A First in Human Study to Assess the Safety, Tolerability and Pharmacokinetics of ONO-2808-01 in Healthy Participants
A Randomised, Double Blind, Placebo Controlled, Single Centre, Three-Part Study to Assess the Safety, Tolerability and Pharmacokinetics of Single and Multiple Oral Doses of ONO-2808 in Healthy Subjects.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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London, United Kingdom, HA1 3UJ
- PAREXEL International Early Phase Clinical Unit (EPCU)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Able to provide fully informed written consent.
- 18-55 years (Part A & C) or ≥65 years (Part B).
- Male and female participants (Women of non-child bearing potential (WONCBP)).
- Agree to use an effective method of contraception.
- No clinically significant medical history and no abnormal physical examination, laboratory profiles, vital signs or ECG abnormalities, based on the Screening examination.
- Body mass index (BMI) of ≥18.5 to <30 kg/m2 and a body weight of at least 50 kg for males and 45 kg for females to a maximum of 100 kg, at the time of screening.
- Estimated Creatinine Clearance (CrCL, Cockcroft-Gault equation) ≥90 mL/min at Screening. In Part B only, an estimated CrCL of ≥60mL/min at Screening.
Exclusion Criteria:
- Mentally or legally incapacitated or with significant emotional problems at the time of the Screening visit or expected during the conduct of the study.
- History or presence of clinically significant medical, surgical or psychiatric condition (including history of suicidal behaviour) or objection by General Practitioner (GP) to participant entering trial.
- Liver chemistry values above the upper limit of normal (ULN) at Screening or admission.
- Sensitivity to the study drug.
- Female who is pregnant or lactating or of childbearing potential.
- History or presence of alcoholism or drug/chemical/substance abuse.
- Evidence of poor venous access as assessed by PI.
- Use of any medication which may affect ONO-2808 pharmacokinetics or pharmacodynamics
- Current smoker or has smoked (including use of tobacco and/or nicotine-containing products) in the previous 3 months
- Positive urine drugs of abuse, cotinine or alcohol results at Screening or admission.
- Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
- Supine resting blood pressure less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg (Part A& C) and less than 90/40 mmHg or greater than 160/90 mmHg (Part B).
- Supine resting pulse rate lower than 40 beats per minute (bpm) or higher than 100 bpm.
- Clinically significant history or presence of ECG findings at screening.
- Use of any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days or five half-lives (whichever is longer) of first dosing and throughout the study.
- Consumption or intake of compounds, food or fluids that are known to be a substrate, inducer or inhibitor of CYP450 for 28 days prior to the first dosing and throughout the study.
- Donation of blood or significant blood loss within 56 days prior to the first dosing, or plasma donation within 7 days prior to the first dosing.
- Participation in another clinical study within the last 3 months (or 5 half-lives of the study drug, whichever is longer) prior to the first dosing.
- Objection by PI
Participants who are not willing to eat a high fat breakfast
Exclusion criteria, applicable to all participants undergoing lumbar puncture for CSF collection (Part A & C):
- History of significant back pain, significant kyphosis and or scoliosis or other spinal column deformities.
- History or evidence of fundoscopy suggestive of raised intracranial pressure.
- History or presence of any allergy or contraindication to the local anaesthetic required for participants undergoing lumbar puncture.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: ONO-2808 Part A - Fasted
Single ascending doses of ONO-2808 or placebo orally under fasted conditions.
Additional descriptive information (including which interventions are administered in each arm) to differentiate each arm from other arms in the clinical trial.
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Investigational drug
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Placebo Comparator: ONO-2808 Placebo Part A- Fasted
Single ascending doses of ONO-2808 or placebo orally under fasted conditions
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Placebo drug
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Experimental: ONO-2808 Part A - Fed
Single ascending doses of ONO-2808 or placebo orally under fed conditions
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Investigational drug
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Placebo Comparator: ONO-2808 Placebo Part A - Fed
Single ascending doses of ONO-2808 or placebo orally under fed conditions
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Placebo drug
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Experimental: ONO-2808 Part B
Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers .
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Investigational drug
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Placebo Comparator: ONO-2808 Placebo Part B
Single dose of ONO-2808 or placebo in elderly female or elderly male healthy volunteers
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Placebo drug
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Experimental: ONO-2808 Part C
Multiple ascending doses of ONO-2808 or placebo orally
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Investigational drug
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Placebo Comparator: ONO-2808 Placebo Part C
Multiple ascending doses of ONO-2808 or placebo orally
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Placebo drug
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Treatment emergent adverse events (TEAEs) by severity.
Time Frame: Part A and B: up to day 7; Part C: up to 17 days.
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Number of participants with TEAEs.
An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possible causal relationship.
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Part A and B: up to day 7; Part C: up to 17 days.
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Serious adverse events (SAEs)
Time Frame: Part A and B: up to day 7; Part C: up to 17 days.
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Number of participants with SAEs.
An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged hospitalization, life-threatening experience or persistent disability.
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Part A and B: up to day 7; Part C: up to 17 days.
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Vital signs
Time Frame: Part A and B: up to day 7; Part C: up to 17 days
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Summary statistics of vital signs and number of participants with clinically significant changes in vital signs including pulse/heart rate, respiratory rate, and blood pressure
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Part A and B: up to day 7; Part C: up to 17 days
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ECG parameters
Time Frame: Part A and B: up to day 7; Part C: up to 17 days.
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Number of participants with ECG abnormalities
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Part A and B: up to day 7; Part C: up to 17 days.
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Clinical laboratory tests
Time Frame: Part A and B: up to day 7; Part C: up to 17 days
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Number of participants with clinical laboratory abnormalities (including haematology, clinical chemistry and urinalysis)
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Part A and B: up to day 7; Part C: up to 17 days
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Physical examination
Time Frame: Part A and B: up to day 7; Part C: up to 17 days
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Number of participants with physical examination abnormalities
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Part A and B: up to day 7; Part C: up to 17 days
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Neurological examination
Time Frame: Part A and B: up to day 7; Part C: up to 17 days.
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Number of participants with neurological examination abnormalities
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Part A and B: up to day 7; Part C: up to 17 days.
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Number of participants with suicidal behaviour
Time Frame: Part C: up to 17 days
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Treatment-emergent suicidal ideation and behaviour will be monitored by using the Columbia Suicide Severity Rating Scale (C-SSRS) and reported.
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Part C: up to 17 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pharmacokinetics (Cmax)
Time Frame: Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
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Assessment of the maximum observed plasma concentration of ONO-2808
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Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
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Pharmacokinetics (Tmax)
Time Frame: Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
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Assessment of the time to reach Tmax for ONO-2808
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Part A & B: Day 1 through Day 7, Part C: Day 1 and 14
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Pharmacokinetics (AUClast)
Time Frame: Part A & B: Day 1 through Day 7
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Assessment of the area under the concentration-time curve of ONO-2808 to last measurable concentration
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Part A & B: Day 1 through Day 7
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Pharmacokinetics (AUCinf)
Time Frame: Part A & B: Day 1 through Day 7
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Assessment of the area under the concentration-time curve of ONO-2808 extrapolated to infinite time in plasma
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Part A & B: Day 1 through Day 7
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Pharmacokinetics (AUCtau)
Time Frame: Part C: Day 1 and Day 14
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Assessment of the area under the concentration-time curve of ONO-2808 during the dosing interval in plasma
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Part C: Day 1 and Day 14
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Pharmacokinetics (T1/2)
Time Frame: Part A & B: Day 1 through Day 7
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Assessment of the terminal elimination half-time of ONO-2808 in plasma
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Part A & B: Day 1 through Day 7
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Pharmacokinetics (CL/F)
Time Frame: Part A & B: Day 1 through Day 7
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Assessment of the apparent clearance of ONO-2808 from plasma
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Part A & B: Day 1 through Day 7
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Pharmacokinetics (Vz/F)
Time Frame: Part A & B: Day 1 through Day 7
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Assessment of the apparent volume of distribution of ONO-2808 during terminal elimination phase
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Part A & B: Day 1 through Day 7
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Pharmacokinetics (Aetz)
Time Frame: Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
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Assessment of the amount of ONO-2808 excreted in urine over the period of sample collection
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Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
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Pharmacokinetics (Percentage fe)
Time Frame: Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
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Assessment of the cumulative percentage of orally administered ONO-2808 excreted into urine
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Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14
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Pharmacokinetics (CLR)
Time Frame: Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14.
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Assessment of the renal clearance of ONO-2808 from plasma
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Part A & B: Day 1 through Day 5, Part C: Day 1, 8 & 14.
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Distribution of ONO-2808 to the brain in Part A
Time Frame: Part A (in selected fasted cohorts): Day 1 and 2, Part C: Day 1 and Day 14
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Assessment of ONO-2808 brain distribution by measuring drug concentration in the cerebro spinal fluid (CSF)
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Part A (in selected fasted cohorts): Day 1 and 2, Part C: Day 1 and Day 14
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Pablo F Soto, MD,MSc, PhD, Parexel
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ONO-2808-01
- 2019-004693-26 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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