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Multiple Ascending-Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of BMS-933043 in Healthy Subjects

26 juin 2014 mis à jour par: Bristol-Myers Squibb

Placebo-Controlled, Multiple Ascending-Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of BMS-933043

Includes a placebo-controlled sequential, ascending multiple-dose panels (10 panels, 8 ascending doses, and 2 fixed Japanese Panels exploring safety, tolerability, and Pharmacokinetic (PK) measures

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Réel)

115

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • New York
      • New York, New York, États-Unis, 10019
        • Clinilabs, Inc.

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 55 ans (Adulte)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Healthy subjects as determined by no clinically significant deviation from normal medical history, physical examination, ECGs and clinical laboratory determinations
  • Body Mass Index (BMI) of 18 to 30 kg/m2, inclusive. BMI = weight (kg)/ [height (m)]2
  • Normal Neurological Exam (LP subjects only: to rule out focal CNS lesions that would render LP unsafe)
  • Men and women, ages 18 to 55 years, inclusive.
  • Women who are not of childbearing potential (WOCBP) [ie, who are postmenopausal or surgically sterile] and men
  • Women must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG) within 24 hours prior to the start of investigational product.
  • Women must not be breastfeeding
  • Sexually active fertile men must use effective birth control if their partners are WOCBP throughout the study and for 90 days after last dose

Exclusion Criteria:

  • Any significant acute or chronic medical illness
  • Current or recent (within 3 months of study drug administration) gastrointestinal disease
  • Any major surgery within 4 weeks of study drug administration
  • Any gastrointestinal surgery that could impact upon the absorption of study drug
  • Donation of blood or plasma to a blood bank or in a clinical study (except a screening visit) within 4 weeks of study drug administration
  • Blood transfusion within 4 weeks of study drug administration
  • Inability to tolerate oral medication
  • Inability to be venipunctured and/or tolerate venous access
  • Smoking more than 1 cigarette/cigar per week, within 3 months prior to screening
  • Regular daily use of nicotine products or Varenicline (Chantix® or Champix®) within 3 months prior to screening
  • Recent (within 6 months of study drug administration) drug or alcohol abuse as defined in Diagnostic and Statistical Manual of Mental Disorders (4th Edition) [DSM IV], Diagnostic Criteria for Drug and Alcohol Abuse
  • History of cardiac arrhythmias, or palpitations associated with presyncope or syncope or history of unexplained syncope

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Science basique
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Quadruple

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Panel 1:BMS-933043(2mg)/Placebo+Antacid Buffer Solution

BMS-933043 2 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 2:BMS-933043(5mg)/Placebo+Antacid Buffer Solution

BMS-933043 5 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 3:BMS-933043(10mg)/Placebo+Antacid Buffer Solution

BMS-933043 10 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 4:BMS-933043(25mg)/Placebo+Antacid Buffer Solution

BMS-933043 25 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 5:BMS-933043(50mg)/Placebo+Antacid Buffer Solution

BMS-933043 50 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

CSF sampling required

Expérimental: Panel 6:BMS-933043(100mg)/Placebo+Antacid Buffer Solution

BMS-933043 100 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 7:BMS-933043(200mg)/Placebo+Antacid Buffer Solution

BMS-933043 200 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 8:BMS-933043(25mg)/Placebo+Antacid Buffer Predose

MAD Phase: Japanese Subjects. Cerebrospinal fluid (CSF) sampling not required

BMS-933043 25 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 9:BMS-933043(200mg)/Placebo+Antacid Buffer Predose

Japanese Subjects. CSF sampling not required.

BMS-933043 200 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: Panel 10:BMS-933043(350mg)/Placebo+Antacid Buffer Predose

BMS-933043 350 mg solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Expérimental: CSF Panel:BMS-933043(MTD)/Placebo+Antacid Buffer Predose

If Panel 5 does not run. CSF Sampling at steady state

BMS-933043 maximum tolerated dose (MTD), solution by mouth twice daily for 10 days

OR

Placebo matching with BMS-933043 0 mg solution by mouth twice daily for 10 days

Antacid Buffer Predose 150 mL solution by mouth twice daily for 10 days

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Safety and tolerability of multiple oral doses of BMS-933043 in healthy subjects measured by AEs, Vital signs, clinical laboratory test results, physical examination findings, neurological examination findings and electrocardiogram (ECG) parameters
Délai: Up to Day 26 of Follow-up
AEs = Adverse Events
Up to Day 26 of Follow-up

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Maximum observed plasma concentration (Cmax)
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Time of maximum observed plasma concentration (Tmax)
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Area under the concentration-time curve in one dosing interval [AUC(TAU)]
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Plasma half-life (T-HALF)
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Trough observed plasma concentration (Cmin) between dose interval
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Volume of distribution at steady-state (VSS/F) of BMS-933043
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Accumulation index (AI): ratio of AUC(TAU) at steady-state to AUC(TAU) after the first dose
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Ratio of metabolite AUC(TAU) to parent AUC(TAU), corrected for molecular weight [MR AUC(tau)]
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Ratio of metabolite Cmax to parent Cmax, corrected for molecular weight [MR Cmax]
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
PK of BMS-933043, BMS-941651, BMS-972869 and BMS-610999 will be derived from plasma concentration versus time and urinary excretion data
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
CSF penetration of BMS-933043
Délai: Day 8
Cerebral Spinal Fluid (CSF) will be analyzed for drug levels to confirm adequate central nervous system (CNS) penetration (>2 nM is required) and to estimate the brain/plasma ratio in humans
Day 8
Effect of BMS-933043 on ECG intervals and to explore the relationship between plasma exposure and ECG intervals
Délai: Baseline (Day -2), Day 1, Day 6 and Day 10
The effects of BMS-933043 on ECG parameters (heart rate, QTcF, PR, and QRS) will be explored graphically and by summary statistics. Absolute levels, as well as changes from baseline, will be summarized and plotted versus time by treatment and day for each ECG parameter. Frequency distributions for subjects' maximum values will be provided by treatment. The relationships between ECG parameters and BMS-933043 concentrations may be explored using scatter plots and the relationship between the change from baseline in QTcF and the BMS-933043 concentration may be estimated
Baseline (Day -2), Day 1, Day 6 and Day 10
Safety and tolerability of multiple oral doses of BMS-9333043 in Japanese healthy subjects is measured by AEs, Vital signs, clinical laboratory test results, physical examination findings, neurological examination findings and ECG parameters
Délai: Up to 6 months
Up to 6 months
Effect of ethnicity (Japanese versus non-Japanese) on PK of BMS-933043 will be assessed graphically and by point estimates and 90% confidence intervals for geometric mean ratio for Cmax using data from subjects receiving the same dose of BMS-933043
Délai: Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12
Day 1, Day 3, Day 6, Day 9, Day 10, Day 11 and Day 12

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 juillet 2012

Achèvement primaire (Réel)

1 décembre 2013

Achèvement de l'étude (Réel)

1 décembre 2013

Dates d'inscription aux études

Première soumission

23 mai 2012

Première soumission répondant aux critères de contrôle qualité

24 mai 2012

Première publication (Estimation)

25 mai 2012

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

27 juin 2014

Dernière mise à jour soumise répondant aux critères de contrôle qualité

26 juin 2014

Dernière vérification

1 juin 2014

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • CN171-002

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