ActivePhase 1ACTRN12623000234617

Part 1 and Part 3: A Study to Evaluate the Safety, Tolerability, Pharmacokinetics of AC-101

A Single Center, Randomized, Double-blind, Placebo-controlled, Sequential Parallel Group, Single and Multiple Ascending Dose Study Following Oral Administration in Healthy Subjects to Evaluate the Safety, Tolerability, Pharmacokinetics of AC-101


Sponsor

Accro Bioscience (Australia) Pty Ltd

Enrollment

70 participants

Start Date

Apr 12, 2023

Study Type

Interventional

Conditions

Summary

This is a single center, randomized, double-blind, placebo-controlled, dose-escalation study to evaluatethe safety, tolerability, pharmacokinetics (PK) f AC-101 following oral single/multiple ascending doseadministration in healthy male and female participants. The study will consist of 3 parts: a SAD phase (Part1) enrolling a total of 5 cohorts of healthy participants; and a MAD phase (Part 3) enrolling 3 cohorts ofhealthy participants. All doses of study drug will be administered orally with approximately 240mL of room temperature water. In Part 1 to Part 3, all doses will be administered after an overnight fast of at least 10 hours,


Eligibility

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

Inclusion Criteria17

  • Are capable of giving informed consent and complying with study procedures.
  • The age between 18 and 60 years, inclusive.
  • Body mass index (BMI) of 18.0 to 32.0 kg/m2 inclusive and body weight not less than 50 kg for male and 45 kg for female.
  • Female subjects have a negative serum pregnancy test result at screening and Day -1, and meet one of the following criteria:
  • Using highly effective method of contraception such as implants, injectables, combined oral contraceptives, intrauterine devices (IUDs), intrauterine hormone-releasing system (IUS) at least 1 month prior to screening and willing to continue the control for the duration of the study, and until 3 months after dosing with the study drug.
  • Surgically sterile for at least 3 months prior to screening by one of the following means:
  • Bilateral salpingectomy (with or without oophorectomy)
  • Surgical hysterectomy
  • Vasectomized partner
  • Bilateral oophorectomy (with or without hysterectomy)
  • Postmenopausal, defined as the following:
  • Last menstrual period greater than 12 months prior to screening
  • Postmenopausal status confirmed by serum follicle stimulating hormone (FSH) level of greater than or equal to 40 IU/L at screening.
  • Male subjects with female partners of child bearing potential must agree to use condoms and use highly effective method of contraception with female partner for the duration of the study and until 3 months after dosing with the study drug and must refrain from donating sperm for this same period.
  • Subjects who are exclusively in same-sex relationships (contraception is not required for female participants who are in same-sex) and subjects who abstain completely for the duration of the study and for 3 months after the last study treatment are acceptable;
  • Considered healthy by the Investigator, based on subject’s reported medical history, full physical examination, clinical laboratory tests, 12-lead ECG, and vital signs;
  • Willing and able to adhere to study restrictions and to be confined at the clinical research center.

Exclusion Criteria22

  • Evidence of clinically significant hematologic, renal, endocrine, pulmonary, cardiac, gastrointestinal (GI), hepatic, psychiatric, neurologic, immunologic, allergic disease (including multiple or clinically significant drug allergies or food intolerances; mild and inactive hay fever is permitted), or any other condition that, in the opinion of the Investigator, might significantly interfere with the absorption, distribution, metabolism, or excretion of study drug; or place the subject at an unacceptable risk as a participant in this study;
  • Has had an acute illness considered clinically significant by the Investigator within 30 days prior to screening, minor colds are permitted;
  • Laboratory results (serum chemistry, hematology, coagulation, and urinalysis) outside the normal range at screening and Check-in and considered clinically significant in the opinion of the Investigator. One retest of an exclusionary laboratory result is allowed at the discretion of the Investigator.
  • Taken any drug that inhibits or induces liver drug-metabolizing enzymes 30 days prior to screening; Excessive consumption of special diets (including dragon fruit, mango, grapefruit, grapefruit juice, pomelo, star fruit, Seville oranges, Seville orange marmalade or other products containing grapefruit, pomelo, star fruit or Seville oranges etc.) and/or xanthine-rich diets (including chocolate, tea, coffee, cola, etc.) or other effects that affect the absorption, distribution, metabolism, excretion and other factors of the drug 7 days prior to study drug administration;
  • Clinically significant history with sequelae of gastrointestinal tract, liver, kidney, or other diseases known to interfere drug absorption, distribution, metabolism or excretion.
  • Prolongation of QTcF (greater than 450 msec for males and greater than 470 msec for females) at screening.
  • Known current or history of malignancy.
  • Positive blood screen for hepatitis C antibody, hepatitis B surface antigen or human immunodeficiency virus (HIV) antibody.
  • A hospital admission or major surgery within 90 days prior to screening.
  • A history of prescription drug abuse, or illicit drug use within 3 months prior to screening.
  • A history of alcohol abuse according to medical history within 3 months prior to screening.
  • Has more than 5 cigarettes/week within 30 days prior to screening or intends to use any product containing nicotine during the course of the study;
  • A positive screen for alcohol, cotinine, and/or drugs of abuse at screening or Day -1.
  • An unwillingness or inability to comply with food and beverage restrictions during study participation (ie lactose intolerance; vegans and vegetarians are permitted in Part 1 and 3), and refrain from ingestion of dragon fruit, mango, grapefruit, grapefruit juice, pomelo, star fruit, Seville oranges, Seville orange marmalade or other products containing grapefruit, pomelo, star fruit or Seville oranges from 7 days prior to study drug administration to the end of the study;
  • Has had any immunizations (live vaccines) in the 4 weeks prior to screening.
  • Has used medications that affect GI motility or gastric emptying within 30 days prior to Day 1.
  • Has used any prescription or over-the-counter medication (with exception of acetaminophen at less than 2 g/day until 48 hours prior to dosing), vitamins/herbal supplements (with the exception of hormonal contraceptives) within 14 days or 5 half-lives of the drug (whichever is longer) prior to Day 1.
  • Poor venous access.
  • Has lost or donated greater than 450 mL of whole blood or blood products within 30 days prior to screening.
  • Taken any investigational drug within 30 days, or 5 half-lives whichever is longer.
  • Female who are pregnant, or breastfeeding, Positive pregnancy test result.
  • Any condition or finding that in the Investigators’ opinion would put the subject or study conduct at risk if the subject were to participate in the study.

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Interventions

Accro Bioscience is developing AC-101, a potent and selective oral small molecule inhibitor of RIPK2, indicated for treatment of inflammatory bowel disease (IBD). Investigational Product (IP): AC-10

Accro Bioscience is developing AC-101, a potent and selective oral small molecule inhibitor of RIPK2, indicated for treatment of inflammatory bowel disease (IBD). Investigational Product (IP): AC-101 Dosage Form: Tablet Mode of Administration: Oral Part 1 Single Ascending Dose: A total of 40 participants in 5 dose levels including 50, 100, 200, 400 and 600 mg will be evaluated; All doses will be administered after an overnight fast of at least 10 hours for all Cohorts of Part 1 8 Participants 6 (study drug): 2 (placebo) in each cohort. Cohort 1: 50mg AC-101 single oral administration on Day 1 Cohort 2: 100mg AC-101 single oral administration on Day 1 Cohort 3: 200mg AC-101 single oral administration on Day 1 Cohort 4: 400mg AC-101 single oral administration on Day 1 Cohort 5: 600mg AC-101 single oral administration on Day 1 Part 3 Multiple Ascending Dose: A total of 30 participants in 3 dose levels including 50, 100, 200 mg will be evaluated; All doses will be administered after an overnight fast of at least 10 hours for all cohorts of Part 3 10 Participants 8 (study drug): 2 (placebo) in Cohort 1, Cohort 2 and Cohort 3 Cohort 1: 50mg AC-101 once daily for a consecutive 7 days i.e., Day 1 to Day 7 Cohort 2: 100mg AC-101 once daily for a consecutive 7 days i.e., Day 1 to Day 7 Cohort 3: 200mg AC-101 once daily for a consecutive 7 days i.e., Day 1 to Day 7 All doses of study drug will be administered orally with approximately 240mL of room temperature water. Water consumption will be restricted from 1 h prior to dosing until 2 h after dosing, when water will be given to maintain adequate hydration. For some participants, they may require extra water. Providing additional water eg. 100mL to be allowed and documented to assist with dose administration if required. In part 1 and part 3 the participants are dosed at the site, they will receive study treatment directly from the Investigator or designee, under medical supervision. Immediately after dose administration, visual inspection of the mouth and hands will be performed for each subject. The date and time of each dose administered will be recorded in the source documents. The dose of study treatment and study participant identification will be confirmed at the time of dosing by a member of the study site staff other than the person administering the study treatment.


Locations(1)

Nucleus Network - Melbourne

VIC, Australia

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