CompletedPhase 1ACTRN12617000911392

A study of a new drug, NPI-001 in healthy volunteers to test its safety and tolerability

A Phase I, Randomized, Double blinded, Adaptive, Single and Multiple Ascending Dose Study of the Safety and Tolerability of NPI 001 Solution in Healthy Subjects


Sponsor

Nacuity Pharmaceuticals Pty Ltd

Enrollment

54 participants

Start Date

Aug 6, 2017

Study Type

Interventional

Conditions

Summary

This trial is being undertaken to evaluate the safety and tolerability of oral doses of a new drug NPI-001 in healthy volunteer subjects. It will determine the effect of NPI-001 on their vital signs, and they will undergo physical examinations and clinical laboratory tests. Blood samples will be taken to determine where the drug goes in the body and how long it stays in the body following single and multiple doses. The study is randomized, and double blinded. In each group of subjects some will receive the new drug in a sugar solution and 2 will receive just the sugar solution - a placebo.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 60 Yearss

Inclusion Criteria5

  • Males or females, of any race, between 18 and 60 years of age, inclusive.
  • Body mass index between 18.0 and 32.0 kg/m2, inclusive.
  • 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 or Check in as assessed by the Investigator (or designee).
  • Females will be nonpregnant and nonlactating, and females of childbearing potential and males will agree to use contraception.
  • Able to comprehend and willing to sign an informed consent form (ICF) and to abide by the study restrictions.

Exclusion Criteria19

  • 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 immediate hypersensitivity 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 alcohol abuse or drug/chemical abuse within 2 years prior to Check in.
  • Alcohol consumption of >21 units per week for males and >14 units for females.
  • Positive urinary drug screen (confirmed by repeat, if necessary) at Screening (does not include alcohol) or Check in (does include alcohol breath test).
  • Liver function test values >1.5 upper limit of normal (ULN) (excluding isolated hyperbilirubinemia) or QTcF >450 milliseconds.
  • Positive hepatitis panel and/or positive human immunodeficiency test. Subjects whose results are compatible with prior immunization and not infection may be included at the discretion of the Investigator.
  • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 30 days or 5 half lives, 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 or 5 half-lives (whichever is longer) prior to Check in, unless deemed acceptable by the Investigator (or designee).
  • Use or intend to use any prescription medications/products other than oral, implantable, transdermal, injectable, or intrauterine contraceptives, or hormone replacement therapy, within 14 days prior to Check in, unless deemed acceptable by the Investigator (or designee).
  • Use or intend to use any nonprescription medications/products (excluding paracetamol, which is allowed), vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to Check in, unless deemed acceptable by the Investigator (or designee).
  • Use of tobacco or nicotine containing products within 3 months prior to Check in and positive urine cotinine test at screening or check-in.
  • Receipt of blood products within 2 months prior to Check in.
  • Donation of blood from 30 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 or any other study investigating NPI 001, and have previously received the investigational product.
  • Subjects who, in the opinion of the Investigator and/or Sponsor (or designee), should not participate in this study.
  • An employee of the sponsor or research site personnel directly affiliated with this study or their immediate family members defined as a spouse, parent, sibling, or child, whether biological or legally adopted.

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Interventions

This randomized, double blinded study will be comprised of Part A, a single ascending dose evaluation, and Part B, a multiple ascending dose evaluation, in healthy volunteers. In each cohort of Part A

This randomized, double blinded study will be comprised of Part A, a single ascending dose evaluation, and Part B, a multiple ascending dose evaluation, in healthy volunteers. In each cohort of Part A, 4 subjects will receive a single oral dose of NPI-001 (250, 750, 1500, 3000 or 4000 mg) and 2 subjects will receive the vehicle placebo in the fasting state. Subjects will be evaluated in the clinic overnight and will have a follow up visit at Day 7. One cohort in Part A, Cohort A3 (1500 mg NPI-001), will also receive the same dose after a high fat meal to evaluate the effect of food. Subjects in Cohort A3 (food-effect evaluation) will participate in 2 treatment periods separated by a 7-day (minimum) wash-out period, and will receive 2 single doses of NPI-001 or placebo. The wash-out period may be extended following review of the PK data to ensure that at least 7 half-lives have elapsed. The high fat meal will be given as a high fat breakfast: 2 eggs fried in butter, 2 strips bacon. 2 slices of toast with butter, 4 oz hash brown potatoes fried in butter 8 oz (240 mL) whole milk. This high fat meal contains the equivalent of approximately 150 protein calories, 250 carbohydrate calories, and 500 to 600 fat calories. The drug product will be administered approximately 30 minutes after starting the meal and at least 80% of the meal should be finished promptly. In Part B, 6 subjects will receive oral doses of NPI-001, and 2 subjects will receive the vehicle placebo, for 14 days while in the clinic. A postdose follow up visit will occur at Day 21. The doses and dose regimen will be determined based on the data obtained during Part A, but doses will not exceed a total daily dose of 4000 mg. Blood samples for pharmacokinetic and pharmacodynamic measurements will be collected at various time points in both parts of the study.


Locations(1)

CMAX Clinical Research Pty Ltd - Adelaide

SA, Australia

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ACTRN12617000911392