Not Yet RecruitingPhase 1ACTRN12624001003561

A study to evaluate the safety, tolerability, pharmacokinetics and antiviral activity of BJT-678 in Healthy volunteers

A Phase 1a/b, Randomized, Double-blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of BJT-628 in Healthy Volunteers and in Subjects with Chronic Hepatitis B Infection, Including Subjects with Chronic Hepatitis D Infection.


Sponsor

Bluejay Therapeutics, Inc.

Enrollment

80 participants

Start Date

Aug 26, 2024

Study Type

Interventional

Conditions

Summary

The Phase 1a portion of this study is a first-in-human (FIH), randomized, double-blind, placebo-controlled study evaluating the safety, tolerability, and pharmacokinetics of single (Part A) and multiple (Part B) ascending doses of BJT-628 in healthy adult volunteers (HV). BJT-628 is an oral small molecule hepatitis B transcript inhibitor being developed for the treatment of Chronic Hepatitis B (CHB) and Chronic Hepatitis D (CHD). This study will enrol healthy volunteers aged 18-60. In healthy volunteers and chronic hepatitis B (CHB) subjects, BJT-628 will be safe and well tolerated, demonstrating favorable pharmacokinetics, and preliminary antiviral activity in CHB subjects as evidence by a reduction from baseline in HBsAg levels over 28 days.


Eligibility

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

Inclusion Criteria7

  • Able and willing to provide written informed consent (signed and dated) and any
  • authorizations required by local law and can comply with all study requirements
  • Male and female adults.
  • Phase 1a (Healthy Volunteers)
  • 18 to 60 years of age, inclusive
  • Body mass index (BMI) 18 to 35 kg/m2, inclusive
  • In good health, in the judgment of the Investigator

Exclusion Criteria30

  • Pregnant or lactating females
  • Male or female subjects of childbearing potential unwilling to comply with contraception requirements during the study.
  • History or presence of central neurological or peripheral neuropathy disease from physical examination
  • Family history of peripheral neuropathy
  • History of or current migraine headaches
  • Diabetes
  • Treatment with a different investigational drug other than BJT-628, a biological agent or device within 4 weeks or 5 half-lives of Day 1, whichever is longer
  • Clinically significant medical history of:
  • a) Cardiac diseases (e.g., myocardial infarctions, stroke, arrhythmia, heart failure, and coronary heart disease),
  • b) Autoimmune diseases (e.g., lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, sarcoidosis, moderate or severe psoriasis, thyroiditis), or
  • c) Malignancies within 3 years. Malignancy that has been successfully surgically resection and considered cured would not exclude the subject
  • d) Severe psychiatric disease, especially depression, characterized by a suicide attempt, hospitalization for psychiatric disease, or a period of disability as a result of psychiatric disease
  • e) Liver diseases (not including the disease(s) under evaluation), such as nonalcoholic steatohepatitis (NASH), alcohol-associated hepatitis, cholestatic liver disease, other viral (e.g., HAV or HCV) or non-viral hepatitis that has the potential to impact interpretation of data. Exceptions to this criterion for CHB and CHD subjects include fatty liver without any signs of steatohepatitis or past HCV infection that was successfully treated greater than or equal to 6 months prior to Screening
  • History of hypersensitivity to any of the components in the BJT-628 formulation
  • History of excess alcohol consumption within one year of Screening, defined as weekly intake of greater than or equal to 14 drinks per week (average of greater than or equal to 2 drinks per day)
  • History of drug abuse/addiction within one year of Screening (except cannabis)
  • 12-lead electrocardiogram (ECG) with a corrected QTc interval >450 msec for males and >470 msec for females or <340 msec (Fridericia’s correction)
  • Donated or lost >500 mL of blood within 60 days prior to Study Day 1
  • Unwillingness to comply with study procedures, including follow up, as specified by this protocol, or unwillingness to cooperate fully with the Investigator
  • Have any conditions (medical, social, psychiatric, or other), which in the opinion of the Investigator would make the subject unsuitable for inclusion, or could interfere with the subject participating in or completing the study
  • PHQ-9 questionnaire (administered by appropriately trained site staff) score greater than equal to 10
  • Serious or severe chronic conditions requiring frequent medical intervention or continuous pharmacologic management
  • Medical or social conditions that would potentially interfere with the subject’s ability to comply with study visits
  • History of severe drug hypersensitivity or severe allergic reaction
  • Positive HBsAg, hepatitis C virus (HCV) antibody (Ab), or human immunodeficiency virus (HIV) Ab
  • Sustained supine systolic blood pressure (BP) of >150 or <90 mm Hg or supine diastolic BP of >95 or <50 mm Hg at Screening. The average of 2 assessments of BP will be used to exclude a subject
  • Resting pulse rate at Screening of >100 or <45 beats per minute
  • Positive drug test at Screening (excluding physician-prescribed drugs and cannabis)
  • Use of regular prescription or over-the-counter medications or herbal supplements less than or equal to 14 days prior to Study Day 1 or anticipated use during the 12 weeks postdosing with the exception of oral or injectable contraceptives. Intermittent (as needed) medications that are not used daily (e.g., paracetamol, ibuprofen, calcium carbonate, etc.) are not exclusionary, even if taken within 14 days of dosing
  • Any clinically significant physical exam or vital sign findings, or screening laboratory values outside of the normal limits

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

Investigational Product (IP): BJT-628 Dosage Form: Capsules Method of administration: Orally The study consists of two parts (Part 1a and Part 1b). This registration details are for Part 1a. The

Investigational Product (IP): BJT-628 Dosage Form: Capsules Method of administration: Orally The study consists of two parts (Part 1a and Part 1b). This registration details are for Part 1a. The Phase 1a portion of this study is a first-in-human (FIH), randomized, double-blind, placebo-controlled study evaluating the safety, tolerability, and pharmacokinetics of single (Part A) and multiple (Part B) ascending doses of BJT-628 in healthy adult volunteers (HV). Study will enroll 80 healthy volunteers. Number of Participants: Phase 1a: up to ~80 healthy volunteers, as follows: • Part A: Up to ~48 subjects • Part B: Up to ~32 subjects Part A: Each SAD cohort will enroll 8 subjects (6 active to 2 placebo) with the first 2 subjects (randomized 1 active to 1 placebo) being enrolled 24 hours in advance of the rest of the cohort as a safety precaution. Part B: Each cohort, below, will enroll 8 subjects (randomized 3 actives to 1 placebo) in a staggered fashion. Part A (Phase 1a) will evaluate up to 5 single ascending dose (SAD) cohorts of BJT-628 or placebo and a food effect cohort. A single dose of BJT-628 or placebo will be administered orally the morning of Day 1, after a minimum 8-hour overnight fast. All subjects will be admitted for 5 days post-dose for close safety monitoring with discharge on Day 5. Subjects may be brought to the clinic 1 day prior to Study Day 1. •Cohort 1: BJT-628 35 mg or placebo • Cohort 2: BJT-628 (less than equal to 105 mg) or placebo • Cohort 3- Period 1 Fasted: BJT-628 (less than equal to 315 mg) or placebo, then washout for less than equal to 7 days; Period 2 Fed: BJT-628 (less than equal to 315 mg) or placebo with a moderate fat meal. Each Period will dose on Day 1 and complete the same schedule of assessments. Period 1 Day 11 and 15 visits may be missed if subjects enter Period 2. • Cohort 4: BJT-628 (less than equal to 945 mg) or placebo • Cohort 5: BJT-628 (less than equal to 945 mg) or placebo. The cohort 4 and 5 have the same maximum dose as this this allows us the option to continue to dose escalate at a reasonable rate and have multiple options to do so, while indicating a maximum dose. Part B (Phase 1a) will explore multiple ascending doses of BJT-628 or placebo, randomized 3:1 (up to 4 ascending dose cohorts) and administered orally once daily or every 12 hours for 14 days under fasted conditions. -Cohort 1: BJT-628 (less than equal to 50% of the highest tolerated dose in Part A) or placebo • Cohort 2: BJT-628 (less than equal to 3 x Cohort 1 dose) or placebo • Cohort 3: BJT-628 (less than equal to 3 x Cohort 2 dose) or placebo • Cohort 4: BJT-628 (less than equal to 3 x Cohort 3 dose) or placebo Subjects will be followed for 14 days after the last dose of study drug. Adherence to intervention is monitored by the site staff. Part B may initiate when the first 3 cohorts’ fasted dose in Part A have been found to be safe and well tolerated based on safety follow-up of 7 days post-dose. The maximum dose evaluated in Part B will not exceed the highest tolerated dose evaluated in Part A.


Locations(1)

Auckland, New Zealand

View Full Details on ANZCTR

For the most up-to-date information, visit the official listing.

Visit

ACTRN12624001003561


Related Trials