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Completed

NCT Number: NCT05121831

A First in Human Study to Assess the Safety, Tolerability, and Pharmacokinetics of DGX-001

This is a phase 1, randomized, double-blind, placebo-controlled, SAD and MAD study in healthy adult volunteers. DGX-001 is a peptide being investigated for the treatment of the major depressive disorder. This study will examine the safety and tolerability of increasing doses of DGX-001 and, in an exploratory way, potential moderators and functional markers of its activity.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

CMAX Clinical Research Address

Adelaide, South Australia, 5000, Australia

About this study

The study will be conducted in three parts, Part 1 consisting of SAD cohorts and Part 2 consisting of MAD cohorts and Part 3 consisting of one cohorts of stress exposure resilience panel. In Part 1, approximately 32 adult healthy volunteers will be enrolled sequentially into 1 of 4 single-dose cohorts and will be randomized to receive either a dose of DGX-001 or a placebo. In Part 2, approximately 24 adult healthy volunteers will be enrolled into 1 of 3 multiple-dose cohorts. An adaptive dose-escalation schedule will be employed for both the SAD and MAD parts of the study. In Part 3, 14 subjects will be enrolled in 1 cohorts to further explore the pharmacodynamic effect of DGX-001 under a physiological challenge.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female healthy adult volunteers between 18 to 65 years of age (Both inclusive).
  • The subject's BMI is between 18 and 32 kg/m2.
  • Female subjects with childbearing potential must have a negative serum pregnancy test.
  • The subject is medically healthy with no clinically significant or relevant abnormalities in medical history, physical exam, vital signs, electrocardiogram (ECG), and laboratory evaluations (hematology, chemistry, and urinalysis) as assessed by the Investigator.

Exclusion criteria

  • The subject has a current or recurrent disease that could affect the action, absorption or disposition of the investigational medicinal product or could affect clinical or laboratory assessments.
  • The subject has abnormal renal function test ( <60mL/min, i.e., GFR by Cockroft/Gault) at screening or baseline.
  • The subject has evidence of Gilbert's Syndrome or abnormal liver function test (LFTs >1.5x ULN) at screening or baseline.
  • The subject has had a cholecystectomy or a history of cholecystitis.
  • The subject has clinically significant 12-lead ECG abnormalities, including QTc of 450ms for males and 470ms for females (average of triplicate measures) for any pre-randomization ECG assessment.
  • The subject has a current or relevant history of physical or psychiatric illness.
  • The subject has a documented history of HIV antibody or tested positive for hepatitis B surface antigen (HBsAg) or Hepatitis C virus (HCV) antibody at screening.
  • The subject received an investigational agent within the last 30 days prior to Screening or five half-lives (if known) prior to Screening.
  • The subject has a history of alcohol or other substance abuse within the 12 months prior to dosing.
  • The subject is currently using any medication (including over-the-counter [OTC], herbal or homeopathic preparations), except for hormonal replacement therapy or hormonal contraceptives, that in the opinion of the investigator can not be discontinued and avoided for four weeks before the first dose throughout the study period.

Treatment and study plan

DGX-001Dose 1

Drug

Dose level 1 of DGX-001

Other names: DGX-001

DGX-001 Dose 2

Drug

Dose level 2 of DGX-001

Other names: DGX-001

DGX-001 Dose 3

Drug

Dose level 3 of DGX-001

Other names: DGX-001

DGX-001 Dose 4

Drug

Dose level 4 of DGX-001

Other names: DGX-001

MAD dose panel of DGX-001

Drug

Dose levels confirmed through SAD and MAD

Other names: DGX-001

Primary outcomes

  1. Number of treatment-emergent adverse events (TEAEs)

    Time frame: Day1- Day14

    A TEAE is any event that is not present before the initiation of the investigational product or any event already present that worsens in either intensity or frequency following exposure to the investigational product.

  2. Severity of treatment-emergent adverse events as assessed by CTCAE v5.0

    Time frame: Day 1- Day14

    A TEAE is any event that is not present before the initiation of the investigational product or any event already present that worsens in either intensity or frequency following exposure to the investigational product.

  3. Number of subjects with abnormal and clinically significant safety laboratory tests

    Time frame: Day 1- Day 14

    Safety laboratory tests include clinical chemistry and hematology

  4. Number of subjects with abnormal and clinically significant electrocardiogram test

    Time frame: Day 1- Day 21

    12 lead ECGs will be collected in triplicate, which will measure heart rate, PR, QRS, QT, QTc

  5. Number of subjects with abnormal and clinically significant urinalysis findings

    Time frame: Day 1-Day 21

    This will include routine urine test

Secondary outcomes

  1. AUCt in SAD and MAD

    Time frame: Day 1-Day 9

    Total exposure

  2. AUC24 in SAD and MAD

    Time frame: Day 1-Day 9

    Area under plasma concentration -time curve at 24 hours

  3. AUC∞ in SAD and MAD

    Time frame: Day 1-Day 9

    Area under plasma concentration -time from time 0 to infinity

  4. Cmax in SAD and MAD

    Time frame: Day 1-day 9

    Maximum plasma concentration

  5. tmax in SAD and MAD

    Time frame: Day 1-Day 9

    Time to maximum plasma concentration

  6. t1/2 in SAD and MAD

    Time frame: Day 1-Day 9

    Terminal elimination half-life

  7. CL/F in SAD and MAD

    Time frame: Day 1-Day 9

    Oral clearance

  8. Vz/F in SAD and MAD

    Time frame: Day 1-Day 9

    Apparent volume of distribution during terminal phase after non-intravenous administration

  9. λz in SAD and MAD

    Time frame: Day 1-Day 9

    Elimination rate constant

Sponsors and collaborators

Lead sponsor

Digestome Therapeutics

Industry

Registry information

Official study title

A Phase 1, Randomized, Double-blind, Placebo-controlled, Safety, Tolerability and Pharmacokinetic Study of Escalating Single and Multiple Doses of DGX-001 in Healthy Volunteers Followed by a Stress Exposure Resilience Panel

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Nov 16, 2021
Registry last updated
Jun 22, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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