RecruitingPhase 1ACTRN12622001300763

A Study to Evaluate the Safety, Tolerability, and Pharmacokinetic/Pharmacodynamic Properties of iN1011-N17 after Oral Administration in Healthy Volunteers and Post-Herpetic Neuralgia (PHN) Patients

A Randomized, Double-blind, Placebo-controlled, Multiple-Ascending Dose Phase 1b Study to Evaluate the Safety, Tolerability, and Pharmacokinetic/Pharmacodynamic Properties of iN1011-N17 after Oral Administration in Healthy Volunteers and Post-Herpetic Neuralgia Patients and to Assess the Relative Bioavailability of Mesylate vs Hydrochloride Salt Capsules in Healthy Volunteers


Sponsor

iN Therapeutics Co., Ltd.

Enrollment

32 participants

Start Date

Aug 24, 2022

Study Type

Interventional

Conditions

Summary

This study is a prospective, randomized, double-blind, placebo-controlled, Phase 1b clinical study to evaluate the safety, tolerability, PK, and PD of oral multiple-ascending doses (MAD) of iN1011-N17 after Oral Administration in Healthy Volunteers and OsteoarthritisPost-Herpetic Neuralgia Patients and to Assess the Relative Bioavailability of Mesylate vs Hydrochloride Salt Capsules in Healthy Volunteers. The study will be conducted with approximately in 3 parts. 56 healthy volunteers and 8 PHP patients will enrolled in up to 8 sequential MAD dose cohorts (Cohorts 1 to 8), each cohort can commence after the corresponding dose cohort has been completed and after Safety Review Committee (SRC) approval.


Eligibility

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

Inclusion Criteria10

  • Healthy Volunteers:
  • Healthy male and female adults, aged 18 to 55 years of age at the time of consent.
  • Body mass index (BMI equal to body weight (kg)/[height (m)]2) between 18 kg/m2 and 32 kg/m2 (inclusive) at the time of Screening, and a minimum weight of 45 kg.
  • Clinically acceptable blood pressure (BP), pulse, RR, and body temperature (systolic blood pressure [SBP] between 90 and 140 mmHg; diastolic blood pressure [DBP] between 50 and 90 mmHg; pulse between 45 and100 bpm; RR between 12 and 22 breaths/min; body temperature between 35.5°C and 37.7°C at Screening and Day -1. Measurements are to be recorded after a minimum of 5 minutes of resting in sitting or supine position.
  • Clinical laboratory values within normal range as specified by the testing laboratory at Screening and Day -1, unless deemed not clinically significant by the Investigator.
  • For all participants (excluding those who are exclusively in same-sex relationships, who are postmenopausal or have an exclusive partner who is postmenopausal) must agree to use a highly effective method of contraception throughout the study and for at least 30 days for females or 90 days for males after the last dose of investigational product (IP). Female participants must not be breastfeeding, lactating, or pregnancy during the study period.
  • Cognitively capable of understanding the provided information and able to fully comply with protocol requirements.
  • Written informed consent prior to the commencement of any study procedures.
  • Willing and able to perform the necessary visits to the investigational site/institution.
  • In good general health at the Investigator’s discretion, with no significant medical history, and with no clinically significant abnormalities on physical examination at Screening and before the first dose of IP.

Exclusion Criteria30

  • Presence or history of carcinoma, hepatic, renal, neurological, pulmonary (except for childhood asthma), endocrine, hematologic, cardiovascular, or genitourinary disease that, in the opinion of the Investigator, may affect the evaluation of the IP or place the participant at undue risk (except for conditions that are stable on medications).
  • Presence of any underlying physical or psychiatric condition (except for conditions that are stable on medications) that, in the opinion of the Investigator, would undermine participant compliance to protocol requirements.
  • Presence or history of gastrointestinal disease (e.g., peptic ulcer, gastritis, gastric cramp, gastroesophageal reflex disease, Crohn’s disease) or history of gastrointestinal surgery (except simple appendectomy or herniorrhaphy) that may affect assessment of safety and pharmacokinetic characteristics of the IP.
  • Presence or history of central nervous system disease that may affect assessment of safety and PK characteristics of the IP.
  • Presence of herniated disc (inter-vertebral, cervical or both) or history of related disease that in the opinion of the Investigator, may affect assessment of safety and PK characteristics of the IP.
  • History of hypersensitivity to iN1011-N17 or to any of its components.
  • History of allergy or sensitivity to sulfonamides.
  • Any abnormal 12-lead electrocardiogram (ECG) findings at Screening and Day -1, deemed by the Investigator or designee to be clinically significant.
  • Positive test for hepatitis B surface antigen (HBsAg), hepatitis C (HCV), or human immunodeficiency virus (HIV) at Screening.
  • Positive urine drug screen test (including amphetamines, methamphetamines, methadone, barbiturates, benzodiazepines, cocaine, opiates, methylenedioxymethamphetamine, phencyclidine, and tetrahydrocannabinol) or alcohol breath test at Screening and Day -1. Repeated tests will be allowed at the discretion of the Investigator for suspected false positives.
  • Any of the following laboratory abnormalities within 14 days of the first treatment day:
  • Platelet count less than 100,000 cells/mm3
  • Total neutrophil count less than 1500 cells/mm3
  • Serum creatinine greater than 1.5 x ULN
  • Alanine aminotransferase (ALT) greater than 3.0 x ULN
  • Aspartate aminotransferase (AST) greater than 3.0 x ULN
  • Alkaline phosphatase greater than 2.0 x ULN
  • Bilirubin greater than 1.5 x ULN
  • Temperature greater than 38°C or any other evidence of an infection
  • History of fracture in the lower limb or joint under investigation which may impede pain assessment / pain scores or may prevent accurate sensory testing.
  • Use of any prescription drugs within 14 days, and for over the counter (OTC) medications, herbal remedies (including St John’s Wort), dietary supplements or vitamins within 7 days, or five half-lives of the product, whichever is longer, before the first dose of IP and for the duration of the study without prior approval of the Investigator and the MM. This includes analgesics such as paracetamol and non-steroidal anti-inflammatories (for HVs only).
  • The use of any IP or investigational medical device within 30 days prior to Screening, or five half-lives of the product, whichever is longer.
  • Blood or plasma donation of more than 450 mL within 90 days before the first dose of IP and for the duration of the study. It is recommended that blood/plasma donations not be made for at least 30 days after study completion.
  • History of alcoholism, substance or drug abuse-related disorders deemed significant by the Investigator (or designee) (i.e., more than 21 units per week for males and more than 14 units per week for females. One unit of alcohol equals ½ pint [285 mL] of beer or lager, 1 glass [125 mL] of wine, or 1/6 gill [25 mL] of spirits).
  • Use of more than 5 nicotine-based products (including smoking tobacco, smokeless tobacco, and nicotine patches) per week, within 90 days prior to Screening. Volunteers must have a negative urine cotinine test at both Screening and Day -1 and refrain from the use of any nicotine-based products for the duration of the study.
  • Consumption of beverages or foods that contain grapefruit, star fruit, pomelos, or products containing these fruits, from 7 days, or from the time that is deemed significant by the Investigator, and products containing caffeine (e.g., coffee, green tea, black tea, and sodas) from 48 hours before the first dose of IP until discharge from the study unit.
  • Unwilling to refrain from strenuous exercise from 48 hours prior to admission to the investigational site/institution and for the duration of the study, where strenuous exercise is defined as that which requires significant effort, energy, or strength, such as lifting weights or running.
  • Any other reason that, in the opinion of the Investigator, may affect assessment of safety, PK, or PD characteristics of the IP.
  • Have previously completed or withdrawn from this study or any other study investigating iN1011-N17 or have previously received the IP (only for HVs).
  • Received an investigational vaccine within 6 months, a live attenuated vaccine within 60 days, or a registered vaccine within 14 days prior to the Day -1 (Baseline visit).

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Interventions

The study will be conducted in 3 parts. Part1 MAD will consist of approximately 32 healthy subjects enrolled in up to 4 sequential Multiple Ascending Dose (MAD) dose cohorts and each cohort can comm

The study will be conducted in 3 parts. Part1 MAD will consist of approximately 32 healthy subjects enrolled in up to 4 sequential Multiple Ascending Dose (MAD) dose cohorts and each cohort can commence after the corresponding dose Single Ascending Dose (SAD) cohort has been completed and after Safety Review Committee approval. Each participant in all the 4 cohorts will receive oral doses of iN1011-N17 with matching placebo. Dosage Form: Capsules Mode of Administration: Oral Cohort 1: Healthy participants will receive oral dose of 100 mg iN1011-N17 twice daily (b.i.d) from Day 1 to Day 6, approximately 12 hours apart between the 2 daily doses and receive the morning last dose on Day 7 Cohort 2: Healthy participants will receive oral dose of 200 mg iN1011-N17 twice daily (b.i.d) from Day 1 to Day 6, approximately 12 hours apart between the 2 daily doses and receive the morning last dose on Day 7 Cohort 3: Healthy participants will receive oral dose of 400 mg iN1011-N17 twice daily (b.i.d) from Day 1 to Day 6, approximately 12 hours apart between the 2 daily doses and receive the morning last dose on Day 7 Cohort 4: Healthy participants will receive oral dose of 800 mg iN1011-N17 twice daily (b.i.d) from Day 1 to Day 6, approximately 12 hours apart between the 2 daily doses and receive the morning last dose on Day 7 Each cohort will enrol distinct group of participants Participants will be confined to the investigational site/institution and supervised for approximately 10 days (Day -1 to Day 9) and will be discharged from the investigational site/institution on Day 9, following satisfactory completion of all procedures and assessments. iN1011-N17 will be administered as an oral suspension (Cohort 1) and Nano Suspension powder capsule (Cohorts 2-5) Part 2: Approximately 16 participants will be enrolled into the study. It will be a open label study, cross over bioavailability study which will commence after completion of Part 1 with 2 cohorts. Here the participants in cohort 5 and 6 will receive both Regimen A (single dose of 400 mg iN1011-N17 hydrochloride salt capsule) and Regimen B (single dose of 400 mg iN1011-N17 mesylate salt capsule). Participants will receive a single oral dose of each study treatment (Regimens A and B), one during each of the 2 inpatient periods, in a randomized sequence of administration: AB (Cohort 5) or BA (Cohort 6). Part 3: MAD Study in Healthy Volunteers and Post-Herpetic Neuralgia Patients with iN1011-N17 Mesylate Salt (14 Days). This will enroll 8 healthy volunteers and 8 PHN patients who will be randomised in a ratio of 3:1 to receive iN1011-N17 or placebo. MAD Cohort 7 will commence after SRC review and assessment of the safety data from Part 2 of the study. Cohort 7- Healthy volunteers will receive oral dose of 400mg of iN1011-N17 mesylate salt capsule or placebo twice daily (b.i.d) from Day 1 to Day 13, approximately 12 hrs gap between 2 daily doses and receive last dose on Day 14 in the morning. Cohort 8- Post hepatic Neuralgia participants will an oral dose of 400mg of iN1011-N17 mesylate salt capsule or placebo twice daily (b.i.d) from Day 1 to Day 13, approximately 12 hrs gap between 2 daily doses and receive last dose on Day 14 in the morning.


Locations(1)

CMAX Clinical Research Pty Ltd - Adelaide

SA, Australia

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ACTRN12622001300763