CompletedPhase 1ACTRN12618001428257

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NJA-730 in Healthy Volunteers

A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of NJA-730 in Healthy Volunteers


Sponsor

NapaJen Pharma Inc.

Enrollment

104 participants

Start Date

Oct 16, 2018

Study Type

Interventional

Conditions

Summary

This initial Phase 1 study will be conducted in normal healthy volunteers to gain an unconfounded understanding of the safety, tolerability, pharmacokinetics and pharmacodynamics of NJA-730. NJA-730 is being developed as an immunosuppressive drug for prevention and treatment of acute graft versus host disease associated with allogeneic hematopoietic stem cell transplant. This first-in-human, randomized, double-blind study will evaluate single ascending doses (SAD) and subsequently multiple ascending doses (MAD) of NJA-730/placebo. In the SAD part of the study, there will be 7 cohorts of 8 subjects each, with subjects in each cohort randomized in a 3:1 ratio to receive a single blinded dose of study drug i.e. NJA 730 or placebo, respectively (i.e. 6 subjects to receive NJA-730 and 2 subjects to receive placebo). In the MAD part of the study, there will be 3 cohorts of 8 subjects each with subjects in each cohort randomized in a 3:1 ratio to receive multiple blinded doses of NJA-730 or placebo, respectively, 3 times a week for a 1-week period (total 3 doses). A third part, an Extension Study (Part 3), will include approximately 24 healthy subjects divided into 4 cohorts of 6 subjects each. Subjects in each cohort will be randomized in a 2:1 ratio to receive a single blinded dose of study drug i.e. NJA-730 or placebo, respectively (i.e. 4 subjects to receive NJA-730 and 2 subjects to receive placebo).


Eligibility

Sex: MalesMin Age: 18 YearssMax Age: 55 Yearss

Inclusion Criteria13

  • A subject will be eligible for study participation if he meets all of the following criteria:
  • Healthy males aged between 18 and 55 years at time of informed consent
  • BMI of 18 kg/m2 to less than or equal to 30 kg/m2 (both inclusive)
  • A resting pulse greater than or equal to 40 bpm and less than or equal to 100 bpm at screening and on Day -1.
  • A resting systolic blood pressure of less than or equal to 140 mmHg and a resting diastolic blood pressure of less than or equal to 90 mmHg at screening and on Day -1.
  • Baseline laboratory test values within reference ranges based on the blood and urine samples taken at screening and on Day -1. Out of normal ranges values may be accepted by the Investigator, if not clinically significant.
  • Non-smoker and/or casual smoker who uses no more than 10 cigarettes (or equivalent quantity of any other nicotine containing products eg, cigars, chewing tobacco, snuff, etc.) per week. Subject must abstain from smoking 3 days prior to admission and throughout the confinement period, and test negative on Day -1 for urine cotinine test. Subject must also abstain from smoking 72 hours prior to each outpatient visit.
  • Male subjects with female partners of childbearing potential must agree to use barrier contraception (i.e. condom) and their female partners must use a highly effective method of contraception (i.e. hormonal contraceptives, or intrauterine contraception) from screening through 90 days after the last dose of study drug. Male subjects who are not sexually active (i.e. abstinent) will not be required to use a contraceptive method unless they become sexually active. Males must also refrain from donating sperm during the study and for 90 days post end of study.
  • Ability to understand and voluntarily give informed consent to communicate well with the Investigator, in the local language, to understand and comply with the requirements of the study and to have signed an informed
  • consent form in accordance with institutional and regulatory guidelines
  • Ability to remain in the study center for a 4-day period.
  • The subject is, in the opinion of the Investigator,
  • generally healthy based on assessment of medical history, physical examination, vital signs, electrocardiogram (ECG), and the results of the hematology, clinical chemistry, urinalysis, serology, and other laboratory tests.

Exclusion Criteria25

  • A subject will be ineligible for study participation if he meets any of the following criteria:
  • The subject has a history or presence of any clinically significant immunological disorder/disease (such as allergy, atopy, autoimmune diseases, etc.), cardiovascular, thromboembolic events, respiratory, metabolic, renal, hepatic, gastrointestinal, endocrinological (particularly diabetes or pre-diabetes), hematological, dermatological, venereal, neurological, chronic infectious or psychiatric disease or other major disorder. A history of childhood asthma, hay fever or mild eczema may be acceptable at the discretion of the investigator.
  • History of cancer, including any form of skin cancer, which has not been in remission for at least 5 years prior to the first dose of study product.
  • History of abdominal surgery (excluding laparoscopic cholecystectomy or uncomplicated appendectomy) or thoracic or non-peripheral vascular surgery within 6 months prior to the first dose of study product.
  • Current history of asthma and any skin disease. A history of childhood asthma or mild eczema may be acceptable at the discretion of the investigator.
  • The subject's corrected QT interval (QTcF) (Fridericia's correction) is >450 ms at screening and on Day -1. An out-of-range or abnormal ECG should be repeated. In total, 3 ECGs should be recorded consecutively, and the Investigator must evaluate the triplicate ECG. If the subject's QTcF is >450 ms on at least 2 ECGs, the subject must be excluded.
  • Prior exposure to NJA-730 or any other systemic immunosuppressive agent in the last 6 months or 5 half-lives (whichever is longer).
  • The subject has taken prescription or non-prescription medication, herbal remedies, vitamins or minerals within 2 weeks prior to the first dose of study product (or within 5 half-lives prior to the first dose of study product for any
  • medication ingested, whichever is longer) without approval of the Investigator, NapaJen representative and medical monitor.
  • The subject has a history of significant hypersensitivity or anaphylaxis involving any drug, food or other precipitating agent (e.g. bee sting).
  • The subject has any abnormal laboratory values that, in the opinion of the primary Investigator, are deemed clinically significant and would preclude participation in the study.
  • The subject has any concurrent illness that may affect the
  • particular target or absorption, distribution, and elimination of the study product.
  • The subject has had a clinically significant illness within 4 weeks prior to the first dose of study product.
  • Any major surgery or trauma with significant blood loss within the last 3 months prior to the first dose of study product.
  • Blood donation of 500 mL within 3 months prior to the first dose of study product.
  • Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus antibody (anti-HCV) at screening.
  • Any history of tuberculosis (TB), whether treated or untreated (and/or a positive QuantiFERON®-TB Gold blood test).
  • Chest x-ray undertaken 3 months prior to screen or at screening showing signs of inflammation, infection or malignancy.
  • A history of recurrent and/or severe infections, including any significant infection in the previous 6 months.
  • The subject has a substance abuse-related disorder or has
  • a history of drug, alcohol and/or substance abuse deemed significant by the Investigator.
  • Positive screen for drugs of abuse or alcohol at screening and on Day -1.
  • The subject is, in the opinion of the Investigator, unlikely to comply with the clinical study protocol or is unsuitable for any other reason.
  • Employees of the Investigator or study center, as well as first degree family members of the employees or the Investigator.

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Interventions

The study will be conducted in 3 parts. Part 1 SAD will include approximately 56 healthy subjects divided into 7 cohorts of 8 subjects each. Subjects in each cohort will be randomized in a 3:1 ratio t

The study will be conducted in 3 parts. Part 1 SAD will include approximately 56 healthy subjects divided into 7 cohorts of 8 subjects each. Subjects in each cohort will be randomized in a 3:1 ratio to receive a single blinded dose of study drug i.e. NJA 730 or placebo, respectively (6 subjects to receive NJA-730 and 2 subjects to receive placebo). Safety and tolerability for each cohort will be assessed by a SRC prior to dose escalation. Available PK data will also be assessed by the SRC prior to dose escalation. Part 2 MAD of the study will include approximately 24 healthy subjects divided into 3 cohorts of 8 subjects each. This phase will commence after safety data for any dose in the SAD phase has been evaluated irrespective of the highest dose. Each cohort in Part 1 and Part 2 of 8 subjects per cohort will be randomized in a 3:1 ratio to receive multiple blinded doses of NJA-730 or placebo, respectively, 3 times a week for a 1-week period (total 3 doses). Safety, tolerability, and available PK data will be assessed by the SRC in each dosing cohort prior to dose escalation. Part 3: an Extension Study will include approximately 24 healthy subjects divided into 4 cohorts of 6 subjects each. Subjects in each cohort will be randomized in a 2:1 ratio to receive a single blinded dose of study drug i.e. NJA-730 or placebo, respectively (i.e. 4 subjects to receive NJA-730 and 2 subjects to receive placebo). Safety and tolerability for each cohort will be assessed by the SRC prior to dose escalation. Available PK data will also be assessed by the SRC prior to dose escalation. Mode of administration: Intravenous infusion Dosing Schedule for SAD Phase: Cohort 1, N=6 Dose NJA-730 5 µg, N=2 Placebo Cohort 2, N=6 Dose NJA-730 25 µg, N=2 Placebo Cohort 3, N=6 Dose NJA-730 75 µg, N=2 Placebo Cohort 4, N=6 Dose NJA-730 150 µg, N=2 Placebo Cohort 5, N=6 Dose NJA-730 300 µg, N=2 Placebo Cohort 6, N=6 Dose NJA-730 450 µg, N=2 Placebo Cohort 7, N=6 Dose NJA-730 600 µg, N=2 Placebo The dose administered in the MAD is Dose dependent on results of SAD phase. Dosing Schedule for Extension Study: Cohort 8, N=4 Dose NJA-730 1,200 µg, N=2 Placebo Cohort 9, N=4 Dose NJA-730 2,200 µg, N=2 Placebo Cohort 10, N=4 Dose NJA-730 4,000 µg, N=2 Placebo Cohort 11, N=4 Dose NJA-730 Higher dose based on safety, tolerability and available PK of Cohorts 8, 9 or 10, N=2 Placebo


Locations(1)

Nucleus Network - Melbourne

VIC, Australia

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ACTRN12618001428257