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Teste de Fase I de um Medicamento Investigacional para Varíola

9 de setembro de 2026 atualizado por: SIGA Technologies

Um estudo exploratório randomizado, duplo-cego, cruzado, fase I da farmacocinética de uma dose oral única de cápsulas de forma I versus forma V do composto anti-ortopoxvírus ST-246® em voluntários saudáveis ​​alimentados

The purpose of this study was to evaluate the pharmacokinetic parameters and safety of a single dose of ST-246 400mg Form I versus ST-246 400mg Form V capsules in fed normal healthy volunteers.

Visão geral do estudo

Descrição detalhada

This was a Phase I, double-blind, cross-over, single-dose study of the orally administered anti-orthopoxvirus compound, ST-246, to 12 healthy, fed volunteers between the ages of 18 and 50 years. Subjects were randomized such that 6 subjects received either ST-246 Form I (monohydrate) followed 10 days later after a wash-out period by Form V (hemihydrate), and 6 subjects received ST-246 Form V followed by Form I, as for the previous group.

Both forms of ST-246 were similar in the way they were manufactured. The only difference between Form I and Form V may be related to how it dissolves, and this may affect the way that it is absorbed in the human body. Information about any side-effects that may occur will also be collected in this study.

Tipo de estudo

Intervencional

Inscrição (Real)

12

Estágio

  • Fase 1

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

    • Florida
      • Orlando, Florida, Estados Unidos, 32809
        • Orlando Clinical Research Center

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos a 50 anos (Adulto)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  1. 18 to 50 years
  2. Available for clinical follow-up duration of study.
  3. Able/willing to give written consent.
  4. Good general health; no clinically significant medical history.
  5. Refrain from taking any medications from screening through 72 hours after last dose.
  6. Adequate venous access.
  7. PE and lab results without clinically significant findings within 28 days prior to receipt of drug.
  8. Meet Lab Criteria within 28 days prior to receipt of drug.
  9. Negative pregnancy test
  10. Non smokers
  11. No alcohol or caffeine
  12. Participant or partner has undergone surgical sterilization, or the participant agrees either to be abstinent or use two non-hormonal methods of contraception for duration of the study

Exclusion Criteria:

  1. Marked baseline prolongation of QT/corrected QT interval (QTc) interval (

  2. History of additional risk factors for Torsade de Pointes

  3. Clinically significant abnormal ECG

  4. Personal history of cardiac disease, symptomatic or asymptomatic arrhythmias, syncopal episodes, or prolongation of the PR interval

  5. Family history of Sudden Cardiac Death not clearly due to acute myocardial infarction.

  6. History of any clinically significant conditions including:

    • Asthma
    • Diabetes mellitus
    • History of thyroidectomy or thyroid disease
    • Serious angioedema episodes
    • Head trauma resulting in a diagnosis of TBI other than concussion
    • Seizure or history of seizure
    • Bleeding disorder diagnosed by a doctor or significant bruising or bleeding difficulties with intramuscular injections or blood draws
    • Malignancy
  7. Family history of idiopathic seizures

  8. History or presence of neutropenia or other blood dyscrasia

  9. Known Hepatitis B or Hepatitis C infection

  10. Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome illness.

  11. Current or recent history of a clinically significant bacterial, fungal, or mycobacterial infection.

  12. Known clinically significant chronic viral infection (or current clinically significant viral infection

  13. History of frequent or severe headaches or migraines

  14. Known chronic bacterial, mycobacterial, fungal, parasitic, or protozoal infection

  15. Woman who is pregnant or is breast-feeding or planning to become pregnant

  16. On any concomitant medications

  17. History of drug allergy that, in the opinion of the PI, contraindicates participation in the trial.

  18. Inability to swallow medication

  19. Body Mass Index above 35 or below 18,

  20. Current drug abuse or alcohol abuse.

  21. Inability to refrain from physical exercise for a period of 24 hr before and after a PK day or refrain from consuming xanthines, grapefruit or grapefruit juice

  22. Clinically significant lactose intolerance

  23. Received experimental drug within 30 days

  24. Vaccination within 30 days

  25. Total of more than 350 milliliters (mL) of blood drawn in 2 months

  26. Treatment with any immunosuppressant or immunomodulatory medication in 3 months

  27. Any condition occupational reason or other responsibility that, in the judgment of the PI, would jeopardize the safety or rights of a subject participating in the trial or would render the subject unable to comply with the protocol

  28. History or diagnosis that would affect absorption of study medication

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição cruzada
  • Mascaramento: Triplo

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: Group ST-246 Form I (followed by Form V)

Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.

First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).

Outros nomes:
  • Tecovirimat

Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.

Outros nomes:
  • Tecovirimat
Comparador Ativo: Group ST-246 Form V (followed by Form I)

Each of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.

First Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).

Outros nomes:
  • Tecovirimat

Second Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.

Outros nomes:
  • Tecovirimat

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: t½
Prazo: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Mean terminal half-life (t½; hrs) for Forms I and V were calculated from [plasma] vs time profiles.

Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-τ
Prazo: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Area under the drug concentration-time curve from time zero to time t, where t is the last timepoint with a drug concentration ≥ lowest obtainable quantification (AUC0-τ; ng*hr/mL).

Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-∞
Prazo: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Area under the drug concentration-time curve from time zero to infinity (AUC0-∞; ng*hr/mL).

Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Cmax
Prazo: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Maximum drug concentration in plasma, determined directly from individual concentration-time data (Cmax)

Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs
Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Tmax
Prazo: Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Time to maximum plasma concentration(Tmax; hrs) for Forms I and V were calculated from [plasma] vs time profiles.

Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Number of Study Participants Who Tolerated a Single Dose of ST-246 Form I vs. Form V as Determined by No Clinically Significant Changes in Safety Parameters
Prazo: 4 weeks

Evaluated safety parameters included:

  1. physical examination/vital signs
  2. electrocardiograms (heart rate, PR interval, QRS duration, QT interval, and QTc Bazett)
  3. laboratory safety tests (hematology, chemistry, urinalysis)
  4. adverse events For a), b) and c), summary statistics (mean,SD, median, minm, maxm)for values, and changes from baseline(Day 1 pre-dose) to each timepoint, were measured and compared to laboratory normal reference ranges. Values for a)- d) were assigned grades according to DAIDS AE Grading Table. Any Grade of 3 or higher was considered severe and significant.
4 weeks

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Investigadores

  • Investigador principal: Thomas C Marbury, MD, Orlando Clinical Research Center

Publicações e links úteis

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Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de agosto de 2008

Conclusão Primária (Real)

1 de outubro de 2008

Conclusão do estudo (Real)

1 de outubro de 2008

Datas de inscrição no estudo

Enviado pela primeira vez

1 de agosto de 2008

Enviado pela primeira vez que atendeu aos critérios de CQ

5 de agosto de 2008

Primeira postagem (Estimado)

6 de agosto de 2008

Atualizações de registro de estudo

Última Atualização Postada (Real)

1 de outubro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

9 de setembro de 2026

Última verificação

1 de setembro de 2010

Mais Informações

Termos relacionados a este estudo

Outros números de identificação do estudo

  • SIGA-246-005
  • HHSN266200600014C (Número de outro subsídio/financiamento: NIAID)

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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