CompletedPhase 1ACTRN12611000228987

A Study to Assess the Safety, Tolerability and Effects of Compound Edaravone Injection (Edaravone + Borneol).

A Randomized, Single-Blind, Placebo-Controlled, Single Ascending Dose Study to Assess the Safety, Tolerability, and Pharmacokinetics of Edaravone + (+)-Borneol When Administered Intravenously in Healthy Subjects


Sponsor

Medpace Australia Pty Limited

Enrollment

48 participants

Start Date

Mar 15, 2011

Study Type

Interventional

Conditions

Summary

Cerebrovascular disease is a disease of the blood vessels supplying the brain. Cerebrovascular disease poses a serious threat and is one of the three leading causes of death in humans. Cerebral stroke (a blockage, or bleed in the brain) leads to a lack of oxygen to the brain. Although there are many drugs used to treat this lack of oxygen resulting from cerebral stroke, these drugs do not work well enough. There is a need for a drug that can treat the injury, which is a result of a lack of oxygen, from cerebrovacsular disease. Edaravone is a drug that can be used to improve the neurological symptoms and dysfunction in daily life caused by a lack of oxygen to the brain tissue from a cerebral stroke. Although Edaravone is currently known to help people who have had a cerebral stroke, the development of a better drug is still needed. Compound Edaravone Injection (study drug) is a combination of Edaravone and a second medication, (+)-borneol. It is believed the combination of these two drugs in specific amounts can further improve the recovery of patients who experience a cerebral stroke. Both Edaravone and (+)-borneol have been used in humans, but not in combination with each other as a single compound. The main purpose of this study is to evaluate the safety and tolerability of single doses of Compound Edaravone Injection (study drug) administered to healthy male and female adults. A second objective is to look at the pharmacokinetics (the study of how much study drug is in your blood at different time periods) of each dose of Compound Edaravone Injection (study drug) in healthy male and female adults.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 55 Yearss

Inclusion Criteria8

  • Healthy adult male and female subjects, 18-55 years of age, inclusive, at the time of signing the informed consent;
  • Body weight greater than or equal to 50 kg and body mass index (BMI) within the range 18-30 kg/m2, inclusive, at screening;
  • Medically healthy subjects with clinically insignificant screening and check-in results (medical histories, 12-lead ECG, physical exam, and laboratory tests);
  • Women of childbearing potential with a negative urine pregnancy test at screening and check-in who are not breastfeeding, do not plan to become pregnant during the study, and agree to use an approved method of birth control during the study;
  • Male subjects must agree to use barrier contraception (condom with spermicide) in addition to having their female partner (if of child-bearing potential) use another acceptable form of contraception (IUD, diaphragm with spermicide, oral contraceptives, injectable progesterone, or subdermal hormonal implant) from first dose until 30 days following the last administration of study drug;
  • Female subjects, if of child-bearing potential, must agree to use an acceptable form of contraception (IUD, diaphragm with spermicide, oral contraceptives, injectable progesterone, or subdermal hormonal implant) in addition to having their male partner use barrier contraception (condom with spermicide) from first dose until 30 days following the last administration of study drug. Female subjects who are NOT of child-bearing potential include those who have a history of tubal ligation, hysterectomy, or bilateral salpingooopherectomy, or who have had no menstrual period for >12 months, confirmed by a screening follicle stimulating hormone (FSH) level in the postmenopausal range;
  • Hemoglobin level within normal limits (WNL) of the reference laboratory (one repeat is allowed for a hemoglobin level that falls within 0.3 g/dL of the upper or lower limit of the reference range); and
  • Subjects who are able to understand and to give their signed informed consent before any trial related procedures are performed.

Exclusion Criteria26

  • Subjects with, or a history of, cancer (not including basal cell skin cancer greater than 5 years prior), diabetes or any clinically significant cardiovascular, respiratory, metabolic, renal, hepatic, gastrointestinal, hematological, dermatological, neurological, psychiatric or other major
  • disorder;
  • Presence or history of hepatic or renal disease or any other condition known to interfere with the absorption, distribution, metabolism or excretion of medicines;
  • Systolic blood pressure (SBP) outside the range of 90 to 140 mmHg, diastolic blood pressure (DBP) outside the range of 40 to 90 mmHg, and/or pulse rate outside the range of 40 to 100 bpm at screening or check-in. One repeat blood pressure measurement may be performed if SBP is between 141 and 150 mmHg or DBP is between 91 and 95;
  • Clinically significant abnormality on ECG in the judgment of the Investigator;
  • Microscopic hematuria defined as >5 red blood cells (RBC) per high powered field (HPF) in a male or a non-menstruating female; 1 repeat allowed within several days of screening, including (but not limited to) females who are menstruating at the time of screening;
  • Reticulocyte value (percent reticulocytes) of more than 1% above the upper limit of normal (ULN) for the reference laboratory;
  • Urine protein > trace on a standard dip stick test (1 repeat allowed);
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 1.5 times the ULN;
  • Oxygen saturation by pulse oximetry <95%;
  • History of clinically significant drug and/or food allergies as determined by the Principal Investigator (PI);
  • History of clinically significant cardiac arrhythmia;
  • Subject is not willing to abstain from alcohol for 48 hours prior to the start of the first dose until completion of the post-study follow-up assessments;
  • Average weekly alcohol intake of greater than 21 units or an average daily intake of greater than 3 units (One unit is equivalent to a half-pint of beer or 1 measure of spirits or 1 glass of wine.);
  • Recent history (within 2 years) or currently diagnosed alcohol or drug abuse, in the judgement of the Investigator;
  • Tobacco or nicotine replacement product use within the 6 months prior to first dose through the follow-up visit, or a positive urine screen for cotinine;
  • Hypersensitivity or idiosyncratic reaction to compounds related to the study drug;
  • Use of substances known to be strong inhibitors or inducers of cytochrome P450 enzymes within 14 days prior to the first dose;
  • Use of prescription or non-prescription drugs including vitamins, herbal and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication;
  • Consumption of food or beverage containing grapefruit or cranberry within 7 days prior to the first dose of study medication;
  • Donation of whole blood in excess of 500 mL within 30 days prior to check-in;
  • Plasma donation within 7 days prior to check-in;
  • Subject participated in an investigational clinical study within 30 days (of last dose of previous study drug) prior to the first dosing, or within days calculated as 10 times the half-life of the compound that the subject was treated with, whichever is longer or participated in the early cohorts of the current study. Factors other than the half-life of the compound, such as accumulation of tissue, muscle or organ, should also be considered for the enrollment;
  • Positive test for HIV antibody, hepatitis B surface antigen, hepatitis C antibody, or hepatitis C surface antigen at screening;
  • Positive urine screen for drugs of abuse at screening or check-in; or
  • Any condition that, in the opinion of the Principal Investigator, would complicate or compromise the study, or the well-being of the subject.

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Interventions

This is a Single Ascending Dose study. Each subject only receives one dose level once during the study. The cohort is completed and reviewed by a safety review panel before dosing for the next cohort

This is a Single Ascending Dose study. Each subject only receives one dose level once during the study. The cohort is completed and reviewed by a safety review panel before dosing for the next cohort commences. There are 6 cohorts comprised of 8 subjects. The study drug is administered via intravenous injection over 30 minutes and the dosing regieme for each cohort is listed below: Cohort 1: 5 mg Edaravone + 1.25 mg Borneol compound or placebo Cohort 2: 15 mg Edaravone + 3.75 mg Borneol compound or placebo Cohort 3: 30 mg Edaravone + 7.5 mg Borneol compound or placebo Cohort 4: 60 mg Edaravone + 15 mg Borneol compound or placebo Cohort 5: 90 mg Edaravone + 22.5 mg Borneol compound or placebo Cohort 6: 120 mg Edaravone + 30 mg Borneol compound or placebo


Locations(1)

Australia

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ACTRN12611000228987