- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01449578
Dexpramipexole SAD/MAD Study
A Randomized, Blinded, Placebo-Controlled Ascending Dose Study of the Safety and Pharmacokinetics of Dexpramipexole in Healthy Volunteers
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Preclinical and clinical data to date support the exploration of doses of dexpramipexole higher than 150 mg twice daily for their effectiveness in slowing the progression of ALS. Exploration of doses of dexpramipexole higher than 150 mg twice daily is justified by preclinical and clinical data that suggest that higher doses could potentially be more effective in slowing the progression of ALS than the dose of dexpramipexole currently being explored in Phase 3 studies (150 mg twice daily).
This is a Phase 1, single-center, blinded, randomized, placebo controlled, ascending-dose study consisting of 2 parts; Part A (single-ascending dose [SAD]) and Part B (multiple ascending dose [MAD]). The study will explore safety, tolerability, and pharmacokinetics of single doses ranging from 300 to 600 mg and multiple daily doses ranging from 225 mg to 300 mg BID dexpramipexole in healthy volunteers.
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Kansas
-
Overland Park, Kansas, United States
- Research Site
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must give written informed consent.
- Adult males/females aged 18 to 55 years inclusive and between 19 and 30 kg/m2 body mass index (BMI), inclusive at screening.
- Subjects who are healthy as determined by prestudy medical history, physical examination and 12-lead ECG.
- Subjects of childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 1 month (females) or 3 months (males) after their last dose of study treatment.
- Normal systemic blood pressure defined as a systolic blood pressure of 90 to 140 mmHg and a diastolic blood pressure of 50 to 90 mmHg.
Exclusion Criteria:
- History of cardiovascular disease (e.g., hypertension, arrhythmia, heart failure, Long QT Syndrome, or other conditions/diseases causing prolongation of the QT/QTc interval).
- A prolongation of QT/QTc interval (e.g., repeated demonstration of a QT/QTc interval >450 ms before study treatment administration) at screening, admission or pre-dose on Day 1.
- Any clinically important abnormalities in resting ECG that may interfere with the interpretation of QTc interval changes at screening, admission or pre-dose on Day 1.
- Prior exposure to dexpramipexole.
- Treatment with pramipexole or any dopamine agonist within 1 year.
- Treatment with another investigational drug or approved therapy for investigational use within 30 days, or 5 half-lives (whichever is longer), or in follow up for any other drug, biologic, or device study.
- Currently active infection or serious infection (e.g., pneumonia, septicemia) within the 2 months prior to Day -2 as determined by the Investigator.
- Female subjects who are pregnant, currently breastfeeding, or attempting to conceive during the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Part A, Treatment 1
Dexpramipexole single dose (SAD Dose 1)
|
Oral Tablet at varying doses
Other Names:
|
|
Placebo Comparator: Part A, Treatment 1 placebo
Dexpramipexole single dose placebo (SAD Dose 1)
|
Oral tablet at varying doses
|
|
Experimental: Part A, Treatment 2
Dexpramipexole single dose (SAD Dose 2)
|
Oral Tablet at varying doses
Other Names:
|
|
Placebo Comparator: Part A, Treatment 2 placebo
Dexpramipexole single dose placebo (SAD Dose 2)
|
Oral tablet at varying doses
|
|
Experimental: Part A, Treatment 3
Dexpramipexole single dose (SAD Dose 3)
|
Oral Tablet at varying doses
Other Names:
|
|
Placebo Comparator: Part A, Treatment 3 placebo
Dexpramipexole single dose placebo (SAD Dose 3)
|
Oral tablet at varying doses
|
|
Experimental: Part B, Treatment 1
Dexpramipexole multiple dose (MAD Dose 1)
|
Oral Tablet at varying doses
Other Names:
|
|
Placebo Comparator: Part B, Treatment 1 placebo
Dexpramipexole multiple dose placebo (MAD Dose 1)
|
Oral tablet at varying doses
|
|
Experimental: Part B, Treatment 2
Dexpramipexole multiple dose (MAD Dose 2)
|
Oral Tablet at varying doses
Other Names:
|
|
Placebo Comparator: Part B, Treatment 2 placebo
Dexpramipexole multiple dose placebo (MAD Dose 2)
|
Oral tablet at varying doses
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety and tolerability based on medical review of adverse events & results of vital sign measurements, electrocardiogram (ECGs), physical examinations and clinical laboratory tests.
Time Frame: Change from baseline to 11 Days.
|
Change from baseline to 11 Days.
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Dexpramipexole pharmacokinetics time frame in plasma
Time Frame: pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours post-dose
|
pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours post-dose
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neuromuscular Diseases
- Neurodegenerative Diseases
- Spinal Cord Diseases
- TDP-43 Proteinopathies
- Proteostasis Deficiencies
- Motor Neuron Disease
- Amyotrophic Lateral Sclerosis
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Protective Agents
- Dopamine Agonists
- Dopamine Agents
- Antioxidants
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Pramipexole
Other Study ID Numbers
- 223HV103
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.
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