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HealthyPhase 1NCT04243083

A Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Study of TLL018, With Food Effect, in Healthy Participants

A Phase 1 study of Healthy, run by TLL Pharmaceutical, LLC 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

TLL018 is developed for treatment of autoimmune and inflammatory diseases including rheumatoid arthritis. The purposes of this study are (1) determining if and at what doses TLL018 is safe and can be tolerated when administered to humans, (2) assessing what TLL018 does to the body and how the body responds to TLL018… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteUnited States
Study dates
26 Jan 2020to 31 Jan 2021
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

  • Are capable of giving informed consent and complying with study procedures;
  • Are between the ages of 18 and 55 years, inclusive;
  • Female subjects have a negative serum hCG or urine pregnancy test result at screening and Day -1, and meet one of the following criteria:
  • Using a medically acceptable form of birth control for at least 1 month prior to screening (3 months on oral contraceptives) [e.g., hormonal contraceptives (oral, patch, injectable or vaginal ring), implantable device (implantable rod or intrauterine device), or a double barrier (e.g., diaphragm, cervical cap, oral, patch or vaginal hormonal contraceptive, condom, spermicide, or sponge)]
  • Surgically sterile, with documentation, for at least 3 months prior to screening by one of the following means:
  • Bilateral tubal ligation
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  • Bilateral salpingectomy (with or without oophorectomy)
  • Surgical hysterectomy
  • Bilateral oophorectomy (with or without hysterectomy)
  • Postmenopausal, defined as the following:
  • Last menstrual period greater than 12 months prior to screening
  • Postmenopausal status confirmed by serum follicle stimulating hormone (FSH) and estradiol levels at screening;
  • Considered healthy by the Investigator, based on subject's reported medical history, full physical examination, clinical laboratory tests, 12-lead ECG, and vital signs;
  • Normal renal function as determined by Investigator following review of clinical laboratory test results;
  • Non-smoker or no more than 2 tobacco-containing including nicotine replacement products in last 6 months;
  • Body mass index (BMI) of 18.0 to 30.0 kg/m2 inclusive and body weight not less than 50 kg; Subjects with BMI between 30 and 32 kg/m2 may be allowed to participate with the sponsor's approval;
  • Willing and able to adhere to study restrictions and to be confined at the clinical research center;
  • Male subjects with female partners of child-bearing potential must agree to use condoms for the duration of the study and until 12 weeks after dosing with the study drug and must refrain from donating sperm for this same period;
  • Ability to swallow and retain oral medication.

Who cannot join

  • Clinically significant history of gastrointestinal, cardiovascular, musculoskeletal, endocrine, hematologic, psychiatric, renal, hepatic, bronchopulmonary, neurologic, immunologic, lipid metabolism disorders, or drug hypersensitivity as determined by the Investigator;
  • Pregnant (as determined by pregnancy test result) and breastfeeding women;
  • Current and/or recent history (<30 days prior to screening and/or <45 days prior to randomization) of a clinically significant bacterial, fungal, parasitic, or mycobacterial infection;
  • Current clinically significant viral infection;
  • Evidence of latent or active tuberculosis, as well as recent exposure or live vaccinations
  • History of malignancy, with the exception of cured basal cell or squamous cell carcinoma of the skin;
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  • History of pancreatitis or gall stones;
  • History of unexplained syncope, symptomatic hypotension or hypoglycemia;
  • Family history of long QTc syndrome; History or presence of an abnormal ECG, which, in the investigator's opinion, is clinically significant. QTcF interval >440 msec for males and >460 msec for females;
  • Resting pulse <45 bpm or >100 bpm at screening, only with Day -1 as PI judgement;
  • History of unstable ischemic heart disease or uncontrolled hypertension (blood pressure >140/90 mm Hg at screening, only with Day -1 as PI judgement);
  • History of stomach or intestinal surgery, except that appendectomy and/or cholecystectomy will be allowed;
  • History of chronic diarrhea, malabsorption, unexplained weight loss, food allergies or intolerance;
  • Poor venous access;
  • Positive blood screen for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibody;
  • Donated or lost >500 ml of blood in the previous 3 months;
  • Taken any prescription medications within 7 days or 5 half-lives (whichever is longer) of the first dose of study drug;
  • Hospital admission or major surgery within 6 months prior to screening;
  • A history of prescription drug abuse, or illicit drug use within 9 months prior to screening;
  • A history of alcohol abuse according to medical history within 9 months prior to screening;
  • A positive screen for alcohol or drugs of abuse at screening or Day -1;
  • An unwillingness or inability to comply with food and beverage restrictions during study participation;
  • Use of over-the-counter (OTC) medication within 7 days, and herbal (including St John's Wort, herbal teas, garlic extracts) within 7 days prior to dosing (Note: Use of acetaminophen at <2 g/day is permitted until 24 hours prior to dosing);
  • Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study medication with another investigational medication or current enrollment in another investigational drug protocol;
  • Hemoglobin, WBC, or platelet count below the lower reference limit of the testing laboratory. Absolute neutrophil count <2000 cells/uL;
  • Any condition or finding that in the Investigators opinion would put the subject or study conduct at risk if the subject were to participate in the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Frontage Clinical Services, Inc.

    Secaucus, New Jersey, 07094

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Sequential Parallel Group, Single and Multiple Ascending Dose (SAD/MAD) Study in Healthy Subjects To Evaluate The Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Of TLL018 Following Oral Administration And With An Open Label Food Effect Panel

TLL018 is developed for treatment of autoimmune and inflammatory diseases including rheumatoid arthritis. The purposes of this study are (1) determining if and at what doses TLL018 is safe and can be tolerated when administered to humans, (2) assessing what TLL018 does to the body and how the body responds to TLL018 when given as single and multiple doses, and (3) assessing potential food effect on TLL018.

Conditions
Healthy
Being tested
TLL018 tablet, placebo

What participants receive

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

  • TLL018 tablet, placeboDrug

    Oral QD

Study groups in NCT04243083
Study groupRoleWhat they receive
Single Ascending Dose (SAD)ExperimentalThere are multiple dose levels or cohorts. Each cohort has 6 subjects randomized to active drugs and 2 subjects randomized to placebo.
Receives: Drug: TLL018 tablet, placebo
Multiple Ascending Dose (MAD)ExperimentalThere are multiple dose levels or cohorts. Each cohort has 6 subjects randomized to active drugs and 2 subjects randomized to placebo.
Receives: Drug: TLL018 tablet, placebo
Food Effect PanelExperimentalTwelve subjects will receive a single dose of TLL018 in 2 treatment periods, one after a high fat, high calorie breakfast (fed) and the second treatment period under fasted conditions to determine the effect of food on the PK of TLL018.
Receives: Drug: TLL018 tablet, placebo

What is being measured

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

  1. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Number of participants with treatment-emergent adverse events (AEs), serious adverse events (SAEs) and discontinuation due to AEs/SAEs

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  2. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Number of adverse events (AEs) according to severity

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  3. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Change of blood pressure from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  4. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Change of pulse rate from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  5. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Change of respiratory rate from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  6. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Change of oral temperature from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  7. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Number of participants with clinical laboratory abnormalities compared to baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  8. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Change in 12-lead electrocardiogram (ECG) parameters (PR Interval, QRS Complex, QT Interval, QTC Interval) from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  9. Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Number of participants with changes in physical examination findings from baseline

    Measured: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD

  10. Single Ascending Dose (SAD) Cohort: Maximum observed plasma concentration (Cmax) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  11. Single Ascending Dose (SAD) Cohort: Time to reach maximum observed plasma concentration (Tmax) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  12. Single Ascending Dose (SAD) Cohort: Plasma decay half-life (t1/2) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  13. Single Ascending Dose (SAD) Cohort: Area under the curve from time zero to last quantifiable concentration (AUClast) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  14. Single Ascending Dose (SAD) Cohort: Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUCinf) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  15. Single Ascending Dose (SAD) Cohort: Mean residence time (MRT) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  16. Single Ascending Dose (SAD) Cohort: Apparent clearance (CL/F) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  17. Single Ascending Dose (SAD) Cohort: Apparent volume of distribution (Vz/F) of TLL018

    Measured: 0 hour (pre-dose - within 60 minutes prior to dosing), and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  18. Multiple Ascending Dose (MAD) Cohort: Maximum observed plasma concentration (Cmax) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  19. Multiple Ascending Dose (MAD) Cohort: Time to reach maximum observed plasma concentration (Tmax) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  20. Multiple Ascending Dose (MAD) Cohort: Plasma decay half-life (t1/2) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  21. Multiple Ascending Dose (MAD) Cohort: Area under the curve from time zero to last quantifiable concentration (AUClast) of TLL018 following oral single ascending dose administration of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  22. Multiple Ascending Dose (MAD) Cohort: Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUCinf) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  23. Multiple Ascending Dose (MAD) Cohort: Mean residence time (MRT) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  24. Multiple Ascending Dose (MAD) Cohort: Apparent clearance (CL/F) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  25. Multiple Ascending Dose (MAD) Cohort: Apparent volume of distribution (Vz/F) of TLL018

    Measured: Day 1 (first dose) at pre-dose, 0.5, 1, 2, 4, 6, 8, 12, and 24 hours post-dose; on Days 3 to 6, pre-dose; on Day 7 (last dose): pre-dose, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  26. Single Ascending Dose (SAD) Cohort: Amount of TLL018 recovered unchanged in the urine over the time interval Tau (Aetau)

    Measured: Day 1 at pre-dose up to 72 hours post-dose

  27. Single Ascending Dose (SAD) Cohort: Percentage of dose of TLL018 recovered unchanged in the urine over the time interval Tau (Aetau %)

    Measured: Day 1 at pre-dose up to 72 hours post-dose

  28. Single Ascending Dose (SAD) Cohort: Renal clearance (CLr) of TLL018

    Measured: Day 1 at pre-dose up to 72 hours post-dose

  29. Food Effect Cohort: Maximum observed plasma concentration (Cmax) of a single oral dose of TLL018

    Measured: 0-hour pre-dose (within 60 minutes prior to dosing) and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  30. Food Effect Cohort: Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUCinf) of a single oral dose of TLL018

    Measured: 0-hour pre-dose (within 60 minutes prior to dosing) and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  31. Food Effect Cohort: Area under the curve from time zero to last quantifiable concentration (AUClast) of a single oral dose of TLL018

    Measured: 0-hour pre-dose (within 60 minutes prior to dosing) and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  32. Food Effect Cohort: Time to reach maximum observed plasma concentration (Tmax) of a single oral dose of TLL018

    Measured: 0-hour pre-dose (within 60 minutes prior to dosing) and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

  33. Food Effect Cohort: Plasma decay half-life (t1/2) of a single oral dose of TLL018

    Measured: 0-hour pre-dose (within 60 minutes prior to dosing) and at 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose

Secondary outcomes (5)
  1. Single Ascending Dose (SAD) Cohort: Changes of white blood cell, neutrophil and lymphocyte counts and platelets from baseline

    Measured: 0 hour (pre-dose), 4, 8, 12, 24, 48, and 72 hours post-dose

  2. Single Ascending Dose (SAD) Cohort: Changes of high sensitivity C-reactive protein (hsCRP) and interferon gamma-induced protein 10 (IP-10) concentrations in blood from baseline

    Measured: 0 hour (pre-dose), 4, 8, 12, 24, 48, and 72 hours post-dose

  3. Single Ascending Dose (SAD) Cohort: Effect on phospho-STAT3 levels in blood cells compared to untreated baseline

    Measured: 0 hour (pre-dose), 1, 4, 6, 12, 24, and 48 hours post-dose

  4. Multiple Ascending Dose (MAD) Cohort: Changes of white blood cell, neutrophil and lymphocyte counts and platelets from baseline

    Measured: Day 1 pre-dose, 4, 8, 12 hours post-dose, 24 hours pre-dose, Day 7 pre-dose, 4, 8, 12, 24, 48 and 72 hours post-dose

  5. Multiple Ascending Dose (MAD) Cohort: Changes of high sensitivity C-reactive protein (hsCRP) and interferon gamma-induced protein 10 (IP-10) concentrations in blood from baseline

    Measured: Day 1 pre-dose, 4, 8, 12 hours post-dose, 24 hours pre-dose, Day 7 pre-dose, 4, 8, 12, 24, 48 and 72 hours post-dose

Timeline

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

  1. First posted28 Jan 2020
  2. Study start26 Jan 2020
  3. Primary completion23 Dec 2020
  4. Study completion31 Jan 2021

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
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04243083
Sponsor's protocol ID
TLL018-101
Status last verified
Mar 2021
First submitted
18 Jan 2020
Last updated
30 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study of Healthy, run by TLL Pharmaceutical, LLC 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 19 inclusion and 26 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 30 Mar 2021. 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?

Single Ascending Dose (SAD) and Multiple Ascending Dose (MAD) Cohorts: Number of participants with treatment-emergent adverse events (AEs), serious adverse events (SAEs) and discontinuation due to AEs/SAEs (time frame: Screening up to Day 8 for SAD; Screening up to Day 14 for MAD). The study lists 33 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 30 Mar 2021.

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