinically significant opportunistic infection e.g. invasive candidiasis or pneumocystis pneumonia.
  13. Serious local infection e.g. cellulitis, abscess, or systemic infection e.g. septicemia, within 3 months prior to screening.
  14. Presence of fever (body temperature >37.6 °C) e.g. a fever associated with a symptomatic viral or bacterial infection, within 2 weeks prior to the first dosing.
  15. Subjects who are scheduled to receive an organ transplant or have received an organ transplant;
  16. Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days or 5 half-lives (if known), whichever is longer, prior to Check-in.
  17. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's Wort, within 30 days prior to Check-in, unless deemed acceptable by the Investigator (or designee).
  18. Use or intend to use any prescription medications/products, within 14 days prior to Check-in, unless deemed acceptable by the Investigator (or designee).
  19. Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to Check-in, unless deemed acceptable by the Investigator (or designee).
  20. History of drug abuse within 1 year prior to screening, or use of soft drugs (such as marijuana) within 3 months prior to the screening, or hard drugs (such as cocaine, phencyclidine, and crack) within 1 year prior to screening.
  21. Alcohol consumption of > 21 units per week for males and > 14 units for females. One unit of alcohol equals 12 oz (360 mL) beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL wine), or a positive alcohol breath test at Check-in.
  22. Positive urine drugs of abuse screen at Screening or Check-in.
  23. Smokers of more than 5 cigarettes per week or positive cotinine test at Screening or Check-in.
  24. Consumption of foods and beverages containing poppy seeds, grapefruit, or Seville oranges within 7 days prior to Check-in, consumption of caffeine-containing foods and beverages within 72 hours prior to Check-in, or consumption of alcohol within 48 hours prior to Check-in.
  25. Receipt of blood products within 2 months prior to Check-in.
  26. Donation of blood from 56 days prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening.
  27. Poor peripheral venous access.
  28. Have previously completed or withdrawn from this study, and have previously received the investigational product.
  29. Subjects who, in the opinion of the Investigator (or designee), should not participate in this study.

Sites / Locations

  • Nucleus Network Pty Ltd

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

HEC96719 tablets

placebo tablets

Arm Description

part A: There will be a total of 6 dose cohorts: 0.2 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg part B: There will be a total of 3 dose cohorts: 0.5 mg, 1 mg, 2 mg

part A: There will be a total of 6 dose cohorts: 0.2 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg part B:There will be a total of 3 dose cohorts: 0.5 mg, 1 mg, 2 mg

Outcomes

Primary Outcome Measures

Adverse event
To assess the safety and tolerability of therapy.

Secondary Outcome Measures

Cmax
maximum observed plasma concentration of HEC96719
AUC
area under the plasma concentration-time curve (AUC)
apparent terminal elimination half-life
Tmax
time of the maximum observed plasma concentration
C4
7α-hydroxy-4-cholestene-3-one
FGF19
Fibroblast growth factor 19
CL/F
apparent oral clearance

Full Information

First Posted
June 1, 2020
Last Updated
May 6, 2021
Sponsor
Sunshine Lake Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04422496
Brief Title
The Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of HEC96719 Tablets in Healthy Subjects
Official Title
A Phase I, Single-Center, Randomized, Double-Blind, Placebo-Controlled, Single- and Multiple-Ascending Dose Clinical Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of HEC96719 Tablets in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
August 10, 2020 (Actual)
Primary Completion Date
February 23, 2021 (Actual)
Study Completion Date
February 23, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Lake Pharma 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
Yes

5. Study Description

Brief Summary
The Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of Non-alcoholic fatty liver disease (NAFLD) treatment drug HEC96719 in Healthy Male and Female Subjects
Detailed Description
This study consists of a single-dose study and a multiple-dose study, both using a single-center, randomized, double-blind, placebo-controlled, dose-escalation design: I. Single-Dose Study There will be a total of 6 dose cohorts. Each cohort will include 10 subjects, of which 8 receives HEC96719 tablets and 2 receives placebo, regardless of gender. Each subject will only participate in one dose cohort. Each cohort will be divided into 2 group. The first group consists of 2 sentinels, one receiving active and one placebo. The second group will consist of the remainder of the cohort (7 active and 1 placebo) and, following review of the available safety data, will be dosed 48 hours after the sentinel group. Subjects can leave the pharmacy after their biological samples are collected on day 3. The last safety follow-up visit is to be performed on day 7±1 via telephone. Subjects in each cohort will receive a single dose of HEC96719 or placebo in the fasted state on day 1, and safety evaluation is to be performed on day 3 and 7. II. Multi-Dose Study There will be a total of 3 dose cohorts. Each cohort will consist of 12 subjects, of which 10 receive HEC96719 tablets and 2 receive placebo, the dose regimen will comprise no less than once a day and will not exceed 4 times daily dosing for 7 consecutive days (study doses, administration method (fasted or fed), dosing frequency, and dosing period are all to be determined based on data from the single-dose study and multiple-dose study). Each subject will only participate in one dose cohort. Subjects will reside at the pharmacy from the day before dosing (D-1) to 96 h after the last dose. Subjects can leave pharmacy after their biological samples are collected. The last safety follow-up visit is to be performed 168±24 h after the last dose via telephone.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-alcoholic Fatty Liver Disease, Non-alcoholic Steatohepatitis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HEC96719 tablets
Arm Type
Experimental
Arm Description
part A: There will be a total of 6 dose cohorts: 0.2 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg part B: There will be a total of 3 dose cohorts: 0.5 mg, 1 mg, 2 mg
Arm Title
placebo tablets
Arm Type
Placebo Comparator
Arm Description
part A: There will be a total of 6 dose cohorts: 0.2 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, and 4 mg part B:There will be a total of 3 dose cohorts: 0.5 mg, 1 mg, 2 mg
Intervention Type
Drug
Intervention Name(s)
HEC96719
Intervention Description
single-Dose Study: Each dose of HEC96719 and placebo will be administered with approximately 240 mL of water in the morning after fasting for at least 10 hours overnight. multiple-dose study:The study doses, administration method (fasted or fed), dosing frequency, and dosing period are all to be determined based on data from the single-dose study and multiple-dose study.
Primary Outcome Measure Information:
Title
Adverse event
Description
To assess the safety and tolerability of therapy.
Time Frame
Baseline to day 21
Secondary Outcome Measure Information:
Title
Cmax
Description
maximum observed plasma concentration of HEC96719
Time Frame
predose to 96 hour after dosing
Title
AUC
Description
area under the plasma concentration-time curve (AUC)
Time Frame
predose to 96 hour after dosing
Title
Description
apparent terminal elimination half-life
Time Frame
predose to 96 hour after dosing
Title
Tmax
Description
time of the maximum observed plasma concentration
Time Frame
predose to 96 hour after dosing
Title
C4
Description
7α-hydroxy-4-cholestene-3-one
Time Frame
predose to 48 hour after dosing
Title
FGF19
Description
Fibroblast growth factor 19
Time Frame
predose to 48 hour after dosing
Title
CL/F
Description
apparent oral clearance
Time Frame
predose to 96 hour after dosing

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: Males or females, of any race, between 18 and 55 years of age, inclusive, at Screening. Body mass index between 18.0 and 32.0 kg/m2, inclusive, at Screening. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital sign measurements, and clinical laboratory evaluations at Screening and/or Check-in as assessed by the Investigator (or designee). Females will be nonpregnant and nonlactating. Females of childbearing potential and male subjects will agree to use contraception Able to comprehend and willing to provide a written Informed Consent Form (ICF) and to abide by the study restrictions. Exclusion Criteria: Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the Investigator (or designee). History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator (or designee). History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed). History of gallstone disease or diseases affecting the bile ducts. History of inflammation, ulceration, bleeding affecting the gastrointestinal tract. Alanine transaminase (ALT) or Glutamic oxalacetic transaminase(AST) is out of the normal range. Bilirubin is more than 1.5 x upper limit of normal. Positive test result for hepatitis B surface antigen, hepatitis C virus antibody, and/or human immunodeficiency virus antibodies . History of active tuberculosis or exposure to endemic areas within 8 weeks prior to QuantiFERON®-tuberculosis(TB) testing performed at screening. Positive QuantiFERON®-tuberculosis(TB) indicating possible tuberculosis infection. Immunization with a live attenuated vaccine within 1 month prior to dosing or planned vaccination during the course of the study. History of clinically significant opportunistic infection e.g. invasive candidiasis or pneumocystis pneumonia. Serious local infection e.g. cellulitis, abscess, or systemic infection e.g. septicemia, within 3 months prior to screening. Presence of fever (body temperature >37.6 °C) e.g. a fever associated with a symptomatic viral or bacterial infection, within 2 weeks prior to the first dosing. Subjects who are scheduled to receive an organ transplant or have received an organ transplant; Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days or 5 half-lives (if known), whichever is longer, prior to Check-in. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's Wort, within 30 days prior to Check-in, unless deemed acceptable by the Investigator (or designee). Use or intend to use any prescription medications/products, within 14 days prior to Check-in, unless deemed acceptable by the Investigator (or designee). Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to Check-in, unless deemed acceptable by the Investigator (or designee). History of drug abuse within 1 year prior to screening, or use of soft drugs (such as marijuana) within 3 months prior to the screening, or hard drugs (such as cocaine, phencyclidine, and crack) within 1 year prior to screening. Alcohol consumption of > 21 units per week for males and > 14 units for females. One unit of alcohol equals 12 oz (360 mL) beer, 1½ oz (45 mL) liquor, or 5 oz (150 mL wine), or a positive alcohol breath test at Check-in. Positive urine drugs of abuse screen at Screening or Check-in. Smokers of more than 5 cigarettes per week or positive cotinine test at Screening or Check-in. Consumption of foods and beverages containing poppy seeds, grapefruit, or Seville oranges within 7 days prior to Check-in, consumption of caffeine-containing foods and beverages within 72 hours prior to Check-in, or consumption of alcohol within 48 hours prior to Check-in. Receipt of blood products within 2 months prior to Check-in. Donation of blood from 56 days prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening. Poor peripheral venous access. Have previously completed or withdrawn from this study, and have previously received the investigational product. Subjects who, in the opinion of the Investigator (or designee), should not participate in this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jon Rankin, Doctor
Organizational Affiliation
Study Principal Investigator
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nucleus Network Pty Ltd
City
Melbourne
State/Province
Melbourne VIC 3004
Country
Australia

12. IPD Sharing Statement

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The Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of HEC96719 Tablets in Healthy Subjects

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