Study to Compare the Pharmacokinetics of AC 1202 and Two Doses of AC-SD-01 on Ketone Body Production

A Phase 1, Pilot, Single-Dose, 3-Way Crossover Study to Compare the Pharmacokinetics of AC 1202 and Two Doses of AC-SD-01 on Ketone Body Production

To compare serum ketone body (i.e., total ketones, β hydroxybutyrate, and estimate of acetoacetate) levels after single dose administration of AC-1202 and 2 doses of AC-SD-01.

Study Overview

• Status: Completed
• Conditions: Healthy
• Intervention / Treatment: Drug: AC-1202; Drug: AC-SD-01 (50 g); Drug: AC-SD-01 (75 g)

• Study Type: Interventional
• Enrollment (Actual): 17
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Nebraska
    • Lincoln, Nebraska, United States, 68502
      • Celerion

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years to 55 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Male

Description

Inclusion Criteria:

1. Healthy, adult, male 19-55 years of age, inclusive, at screening.
2. Continuous non smoker who has not used nicotine containing products for at least 3 months prior to Day -1 of Period 1 and throughout the study.
3. Body mass index (BMI) ≥ 20.0 and ≤ 30.0 kg/m2 at screening.
4. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee. At screening, subjects must have alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) < the upper limit of normal and triglyceride levels must be < 250 mg/dL.
5. A non vasectomized subject must agree to use a condom with spermicide or abstain from sexual intercourse during the study. (No restrictions are required for a vasectomized male provided his vasectomy has been performed 4 months or more prior to Day -1 of Period 1. A subject who has been vasectomized less than 4 months prior to Day -1 of Period 1 must follow the same restrictions as a non vasectomized male).
6. Understands the study procedures in the informed consent form (ICF), and be willing and able to comply with the protocol.

Exclusion Criteria:

1. Subject is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
2. History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee.
3. History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
4. History or presence of alcoholism or drug abuse within the past 2 years prior to Day -1 of Period 1.
5. History or presence of galactosemia or hypersensitivity or idiosyncratic reaction to the study drugs, related compounds, milk, palm or coconut oil, or soy.
6. History or presence of diverticular disease, ulcers, inflammatory bowel disease or recurrent diarrhea or gout.
7. Positive urine drug or alcohol results at screening or check in.
8. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV).
9. Seated blood pressure is less than 90/40 mmHg or greater than 140/90 mmHg at screening.
10. Seated heart rate is lower than 40 bpm or higher than 99 bpm at screening.
11. QTcF interval is > 460 msec or subject has ECG findings deemed abnormal with clinical significance by the PI or designee at screening.
12. Estimated creatinine clearance ≤ 80 mL/min at screening.
13. Unable to refrain from or anticipates the use of any drug, including prescription and non prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to Day -1 of Period 1 and throughout the study. Acetaminophen (up to 2 g per 24 hour period) may be permitted during the study.
14. Has been on a diet incompatible with the on study diet, in the opinion of the PI or designee, within the 28 days prior to Day -1 of Period 1 and throughout the study.
15. Is lactose intolerant.
16. Is unable to complete the meal prior to Hour 0 on Day -1 of Period 1 and prior to dosing on Day 1 of Period 1.
17. Subject consumed grapefruit or Seville oranges within 14 days prior to Day -1 of Period 1.
18. Donation of blood or significant blood loss within 56 days prior to Day -1 of Period 1.
19. Plasma donation within 7 days prior to Day -1 of Period 1.
20. Participation in another clinical study within 28 days prior to Day -1 of Period 1. The 28 day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to Day -1 of Period 1 of the current study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: OTHER
• Allocation: RANDOMIZED
• Interventional Model: CROSSOVER
• Masking: NONE

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Group ABC; AC-1202, AC-SD-01 (50g), AC-SD-01 (75g)	Drug: AC-1202; 60 g AC-1202 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (50 g); 50 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (75 g); 75 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1
EXPERIMENTAL: Group BCA; AC-SD-01 (50g), AC-SD-01 (75g), AC-1202	Drug: AC-1202; 60 g AC-1202 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (50 g); 50 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (75 g); 75 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1
EXPERIMENTAL: Group CAB; AC-SD-01 (75g), AC-1202, AC-SD-01 (50g)	Drug: AC-1202; 60 g AC-1202 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (50 g); 50 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1; Drug: AC-SD-01 (75 g); 75 g AC-SD-01 mixed in 240 mL of water at Hour 0 Day 1

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
total ketones AUC0-t	The area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method.	0-24 hrs
total ketones AUC0-inf	The area under the concentration-time curve from time 0 extrapolated to infinity. AUC0-inf is calculated as the sum of AUC0-t plus the ratio of the last measurable serum concentration to the elimination rate constant.	0-24 hrs
total ketones AUC%extap	Percent of AUC0-inf extrapolated, represented as (1 - AUC0-t/AUC0-inf)*100	0-24 hrs
total ketones Cmax	Maximum observed concentration	0-24 hrs
total ketones Kel	Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the serum concentration versus time curve. The parameter will be calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase (e.g., there or more non-zero serum concentrations)	0-24 hrs
total ketones T 1/2	Apparent first-order terminal elimination half-life will be calculated as 0.693/Kel	0-24 hrs
total ketones Tmax	Time to reach Cmax. If the value occurs at more than one time points, Tmax is defined as the first time point with this value	0-24 hrs
β hydroxybutyrate AUC0-t	The area under the concentration-time curve, from time 0 to the last observed non-zero concentration, as calculated by the linear trapezoidal method.	0-24 hrs
β hydroxybutyrate AUC0-inf	The area under the concentration time curve from time 0 extrapolated to infinity. AUC0inf is calculated as the sum of AUC0t plus the ratio of the last measurable serum concentration to the elimination rate constant.	0-24 hrs
β hydroxybutyrate AUC%extap	Percent of AUC0-inf extrapolated, represented as (1 AUC0t/ AUC0inf)* 100	0-24 hrs
β hydroxybutyrate Cmax	Maximum observed concentration	0-24 hrs
β hydroxybutyrate Kel	Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the serum concentration versus time curve. The parameter will be calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase (e.g., three or more nonzero serum concentrations)	0-24 hrs
β hydroxybutyrate T 1/2	Apparent first-order terminal elimination half-life will be calculated as 0.693/Kel	0-24 hrs
β hydroxybutyrate Tmax	Time to reach Cmax. If the value occurs at more than one time point, Tmax is defined as the first time point with this value	0-24 hrs
estimate of acetoacetate AUC0-t	Difference between total ketones AUC0-t and total β hydroxybutyrate AUC0-t	0-24 hrs
estimate of acetoacetate AUC0-inf	Difference between total ketones AUC0-inf and total β hydroxybutyrate AUC0-inf	0-24 hrs
estimate of acetoacetate AUC%extap	Difference between total ketones AUC%extap and total β hydroxybutyrate AUC%extap	0-24 hrs
estimate of acetoacetate Cmax	Difference between total ketones Cmax and total β hydroxybutyrate Cmax	0-24 hrs
estimate of acetoacetate Kel	Difference between total ketones Kel and total β hydroxybutyrate Kel	0-24 hrs
estimate of acetoacetate T 1/2	Difference between total ketones T 1/2 and total β hydroxybutyrate T 1/2	0-24 hrs
estimate of acetoacetate Tmax	Difference between total ketones Tmax and total β hydroxybutyrate Tmax	0-24 hrs

Collaborators and Investigators

• Sponsor: Cerecin
• Collaborators: Celerion

Study record dates

Study Major Dates

• Study Start (ACTUAL): March 11, 2017
• Primary Completion (ACTUAL): April 7, 2017
• Study Completion (ACTUAL): May 5, 2017

Study Registration Dates

• First Submitted: February 21, 2017
• First Submitted That Met QC Criteria: February 23, 2017
• First Posted (ACTUAL): February 24, 2017

Study Record Updates

• Last Update Posted (ACTUAL): June 27, 2017
• Last Update Submitted That Met QC Criteria: June 26, 2017
• Last Verified: June 1, 2017

More Information

Terms related to this study

• Keywords: Healthy volunteer; AC-1202; AC-SD-01; Pharacokinetic; ketone body
• Other Study ID Numbers: AC-17-014_BE

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: Yes
• Studies a U.S. FDA-regulated device product: No