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Healthy VolunteersPhase 1NCT03954600

A Study to Assess the Safety, Tolerability and PK of NPT520-34 in Healthy Subjects

A Phase 1 study testing NPT520-34 (125 mg) in people with Healthy Volunteers, run by Neuropore Therapies Inc. 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

To evaluate the PK, safety and tolerability of orally administered NPT520-34 in healthy subjects at single and multiple doses that may be therapeutically relevant. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
NPT520-34 (125 mg)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
49 participants
Where
1 siteUnited States
Study dates
5 May 2019to 9 Oct 2019
Phase
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • informed of, and willing and able to comply with, all of the protocol requirements and the investigational nature of the study, and have signed an informed consent form in accordance with institutional and regulatory guidelines;
  • male or female adults between 18 and 55 years of age, inclusive;
  • female subjects must be of non-childbearing potential (i.e. post-menopausal for at least 2 years) or surgically sterile (hysterectomy, bilateral oophorectomy, tubal ligation) or nonsurgically sterile (hysteroscopic sterilization, i.e. Essure);
  • male subjects must be willing to use an adequate barrier method of contraception for the duration of the study and for 90 days after dosing and no sperm donations for the duration of the study and for 90 days after dosing. Male subjects who are surgically sterile (16 weeks post-surgery, or documented proof of Post-Vasectomy Semen Analysis (PVSA) with negative sperm results) need not employ a method of contraception;
  • non-smokers for at least six months;
  • BMI = 18.0 - 32.0 kg/m2 inclusive;
  • in good health, in the judgment of the Investigator, as determined by: 7a. medical history indicative of no serious or severe chronic conditions requiring frequent medical intervention or continual pharmacologic management, and no medical or social conditions that would potentially interfere with the subject's ability to comply with the study visit schedule or the study assessments; 7b. no clinically significant abnormalities in body temperature, heart rate, respiratory rate, blood pressure; 7c. no clinically significant abnormalities in the 12-lead electrocardiogram (ECG); 7d. no clinically significant abnormalities in clinical chemistry (ALT, AST, total bilirubin must be at or below the upper limit of normal and eGFR must be ≥ 90 mL/min), hematology (hemoglobin ≥ 11.5 g/dL for females and ≥ 13 g/dL for males), coagulation and urinalysis; lab tests may be repeated, if necessary (details are provided in the attached flow chart of study assessments).
  • negative results on the following screening laboratory tests: urine drug screen, urine alcohol screen, serum pregnancy test, hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus antibody.

Who cannot join

  • females of child bearing potential
  • history of a significant medical condition, including cholecystectomy or clinically significant GI tract resection, that may interfere with absorption, distribution or elimination of NPT520-34, or with the clinical and laboratory safety assessments in this study;
  • history of pre-existing thyroid abnormalities, such as hyper or hypothyroidism;
  • history of lactose intolerance;
  • history of drug hypersensitivity and disorders affecting respiratory function (e.g., COPD, asthma) and cardiac disorders predisposing to cardiac adverse events
  • history of or current alcohol abuse and/or other drug addiction < 2 years prior to screening, or a positive urine drug or alcohol screen (e.g., amphetamines, barbiturates, benzodiazepines, opiates, cannabinoids, alcohol and cocaine);
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  • positive for HBVsAg, HCV Ab, HIV Ab;
  • 12 lead ECG showing the following: having a corrected QTc interval > 450 msec or <340 msec (Fridericia's correction);
  • sustained supine systolic blood pressure > 140 or < 90 mm Hg or supine diastolic blood pressure > 90 or < 50 mm Hg at Screening or Day -1. The average of the 2 assessments of BP taken at each visit will be used to exclude a subject;
  • resting pulse rate at screening of > 100 or < 45.
  • donated or lost > 500 mL of blood < 56 days prior to enrollment into this study;
  • plasma donation within 7 days prior to enrollment into this study;
  • active infection or febrile illness < 14 days prior to the first dose of study medication;
  • use of prescription (including hormone replacement therapy) or over-the-counter medications or herbal supplements ≤ 14 days prior to dosing and until completion of follow-up visit on Day 7 for the SAD subjects and Day 21 for the MAD subjects;
  • excessive regular caffeine intake (>250 mg of caffeine per day);
  • have participated in other clinical studies of a new chemical entity within 30 days prior to admission to the CRU.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Celerion, Inc

    Tempe, Arizona, 85283

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Double-Blind, Single and Multiple Ascending Dose Trial of the Safety, Tolerability and Pharmacokinetics of NPT520-34 in Healthy Subjects

To evaluate the PK, safety and tolerability of orally administered NPT520-34 in healthy subjects at single and multiple doses that may be therapeutically relevant.

Being tested
NPT520-34 (125 mg), Placebos (125 mg)
Keywords
Phase 1, Safety, Tolerability, Pharmacokinetics, Parkinson's Disease, Amyotrophic Lateral Sclerosis
Medical subject headings
Parkinson Disease, Amyotrophic Lateral Sclerosis

What participants receive

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

  • NPT520-34 (125 mg)Drug

    NPT520-34, 125 mg oral capsules (size 1)

  • Placebos (125 mg)Drug

    Placebo, 125 mg oral capsules

Study groups in NCT03954600
Study groupRoleWhat they receive
NPT520-34 - SAD Cohort 1, Dose 1 (Unfed)OtherSingle ascending dose of orally administered capsule(s) NPT520-34: 125 mg OR Single dose of orally administered placebo capsule(s) to match dose. Unfed.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - SAD Cohort 1, Dose 1 (Fed)OtherSingle ascending dose of orally administered capsule(s) NPT520-34: 125 mg OR Single dose of orally administered placebo capsule(s) to match dose. Fed.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - SAD Cohort 2, Dose 2OtherSingle ascending dose of orally administered capsule(s) NPT520-34: 250 mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - SAD Cohort 3, Dose 3OtherSingle ascending dose of orally administered capsule(s) NPT520-34: 500 mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - SAD Cohort 4, Dose 4OtherSingle ascending dose of orally administered capsule(s) NPT520-34: 1000 mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - MAD Cohort 1, Dose 1OtherMultiple ascending dose of orally administered capsule(s) NPT520-34: TBD mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - MAD Cohort 2, Dose 2OtherMultiple ascending dose of orally administered capsule(s) NPT520-34: TBD mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)
NPT520-34 - MAD Cohort 3, Dose 3OtherMultiple ascending dose of orally administered capsule(s) NPT520-34: TBD mg OR Single dose of orally administered placebo capsule(s) to match dose.
Receives: Drug: NPT520-34 (125 mg); Drug: Placebos (125 mg)

What is being measured

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

  1. Safety/Tolerability of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    1. Incidence of clinically significant treatment-emergent changes in the following clinical measures: 1) physical examination, 2) suicidal ideation, 3) vital signs 4) continuous telemetry for 1 hour prior to dosing and for 2 hours post-dose, 5) continuous telemetry for 1 hour prior to dosing and for 2 hours post-dose.
    2. Incidence in clinical significant treatment-emergent changes in the following laboratory measures: 1) hematology, 2) clinical chemistry, 3) FSH (post-menopausal women only), 4) coagulation, 5) urinalysis
    3. Incidence of treatment-emergent adverse events
    4. Incidence of treatment-emergent serious adverse events

    Measured: Baseline, Day 1, 2 3, 5 and 7

  2. Maximum observed plasma concentration of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of maximum observed plasma concentration (Cmax);

    Measured: Day 1, 2, 3, 5, 7

  3. Time to maximum plasma concentration of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of time to maximum plasma concentration (Tmax);

    Measured: Day 1, 2, 3, 5, 7

  4. Area under the plasma concentration-time curve from 0 hour to the time of the last quantifiable plasma concentration of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of area under the plasma concentration-time curve from 0 hour to the time of the last quantifiable plasma concentration [AUCt];

    Measured: Day 1, 2, 3, 5, 7

  5. Area under the plasma concentration-time curve extrapolated to infinity of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of area under the plasma concentration-time curve extrapolated to infinity (AUCinf) after dosing

    Measured: Day 1, 2, 3, 5, 7

  6. Apparent oral clearance of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of apparent oral clearance (CL/F)

    Measured: Day 1, 2, 3, 5, 7

  7. Apparent oral volume of distribution during the terminal phase of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of apparent oral volume of distribution during the terminal phase (Vz/F)

    Measured: Day 1, 2, 3, 5, 7

  8. Mean residence time of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of mean residence time (MRT)

    Measured: Day 1, 2, 3, 5, 7

  9. Terminal elimination half-life of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    Noncompartmental calculation of terminal elimination half-life (T½);

    Measured: Day 1, 2, 3, 5, 7

  10. Safety/Tolerability as measures of hematology, clinical chemistry, FSH, coagulation and urinalysis of multiple ascending doses (250 mg and 500 mg)

    1. Incidence in clinical significant treatment-emergent changes in hematology
    2. Incidence in clinical significant treatment-emergent changes in clinical chemistry
    3. Incidence in clinical significant treatment-emergent changes in FSH (post-menopausal women only)
    4. Incidence in clinical significant treatment-emergent changes in coagulation
    5. Incidence in clinical significant treatment-emergent changes in urinalysis

    Measured: Baseline, Day 2, 4, 7, 11, 12, 13, 14, and 21

  11. Safety/Tolerability as measures of vital signs and physical examination of multiple ascending doses (250 mg and 500 mg)

    1. Incidence of clinically significant treatment-emergent changes in vital signs
    2. Incidence of clinically significant treatment-emergent changes in physical examination

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, 16, 18 Day 21

  12. Safety/Tolerability as measures of continuous telemetry of multiple ascending doses (250 mg and 500 mg)

    1. Incidence of clinically significant treatment-emergent changes in continuous telemetry

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, and 15

  13. Safety/Tolerability as measures of suicidal ideation, 12-lead ECG, adverse events and serious adverse events of multiple ascending doses (250 mg and 500 mg)

    1. Incidence in clinical significant treatment-emergent changes in suicidal ideation
    2. Incidence in clinical significant treatment-emergent changes in 12-lead ECG
    3. Incidence of treatment-emergent adverse events
    4. Incidence of treatment-emergent serious adverse events

    Measured: Baseline, Day 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18 Day 21

  14. Safety/Tolerability as measure of continuous ECG of Multiple Ascending Doses (250 mg and 500 mg)

    1. Incidence in clinical significant treatment-emergent changes in continuous ECG telemetry

    Measured: Baseline, Day 1, 7, and 14

  15. Maximum observed plasma concentration (Cmax) after dosing on Day 1 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of maximum observed plasma concentration (Cmax) after dosing on Day 1

    Measured: Baseline, Day 1 and 2

  16. Maximum observed concentration at steady-state after dosing on Day 14 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of maximum observed concentration at steady-state after dosing on Day 14

    Measured: Day 14

  17. Concentration observed at the end of the dosing interval of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of concentration observed at the end of the dosing interval (Ctrough)

    Measured: Day 14, 16, 18

  18. Time to max. plasma concentration after dosing on Day 1 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of time to max. plasma concentration after dosing on Day 1

    Measured: Day 1

  19. Time to reach Cmax,ss of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of time to reach Cmax,ss

    Measured: Day 14, 16, 18 and 21

  20. Area under the plasma concentration-time curve from 0 hour to the time of the last quantifiable plasma concentration of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of area under the plasma concentration-time curve from 0 hour to the time of the last quantifiable plasma concentration (AUCt)

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, 16, 18 and 21

  21. Area under the plasma concentration-time curve extrapolated to infinity after dosing of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of area under the plasma concentration-time curve extrapolated to infinity after dosing (AUCinf)

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, 16, 18 and 21

  22. Area under the concentration time curve from 0-24 hours after dosing on Day 1 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of the area under the concentration time curve from 0-24 hours after dosing on Day 1 (AUC0-24)

    Measured: Day 1

  23. The area under the concentration time curve during a dosing interval (tau) at steady state after dosing on Day 14 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of the area under the concentration time curve during a dosing interval (tau) at steady state after dosing on Day 14 (AUCtau)

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, 16, 18 and 21

  24. Apparent oral clearance of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of apparent oral clearance (CL/F)

    Measured: Day 1

  25. Apparent total plasma clearance after oral administration, calculated as Dose/AUCtau after dosing on Day 14 of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of apparent total plasma clearance after oral (extravascular) administration (CL,ss/F), calculated as Dose/AUCtau after dosing on Day 14

    Measured: Day 14

  26. Apparent oral volume of distribution during the terminal phase of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of apparent oral volume of distribution during the terminal phase (Vz/F)

    Measured: Day 14, 16, 18 and 21

  27. Mean residence time of Multiple Ascending Doses (250 mg, 500 mg)

    Noncompartmental calculation of mean residence time (MRT)

    Measured: Baseline, Day 1, 2, 7, 8, 9, 10, 11, 14, 16, 18 and 21

  28. Terminal elimination half-life of Multiple Ascending Doses (250 mg, 500 mg)

    Terminal elimination half-life

    Measured: Day 14, 16, 18 and 21

Secondary outcomes (2)
  1. Maximum Tolerated Dose of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg)

    1. 2/6 subjects assigned to NPT520-34 have SAEs or Grade ≥3 lab abnormalities, considered related to study drug B) 1/6 subjects assigned to NPT520-34 has liver function tests, which: 1) ALT or AST>3x ULN or bilirubin >1.5x ULN and related to study drug C) 1/6 subjects assigned to NPT520-34 have liver function tests, which: 1) ALT or AST>3x ULN or bilirubin>1.5x ULN and related to study drug D) 1/ 6 subjects assigned to NPT520-34 have kidney function tests, which: 1) eGFR<60 mL/min and relationship to study drug is considered related, 2) serum creatinine>2x above baseline and relationship to study drug is considered related E) 2/ 6 subjects assigned to NPT520-34 have kidney function tests, which: 1) eGFR<60 mL/min and related to study drug, 2) serum creatinine > 2x above baseline and related to study drug F) Any subject experiences a SAE related to study drug G) Further dose escalation poses inappropriate safety risk according to Sponsor/Investigator

    Measured: Day 1, 2, 3, 5, Day 7

  2. Maximum Tolerated Dose of Multiple Ascending Doses (250 mg and 500 mg)

    1. 2/6 subjects assigned to NPT520-34 have SAEs or Grade ≥3 lab abnormalities, considered related to study drug B) 1/6 subjects assigned to NPT520-34 has liver function tests, which: 1) ALT or AST>3x ULN or bilirubin >1.5x ULN and related to study drug C) 1/6 subjects assigned to NPT520-34 have liver function tests, which: 1) ALT or AST>3x ULN or bilirubin>1.5x ULN and related to study drug D) 1/ 6 subjects assigned to NPT520-34 have kidney function tests, which: 1) eGFR<60 mL/min and relationship to study drug is considered related, 2) serum creatinine>2x above baseline and relationship to study drug is considered related E) 2/ 6 subjects assigned to NPT520-34 have kidney function tests, which: 1) eGFR<60 mL/min and related to study drug, 2) serum creatinine > 2x above baseline and related to study drug F) Any subject experiences a SAE related to study drug G) Further dose escalation poses inappropriate safety risk according to Sponsor/Investigator

    Measured: Baseline, Day 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 16, 18 Day 21

Timeline

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

  1. First posted17 May 2019
  2. Study start5 May 2019
  3. Primary completion2 Oct 2019
  4. Study completion9 Oct 2019

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
49 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03954600
Sponsor's protocol ID
NPT520-34-001
Status last verified
May 2019
First submitted
8 May 2019
Last updated
13 Jan 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing NPT520-34 (125 mg) in people with Healthy Volunteers, run by Neuropore Therapies Inc. 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 8 inclusion and 16 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 13 Jan 2020. 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?

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?

Safety/Tolerability of Single Ascending Doses (125 mg, 250 mg, 500 mg and 1000 mg) (time frame: Baseline, Day 1, 2 3, 5 and 7). The study lists 28 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 13 Jan 2020.

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