Alzheimer DiseaseEarly Phase 1NCT03711825
Study to Evaluate Safety/Duration in Stomach of Extended Release Capsules Containing Memantine Hydrochloride in Healthy Adults
A Early Phase 1 study testing LYN-057, Imaging Assessment (MRI) and Imaging Assessment (U/S) in people with Alzheimer Disease and Gastric Retention, run by Lyndra Inc. at 1 site in Australia.
Trial summary
To assess how long memantine hydrochloride (HCl) (50 mg) extended release capsules stay in the stomach as determined by imaging assessment (MRI or abdominal ultrasound). To evaluate the safety of a memantine HCl extended release capsule formulation Read more about this study
- Who is it for?
- Ages 18 to 40 yearsHealthy volunteers can take part
- Conditions the study is for
- Alzheimer Disease, Gastric Retention, Healthy
- What is being tested?
- LYN-057, Imaging Assessment (MRI) and Imaging Assessment (U/S)
- Type of treatment
- Pill or oral medicine, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 8 participants
- Where
- 1 siteAustralia
- Study dates
- 10 Sep 2018to 13 Nov 2018
- Phase
- Early Phase 1
- Are there results?
- None posted in the registry
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 40 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy male and female subjects
- Body mass index of 18.0 to 30.0 kg/meters-squared
- Suitable scores for two swallowing questionnaires
- Demonstrate normal swallowing and gastrointestinal passage for capsule, as assessed while undergoing imaging studies
- Must provide written informed consent
Who cannot join
- Participants who have previously been enrolled in this study
- History of any drug or alcohol abuse in the past 2 years
- Current smokers and those who have smoked within the past 12 months
- Individuals with clinically significant medical history relating to the gastrointestinal tract and potential complications, thereof
- Individuals with a positive test for HIV, hepatitis B or hepatitis C
- Individuals who are contraindicated based on memantine HCl
Show all 11Show fewer
- Serious adverse reaction or serious hypersensitivity to components of the study formulation or patency capsule
- Individuals who have received any experimental agent within 30 days (or 5 half-lives), whichever is longer, prior to the date of dosing
- Individuals with contraindication to MRI imaging
- Individuals with functional constipation, irritable bowel, or functional diarrhea, as evaluated by standardized questionnaire
- Individuals with contraindications to elective X-ray based on known or expected radiation exposure
Trial locations and contacts
1 site in 1 country.
About this study
Official title: An Open Label Study to Evaluate the Safety and Gastric-Retentive Properties of Modified Release Capsules Containing Memantine Hydrochloride in Healthy Adults
To assess how long memantine hydrochloride (HCl) (50 mg) extended release capsules stay in the stomach as determined by imaging assessment (MRI or abdominal ultrasound).
To evaluate the safety of a memantine HCl extended release capsule formulation
Read the detailed description
This is a single centre, open label, single dose study in healthy adult subjects.
Eligible individuals will be admitted to an inpatient unit in two or more cohorts. Enough eligible individuals will be admitted allowing for the enrollment of the Sentinel (n= 2) and Main Group (total of n=8 in Main), and an optional Supplemental Group (n= 6), if required.
All enrolled subjects will be dosed with a single administration of an extended release capsule containing memantine hydrochloride (LYN-057), 50 mg. Dosing will be conducted in an inpatient clinical unit, with access to an acute care facility. Subjects will remain in the inpatient unit for 7 days after dosing. During this time, subjects will undergo intermittent imaging assessments for gastric retention [magnetic resonance imaging (MRI) and abdominal ultrasound (U/S)], safety assessments, blood sampling for evaluation of memantine pharmacokinetics (PK), and faecal collections for assessments of formulation components and bowel movement characteristics.
Subjects will return to the clinic for PK sampling and safety assessments on Days 10, 15, 22 and Day 29 (End of Study Visit). In addition, some subjects may continue to perform faecal collection and/or may undergo imaging assessments on Day 10 based on clinical criteria. On Day 29 (End of Study Visit), subjects will undergo final safety and PK assessments and will be discharged from the study.
- Conditions
- Alzheimer Disease, Gastric Retention, Healthy
- Being tested
- LYN-057, Imaging Assessment (MRI), Imaging Assessment (U/S)
- Medical subject headings
- Alzheimer Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LYN-057Drug
Also called LYN-057 (50 mg)
Administration of single dose of LYN-057 presented as extended release capsule containing 50 mg of memantine hydrochloride (HCl)
Imaging Assessment (MRI)Procedure or surgery
Also called MRI
Imaging assessments [MRI] will be performed on specified days according to protocol
Imaging Assessment (U/S)Procedure or surgery
Also called Abdominal Ultrasound
Imaging assessments (abdominal U/S) will be performed on specified days according to protocol
| Study group | Role | What they receive |
|---|---|---|
| Sentinel/Main | Experimental | Sentinel dosing of two subjects in clinic of LYN-057 (50 mg), followed by Main, i.e. remaining 6 subjects, for total of 8 subjects doses; followed by imaging assessment (MRI/abdominal U/S) Receives: Drug: LYN-057; Procedure: Imaging Assessment (MRI); Procedure: Imaging Assessment (U/S) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Gastric retention by imaging assessment by MRI
Visualization of formulation/formulation components in stomach by MRI
Measured: Up to 9 days post-dosing
Gastric retention by imaging assessment by abdominal U/S
Visualization of formulation/formulation components in stomach by abdominal U/S
Measured: Up to 9 days post-dosing
Safety and tolerability of a single dose of LYN-057 extended release capsule
Safety collected from a combination of the following: Adverse Event (AE) reporting and examinations specified per protocol
Measured: Through study completion, up to 3 months
Secondary outcomes (4)
Memantine HCl pharmacokinetics - Maximum Plasma Concentration (Cmax)
Memantine HCl pharmacokinetics - Cmax by validated assay
Measured: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Memantine HCl pharmacokinetics - Time after administration of maximum plasma concentration (Tmax)
Memantine HCl pharmacokinetics - Tmax by validated assay
Measured: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Memantine HCl pharmacokinetics - Area Under the Curve (AUC)
Memantine HCl pharmacokinetics - AUC by validated assay
Measured: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Physical features of recovered formulation components
Recording of the descriptive physical features, e.g. number of polymeric arms (if separate) or attached to the core, of formulation components recovered from collected fecal specimens
Measured: Through study completion, up to 29 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Oct 2018
- Study start10 Sep 2018
- Primary completion1 Oct 2018
- Study completion13 Nov 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Early Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 8 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lyndra Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Sepehr Shakib, MD, Principal investigator, CMAX
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03711825
- Sponsor's protocol ID
- LYN-057-C-002
- Other IDs
- ACTRN12618001426279, CM8718
- Status last verified
- Feb 2019
- First submitted
- 14 Oct 2018
- Last updated
- 26 Feb 2019
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label Study to Evaluate the Safety and Gastric-Retentive Properties of Modified Release Capsules Containing Memantine Hydrochloride in Healthy Adults
- ClinicalTrials.gov ID
- NCT03711825
- Acronym / sponsor ID
- LYN-057-C-002
- Conditions
- Alzheimer Disease, Gastric Retention, Healthy
- Phase
- Early Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 8 participants (actual)
- Lead sponsor
- Lyndra Inc.Industry (pharma, biotech, devices)
- Study start
- 10 Sep 2018 (actual)
- Primary completion
- 1 Oct 2018 (actual)
- Study completion
- 13 Nov 2018 (actual)
- First posted
- 19 Oct 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess how long memantine hydrochloride (HCl) (50 mg) extended release capsules stay in the stomach as determined by imaging assessment (MRI or abdominal ultrasound).
To evaluate the safety of a memantine HCl extended release capsule formulation
Detailed description
This is a single centre, open label, single dose study in healthy adult subjects.
Eligible individuals will be admitted to an inpatient unit in two or more cohorts. Enough eligible individuals will be admitted allowing for the enrollment of the Sentinel (n= 2) and Main Group (total of n=8 in Main), and an optional Supplemental Group (n= 6), if required.
All enrolled subjects will be dosed with a single administration of an extended release capsule containing memantine hydrochloride (LYN-057), 50 mg. Dosing will be conducted in an inpatient clinical unit, with access to an acute care facility. Subjects will remain in the inpatient unit for 7 days after dosing. During this time, subjects will undergo intermittent imaging assessments for gastric retention [magnetic resonance imaging (MRI) and abdominal ultrasound (U/S)], safety assessments, blood sampling for evaluation of memantine pharmacokinetics (PK), and faecal collections for assessments of formulation components and bowel movement characteristics.
Subjects will return to the clinic for PK sampling and safety assessments on Days 10, 15, 22 and Day 29 (End of Study Visit). In addition, some subjects may continue to perform faecal collection and/or may undergo imaging assessments on Day 10 based on clinical criteria. On Day 29 (End of Study Visit), subjects will undergo final safety and PK assessments and will be discharged from the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Sentinel/Main | Experimental | Drug: LYN-057, Procedure: Imaging Assessment (MRI), Procedure: Imaging Assessment (U/S)Sentinel dosing of two subjects in clinic of LYN-057 (50 mg), followed by Main, i.e. remaining 6 subjects, for total of 8 subjects doses; followed by imaging assessment (MRI/abdominal U/S) |
Who may qualify
- Ages
- 18 to 40 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Healthy male and female subjects
- Body mass index of 18.0 to 30.0 kg/meters-squared
- Suitable scores for two swallowing questionnaires
- Demonstrate normal swallowing and gastrointestinal passage for capsule, as assessed while undergoing imaging studies
- Must provide written informed consent
Key exclusion criteria (11 listed)
- Participants who have previously been enrolled in this study
- History of any drug or alcohol abuse in the past 2 years
- Current smokers and those who have smoked within the past 12 months
- Individuals with clinically significant medical history relating to the gastrointestinal tract and potential complications, thereof
- Individuals with a positive test for HIV, hepatitis B or hepatitis C
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LYN-057Also: LYN-057 (50 mg)Administration of single dose of LYN-057 presented as extended release capsule containing 50 mg of memantine hydrochloride (HCl) | Drug | Sentinel/Main |
| Imaging Assessment (MRI)Also: MRIImaging assessments [MRI] will be performed on specified days according to protocol | Procedure or surgery | Sentinel/Main |
| Imaging Assessment (U/S)Also: Abdominal UltrasoundImaging assessments (abdominal U/S) will be performed on specified days according to protocol | Procedure or surgery | Sentinel/Main |
Primary outcome
Gastric retention by imaging assessment by MRI
Time frame: Up to 9 days post-dosing
Visualization of formulation/formulation components in stomach by MRI
Gastric retention by imaging assessment by abdominal U/S
Time frame: Up to 9 days post-dosing
Visualization of formulation/formulation components in stomach by abdominal U/S
Safety and tolerability of a single dose of LYN-057 extended release capsule
Time frame: Through study completion, up to 3 months
Safety collected from a combination of the following: Adverse Event (AE) reporting and examinations specified per protocol
4 secondary outcomes
Memantine HCl pharmacokinetics - Maximum Plasma Concentration (Cmax)
Time frame: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Memantine HCl pharmacokinetics - Time after administration of maximum plasma concentration (Tmax)
Time frame: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Memantine HCl pharmacokinetics - Area Under the Curve (AUC)
Time frame: Pre-dose, on day of dosing at 2, 4, 6, 8 and 12 hours post-dosing, thereafter daily during inpatient stay through Day 8. After Day 8, PK sampling on Day 10, 15, 22 and 29.
Physical features of recovered formulation components
Time frame: Through study completion, up to 29 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2019.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sepehr Shakib, MD principal investigator
CMAX
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Early Phase 1 study testing LYN-057, Imaging Assessment (MRI) and Imaging Assessment (U/S) in people with Alzheimer Disease and Gastric Retention, run by Lyndra Inc. at 1 site in Australia.
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 5 inclusion and 11 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 26 Feb 2019. 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 Australia. 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?
Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Gastric retention by imaging assessment by MRI (time frame: Up to 9 days post-dosing). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 26 Feb 2019.