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Pharmacokinetics, Safety, and Tolerability of SYN-020

7 octobre 2021 mis à jour par: Synthetic Biologics Inc.

A Single Ascending Dose Trial to Assess the Pharmacokinetics, Safety, and Tolerability of Orally Administered SYN-020 Delayed Release Capsules in Healthy Subjects

This is a Phase 1, single-center, open-label, single ascending dose study to assess the PK, safety, and tolerability of SYN-020 delayed release capsules administered orally to healthy adult male and female subjects with a BMI of 18.5 to 27 kg/m2. Up to 36 subjects will participate, in each of up to 6 sequential cohorts. Single doses of 5, 15, 45, and 150 mg SYN-020 are planned in Cohorts 1 through 4, respectively. Cohorts 5 and 6, if enrolled, will receive doses that were well tolerated in an earlier cohort to determine the effect of BMI and/or a high-fat meal on the SYN-020 PK profile.

For each cohort, eligible subjects will be admitted to the clinic on Day -1, and receive study drug in the morning of Day 1. For PK analysis, blood and feces will be collected before dosing and for up to 96 hours (blood) or 120 hours (feces) after dosing. Subjects will be discharged from the clinic after the End of Study procedures are completed on Day 6.

Aperçu de l'étude

Statut

Complété

Description détaillée

Intestinal alkaline phosphatase (IAP) is a naturally occurring enzyme produced by the small intestine in all mammals, including humans, and is considered essential for promoting normal gastrointestinal (GI) function and maintaining proper gut homeostasis, as well as appearing to play a pivotal role in the mediation of inflammation.

SYN-020 is a recombinant bovine IAP isotype II being developed by Synthetic Biologics, Inc. to reduce the cumulative GI toxicity and inflammation that can be associated with repeat administration of radiation in patients with cancer.

This is a Phase 1, single-center, open-label, single ascending dose study to assess the PK, safety, and tolerability of SYN-020 delayed release capsules administered orally to healthy adult male and female subjects with a BMI of 18.5 to 27 kg/m2. Up to 36 subjects will participate, with 6 subjects (approximately equal numbers of male and females) in each of up to 6 sequential cohorts. Single doses of 5, 15, 45, and 150 mg SYN-020 are planned in Cohorts 1 through 4, respectively. Cohorts 5 and 6, if enrolled, will receive doses that were well tolerated in an earlier cohort to determine the effect of BMI and/or a high-fat meal on the SYN-020 PK profile, and will be described fully in a protocol amendment.

For each cohort, eligible subjects will be admitted to the clinical research unit (CRU) on Day -1, and subjects who remain eligible will, after a minimum 10-hour overnight fast, receive study drug in the morning of Day 1. For PK analysis, blood and feces will be collected before dosing and for up to 96 hours (blood) or 120 hours (feces) after dosing. Subjects will be discharged from the CRU after the End of Study (EOS) procedures are completed on Day 6.

Type d'étude

Interventionnel

Inscription (Réel)

24

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

    • Wisconsin
      • West Bend, Wisconsin, États-Unis, 53095
        • Spaulding Clinical Research LLC

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 50 ans (Adulte)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  1. Subject is able to read, write, and comprehend English at a sufficient level to understand study related materials, has provided written informed consent before any study-related procedure was performed, and is willing and able to comply with all testing and study requirements.
  2. Subject is a healthy male or female, aged 18 through 50 years, inclusive.
  3. Subject does not use any tobacco or nicotine product (eg, cigarette, pipe, e-cigarette, vape) and has not used any tobacco or nicotine product for at least 2 months before Day -1.
  4. Subject has a BMI of 18.5 to 27 kg/m2 for initial cohorts or, for exploratory cohorts, ≥ 27.1 kg/m2. For Cohorts 1 through 4, if insufficient subjects are available to meet this criterion, subjects with a BMI up to 29 kg/m2 may be included with written authorization from the Sponsor.
  5. Subject is healthy based on physical examination, clinical laboratory tests, 12-lead ECG, and vital signs.
  6. Subject is willing to minimize the risk of inducing pregnancy from the time of signing the informed consent form (ICF) to at least either 90 days (males) or 30 days (females) after the study drug dose.
  7. If female, subject has a negative serum pregnancy test at Screening and on Day -1 (CRU admission).
  8. Subject usually has at least 1 bowel movement a day based on self-reporting.

Exclusion Criteria:

  1. Subject has a history or the presence of clinically significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, vascular, metabolic, collagen, or psychiatric disease or any other condition that, in the opinion of the Investigator, would jeopardize the safety of the subject or the validity of the study results.
  2. Subject has any known malabsorption syndrome or history of gastrointestinal surgery that could compromise the study objectives.
  3. Subject has used any medication (prescription or non-prescription) or herbal supplement, other than prescription hormone replacement therapy (eg, thyroid, testosterone, estrogen) or contraception methods described in Inclusion Criterion #6, within 21 days before Day -1.
  4. Subject is pregnant, breastfeeding, or not using a medically accepted method of contraception.
  5. Subject is unable to abstain from artificial sweeteners (eg, aspartame, acesulfame potassium, advantame, saccharin, stevia, and sucralose) from CRU admission to the end of study participation.
  6. Subject has a positive urine drug or alcohol test at Screening or CRU admission OR has a history of drug/alcohol abuse within 12 months before Screening.
  7. Subject has donated more than 500 mL blood during the 3-month period before Day -1.
  8. Subject has known intolerance of study drug/ingredients.
  9. In the judgment of the Investigator, subject has any factor (eg, other treatment) that could invalidate the study result.
  10. Subject is currently enrolled in another clinical study or has received an investigational drug or device within 30 days or within a time period consistent with a washout period of 5 half-lives before signing the ICF, whichever is longer.
  11. Subject has already participated in this study.

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: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation séquentielle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: SYN-020, 5 mg
6 subjects to receive a single 5 mg dose of SYN-020
SYN-020, is an opaque, white, size 3 HPMC capsule for oral administration containing enteric-coated, delayed-release pellets.
Autres noms:
  • Intestinal Alkaline Phosphatase
Expérimental: SYN-020, 15 mg
6 subjects to receive a single 15 mg dose of SYN-020
SYN-020, is an opaque, white, size 3 HPMC capsule for oral administration containing enteric-coated, delayed-release pellets.
Autres noms:
  • Intestinal Alkaline Phosphatase
Expérimental: SYN-020, 45 mg
6 subjects to receive a single 45 mg dose of SYN-020
SYN-020, is an opaque, white, size 3 HPMC capsule for oral administration containing enteric-coated, delayed-release pellets.
Autres noms:
  • Intestinal Alkaline Phosphatase
Expérimental: SYN-020, 150 mg
6 subjects to receive a single 150 mg dose of SYN-020
SYN-020, is an opaque, white, size 3 HPMC capsule for oral administration containing enteric-coated, delayed-release pellets.
Autres noms:
  • Intestinal Alkaline Phosphatase

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
SYN-020 systemic absorption
Délai: Daily Day 1 through Day 5
Analysis of SYN-020 level present in blood
Daily Day 1 through Day 5
SYN-020 presence in feces
Délai: Daily Day -1 through Day 6
Analysis of SYN-020 level present in feces
Daily Day -1 through Day 6

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Percentage of Participants with Changes in Clinical Laboratory Testing
Délai: Day -1, Day 2, Day 6
Hematology, clinical chemistry, urinalysis, virus serology, drug screen, alcohol screen, pregnancy test, postmenopausal screen
Day -1, Day 2, Day 6
Number of Participants With Changes in Physical exam
Délai: Day 1 and Day 6
Complete and abbreviated physical examinations will be performed
Day 1 and Day 6
Number of Participants with Changes in Vital Signs
Délai: Daily Day -1 through Day 6
Blood pressure, pulse rate, respiratory rate, oral temperature
Daily Day -1 through Day 6
Number of Participants with Changes in Electrocardiograms
Délai: Day -1, Day 1, Day 2, Day 6
12-lead ECG, P-wave, QRS-complex, QT-interval
Day -1, Day 1, Day 2, Day 6
Immunogenicity testing
Délai: Day 1, Day 6
Measurement of anti-drug antibodies by ELISA
Day 1, Day 6

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette 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 (Réel)

22 mars 2021

Achèvement primaire (Réel)

18 mai 2021

Achèvement de l'étude (Réel)

30 septembre 2021

Dates d'inscription aux études

Première soumission

12 mars 2021

Première soumission répondant aux critères de contrôle qualité

22 mars 2021

Première publication (Réel)

25 mars 2021

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

15 octobre 2021

Dernière mise à jour soumise répondant aux critères de contrôle qualité

7 octobre 2021

Dernière vérification

1 mars 2021

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • SB-1-020-001

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

Non

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Oui

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

Essais cliniques sur SYN-020 delayed release capsule

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