- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04265027
Bioavailability and Bioequivalence Between Two Active Pharmaceutical Ingredient (API) Sources of Opicapone (OPC)
An Open Label, Randomised, Two Period, Crossover Study to Assess Bioavailability, Bioequivalence and S COMT Activity Between Two Active Pharmaceutical Ingredient Sources of Opicapone at Two Different Dosage Strengths (50 mg and 25 mg) After Single and Multiple Dose Administrations Under Fasting Conditions in Healthy Volunteers.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The current study aims to compare the relative bioavailability and assess the bioequivalence and tolerability of 2 different sources of opicapone from test investigational medicinal product (IMP) (BIA 9 1067) and reference IMP (Ongentys®), at doses of 25 mg and 50 mg. This was an open label, randomised, 2 period, single and multiple dose, crossover, pharmacokinetic (PK), pharmacodynamic (PD) study in 2 groups of healthy male and female subjects.
The study comprised a pre-study screen, followed by 2 treatment periods (1 and 2) and a post-study follow-up.
Screening (Day 28 to Day 2): Screening assessments were carried out between 28 and 2 days before first administration of investigational medicinal product (IMP). Eligible subjects were asked to return for the treatment periods. Continued eligibility was confirmed pre dose during each treatment period.
Treatment Periods (Day 1 to Day 14): Eligible subjects received both of the following IMPs over 2 treatment periods (1 IMP/period). Subjects were dosed in 2 groups.
Each treatment period was approximately 15 days duration, from the morning before dosing (Day 1) until the morning of Day 14. During each treatment period, subjects arrived at the Clinical Unit on Day 1. Each IMP was administered once daily on the mornings of Day 1 (single dose) and Days 3 12 (multiple dose), fasted (after an overnight fast of at least 8 hours [h]) with 240 mL water and subjects were discharged on the morning of Day 14 (48 h post last dose). Safety was also evaluated throughout the study. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2.
Post Study: Post study assessments were conducted 7 to 14 days after subjects had been discharged from their final treatment period (or if early termination occurred).
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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-
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Merthyr Tydfil, United Kingdom, CF48 4DR
- Simbec Research Ltd
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A signed and dated informed consent form before any study specific screening procedure was performed;
- Healthy males and females between 18 and 55 years of age (inclusive);
- Non smoker or ex smokers for at least 3 months prior to screening;
- Body mass index (BMI) between 18 and 30 kg/m2, inclusive;
- No clinically significant (CS) history of allergy / sensitivity to BIA 9 1067/OPC or any of the excipients contained within the IMP(s);
- Negative tests for hepatitis B surface antigen (HBsAg), hepatitis C virus antibodies (anti HCV Ab) and anti human immunodeficiency virus antibodies (anti HIV 1 and HIV 2) at screening;
- Negative screen for alcohol, cotinine and drugs of abuse at screening and on admission for each treatment period;
- Healthy as determined by the Investigator based on medical history, physical examination, vital signs (systolic blood pressure ≥ 90 mmHg and ≤ 140 mmHg, diastolic blood pressure ≥ 50 mmHg and ≤ 90 mmHg) and digital 12 lead ECG (PR Interval ≥ 120 msec and ≤ 220 msec, QRS width ≥ 70 msec and ≤ 120 msec, QT interval corrected for heart rate using Bazett's formula [QTcB] 350 450 msec);
Clinical laboratory test results clinically acceptable at screening and admission to each treatment period;
If male:
- Male subjects and female partner willing to use 2 effective methods of contraception, i.e., established method of contraception and condom, if applicable (unless anatomically sterile or where abstaining from sexual intercourse was in line with the preferred and usual lifestyle of the subject) from first dose until 3 months after last dose of IMP;
Refrained from donating sperm throughout the study and for 3 months after the last dose of IMP;
If female:
- Were of non childbearing potential by reason of surgery or at least 1 year post menopause (i.e., 12 months post last menstrual period), or menopause confirmed by follicle stimulating hormone (FSH) testing;
- Were of childbearing potential, using an effective non hormonal method of contraception (intrauterine device; condom or occlusive cap [diaphragm or cervical or vault caps] with spermicidal foam or gel or film or cream or suppository; true abstinence; or vasectomised male partner, provided that he was the sole partner of that subject) for all the duration of the study and for 3 months after the last dose of IMP;
- Negative serum pregnancy test at screening and negative urine pregnancy test on admission of each treatment period).
Exclusion Criteria:
Any personal or family history of haemostatic disorder; 2. Consumption of more than 21 units (14 units for female subjects) of alcohol a week (1 unit corresponds to 1 glass of 12% wine [10 cL], 1 glass of 40% whisky [2.5 cL], 1 glass of 12% champagne [10 cL], 1 glass of 18% aperitif drink [7 cL] or 1 glass of 5% beer [25 cL]); 3. Use of nicotine replacement products such as patches, gum and/or electronic cigarettes within 3 months prior to the screening visit; 4. Significant infection or known inflammatory process at screening or admission to each treatment period; 5. Acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period; 6. Symptomatic orthostatic hypotension (drop of > 20 mmHg in systolic blood pressure and/or > 10 mmHg in diastolic blood pressure) when moving from supine to standing position, together with other symptoms, e.g., dizziness; 7. Previous use of BIA 9 1067; 8. Use of any investigational drug or participation in any clinical study within 90 days or within 5 t1/2, whichever was longer; 9. Participation in more than 3 clinical trials within the 12 months prior to screening; 10. Donation (450 mL or more) or reception of any blood or blood products within the 3 months prior to screening; 11. Vegans, vegetarians or other dietary restrictions (e.g., restrictions for medical, religious or cultural reasons); 12. Unable to communicate reliably with the Investigator; 13. Unlikely to co operate with the requirements of the study; 14. Use of medicines within 28 days (or 5 t1/2 [whichever was longer]) of initiation of treatment intake i.e., use of any prohibited medications or use of any medicine which, in the opinion of the Investigator, may have affected subject safety or study assessments; 15. Clinically relevant history or presence of respiratory, gastrointestinal, hepatic, renal, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders; 16. Clinically relevant surgical history that could have interfered with the PK of the study medications; 17. No medication was permitted throughout the study, except for medications to treat AEs.
18. An abnormal hepatic function based on an overall assessment by the Investigator regarding medical history, physical examination and laboratory tests of hepatic function (alanine aminotransferase [ALT] > 1 x the upper limit of normal [ULN], aspartate aminotransferase [AST] > 1 x the ULN and total bilirubin > 1.5 x the ULN [confirmed by subsequent repeat testing]), as judged by the Chief Investigator. If a laboratory assessment was outside of the reference range at the local laboratory at the screening visit or at baseline, the assessment could have been repeated once, as soon as possible, and in any case before enrolment to rule out laboratory error; 19. Any clinically relevant findings in the laboratory tests, including any abnormality in the coagulation tests; 20. History of alcoholism or drug abuse; 21. Females pregnant or breastfeeding at screening; 22. Subjects with clinically relevant neurologic or psychiatric illness (including psychotic events like hallucinations); 23. Subjects with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose galactose malabsorption.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 1 (50 mg Dose)
Test IMP: 50 mg BIA 9 1067 and Reference IMP: 50 mg Ongentys. The IMPs were administered fasted (after an overnight fast of at least 8 h) with 240 mL water once daily on Days 1 and Days 3 to 12. Subjects remained fasted and sitting upright for at least 4 h after dose. No fluids (apart from water taken with dose) were allowed from 1 h prior to dosing until 1 h afterwards. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2. |
Hard Capsule; Oral
Other Names:
Hard Capsule; Oral
Other Names:
|
Experimental: Group 2 (25 mg Dose)
Test IMP: 25 mg BIA9 1067 and Reference IMP: 25 mg Ongentys. The IMPs were administered fasted (after an overnight fast of at least 8 h) with 240 mL water once daily on Days 1 and Days 3 to 12. Subjects remained fasted and sitting upright for at least 4 h after dose. No fluids (apart from water taken with dose) were allowed from 1 h prior to dosing until 1 h afterwards. There were at least 14 days between the last dose of treatment period 1 and the first dose of treatment period 2. |
Hard Capsule; Oral
Other Names:
Hard Capsule; Oral
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum observed plasma OPC concentration following a single dose (Cmax) - (ng/mL)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacokinetic parameters for the analysis of Bioequivalence
|
Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
Area under the plasma concentration versus time curve (AUC) from the time of dosing to the time of last measurable concentration (AUC0-t) - (h*ng/mL)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacokinetic parameters for the analysis of Bioequivalence
|
Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
AUC extrapolated to infinity (AUC0-inf) - (h*ng/mL)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacokinetic parameters for the analysis of Bioequivalence
|
Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
Maximum observed plasma OPC concentration at steady state (Cmax,ss) - (ng/mL)
Time Frame: Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacokinetic parameters for the analysis of Bioequivalence
|
Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
AUC from the time of dosing to 24 h (dosing interval) at steady state (AUC0 tau) - (h*ng/mL)
Time Frame: Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacokinetic parameters for the analysis of Bioequivalence
|
Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum S COMT inhibition, expressed as a (%) (Emax)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
pharmacodynamic parameters for analysis of S-COMT
|
Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours)
|
Area under the S COMT % inhibition time curve, from the time of dosing to 24 h (AUEC24 - COMT inhib) - (%.h)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours
|
pharmacodynamic parameters for analysis of S-COMT
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Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours
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Area under the S COMT activity (pmol/mg Hb/h) time curve, from the time of dosing to 24 h (AUEC24 - COMT activ) - ((pmol MN/mg Hb/h).h)
Time Frame: Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours
|
pharmacodynamic parameters for analysis of S-COMT
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Day 1 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours), Day 12 Day 12 (Pre-dose, 0.5 hours, 1 hours, 2-18 hours
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Parkinson Disease
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antiparkinson Agents
- Anti-Dyskinesia Agents
- Catechol O-Methyltransferase Inhibitors
- Opicapone
Other Study ID Numbers
- BIA-91067-131
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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