A Phase 1 Study to Evaluate a Tablet Formulation of PBT434 in Healthy Volunteers
A phase 1, single-center, randomized, open-label, 3-way crossover study to evaluate the systemic exposure after administration of a tablet formulation of PBT434 in the fed and fasted states compared to a powder in capsule formulation in healthy volunteers
Alterity Therapeutics Limited
42 participants
Nov 2, 2020
Interventional
Conditions
Summary
This is a phase 1, single-center, randomized, open-label, 3-way crossover study to evaluate the pharmacokinetics of PBT434 after administration of a tablet formulation in the fed and fasted states and a powder in capsule formulation which has been utilized in previous Phase 1 investigations
Eligibility
Inclusion Criteria14
- Male or female between 18 and 65 years old (inclusive) (Parts I and II) or 18-75 years old (Part III) at the time of consent.
- Note: Part III will include at least 4 subjects =50 years old
- In good general health, free from clinically significant medical or psychiatric illness
- based on medical/surgical history, physical examination, 12-lead ECG, and clinical laboratory tests
- Vital signs within ranges and stable (measured in supine position after 5 minutes rest)
- Body Mass Index greater than or equal to 18kg/m2 and less than or equal to 30 kg/m2
- Adequate venous access in the left or right arm to allow collection of the required number of blood samples
- Provides written informed consent
- Willing to comply with all study procedures and requirements, including consumption of a standardized high-fat, high calorie meal
- Women of childbearing potential are using two acceptable methods of contraception through 90 days after the final dose
- Male subjects must be using an acceptable birth control method through 90 days after the final dose
- Female subjects must agree to not donate ova for 90 days after the final dose. Male subjects must agree to not donate sperm for 90 days after the final dose
- No significant changes to diet within the 30 days prior to dosing through study completion
- Willing and able to abstain from caffeine from 48 hours prior to check-in through 48 hours after dosing in each study period
Exclusion Criteria29
- Women who are pregnant or breastfeeding
- History or presence of malignancy, with the exception of adequately treated localized skin cancer (basal cell or squamous cell carcinoma) or carcinoma in-situ of the cervix, which are allowed
- Evidence of any clinically relevant medical illness, including cardiovascular, hematological, gastrointestinal, hepatic, renal, rheumatologic, endocrine, pulmonary, neurologic, psychiatric or skin disorders
- Clinically significant surgical procedure within 3 months prior to screening or anticipated surgery during the study
- History of epilepsy (other than febrile seizures during childhood)
- History of head trauma with loss of consciousness, amnesia or skull fracture
- Currently suffers from clinically significant systemic allergic disease or has a history of significant drug allergies including a history of anaphylactic reaction; allergic reaction due to any drug which led to significant morbidity
- Unable to swallow study medication
- History or presence of cardiac arrhythmia or congenital long QT syndrome
- QTcF >450 msec for men or >470 msec for women on screening or baseline ECG
- Use of any tobacco or nicotine containing products (including social use) in the 3 months prior to dosing or a positive urine cotinine test prior to dosing
- Regular alcohol consumption >2 units/day (1 unit = 250 mL of beer, 100 mL of wine, or 30 mL of distilled spirits or liquor) or alcohol consumption within 24 hours prior to dosing until study completion
- Positive urine drug or alcohol breathalyzer test prior to study entry (during screening or Day -1) or during the study, or history of alcohol or drug abuse in the 12 months prior to dosing
- Evidence of renal insufficiency, as indicated by an estimated creatinine clearance <90 mL/min using the Cockcroft-Gault equation
- Any of the following abnormalities in liver enzymes at Screening or Baseline:
- a. Aspartate transaminase (AST) or alanine aminotransferase (ALT) >1.5 times the upper limit of normal (ULN)
- b. Alkaline phosphatase (ALP) or total bilirubin (TBil) >2 times the ULN
- Hemoglobin value less than the lower limit of normal
- Positive results of serology screening for hepatitis B (hepatitis B surface antigen [HBsAg]), hepatitis C (anti-hepatitis C virus [HCV] antibodies) or HIV (HIV antibodies type 1 and 2)
- Any acute illness, clinically significant infection or clinically significant abnormal laboratory result within 28 days prior to dosing
- Use of any prescription medication within 28 days prior to dosing
- Use of any non-prescription medication (including non-steroidal anti-inflammatory drugs), herbal remedy (including St. John’s Wort) or vitamin supplement, within 14 days prior to dosing and throughout the study
- Note: Approved doses of paracetamol (acetaminophen, up to a maximum of 2,000 mg/day) may be permitted during Screening and while on study at the investigator’s discretion.
- Use of an investigational drug or device within 28 days or 10 half-lives of the drug, whichever is longer, prior to start of dosing (or within 6 months prior to Day -1 if investigational drug was a biologic)
- Clinically significant blood loss or blood or plasma donation >550 mL within 90 days prior to start of dosing
- As a result of history and physical examination, the Investigator considers the subject unfit for the study
- Any condition (e.g., chronic diarrhea, inflammatory bowel disease) or prior surgery (including surgery of the gastrointestinal and/or biliary tract) that could interfere with drug absorption, distribution, metabolism, or excretion of the IP
- The subject has previously participated in a clinical trial of PBT434 within 28 days prior to dosing or experienced a clinically significant adverse event in a previous clinical trial of PBT434
- Note: Subjects who have previously participated in a clinical trial of PBT434 may be enrolled only if approved by the Medical Monitor
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Interventions
In Part I, each subject will receive three treatments (Treatments A, B, C) once each in a random sequence during Periods 1, 2, 3, as follows: Treatment A: Single dose of PBT434 200 mg PIC (1x200 mg capsule) in the fasted state (after a minimum 10-hr fast), followed by a 4-hr fast Treatment B: Single dose of PBT434 200 mg tablet (2x100 mg tablets) in the fasted state (after a minimum 10-hr fast), followed by a 4-hr fast Treatment C: Single dose of PBT434 200 mg tablet (2x100 mg tablets) in the fed state (30 minutes following the start of a high-fat, high-calorie meal), followed by a 4-hr fast In Part II, each subject will receive three treatments (Treatments D, E, F) once each in a random sequence during Periods 1, 2, 3, as follows: Treatment D: Single dose of PBT434 75 mg tablet (1x75 mg tablet) in the fasted state (after a minimum 10-hr fast), followed by a 4-hr fast Treatment E: Single dose of PBT434 75 mg tablet (1x75 mg tablet) in the fed state (30 minutes following the start of a high-fat, high-calorie meal), followed by a 4-hr fast Treatment F: Single dose of PBT434 75 mg tablet (1x75 mg tablet) in the fed state (30 minutes following the start of a low-fat meal), followed by a 4-hr fast In Part III, subjects will receive 75 mg PBT434 twice daily for 8 days.
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ACTRN12620001244998