- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05572255
A Randomized, Open-label, Three-way Crossover Study to Evaluate the Relative Bioavailability of 200 mg Cenobamate Administered Orally
May 9, 2023 updated by: SK Life Science, Inc.
A Randomized, Open-label, Three-way Crossover Study to Evaluate the Relative Bioavailability of 200 mg Cenobamate Administered Orally as a Crushed Tablet or a Crushed Tablet Via a Naso-gastric Tube Compared With an Intact 200 mg Cenobamate Tablet
This study is a phase 1, randomized, open-label, single center, single-dose, 6-sequence, 3-period, 3-treatment crossover study in healthy adult male and female subjects to assess: the relative bioavailability of a crushed 200 mg, intact (whole) 200 mg and crushed 200 mg tablet via NG tube of cenobamate.
All treatments will be administered under fasting conditions.
Study Overview
Detailed Description
This study is a phase 1, randomized, open-label, single center, single-dose, 6-sequence, 3- period, 3-treatment crossover study in healthy adult male and female subjects to assess: the relative bioavailability of a crushed 200 mg cenobamate table in suspension administrated orally (Treatment B, Test 1) compared to an intact (whole) 200 mg cenobamate tablet administered orally (Treatment A, Reference), and the relative bioavailability of a crushed 200 mg cenobamate tablet in suspension administered via an NG tube (Treatment C, Test 2) versus an intact (whole) 200 mg cenobamate tablet (Treatment A, Reference).
All treatments will be administered under fasting conditions.
Study Type
Interventional
Enrollment (Actual)
24
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Associate Director
- Phone Number: 2014213878
- Email: dbonhomme@sklsi.com
Study Contact Backup
- Name: Shashank Rohatagi
- Email: srohatagi@sklsi.com
Study Locations
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-
Texas
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San Antonio, Texas, United States, 78217
- Worldwide Clinical Trials
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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
16 years to 48 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Male or female subjects of 18 to 50 years of age (inclusive), at the time of screening
- Able to read, understand, sign, and date a written informed consent form (ICF) before study participation at screening
- Agree to use effective methods of contraception as described
- Body mass index (BMI) between 18.5 and 30.0 kg/m2 (inclusive) at screening
- In good health on the basis of medical history, physical examination, and routine laboratory measurements (i.e., without clinically relevant pathology)
- Electrocardiogram (ECG) (12-lead), arterial blood pressure, and heart rate within the normal range of the study center or considered not clinically significant by the Investigator.
- Able to understand and comply with protocol requirements and instructions and likely to complete the study as planned
- Females of non-childbearing potential who have undergone a surgical sterilization procedure at least 6 months prior to dosing with official documentation (e.g., bilateral tubal ligation or bilateral salpingectomy or hysterectomy), or be postmenopausal with amenorrhea for at least 1 year prior to dosing and follicle-stimulating hormone (FSH) serum levels consistent with postmenopausal status as per Principal Investigator's judgment
Exclusion Criteria:
- Clinically relevant abnormal medical history, abnormal findings on physical examination, vital signs, ECG, or laboratory tests at Screening that the Investigator judges as likely to interfere with the objectives of the trial or the safety of the volunteer.
- History of nasal obstructions or nasal allergies
- Smokers, including vaping (subjects who have smoked within 6 months at screening)
- History of any drug related hypersensitivity reactions as well as severe hypersensitivity reactions (like angioedema) or DRESS as evaluated by the Investigator
- Cholecystectomy and/or surgery of the gastrointestinal tract that could interfere with pharmacokinetics of the study drug (except appendectomy and simple hernia repair)
- Any prescribed or over-the-counter medication taken within 2 weeks prior to start of administration of study drug (Day 1) or within 6 times the elimination half-life of the prescribed or over-the-counter medication prior to start of study drug intake (whichever is longer). Occasional use of acetaminophen is allowed up until 24 hours before dosing
- Consumption of herbal medications, dietary supplements, and specific fruit products. Subjects should have stopped consumption of herbal medications or dietary supplements (e.g., St. John's Wort, ginkgo biloba, and garlic supplements), and grapefruit or grapefruit juice, or Seville oranges at least 2 weeks before the first dosing day of study drug. Vitamins/mineral supplements are allowed up until 24 hours before dosing
- History of drug or alcohol abuse or addiction within 2 years before the start of study drug dosing, or a positive test results for alcohol or drugs of abuse, such as amphetamine, barbiturate, benzodiazepine, cocaine, methadone, opiates, oxycodone, phencyclidine, propoxyphene, cannabinoid (THC), MDMA (Ecstasy), cotinine, and tricyclic antidepressant (TCA)
- Regular consumption of more than 2 units of alcoholic beverages per day or more than 14 units per week (1 unit of alcohol equals 1 pint [473 mL] of beer or lager, 1 glass [125 mL] of wine, 25 mL shot of 40% spirit) before screening
- Consumption of an average of more than 5 servings (8 ounces per serving) per day of coffee, cola, or other caffeinated or methyl xanthine beverages before screening
- Consumption of any caffeine- or methyl xanthine-containing products (e.g., coffee, tea, chocolate, or soda) or alcoholic beverages within 48 hours prior to Day 1 of each period and until the end of each PK sampling period
- Participation in a clinical study involving administration of either an investigational or a marketed drug within 2 months or 7 half-lives (whichever is longer) before screening
- Blood donation or a significant loss of blood within 60 days of the start of study drug dosing or donation of more than 1 unit of plasma within 7 days before screening
- Positive result at screening for any of the following infectious disease tests: hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab), human immunodeficiency virus antigen and antibody (HIV Ag, HIV Ab)
- Illness within 5 days before the start of study drug dosing ("illness" is defined as an acute [serious or non-serious] condition [e.g., the flu or the common cold])
- History of any known relevant allergy/hypersensitivity (including allergy to the trial medication or its excipients)
- History of Familial Short QT syndrome
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: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment A (Reference)
An intact 200 mg cenobamate tablet administered orally.
|
200 mg Cenobamate Tablet
Other Names:
|
Experimental: Treatment B (Test 1)
A crushed 200 mg cenobamate tablet in suspension administrated orally.
|
200 mg Cenobamate Tablet
Other Names:
|
Experimental: Treatment C (Test 2)
A crushed 200 mg cenobamate tablet in suspension administered via an NG tube
|
200 mg Cenobamate Tablet
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cmax
Time Frame: up to 38 days
|
Maximum observed plasma concentration
|
up to 38 days
|
AUClast
Time Frame: up to 38 days
|
AUC from the time 0 to the time of last measurable concentration
|
up to 38 days
|
AUCinf (AUC0-inf)
Time Frame: up to 38 days
|
AUC from time 0 extrapolated to infinity
|
up to 38 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety and Tolerability - Adverse Events
Time Frame: up to 45 days
|
Number of participants with adverse events (AEs)
|
up to 45 days
|
Safety and Tolerability - Clinical Laboratory Tests
Time Frame: up to 45 days
|
Number of participants with clinical laboratory tests including clinical chemistry, hematology, coagulation, and urinalysis.
|
up to 45 days
|
Safety and Tolerability - Vitals Signs
Time Frame: up to 45 days
|
Number of participants with vitals signs including systolic and diastolic blood pressure, pulse rate, respiratory rate, and body temperature
|
up to 45 days
|
Safety and Tolerability - Physical Examination
Time Frame: up to 45 days
|
Number of participants with physical examination
|
up to 45 days
|
Safety and Tolerability - ECG
Time Frame: up to 45 days
|
Number of participants with ECG QT and RR Intervals
|
up to 45 days
|
Safety and Tolerability - Columbia Suicide Severity Rating Scale
Time Frame: up to 45 days
|
Number of participants with Columbia Suicide Severity Rating Scale
|
up to 45 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Vijaykumar Vashi, SKLSI
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 (Actual)
September 27, 2022
Primary Completion (Actual)
January 28, 2023
Study Completion (Actual)
January 28, 2023
Study Registration Dates
First Submitted
September 30, 2022
First Submitted That Met QC Criteria
October 6, 2022
First Posted (Actual)
October 7, 2022
Study Record Updates
Last Update Posted (Actual)
May 10, 2023
Last Update Submitted That Met QC Criteria
May 9, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- YKP3089C045
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
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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