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Inflammatory Bowel DiseasesPhase 1NCT05807971

Assessment of Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of ATH-063 in Healthy Subjects

A Phase 1 study testing ATH-063 in people with Inflammatory Bowel Diseases and Crohn Disease, run by Athos Therapeutics Inc at 1 site in Australia.

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 goal of this clinical trial is to test the ATH-063 drug (single and multiple doses) in Healthy Subjects. The clinical trial aims to evaluate the below. 1. Safety of the drug 2. Tolerability of the drug 3. Pharmacokinetics (PK) (how the human body affects the drug) 4. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
ATH-063
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
76 participants
Where
1 siteAustralia
Study dates
6 Apr 2023to 8 Feb 2024
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

  • Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening) or social smoker (smokers with 1-5 cigarettes a week), AND with a negative urine cotinine test at check-in, ≥18 and ≤55 years of age, with BMI >18.5 and <32.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females and a maximum weight of 120 kg.
  • Healthy as defined by:
  • the absence of clinically significant illness and surgery within 4 weeks prior to study drug administration.
  • the absence of clinically significant history of neurological, endocrine, cardiovascular, respiratory, hematological, immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease. A history of migraines, childhood asthma, or non-hospitalized depression would not be considered clinically significant.
  • Female participants of non-childbearing potential must be:
  • post-menopausal (spontaneous amenorrhea for at least 12 months prior to dosing) with confirmation by documented follicle-stimulating hormone (FSH) levels ≥ 40 mIU/mL; or
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  • surgically sterile (bilateral oophorectomy, bilateral salpingectomy, hysterectomy, or tubal ligation) at least 3 months prior to dosing.
  • Sexually active females of childbearing potential and non-sterile males must be willing to use an acceptable contraceptive method throughout the study as detailed in section 8.1.
  • Able to understand the study procedures and provide signed informed consent to participate in the study.

Who cannot join

  • Any clinically significant abnormal finding at physical examination.
  • Clinically significant abnormal laboratory test results or positive serology test results for HBsAg, HCV antibody, or HIV antigen and antibody, at screening.
  • Positive pregnancy test or lactating female subject
  • Positive urine drug screen, urine cotinine test, or alcohol breath test (one repeat is allowed).
  • History of significant allergic reactions (e.g., anaphylactic reaction, hypersensitivity, angioedema) to any drug.
  • Clinically significant ECG abnormalities or vital signs abnormalities (systolic BP lower than 90 or over 160 mmHg, diastolic BP lower than 50 or over 95 mmHg, HR less than 45 or over 100 bpm, or RR less than 12 or over 22 bpm) at screening.
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  • History of drug abuse within 1 year prior to screening or recreational use of soft drugs (such as marijuana) within 1 month or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 3 months prior to screening.
  • History of alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to screening that exceeds 10 units for women or 15 units for men of alcohol per week (1 unit = 375 mL of beer 3.5%, 100 mL of wine 13.5%, or 45 mL of distilled alcohol 40%). Low risk level = 10 unites per week for men and women.
  • Use of medications for the timeframes specified below, with the exception of hormonal contraceptives and medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption):
  • depot injection or implant within 3 months prior to the first dosing;
  • live attenuated vaccines within 1 month prior to the first dosing;
  • any drug known to induce or inhibit hepatic drug metabolism, including St. John's wort, within 30 days prior to the first dosing;
  • prescription medications within 14 days prior to the first dosing;
  • any other vaccine, including COVID-19 vaccine, within 14 days prior to the first dosing;
  • over-the-counter (OTC) medications and natural health products (including herbal remedies such as, homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 7 days prior to the first dosing, with the exception of the occasional use of paracetamol (up to 2 g daily).
  • Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days or 5 x T1/2 whichever is longer prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days or 5 x T1/2 whichever is longer prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
  • Donation of plasma within 7 days prior to dosing or donation or loss of 500 mL or more of whole blood within 8 weeks prior to dosing.
  • Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • CMAX Clinical Research

    Adelaide, South Australia, 5000

Other trials in Australia

About this study

Official title: A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Doses of ATH-063 in Healthy Subjects

The goal of this clinical trial is to test the ATH-063 drug (single and multiple doses) in Healthy Subjects. The clinical trial aims to evaluate the below.

  1. Safety of the drug
  2. Tolerability of the drug
  3. Pharmacokinetics (PK) (how the human body affects the drug)
  4. Pharmacodynamics (PD) (how the drug affects the human body)

This will be a single center, Phase 1, First-In-Human, Randomized, Double-Blind (neither the subjects nor the experimenters know which subjects are in the test and control groups), Placebo (a look-alike substance that contains no active drug) - Controlled Study.

Read the detailed description

Primary Objective of this study will be to evaluate the safety and tolerability of ATH-063 following oral administration of single and multiple ascending doses (SAD/MAD) in healthy subjects.

This is a single center, Phase 1, Randomized, Double-blind, Placebo controlled, sequential SAD/MAD study, with a food-effect arm. The study will be divided into three parts:

  • SAD cohorts
  • MAD cohorts
  • Food-effect (FE) cohort

MAD and FE cohorts will be dosed in parallel after the completion of the SAD Cohorts

SAD Part:

  1. Consist of at least 4 cohorts (1 cohort per dose level).
  2. Each cohort will include approximately 8 participants (6 participants receiving the active and 2 participants receiving the placebo).
  3. A staggered dosing schedule will be used for dosing of each cohort (under fasting conditions)

MAD Part:

  1. Consist of up to 4 cohorts (1 cohort per dose level).
  2. Each cohort will include approximately 8 participants (6 participants receiving the active and 2 participants receiving the placebo).
  3. The cohorts will be dosed sequentially in an ascending fashion.
  4. The dose of MAD cohorts is dependent on the available safety, tolerability, and PK data from the SAD part and available safety, tolerability, and PK data from dosed MAD cohorts.

Food-effect Part:

  1. Approximately twelve (12) participants will be randomized in a 1:1 ratio to one of two treatment sequences (fast-fed/fed-fast) with 6 participants per treatment sequence.
  2. The selection of the dose to be administered in the food effect part will depend on the results of the SAD part following the review of safety, tolerability and PK data of the SAD cohorts.
Being tested
ATH-063, Placebo
Medical subject headings
Inflammatory Bowel Diseases, Crohn Disease, Colitis, Ulcerative, Autoimmune Diseases

What participants receive

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

  • ATH-063Drug

    12.5 and 50 mg Capsules, anticipated dose range to be from 25 to 250 mg.

  • PlaceboDrug

    Identical capsule to the drug without the active ingredient.

Study groups in NCT05807971
Study groupRoleWhat they receive
SAD cohortExperimentalSAD cohorts 1-4. Subjects in each cohort will be randomized to receive a single oral dose of ATH-063 (capsule) under fasting conditions at the planned dose levels.
Receives: Drug: ATH-063
MAD CohortExperimentalMAD cohorts 1-4. Subjects in each cohort will be randomized to receive multiple oral doses of ATH-063 (Capsule) under fasting conditions once daily (QD) for 10 consecutive days at planned dose levels.
Receives: Drug: ATH-063
Food EffectExperimentalAn intermediary dose level that has already been administered in this study will be selected for the food-effect evaluation based on the available PK and safety data. This will be conducted under fasting and fed conditions.
Receives: Drug: ATH-063
SAD cohort (Placebo)Placebo comparatorSAD cohorts 1-4. Subjects in each cohort will be randomized to receive a single oral dose of placebo (Capsule identical to active ATH-063) under fasting conditions at the planned dose levels.
Receives: Drug: Placebo
MAD cohort (Placebo)Placebo comparatorMAD cohorts 1-4. Subjects in each cohort will be randomized to receive multiple oral doses of placebo (Capsule identical to active ATH-063) under fasting conditions once daily (QD) for 10 consecutive days at planned dose levels.
Receives: Drug: Placebo

What is being measured

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

  1. To evaluate the safety and tolerability of ATH-063 following oral administration of single and multiple ascending doses in healthy participants.

    Number of participants with serious and other non-serious adverse events

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

Secondary outcomes (17)
  1. Pharmacokinetic assessment 1

    AUC0-t (Area under the plasma concentration-time curve)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  2. Pharmacokinetic assessment 2

    AUC0-inf (AUC curve to infinite time)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  3. Pharmacokinetic assessment 3

    Cmax (Maximum plasma concentration)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  4. Pharmacokinetic assessment 4

    Tmax (Time to maximum plasma concentration (Cmax)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  5. Pharmacokinetic assessment 5

    Residual area

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  6. Pharmacokinetic assessment 6

    T½ el (Half Life)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  7. Pharmacokinetic assessment 7

    Kel (Elimination rate constant)

    Measured: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day

  8. Pharmacokinetic assessment 8

    Cl/F (Oral Clearance)

    Measured: SAD: Up to 15 ± 1 day, FE: Up to 14 ± 1 day

  9. Pharmacokinetic assessment 9

    Clss/F (Oral Clearance-steady state)

    Measured: MAD: Up to 24 ± 1 day

  10. Pharmacokinetic assessment 10

    Vz/F (Apparent volume of distribution)

    Measured: SAD: Up to 15 ± 1 day, FE: Up to 14 ± 1 day

  11. Pharmacokinetic assessment 11

    AUC0-24 (area under the plasma concentration-time curve over the last 24-h dosing interval)

    Measured: MAD: Up to 24 ± 1 day

  12. Pharmacokinetic assessment 12

    AUC0-tau (area under the curve to the end of the dosing period)

    Measured: MAD: Up to 24 ± 1 day

  13. Pharmacokinetic assessment 13

    Cmax ss (Maximum plasma concentration at steady state)

    Measured: MAD: Up to 24 ± 1 day

  14. Pharmacokinetic assessment 14

    Tmax ss (Time to steady state Cmax)

    Measured: MAD: Up to 24 ± 1 day

  15. Pharmacokinetic assessment 15

    Cmin ss (Minimum drug concentration at steady-state)

    Measured: MAD: Up to 24 ± 1 day

  16. Pharmacokinetic assessment 16

    Vz ss/F (Apparent volume of distribution at steady state)

    Measured: MAD: Up to 24 ± 1 day

  17. Pharmacokinetic assessment 17

    Tlag (Lag time)

    Measured: FE: Up to 14 ± 1 day

Timeline

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

  1. First posted11 Apr 2023
  2. Study start6 Apr 2023
  3. Primary completion8 Feb 2024
  4. Study completion8 Feb 2024

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
Model description
Cohorts (4 each) within the SAD and MAD part will be dosed sequentially in an ascending fashion. MAD cohorts and FE cohort will be dosed in parallel after the completion of the SAD Cohorts.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
76 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05807971
Sponsor's protocol ID
ATH-001
Status last verified
May 2024
First submitted
29 Mar 2023
Last updated
3 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ATH-063 in people with Inflammatory Bowel Diseases and Crohn Disease, run by Athos Therapeutics 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 9 inclusion and 18 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 3 May 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 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. Some participants in this study may receive a placebo. 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?

To evaluate the safety and tolerability of ATH-063 following oral administration of single and multiple ascending doses in healthy participants. (time frame: SAD: Up to 15 ± 1 day, MAD: Up to 24 ± 1 day, FE: Up to 14 ± 1 day). 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 3 May 2024.

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