Phase Ib, Randomized, Double-blind, Placebo-Controlled, Dose-Escalation Study of Alpha-0261 Tablets to Assess Safety and Tolerability in Patients With Chronic Spontaneous Urcaria (Part 1) and Food Effect in Healthy Adults (Part 2).
A Phase Ib Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of Multiple Oral Doses of Alpha-0261 Tablets in Patients With Chronic Spontaneous Urticaria, and the Effect of Food in Healthy Participants.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Huang Yu, PhD
- Phone Number: +8618914791983
- Email: yu.huang@alphamol.com
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100044
- Peking University People's Hospital
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Contact:
- Jianzhong Zhang, M.D.
- Phone Number: +8601088325471
- Email: rmzjz@126.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Written informed consent must be obtained before any assessment is performed.(Part 1 and Part 2)
- Aged ≥ 18 and ≤ 75, male or female (Part 1).
- Diagnosed with CSU prior to screening at least 6 months. (Part 1)
- Received stable second-generation H1 antihistamine therapy for at least 2 weeks before randomization, and is willing to maintain the stable treatment regimen throughout the study treatment period. (Part 1)
- Aged ≥ 18 and ≤ 55, male or female (Part 2).
- Weight: ≥ 50 kg for males, ≥ 45 kg for females; 19 kg/m2 ≤ body mass index (BMI) ≤ 28 kg/m2. (Part 2)
- In general good health. (Part 2)
Exclusion Criteria:
- Inducible urticaria with identifiable triggers, including dermographism, cold contact urticaria, heat contact urticaria, solar urticaria, pressure urticaria, delayed pressure urticaria, aquagenic urticaria, cholinergic urticaria, or contact urticaria. (Part 1)
- Other chronic pruritic skin diseases that may affect the assessment of study outcomes, such as atopic dermatitis, bullous pemphigoid, dermatitis herpetiformis, senile pruritus, or psoriasis. (Part 1)
- Other conditions that may cause urticaria or angioedema symptoms, including but not limited to urticarial vasculitis, urticaria pigmentosa, erythema multiforme, mastocytosis, hereditary urticaria, or acquired/drug-induced urticaria. (Part 1)
- Have a history of any severe allergic reaction or anaphylaxis. (Part 2)
- Any condition, which in the investigator's opinion might jeopardize articipant's safety or compliance with the protocol. (Part 2)
- Have clinically significant abnormalities on clinical laboratory results. (Part 2)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Multiple Ascending Dose (Part 1)
50 mg (25 mg tablet), 125 mg (125 mg tablet), 250 mg (125 mg tablet), and 500 mg (125 mg tablet) of Alpha-0261 will be administered QD for 4 weeks, orally to subjects in the treatment group, cohort 1 to 4.
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Oral, tablet
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Placebo Comparator: Placebo (Part 1)
Matched placebo control of cohort 1 to 4.
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Oral, tablet
|
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Experimental: Single Dose (Part 2)
Single Dose of Alpha-0261.
Alpha-0261 is administered once per treatment cycle.
Two treatment cycles.
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Oral, tablet
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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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Frequency of treatment emergent adverse events
Time Frame: Part 1: approximately 6 weeks Part 2: approximately 1 week
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Incidence, severity and relationship to study drug of adverse events (AEs), serious AEs (SAEs), and AEs leading to discontinuation.
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Part 1: approximately 6 weeks Part 2: approximately 1 week
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline in Weekly Urticaria Activity Score (UAS7) at Week 4 (Part 1)
Time Frame: From enrollment to the end of treatment at 4 weeks.
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The Weekly Urticaria Activity Score (UAS7) is a simple scoring system to evaluate urticaria signs and symptoms.
It is based on scoring wheals (hive severity score) and itch (itch severity score) separately on a scale of 0 (no signs/symptoms) to 3 (intense signs/symptoms) over 7 days.
The final score is calculated by adding together the daily scores, which can range from 0 to 6, for 7 days.
This results in a maximum total score of 42 (highest urticaria severity), and a minimum possible score of 0. A higher score indicates worse disease.
A negative change score (week 4 score minus Baseline score) indicates improvement.
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From enrollment to the end of treatment at 4 weeks.
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Pharmacokinetics Cmax (Part 2)
Time Frame: From enrollment to end of follow-up visit, up to approximately 1 week.
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Cmax: Maximum Plasma Concentration
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From enrollment to end of follow-up visit, up to approximately 1 week.
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Pharmacokinetics AUC (part 2)
Time Frame: From enrollment to end of follow-up visit, up to approximately 1 week.
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AUC: Area Under the Concentration-time Curve
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From enrollment to end of follow-up visit, up to approximately 1 week.
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Alpha-0261-003
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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