Not Yet RecruitingPhase 1ACTRN12624001393549

Safety, Tolerability, and Pharmacokinetics of Oral SCY-247 in Healthy Subjects: Part 4

A Four-Part, Phase 1, First-in-Human, Single- and Multiple-Ascending Dose and Drug-Drug Interaction Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Oral SCY-247 in Healthy Subjects: Part 4


Sponsor

SCYNEXIS, Inc

Enrollment

24 participants

Start Date

Dec 5, 2024

Study Type

Interventional

Conditions

Summary

A Four-Part, Phase 1, First-in-Human, Single and Multiple-Ascending Dose and Drug-Drug Interaction Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Oral SCY-247 in Healthy Subjects. The current study is the first clinical administration of SCY-247 to be conducted in healthy adult subjects. It is a 4-part study combining where Part 4 will evaluate drug-drug interaction where 24 subjects will be enrolled across 2 cohorts. The study duration from screening to post study visit will be approximately 9 weeks for Part 4.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 50 Yearss

Inclusion Criteria7

  • Subject is a healthy male or female aged between 18 to 50 years, inclusive, at the screening visit.
  • Subject has a Body Mass Index (BMI) <32 kg/m2, inclusive, at the screening visit and body weight between 45.0 kg and 100.0 kg inclusive for females, and between 50.0 kg and 110.0 kg inclusive for males, at the screening visit.
  • Subject is judged to be in good health based on medical history, physical examination, electrocardiogram (ECG), vital sign measurements and laboratory safety testing performed at the screening visit and prior to administration of the initial dose of study drug, in the opinion of the investigator.
  • Subject has been a nonsmoker and/or has not used nicotine or nicotine containing products for at least 6 months; subjects who have not discontinued smoking or the use of nicotine/nicotine containing products within 6 months, but who in the past 3 months have smoked less than equal to 2 cigarettes or equivalent (eg, cigars, vaping, nicotine patches) per week, may be enrolled in the study at the discretion of the investigator.
  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.
  • Subject is willing to comply with the study restrictions and participate for the full length of the study.
  • Females must not be pregnant or lactating, and must use acceptable, highly effective double contraception from Screening until 90 days after study completion, including during the Follow-up period as described in the protocol. Males must be surgically sterile (>30 days since vasectomy with no viable sperm), or if engaged in sexual relations with a WOCBP, either his partner must be surgically sterile (eg, tubal occlusion, hysterectomy, bilateral salpingectomy, bilateral oophorectomy), or an acceptable, highly effective contraceptive method must be used from Screening until study completion, including during the Follow-up period. Males must not donate sperm from the first dose of IP until at least 90 days after the last dose of IP.

Exclusion Criteria24

  • Underlying psychological medical condition that, in the opinion of the PI, would make it unlikely for the participant to comply with the protocol or complete the study per protocol.
  • Subject has a history of any illness or clinical findings that, in the opinion of the study investigator, might confound the results of the study or poses an additional risk to the subject by participation in the study.
  • Subject has a history of fever (body temperature >38°C) or symptomatic viral or bacterial infection within 2 weeks prior to Screening.
  • Subject has poor pill swallowing ability.
  • Subject has an estimated creatinine clearance less than equal to 80 mL/min based on the CockcroftGault equation, as follows:
  • o Estimated creatinine clearance equals to [(140 – age) x weight in kg] / [72 x serum creatinine in mg/dL] [x 0.85 if female].
  • Subjects who have an estimated creatinine clearance up to 10% below 80 mL/min may be enrolled in the study at the discretion of the investigator.
  • Subject has risks for QT prolongation including a marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >450 milliseconds for males and >470 milliseconds for females).
  • Subject has a history of additional significant risk factors for torsade de pointes (e.g., family history of Long QT Syndrome).
  • Subject is unable to refrain from or anticipates the use of any medication, including prescription and non-prescription drugs or herbal remedies (such as St. John’s Wort [hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to administration of the initial dose of study drug, throughout the study (including washout intervals between treatment periods), until the poststudy visit. There may be certain medications eg paracetamol, vitamins, ibuprofen that are permitted at investigator’s discretion.
  • Subject has a history of stroke, chronic seizures or major neurological disorder.
  • Subject has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory or genitourinary abnormalities or diseases. Subjects with a history of uncomplicated kidney stones or childhood asthma may be enrolled in the study at the discretion of the investigator.
  • Subject has a history of neoplastic disease or any active cancer, except for non-melanoma skin cancer, excised more than 2 years before screening, and cervical intraepithelial neoplasia that has been successfully cured more than 5 years prior to Screening.
  • Subject has a history of liver disease, including chronic hepatitis, or aspartate aminotransferase (AST), alanine aminotransferase (ALT) and/or Total Bili >1.5 × upper limit of normal (ULN) at Screening. Repeat testing at Screening is acceptable for out-of-range values based on investigator’s discretion.
  • Subject has a history of human immunodeficiency virus (HIV), hepatitis C (HCV) antibodies, and hepatitis B surface antigen (HBsAg).
  • Regular alcohol consumption defined as > 10 standard drinks per week (where 1 standard drink equals to 360 mL of beer, 45 mL of 40% spirit or a 150 mL glass of wine) or > 4 standard drinks on any single day. Subject is unwilling to refrain from all alcohol consumption beginning 72 hours prior to first administration of study drug and throughout the study until the final study visit.
  • Subject consumes excessive amounts of caffeine for one month prior to study drug administration, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola or other caffeinated beverages per day.
  • Subject has had major surgery, donated or lost 1 unit of blood (approximately 500 mL) or participated in another investigational study within 30 days or 5 half-lives of the investigational product prior to the screening. The 30-day window will be derived from the date of the last study procedure (i.e., poststudy, AE follow-up, etc.) in the previous study to the screening visit of the current study.
  • Subject was vaccinated with a live vaccine within 4 weeks prior to the first administration of the study drug.
  • Subject has a history of significant multiple and/or severe allergies [including latex allergy, but with exception of seasonal rhinitis (hay fever)] or has had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs or food.
  • Subject is currently an abuser including illicit drugs or has a history of drug (including alcohol) abuse within approximately 1 year.
  • Subject tested positive for drugs of abuse, including amphetamines, barbiturates, benzodiazepines, cocaine, cannabinoids, methadone and opiates at screening or Day -1.
  • There is any concern by the investigator regarding the safe participation of the subject in the study or for any other reason the investigator considers the subject inappropriate for participation in the study.
  • Subject is unable to abstain from strenuous exercise from 48 hours prior to Day - 1 throughout the study until the poststudy visit.

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Interventions

The current study is the first clinical administration of SCY-247 to be conducted in healthy adult subjects. It is a 4-part study combining Part 1: single ascending dose (SAD), Part 2: multiple asce

The current study is the first clinical administration of SCY-247 to be conducted in healthy adult subjects. It is a 4-part study combining Part 1: single ascending dose (SAD), Part 2: multiple ascending dose (MAD), Part 3: loading and maintenance doses, Part 4: drug-drug interaction. SCY-247 will be provided as 50-mg and 200-mg tablets for oral administration. This registration is for Part 4. Part 4 – Drug-Drug Interaction: This is an open-label, drug-drug interaction evaluation in 2 Cohorts of 12 subjects each. Part 4 Cohort 1 will evaluate the effect of a proton pump inhibitor (pantoprazole) on single-dose PK of SCY-247 and Part 4 Cohort 2 will evaluate the effect of a strong CYP3A4 inhibitor (posaconazole) on single-dose PK of SCY-247. All SCY-247 doses will be administered in the fasted state (no solid food for 8 hours). The interval between successive doses of SCY-247 will be at least 7 days. Part 4, 2 Cohorts: Cohort 1, Period 1: Single Dose administration of SCY-247 400-mg on Day 1 Cohort 1, Period 2: Pantoprazole 40-mg oral tablet once daily Days -4 to Day 1; SCY-247 400- mg on Day 1, 2.5 hours after pantoprazole dose Cohort 2, Period 1: Single Dose administration of SCY-247 200-mg on Day 1 Cohort 2, Period 2: Posaconazole 300-mg DR tablets twice daily on Day -1 and once daily from Day 1 through Day 10; SCY-247 200-mg on Day 1, co-administered with posaconazole Administration of SCY-247 is planned to be in the fasted state but may be changed to administration in fed state (no fasting prior to dosing) if confirmed by the SRC. Dose administrators and witness will count the number of tablets to be administered and observe subject being dosed. A mouth check will be performed and check the dose bottle is empty after dosing.


Locations(1)

Scientia Clinical Research - Randwick

NSW, Australia

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ACTRN12624001393549


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