CompletedPhase 1ACTRN12623000730606

A Phase 1, 2-Part, Open-Label, Pilot Trial to Assess the Relative Bioavailability of 3 Formulations of Cannabidiol (CBD) under FASTED (Part A) and FED (Part B) conditions in Healthy Adult Male Subjects.

A Phase 1, 2-Part, Open-Label, Pilot Trial to Assess the Relative Bioavailability of 3 Formulations of Cannabidiol (CBD) under FASTED (Part A) and FED (Part B) conditions in Healthy Adult Male Subjects


Sponsor

Sapient Therapeutics (Australia) PTY Ltd

Enrollment

15 participants

Start Date

Sep 26, 2023

Study Type

Interventional

Conditions

Summary

This is a single-center, Phase 1, randomized, open-label, 3-treatment, 4-period, 3-sequence crossover study designed to compare the relative bioavailability of two novel CBD formulations (SAP-021-T1 and SAP-021-T2) and reference formulation (Epidiolex) under fasting conditions and to evaluate the effect of food on the bioavailability SAP-021-T1 or SAP-021-T2 in healthy male subjects.


Eligibility

Sex: MalesMin Age: 18 YearssMax Age: 55 Yearss

Inclusion Criteria10

  • Male, non-smoker (no use of tobacco or nicotine products within 1 month prior to screening), aged between 18 and 55 years (inclusive), with BMI >18.0 and <32.0 kg/m2 and body weight greater than or equal to 50.0 kg.
  • No know allergic reaction to cannabis products with previous use.
  • No known allergic reaction to sesame oil (Epidiolex is formulated in sesame oil).
  • Must have hepatic and renal clinical laboratory test results (ALT, AST, total bilirubin and eGFR) within a laboratory defined normal range.
  • Must be abstinent from heterosexual intercourse or agree to use an acceptable form of contraception with a female sexual partner of childbearing potential.
  • Refrain from donating sperm for the duration of the study and for at least 90 days after the last dose of IP.
  • Adequate venous access in both arms for collection of a number of blood samples.
  • Willing to take off dentures or mouth piercings at the time of dosing.
  • Willing and able to adhere to all protocol requirements, including willingness to comply with scheduled visits, and consume high-fat, high-calorie meal.
  • Able to understand the study procedures and provide signed informed consent form (ICF) to participate in the study.

Exclusion Criteria22

  • Any clinically significant illness or disease (in the opinion the Investigator) as determined by their medical and surgical history, physical examination, 12-lead ECG, vital signs and clinical laboratory determinations.
  • History of inherent cardiac abnormalities based on the opinion of the Investigator.
  • Clinically significant ECG abnormalities (QTcF > 450 ms), or clinically significant vital sign abnormalities (systolic BP lower than 90 or over 140 mmHg, diastolic BP lower than 50 or over 90 mmHg, HR less than 45 or over 100 bpm, or RR less than 8 or over 22 resp/min) at screening.
  • Any laboratory test results deemed clinically significant by the Investigator or positive test serology test results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) antibody at screening.
  • Presence of current psychiatric condition, suicide ideations or psychiatric condition requiring pharmacological management within the last 6 months, presence of current or history of psychosis/schizophrenia and bipolar disorders.
  • History of gastrointestinal disorders which may have impacted absorption, distribution, metabolism and/or excretion of the IPs (such a cholecystitis, cholecystectomy, Gilbert’s syndrome).
  • Positive urine drug screen, urine cotinine test at screening or Day -1, 7±7, 14±7 and 28±7
  • Positive alcohol breath test at screening or at admissions on Days 1, 7±7, 14±7 and 28±7.
  • Known allergic reactions to any excipient in the formulations.
  • History of significant drug abuse within 1 year prior to screening or use of drugs such as marijuana within 1 month prior to the screening visit or drugs such as cocaine, phencyclidine (PCP), crack, opioid derivatives including heroin, and amphetamine derivatives within 1 year prior to screening.
  • Patients with current or past history of acute or chronic liver disease of any aetiology
  • Active hepatitis – chronic or acute
  • History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit that exceeds 14 units of alcohol per week (1 unit = 150 mL of wine, 375 mL of mid strength beer, or 30 mL of distilled alcohol 40%).
  • Use of medications for the timeframes specified below, with the exception of medications exempted by the PI on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption):
  • a) Prescription medications within 14 days prior to the first dose until end of the study;
  • b) Any vaccination, within 1 month prior to the first dose through to EOS;
  • c) Over-the-counter products and natural health products (including herbal remedies such as St. John’s wort, homeopathic and traditional medicines), within 7 days prior to the first dose up to EOS, with the exception of the occasional use of paracetamol (up to 2 g daily) and ibuprofen (up to 1.2 g daily). Probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements are allowed;
  • d) Any drugs known to induce or inhibit hepatic drug metabolism within 30 days prior to the first dose.
  • Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days (or a minimum of 5 half-lives, whichever is longer) prior to the first dose, administration of a biological product in the context of a clinical research study within 90 days prior to the first dose, or concomitant participation in an investigational study involving no drug or device administration.
  • Donation of plasma within 7 days prior to dosing or donation or loss of 500 mL or more of whole blood within 4 weeks prior to dosing.
  • Presence of orthodontic braces or orthodontic retention wires, or any physical findings in the mouth or tongue that would be likely to interfere with successful completion of the dosing procedure.
  • Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study.

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Interventions

This is a single-center, Phase 1, randomized, open-label, 3-treatment, 4-period, 3-sequence crossover study designed to compare the relative bioavailability of two novel CBD formulations (SAP-021-T1 a

This is a single-center, Phase 1, randomized, open-label, 3-treatment, 4-period, 3-sequence crossover study designed to compare the relative bioavailability of two novel CBD formulations (SAP-021-T1 and SAP-021-T2) and reference formulation (Epidiolex) under fasting conditions and to evaluate the effect of food on the bioavailability SAP-021-T1 or SAP-021-T2 in healthy male subjects. The study will be divided into two parts: Part A: Three treatment periods, single dose, crossover study, fasting after minimum 10 hour fast with 240ml of water permitted to swallow the tablets. Part B: One treatment period, single dose, food-effect, under fed conditions with a high calorie breakfast. In each treatment period, subjects will be administered a study drug based on their randomization sequence under fasting or fed conditions, followed by 96 hours of PK and safety assessments. Treatment A (Reference): 350 mg CBD (100 mg/mL CBD solution) Epidiolex administered orally under fasting conditions. Treatment B (Test): 350 mg CBD (87.5 mg capsules) SAP-021-T1 administered orally under fasting conditions Treatment C (Test): 350 mg CBD (87.5 mg capsules) SAP-021-T2 administered orally under fasting conditions. Treatment D (Test): 350 mg CBD (SAP-021-T1 or SAP-021-T2 based on the PK and safety data from study Part A), administered orally after a standard high-fat diet. Participants from part A will receive treatment D (Part B) post completion of treatment A,B, and C after under fasting conditions (Part A). Part A will consist of three treatment periods. A total of 15 subjects will be enrolled and randomized in one of three sequences, with a total of 5 subjects per sequence (n=5). Subjects will receive a single dose of one of the three CBD formulations in each period, based on the randomization schedule. There will be at least a 7-day (and no more than 14 days) washout between dosing. Participants will be monitored for dosing adherence via supervised dosing. Following at least 2 weeks washout period following last dose administration in Part A, subjects will return to continue in study Part B. All subjects will receive a single dose of one test CBD formulation (SAP-021-T1 or SAP-021-T2 based on the decision made by SRC), thirty minutes after the start of the high-fat, high-calorie breakfast consisting of bread with butter, and bacon. The high calorie meal will follow FDA requirements of greater than 50% fat and between 800-1000Kcal. Participants will be monitored for dosing adherence via supervised dosing.


Locations(1)

VIC, Australia

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