An Open-label, 2 Part, Study to Assess the Pharmacokinetics of a Spray Dried Dispersion Formulation of Radiprodil Under Fasted and Fed Conditions in Healthy Adult Subjects: Part A
GRIN Therapeutics, Inc.
18 participants
Dec 10, 2024
Interventional
Conditions
Summary
This study is testing the safety, tolerability (if any side effects occur), pharmacokinetics (PK; the amount of experimental drug or any breakdown products in the blood), of a single dose/food effect of an experimental drug called Radiprodil in the presence or absence of food (food effect). This entry in the ANZCTR registry describes Part A: a single oral 15 mg dose of radiprodil SDD. Radiprodil is being developed as a potential new treatment of tuberous sclerosis complex (a rare genetic disease that causes non-cancerous tumours to grow in the brain and several other areas of the body) and focal cortical dysplasia (a malformation of neurons in a region of the brain called the cortex). Radiprodil is expected to reduce the risks of seizures and negative developmental outcomes that are characteristic in patients with these conditions. In patients with these disorders nearly all will have a form of epilepsy (seizures) from a very young age that does not respond to current treatments available. Seizures can affect the process of normal development and cognitive skills leading to behavioural issues and negative developmental outcomes. Radiprodil has the potential to normalise the pathways in the brain that are involved in seizures and therefore reduce the risks of seizures, negative developmental outcomes and other significant symptoms that are characteristic in patients with these conditions. The purpose of this study is to test the safety and tolerability of a new version of oral radiprodil called Sprayed Dried Dispersion (SDD) radioprodil when taken as a single dose either with or without food. The study will also assess the plasma pharmacokinetic profile (how a drug moves through the bloodstream over time) of the SDD radiprodil.
Eligibility
Inclusion Criteria23
- Must have given written informed consent before any study-related activities are performed and must be able to understand the full nature and purpose of the study, including possible risks and adverse effects.
- Adult males and females, 18 to 55 years of age (inclusive) at screening.
- Body mass index (BMI) more than or equal to 18.0 and less than or equal 32.0 kg/m2, with a body weight more than 50 kg at screening.
- Medically healthy (in the opinion of the PI or delegate), as determined by pre-study medical history, and without clinically significant abnormalities including the following:
- a. Physical examination without any clinically relevant findings;
- b. Systolic blood pressure in the range of 90 to 140 mmHg and diastolic blood pressure in the range of 40 to 90 mmHg after resting for 5 minutes in a semi-supine position.
- c. Pulse rate in the range of 40 to 100 bpm after 5 minutes resting in a semi-supine position.
- d. Body temperature (tympanic), between 35.5°C and 37.5°C.
- e. Electrocardiogram without clinically significant abnormalities including QT interval corrected using the Fridericia formula (QTcF) <450 msec for male participants and less than 470 msec for female participants.
- f. No clinically significant findings in clinical chemistry, hematology, coagulation, and urinalysis tests.
- Female volunteers:
- a. Must be of non-child-bearing potential i.e., surgically sterilised (hysterectomy, bilateral salpingectomy, bilateral oophorectomy) at least 6 weeks before the screening visit or postmenopausal (where postmenopausal is defined as no menses for 12 months without an alternative medical cause and a follicle-stimulating hormone (FSH) level consistent with postmenopausal status, per local laboratory guidelines), or
- b. If of child-bearing potential, must:
- I. Have a negative pregnancy test at the screening visit and on admission to the CRU on Day-1.
- II. Agree not to attempt to become pregnant or donate ova from signing the consent form until at least 90 days after the last dose of study drug.
- III. Agree to use adequate contraception (defined as use of a condom by the male partner combined with use of a highly effective method of contraception from one month prior to screening until at least 90 days after the last dose of study drug, if not exclusively in a same-sex relationship or abstinent as a committed lifestyle.
- Male volunteers, if not surgically sterilized, must:
- a. Agree not to donate sperm from signing the consent form until at least 90 days after the last dose of study drug.
- b. If engaging in sexual intercourse with a female partner who could become pregnant, agree to use adequate contraception (defined as use of a condom combined with use of a highly effective method of contraception) from signing the consent form until at least 90 days after the last dose of study drug.
- c. If engaging in sexual intercourse with a female partner who is not of childbearing potential or a same-sex partner, agree to use a condom from signing the consent form until at least 90 days after the last dose of study drug.
- Note – abstinence, from signing the consent form until at least 90 days after the last dose of study drug, is an acceptable form of contraception if this is in line with the male participant’s usual practice.
- Have suitable venous access for blood sampling.
- Willing and able to comply with all study assessments and adhere to the protocol schedule and restrictions.
Exclusion Criteria27
- Known hypersensitivity to the study drug or any of the study drug ingredients.
- History of suicide attempts or deliberate self-harm, or a score of 4 or 5 on ideation or any suicidal behaviour on the Columbia-Suicide Severity Rating Scale (C SSRS).
- History of anaphylaxis or other significant allergy (including drug allergies, asthma, eczema, or anaphylactic reactions, but excluding untreated, asymptomatic seasonal allergies at time of dosing on Day 1) which, in the opinion of the PI (or delegate), would interfere with the volunteer’s ability to participate in the study.
- History or presence of clinically significant cardiovascular, pulmonary, hepatic, renal, haematological, gastrointestinal, endocrine, immunologic, dermatologic, psychiatric, or neurological disease/disorder, including any acute illness, determined by the PI (or delegate) to be clinically relevant.
- History of surgery within 3 months prior to Day 1 as determined by the PI (or delegate) to be clinically relevant, or surgery planned during the study.
- History of risk factors for torsade de pointes (including a family history of long QT syndrome or sudden cardiac death) or a known arrythmia.
- Presence or having sequelae of gastrointestinal, liver (including Gilbert’s syndrome), kidney, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
- Liver function test results elevated more than 1.5-fold above the ULN for gamma glutamyl transferase (GGT), bilirubin (total, conjugated and unconjugated), ALP, AST or ALT. Volunteers with ALP and/or ALT/AST above the limits specified may be included, at the discretion of the PI (or delegate), if the levels are unaccompanied by clinical signs and are determined to be normal variants.
- Estimated creatinine clearance (CrCl) less than 60 mL/min using the Cockcroft-Gault formula or serum creatinine more than 1.5-fold above the ULN.
- A history of or positive test results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibodies at the screening visit.
- Positive drugs of abuse test, cotinine test or alcohol breath test results at the screening visit and/or on admission to the CRU on Day 1.
- Regular consumption of more than 10 standard alcoholic drinks/week and/or more than 4 standard alcoholic drinks on any one day, where 1 standard drink is 10 g of pure alcohol and is equivalent to 285 mL beer [4.9% Alc/Vol], 100 mL wine [12% Alc/Vol], or 30 mL spirit [40% Alc/Vol]).
- Routine consumption of an average of more than five (5) 240 mL servings of coffee or other caffeinated beverages per day.
- Use of marijuana (including prescribed marijuana) within 30 days of Day -1.
- Use of tobacco-containing products and nicotine or nicotine containing products in the 2 months prior to Day 1.
- Females who are breastfeeding or planning to breastfeed.
- Unable to swallow oral medication.
- Use of any prescription or over-the-counter medication (including herbal products, diet aids, vitamins, and hormone supplements) within 14 days or 5 half-lives of the medication (whichever is longer) prior to the first dose of study drug, except use of contraceptives. Up to 2 grams per day of acetaminophen will be allowed at the discretion of the Investigator.
- Acute illness within 14 days of study Day 1.
- Use of any vaccinations within 7 days prior to screening.
- Donation of blood or plasma within 30 days prior to first dose of study drug, or loss of whole blood of more than 500 mL within 30 days prior to first dose of study drug, or receipt of a blood transfusion within 1 year of the first dose of study drug.
- Dosed in another clinical trial within 28 days prior to radiprodil dosing. Participants enrolled in Part A of the RAD-GRIN-503 study are permitted to participate in Part B if there is at least 7 days between the last dose administered in Part A and the first dose administration in Part B.
- Consumption of the following prior to dosing period:
- a. Alcohol 48 hours prior to dosing.
- b. Grapefruit (or pomelo or star fruit), Seville oranges, Seville orange marmalade, poppy seeds or other products containing these fruits within 10 days prior to dosing.
- c. Caffeine and/or xanthine-containing products (e.g., tea, coffee) within 24 hours prior to dosing.
- Any other condition or prior therapy that in the opinion of the PI (or delegate) would make the volunteer unsuitable for this study, including inability to cooperate fully with the requirements of the study protocol or likelihood of noncompliance with any study requirements.
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Interventions
This is a Phase 1, open-label, 2 part, study to determine the pharmacokinetics of the spray dried dispersion (SDD) formulation of radiprodil under fasted and fed conditions. The study will be conducted in 2 Parts. Part A of the study is a single oral 15 mg dose of radiprodil SDD. Part B is a food effect study, assessing the effect of consumption of food prior to a single oral dose of radiprodil and the effect of food after a single oral dose of radiprodil. (Note: the dose of radiprodil in Part B is not yet known) All participants will be screened between Day-28 and Day -2. Participants will be confined to the clinical research unit (CRU) from Day -1 to Day 5 to monitor adherence to the intervention. This entry in the ANZCTR registry describes Part A
Locations(1)
View Full Details on ANZCTR
For the most up-to-date information, visit the official listing.
ACTRN12624001366549