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Viral InfectionPhase 1UVNCT02061358

Study to Determine the Safety, Tolerability and Pharmacokinetics of UV-4B Solution Administered Orally in Healthy Subjects

A Phase 1 study testing UV-4B 3 mg, UV-4B 10 mg and UV-4B 30 mg in people with Viral Infection, run by Emergent BioSolutions at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective is to evaluate the safety and tolerability of a single-ascending oral dose of UV-4B in healthy subjects and to determine pharmacokinetic parameters describing absorption and elimination following a single dose of UV-4B in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Viral Infection
What is being tested?
UV-4B 3 mg, UV-4B 10 mg and UV-4B 30 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
64 participants
Where
1 siteUnited States
Study dates
Jul 2014to Sep 2015
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy subjects
  • Women: non-pregnant, non-lactating; if of childbearing potential, on specified contraception measures during the study period
  • Men: using barrier contraception measures during the study period

Who cannot join

  • Health conditions
  • Taking prescription and non-prescription drugs (exceptions: acetaminophen, vitamins, hormonal birth control)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Quintiles, Inc

    Overland Park, Kansas, 66211

Other trials in United States

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Single-Ascending Dose Study to Determine the Safety, Tolerability and Pharmacokinetics of UV-4B Solution Administered Orally in Healthy Subjects

The objective is to evaluate the safety and tolerability of a single-ascending oral dose of UV-4B in healthy subjects and to determine pharmacokinetic parameters describing absorption and elimination following a single dose of UV-4B in healthy subjects.

Read the detailed description

The causative agent of dengue fever is Dengue Virus (DENV), a member of the flavivirus genus. There are four DENV serotypes. Infection with one serotype results in lifelong immunity against that serotype, but only limited short-term cross-protection from infection with the other serotypes. Immunity to one serotype has a downside as subsequent infections by other serotypes increase the risk of developing more severe forms of dengue, which includes the most lethal form of the disease, dengue hemorrhagic fever. Traditional epidemiologic and serologic-based estimates suggest a range of 50 to 100 million DENV infections per year distributed over 100 countries. Recent cartographic-based modeling studies suggest that up to 390 million of dengue infections per year, of which 96 million are associated with clinical symptoms.

Conditions
Viral Infection
Being tested
UV-4B 3 mg, UV-4B 10 mg, UV-4B 30 mg, UV-4B 90 mg, UV-4B 180 mg
Keywords
Dengue, Arbovirus Infections, Flaviviridae Infections, Flavivirus Infections, Hemorrhagic Fevers, Viral, RNA Virus Infections, Virus Diseases, Pharmaceutical Solutions, Pharmacologic Actions, Therapeutic Uses
Medical subject headings
Virus Diseases, Dengue, Arbovirus Infections, Flaviviridae Infections, Flavivirus Infections, Hemorrhagic Fevers, Viral, RNA Virus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • UV-4B 3 mgDrug

    Oral solution, single dose

  • UV-4B 10 mgDrug

    Oral solution, single dose

  • UV-4B 30 mgDrug

    Oral solution, single dose

  • UV-4B 90 mgDrug

    Oral solution, single dose

  • UV-4B 180 mgDrug

    Oral solution, single dose

  • UV-4B 360 mgDrug

    Oral solution, single dose

  • UV-4B 720 mgDrug

    Oral solution, single dose

  • UV-4B 1000 mgDrug

    Oral solution, single dose

  • PlaceboDrug

    Oral solution, single dose

Study groups in NCT02061358
Study groupRoleWhat they receive
Cohort 1 - 3 mg UV-4BExperimentalSubjects receiving UV-4B 3 mg oral solution or placebo
Receives: Drug: UV-4B 3 mg; Drug: Placebo
Cohort 2 - 10 mg UV-4BExperimentalSubjects receiving UV-4B 10 mg oral solution or placebo
Receives: Drug: UV-4B 10 mg; Drug: Placebo
Cohort 3- 30 mg UV-4BExperimentalSubjects receiving UV-4B 30 mg oral solution or placebo
Receives: Drug: UV-4B 30 mg; Drug: Placebo
Cohort 4 - 90 mg UV-4BExperimentalSubjects receiving UV-4B 90 mg oral solution or placebo
Receives: Drug: UV-4B 90 mg; Drug: Placebo
Cohort 5 - 180 mg UV-4BExperimentalSubjects receiving UV-4B 180 mg oral solution or placebo
Receives: Drug: UV-4B 180 mg; Drug: Placebo
Cohort 6 - 360 mg UV-4BExperimentalSubjects receiving UV-4B 360 mg oral solution or placebo
Receives: Drug: UV-4B 360 mg; Drug: Placebo
Cohort 7 - 720 mg UV-4BExperimentalSubjects receiving UV-4B 720 mg oral solution or placebo
Receives: Drug: UV-4B 720 mg; Drug: Placebo
Cohort 8 - 1000 mg UV-4BExperimentalSubjects receiving UV-4B 1000 mg oral solution or placebo
Receives: Drug: UV-4B 1000 mg; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Subjects With Treatment-emergent Adverse Event (TEAEs) by Treatment Group

    TEAEs are those AEs occurring only after administration of investigational product

    Measured: From time of the first dose administration through Day 9 ± 1

  2. Subjects With Serious Adverse Event (SAEs) by Treatment Group

    Subjects with AEs considered serious by the investigator

    Measured: From time of the first dose administration through Day 9 ± 1

  3. Number of Subjects With Vital Sign Values of Toxicity Grade 1 or Higher Postdose by Treatment Group (Safety Population)

    Number of subjects in a treatment group, who had a vital sign value of toxicity Grade 1 or higher: supine and standing systolic blood pressure (BP), supine and standing diastolic BP, supine and standing pulse rate, respiratory rate, and temperature

    Measured: From time of the first dose administration through Day 9 ± 1

  4. Number of Subjects With Electrocardiogram Outlier Values Postdose by Treatment Group

    Number of subjects in a treatment group with outlier ECG findings: QTcF (Fridericia's), PR, and QRS intervals

    Measured: From time of the first dose administration through Day 9 ± 1

  5. Number of Subjects With Clinical Laboratory Test Results of Toxicity Grade 1 or Higher at Day 9 by Treatment Group

    Number of subjects with Grade 1 toxicity or higher for hematology, coagulation, chemistry and urinalysis analytes. ULN=upper limit of normal; WBC=white blood cell count.

    Measured: Day 9 ± 1

Secondary outcomes (10)
  1. Cmax by Treatment Group: UV-4

    Cmax is the maximum plasma concentration, obtained directly from the observed concentration versus time data.

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  2. Tmax by Treatment Group: UV-4

    Tmax is the time of maximum concentration observed directly from the observed concentration versus time data.

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  3. AUC(0-last) by Treatment Group: UV-4

    AUC(0-last) is the area under the concentration-time curve from time zero (pre-dose) to time of last quantifiable concentration, calculated by linear up/log down trapezoidal summation.

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  4. AUC(0-inf) by Treatment Group: UV-4

    AUC(0-inf) is the area under the concentration-time curve in the sample from pre-dose extrapolated to infinite time, calculated by linear up/log down trapezoidal summation and extrapolated to infinity by addition of the last quantifiable concentration divided by the apparent terminal rate constant: AUC(0-last) - C(last)/λ(z).

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  5. CL/F by Treatment Group: UV-4

    CL/F is the apparent systematic clearance, calculated as dose (free-base equivalent) divided by AUC(0-inf).

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  6. Vz/F by Treatment Group: UV-4

    Vz/F is the apparent volume of distribution of UV-4 based on the terminal phase, calculated as dose (free-base equivalent) divided by [λ(z) × AUC(0-inf)].

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  7. t(1/2) by Treatment Group: UV-4

    t(1/2) is the apparent terminal half-life, determined as ln(2)/λ(z).

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

  8. Interval and Cumulative Amount (mg) of UV-4 Excreted in Urine, Ae, by Treatment Group

    Ae is the by-interval and cumulative amounts of UV-4 drug excreted in urine. Intervals were 0 to 6, 6 to 12, 12 to 24, and 24 to 48 hours postdose. Ae by-interval amounts were calculated as the product of urine volume and urine concentration. Ae(0-last) is the cumulative amount of UV-4 drug excreted in urine over the entire collection period, 48 hours. Cumulative amounts were calculated as the summation of the amounts excreted in collection intervals.

    Measured: Pooled urine samples were collected at predose (-12 to 0 hour), and from 0 to 6, 6 to 12, 12 to 24, and 24 to 48 hours postdose

  9. Interval and Cumulative Percent of UV-4 Excreted in Urine, fe, by Treatment Group

    fe is the by-interval percentage of UV-4 drug excreted in urine. Intervals were 0 to 6, 6 to 12, 12 to 24, and 24 to 48 hours postdose. fe = Ae/(UV-4B dose x 100). fe(0-12), fe(0-24) and fe(0-last) are the cumulative percentages of UV-4 drug excreted in urine over 24 hours and the entire collection period, respectively.

    Measured: Pooled urine samples were collected at predose (-12 to 0 hour), and from 0 to 6, 6 to 12, 12 to 24, and 24 to 48 hours postdose

  10. CLr by Treatment Group: UV-4

    CLr is the renal clearance, calculated at Ae(0-last) divided by AUC(0-last).

    Measured: Blood samples were collected at predose (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 9, 12, 18, 24, 36, and 48 hours postdose (1 hour window for predose)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2014 (estimated)
  2. Study startJul 2014
  3. Primary completionJul 2015
  4. Study completionSep 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02061358
Sponsor's protocol ID
DMID 13-0001
Other IDs
KQA71264, UV-DEN-0001
Acronym
UV
Status last verified
Mar 2024
First submitted
6 Feb 2014
Last updated
18 Mar 2024
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Callahan M, Treston AM, Lin G, Smith M, Kaufman B, Khaliq M, Evans DeWald L, Spurgers K, Warfield KL, Lowe P, Duchars M, Sampath A, Ramstedt U. Randomized single oral dose phase 1 study of safety, tolerability, and pharmacokinetics of Iminosugar UV-4 Hydrochloride (UV-4B) in healthy subjects. PLoS Negl Trop Dis. 2022 Aug 8;16(8):e0010636. doi: 10.1371/journal.pntd.0010636. eCollection 2022 Aug.

    PubMed 35939501

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing UV-4B 3 mg, UV-4B 10 mg and UV-4B 30 mg in people with Viral Infection, run by Emergent BioSolutions at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Sep 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Subjects With Treatment-emergent Adverse Event (TEAEs) by Treatment Group (time frame: From time of the first dose administration through Day 9 ± 1). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02061358, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Mar 2024.

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