PET Study of PIPE-791 in Healthy Volunteers and Volunteers With PrMS and IPF
A Phase 1b, Open-label Study of PIPE-791 to Determine Brain and Lung Lysophosphatidic Acid Receptor 1 (LPA1) Occupancy, by [18F] PIPE-497 PET Imaging in Healthy Volunteers, Volunteers With Progressive Multiple Sclerosis, and Volunteers With Idiopathic Pulmonary Fibrosis
This is a study of PIPE-791, an investigational study drug to treat progressive multiple sclerosis (MS) and idiopathic pulmonary fibrosis (IPF). The purpose of this study is to find out how much of the study drug gets into the brain and lung, and what the side effects and blood levels of the study drug are in healthy volunteers and patients.
Participants will:
- Take a single dose of the study drug
- Give many samples of blood and urine
- Have multiple PET scans
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
-
-
-
London, United Kingdom
- Hammersmith Medicines Research
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Main Inclusion Criteria
- All parts: male volunteers or female volunteers of non-childbearing potential; agree to follow the contraception requirements of the trial, and able to give fully informed written consent.
- Part A: normotensive volunteers, deemed healthy on the basis of a clinical history, medical examinations, ECG, vital signs, and laboratory tests of blood and urine.
- Part B: volunteers with a diagnosis of PPMS or SPMS by a neurologist, according to the 2017 Revised McDonald Criteria.
- Part C: volunteers with a diagnosis of IPF by a pulmonologist, according to the 2018 American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Society (ALAT) Clinical Practice Guideline, within 7 years before screening.
Main Exclusion Criteria
- Positive tests for hepatitis B and C, human immunodeficiency virus (HIV)
- Severe adverse reaction to any drug; sensitivity to trial medication
- Drug or alcohol abuse
- Smoking or use of tobacco or nicotine-containing products from 7 days before screening, until the final visit
- Use of a prescription medicine (except hormone replacement therapy [HRT] in women, and medications for participants with PrMS and IPF at the discretion of the investigator), or any substance known to interact with cytochrome p450 (CYP)3A enzymes (including St. John's wort and foodstuffs such as grapefruit juice) during the 28 days before the first dose of PIPE-791
- Use of any other over-the-counter medicine, with the exception of acetaminophen (paracetamol) during the 7 days before the first dose of PIPE-791, or received vaccine against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), during the 7 days before screening
- Participation in other clinical trials of unlicensed medicines, or loss of more than 400 mL blood, within the 3 months before the baseline PET scan
- Vital signs or ECGs outside the acceptable range at screening
- Clinically relevant abnormal findings at the screening assessments, including C-SSRS and MRI (Parts A [brain PET imaging arm] and B only)
- Acute or chronic illness (except PrMS and IPF in Parts B and C, respectively)
- Clinically relevant abnormal medical history or concurrent medical condition
- Possibility that volunteer will not cooperate
- Contraindications to MRI (Parts A [brain PET imaging arm] and B only), computed tomography (CT), PET, or arterial cannulation procedures
- Significant exposure to research-related radiation or other radiation exposure (exceeding 10 mSv when added to exposure from this study) within the previous 12 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Healthy volunteers, brain PET imaging
|
Subjects will receive a single oral dose of PIPE-791.
|
|
Experimental: Healthy volunteers, lung PET imaging
|
Subjects will receive a single oral dose of PIPE-791.
|
|
Experimental: Volunteers with PrMS
|
Subjects will receive a single oral dose of PIPE-791.
|
|
Experimental: Volunteers with IPF
|
Subjects will receive a single oral dose of PIPE-791.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
LPA1 occupancy as determined by regional total volume of distribution (VT) at each brain scan.
Time Frame: Baseline to up to 28 days post-dose
|
Baseline to up to 28 days post-dose
|
|
LPA1 occupancy as determined by regional total volume of distribution (VT) at each lung scan.
Time Frame: Baseline to up to 28 days post-dose
|
Baseline to up to 28 days post-dose
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The relationship between PIPE-791 plasma concentration and brain and lung LPA1 occupancy.
Time Frame: Baseline to up to 28 days post-dose
|
Baseline to up to 28 days post-dose
|
|
The PIPE-791 EC50 (i.e., the plasma concentration of PIPE-791 associated with 50% occupancy of LPA1) in the brain and lungs.
Time Frame: Baseline to up to 28 days post-dose
|
Baseline to up to 28 days post-dose
|
|
Pharmacokinetics (PK): blood concentration levels of PIPE-791
Time Frame: Baseline to up to 28 days post-dose
|
Baseline to up to 28 days post-dose
|
|
Safety and tolerability: Treatment-Emergent Adverse Events (TEAE)
Time Frame: Baseline to up to 32 days post-dose
|
Baseline to up to 32 days post-dose
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Stephen Huhn, MD, Contineum Therapeutics
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
- MS
- secondary progressive MS
- multiple sclerosis
- nervous system diseases
- idiopathic pulmonary fibrosis
- PMS
- remyelination
- IPF
- SPMS
- autoimmune diseases
- neuroinflammation
- sclerosis
- PPMS
- secondary progressive multiple sclerosis
- primary progressive multiple sclerosis
- PIPE-791
- pathologic processes
- PrMS
- primary progressive MS
- LPA1
- demyelinating diseases
- demyelinating autoimmune diseases, CNS
- autoimmune diseases of the nervous system
- immune diseases
Additional Relevant MeSH Terms
- Nervous System Diseases
- Pathologic Processes
- Neoplasms
- Chronic Disease
- Disease Attributes
- Autoimmune Diseases
- Immune System Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Neoplastic Processes
- Lung Diseases, Interstitial
- Multiple Sclerosis
- Sclerosis
- Neoplasm Metastasis
- Pulmonary Fibrosis
- Idiopathic Pulmonary Fibrosis
- Fibrosis
- Multiple Sclerosis, Chronic Progressive
Other Study ID Numbers
Other Study ID Numbers
- CTX-791-102
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.