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OpenTrials
Completed

NCT Number: NCT04788017

A Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Ziresovir in Healthy Subjects

This is a randomized, double-blind, placebo-controlled, dose escalation study to evaluate the safety, tolerability, and pharmacokinetics (PK) of ziresovir following a single ascending oral dose administration in healthy adult subjects under fasted conditions.

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Key information

Conditions

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Frontage

Secaucus, New Jersey, 07094, United States

About this study

Up to 3 dose cohorts are planned. The ziresovir dose level of each cohort is determined based on the collective clinical and nonclinical data of ziresovir.

The proposed dose levels of Cohorts 1, 2 and 3 are 300 mg and up to 600 mg and up to 900 mg, respectively.

A total of up to 24 subjects will be randomized with 18 subjects to receive active drug and 6 subjects to receive placebo in a double-blind fashion. Eight subjects will be randomized in each dose cohort, with 6 subjects to receive active drug and 2 subjects o receive placebo.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Capable of giving written informed consent and complying with study procedures;
  • Between the ages of 18 and 55 years, inclusive;
  • Body mass index (BMI) of 18.0 to 32.0 kg/m2 inclusive and body weight not less than 50 kg;
  • Female subjects must have a negative pregnancy test result at screening;
  • Considered healthy by the Investigator, based on subject's reported medical history, full physical examination, 12-lead ECG, and vital signs;
  • Willing and being able to adhere to study restrictions and to be confined at the Clinical Research Unit.

Exclusion criteria

  • Clinically significant reported history of gastrointestinal, cardiovascular, musculoskeletal, endocrine, hematologic, psychiatric, renal, hepatic, bronchopulmonary, neurologic, immunologic, lipid metabolism disorders, or drug hypersensitivity as determined by the Investigator;
  • Poor venous access;
  • Taken an investigational drug or participated in a clinical trial evaluating an investigational drug or device within 30 days (or 5 half-lives) prior to the study drug dose, whichever is longer;
  • Taken any prescription medications within 14 days or 5 half-lives (whichever is longer) of the study drug dose;
  • Major surgery or hospitalization within 6 months prior to screening that in the Investigator's opinion would put the subject or study conduct at risk, or have any scheduled surgery or hospitalization during the study period;
  • Any condition or finding that in the Investigator's opinion would put the subject or study conduct at risk if the subject were to participate in the study.

Treatment and study plan

Ziresovir

Drug

Planned treatments are:

  • Cohort 1: 300 mg of ziresovir
  • Cohort 2: up to 600 mg of ziresovir
  • Cohort 3: up to 900 mg of ziresovir

Other names: AK0529

Placebo

Other

Planned treatments are:

  • Cohort 1: 300 mg of placebo
  • Cohort 2: up to 600 mg of placebo
  • Cohort 3: up to 900 mg of placebo

Primary outcomes

  1. numbers of all AEs

    Time frame: through study completion, an average of 22 days

    The Common Terminology Criteria for Adverse Events (CTCAE) Version 5 will be used to grade AEs

  2. percentages of all AEs

    Time frame: through study completion, an average of 22 days

    The Common Terminology Criteria for Adverse Events (CTCAE) Version 5 will be used to grade AEs

  3. change from baseline in systolic and diastolic blood pressure

    Time frame: screen/day -1/day 1/day 2/day 3/day4

    blood pressure in millimeter of mercury

  4. change from baseline in pulse rate

    Time frame: screen/day -1/day 1/day 2/day 3/day4

    pulse rate in times per minute

  5. change from baseline in respiratory rate

    Time frame: screen/day -1/day 1/day 2/day 3/day4

    respiratory rate in times per minute

  6. change from baseline in oral temperature

    Time frame: screen/day -1/day 1/day 2/day 3/day4

    oral temperature in degree

  7. change from baseline in Prothrombin time/International Normalized Ratio

    Time frame: screen/day -1/day 2/day4

    INR is calculated from the PT and allows for worldwide standardization of results.

  8. change from baseline in Thrombin time

    Time frame: screen/day -1/day 2/day4

    Thrombin time in seconds

  9. change from baseline in activated Partial Thromboplastin time

    Time frame: screen/day -1/day 2/day4

    activated Partial Thromboplastin time in seconds

  10. change from baseline in Hemoglobin (Hgb) count

    Time frame: screen/day -1/day 2/day4

    Hemoglobin (Hgb) in gram per liter

  11. change from baseline in Hematocrit (Hct)

    Time frame: screen/day -1/day 2/day4

  12. change from baseline in Platelet count

    Time frame: screen/day -1/day 2/day4

    Platelet count per liter

  13. change from baseline in Red blood cell (RBC) count

    Time frame: screen/day -1/day 2/day4

  14. change from baseline in White blood cell (WBC) count with differential

    Time frame: screen/day -1/day 2/day4

  15. change from baseline in Specific gravity from urinalysis

    Time frame: screen/day -1/day 2/day4

  16. change from baseline in pH from urinalysis

    Time frame: screen/day -1/day 2/day4

  17. change from baseline in Protein from urinalysis

    Time frame: screen/day -1/day 2/day4

  18. change from baseline in Glucose from urinalysis

    Time frame: screen/day -1/day 2/day4

  19. change from baseline in Ketones from urinalysis

    Time frame: screen/day -1/day 2/day4

  20. change from baseline in Bilirubin from urinalysis

    Time frame: screen/day -1/day 2/day4

  21. change from baseline in Blood from urinalysis

    Time frame: screen/day -1/day 2/day4

  22. change from baseline in Nitrites from urinalysis

    Time frame: screen/day -1/day 2/day4

  23. change from baseline in Leukocytes from urinalysis

    Time frame: screen/day -1/day 2/day4

  24. change from baseline in Urobilinogen from urinalysis

    Time frame: screen/day -1/day 2/day4

  25. Incidence of abnormal Microscopic urine analysis

    Time frame: screen/day -1/day 2/day4

  26. change from baseline in heart rate-corrected QT interval from resting 12-lead ECGs

    Time frame: screen/day -1/day1/day2/day4

    ECGs will be performed after the subject has been supine for at least 5 minutes

  27. change from baseline in heart rate from resting 12-lead ECGs

    Time frame: screen/day -1/day1/day2/day4

    ECGs will be performed after the subject has been supine for at least 5 minutes

  28. change from baseline in QRS intervals from resting 12-lead ECGs

    Time frame: screen/day -1/day1/day2/day4

    ECGs will be performed after the subject has been supine for at least 5 minutes

  29. change from baseline in treatment-emergent T-wave morphology from resting 12-lead ECGs

    Time frame: screen/day -1/day1/day2/day4

    ECGs will be performed after the subject has been supine for at least 5 minutes

  30. change from baseline in appearance of U-waves from resting 12-lead ECGs

    Time frame: screen/day -1/day1/day2/day4

    ECGs will be performed after the subject has been supine for at least 5 minutes

  31. Incidence of abnormal physical findings

    Time frame: screen/day -1/day2/day3/day4

    full physical examination will be conducted at screening and an abbreviated physical exam will be conducted on Day -1 and Day 2. A symptom-directed physical exam will be conducted on Day 3 and Day 4.

Secondary outcomes

  1. To characterize the drug concentration of ziresovir following single ascending doses by oral administration in healthy adult male and female subjects

    Time frame: 0 (within 90 minutes prior to dosing) and 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, and 72 hours post-dose

Sponsors and collaborators

Lead sponsor

Shanghai Ark Biopharmaceutical Co., Ltd.

Industry

Registry information

Official study title

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Sequential Parallel Group, Single Ascending Dose Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Ziresovir in Healthy Subjects

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Mar 9, 2021
Registry last updated
Feb 15, 2022

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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