Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RDX5791 in Healthy Volunteers

June 29, 2016 updated by: Ardelyx

A Phase 1, Single-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single- and Multiple-Ascending Doses of RDX5791 in Healthy Volunteers

A Phase I, single-center, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single-and multiple-ascending doses of RDX5791 in healthy male and female subjects.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

In the single-ascending dose (SAD), 5 separate cohorts received RDX5791 at various doses once po fasting. Each cohort of 8 subjects (6 RDX5791, 2 placebo) received a diet standardized fro Na+ content wile in the clinical pharmacology unit (CPU).

The PK data from the 50-mg dose and the safety data from the 150-mg dose of the SAD study were evaluated prior to proceeding with the multiple-ascending dose (MAD) phase. Doses of RDX5791 are 3, 10, 30, and 100 mg administered once daily po fasting. Four cohorts of 10 subjects each (8 RDX5791, 2 placebo) received a diet standardized for Na+ content while in the CPU.

Safety assessments including clinical assessment and vital signs, clinical laboratory evaluations, ECGs, and AE monitoring were performed at regular intervals. Plasma was collected at regular intervals for PK analysis. The PD assessment included stool frequency and consistency, as well as changes in urinary Na+ excretion. All bowel movements were collected and analyzed for Na+ content outside this study protocol.

Study Type

Interventional

Enrollment (Actual)

80

Phase

  • Phase 1

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • BMI between 18 and 29.9 kg/m², inclusive
  • Females must be of non-childbearing potential; If of child-bearing potential, must have negative pregnancy test and confirm the use of one of the appropriate means of contraception
  • Males must agree to use appropriate methods of barrier contraception or have documented surgical sterilization

Exclusion Criteria:

  • Diagnosis or treatment of any clinically symptomatic biochemical or structural abnormality of the GI tract
  • Any surgery on the small intestine or colon, excluding appendectomy
  • Loose stools (Bristol Stool Form Score of 6 or 7) ≥2 days in the past 7 days
  • Hepatic dysfunction ([ALT] or [AST]) >1.5 times the upper limit of normal or renal impairment
  • Any evidence of or treatment of malignancy, excluding non-melanomatous malignancies of the skin
  • Use of diuretic medications, medications that are known to affect stool consistency and/or GI motility
  • Use of an investigational agent within 30 days prior to Day -2
  • Positive virology, alcohol, or drugs of abuse test during screening
  • Use of any prescription medication within 7 days before admission to the CPU
  • Have had significant blood loss (>450 mL) or have donated 1 or more units of blood or plasma within 8 weeks prior to study entry

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Non-Randomized
  • Interventional Model: Single Group Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: RDX5791 10mg QD (SAD phase)
10mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 50mg QD (SAD phase)
50mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 150mg QD (SAD phase)
150mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 450mg QD (SAD phase)
450mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 900mg QD (SAD phase)
900mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 3mg QD (MAD phase)
3mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 10mg QD (MAD phase)
10mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 30 mg QD (MAD phase)
30mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722
Experimental: RDX5791 100 mg QD (MAD phase)
100mg of RDX5791 administered once daily PO fasting
Other Names:
  • Tenapanor
  • AZD1722

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adverse events
Time Frame: 7 days
serum chemistry and hematology, ECGs, and clinical signs and symptoms
7 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pharmacokinetics of RDX5791
Time Frame: 7 days
blood levels of drug
7 days
Urinary and fecal sodium levels
Time Frame: 7 days
to assess the pharmacodynamics of RDX5791
7 days
Urinary and fecal phosphorus levels
Time Frame: 7 days
to assess the pharmacodynamics of RDX5791
7 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2010

Primary Completion (Actual)

March 1, 2011

Study Completion (Actual)

August 1, 2011

Study Registration Dates

First Submitted

June 7, 2016

First Submitted That Met QC Criteria

June 29, 2016

First Posted (Estimate)

June 30, 2016

Study Record Updates

Last Update Posted (Estimate)

June 30, 2016

Last Update Submitted That Met QC Criteria

June 29, 2016

Last Verified

June 1, 2016

More Information

Terms related to this study

Other Study ID Numbers

  • RDX5791-101

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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