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Completed

NCT Number: NCT04370431

A Study of TTYP01 in Healthy Adult Subjects

This is integrated Phase 1, Single centre, Randomized study will be conducted in 3 parts, each with a specific primary objective:

Part A: To characterise the safety and tolerability of TTYP01 in healthy adult subjects; Part B: To evaluate the bioavailability of TTYP01 tablets in healthy adult subjects; Part C: To characterise the food effect of TTYP01 tablets in healthy adult subjects under the fasted or fed condition.

The secondary objectives of the study are to evaluate the pharmacokinetic (PK) profiles of TTYP01 tablets in healthy adult subjects, and the effects of gender on the PK of TTYP01 tablets in healthy adults. In Part A of the study, a total of 32 healthy adult subjects will be enrolled over four consecutive cohorts (8 per cohort), with participants receiving a single dose of TTYP01 at one of four levels (60, 120, 10 or 240 mg), to assess the PK and safety of TTYP01. In Part B, 16 healthy adults will be randomized into 2 groups, and the comparison of the PK of edaravone (TTYP01 and intravenous (IV) edaravone) will be evaluated using a randomized, open-label, four-period crossover design under fasted conditions. In the first crossover period, subjects will receive a single fixed dose of TTYP01 followed by the alternate IV dose after completion of the washout phase, and in the second crossover period, subjects will receive a higher fixed dose of TTYP01 followed by the alternate IV dose after completion of the washout phase. In Part C, 18 healthy subjects will be enrolled to evaluate the effect of food on the PK of TTYP01 using a randomized, open-label, two-period cross-over design. Participants will be randomized into two groups and administered a fixed dose of TTYP01 on Day 1 (Period 1) under the fed conditions and the second dosing day (Period 2) under the fasted conditions, while the other group being administered a fixed dose of TTYP01 on Day 1 (Period 1) under the fasted conditions and the second dosing day (Period 2) under the fed conditions.

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Key information

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

CMAX Clinical Research Pty Ltd

Adelaide, South Australia, 5000, Australia

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Age between 18 and 40, inclusive;
  • Non-smokers, ex-smokers and moderate smokers will be included. "A moderate smoker is defined as someone smoking 5 cigarettes or less per day, an ex-smoker is someone who completely stopped smoking for at least 3 months.";
  • If female, must be of non-childbearing potential (defined as either surgically sterilized or at least 1 year postmenopausal) or must agree to use a clinically acceptable method of contraception (e.g., oral, intrauterine device [IUD; diaphragm], injectable, transdermal or implantable contraception) or abstinence, for at least 1 month prior to randomization, during the study and 3 month following completion of the study. Females of childbearing potential must have a negative serum human chorionic gonadotropin (hCG) pregnancy test at screening;
  • Body Mass Index (BMI) of 18 to 30 kg/m2, inclusive; and a total body weight >50 kg at screening for male subjects, total body weight > 45 kg for female subjects;
  • Female subjects of child bearing potential and all male participants who have not had a vasectomy must use effective contraception during the study
  • Ability to understand and willingness to sign a written informed consent form (the consent form must be signed by the subject prior to any study-specific procedures), and evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study;
  • Willingness and ability to comply with study procedures and follow-up examination.
  • Adequate organ function as evidenced by the following peripheral blood counts or serum chemistry values within 28 days before randomization:
  • Hemoglobin greater than or equal to 9 g/dL
  • Neutrophil count (ANC) greater than or equal to 1,500/microL
  • Platelet count greater than or equal to 100,000/microL
  • Serum creatinine less than or equal to 1.5 mg/dL (less than or equal to 132.6 micromol/L) and creatinine clearance greater than or equal to 60 ml/min
  • Creatine phosphokinase (CPK) less than or equal to 2x upper limit of normal (ULN)
  • Hepatic function variables:
  • Total bilirubin ≤ 1.5x ULN
  • Total alkaline phosphatase (ALP) ≤ 1.5x ULN, or if > 1.5x ULN, then ALP liver fraction or 5' nucleotidase must be ≤1x ULN
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) must be ≤ 2.5x ULN

Exclusion criteria

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease.
  • Subjects with a history of hypersensitivity to edaravone or any of the inactive ingredients of the formulation (such as sulfite and sodium bisulfite).
  • Subjects with PR >240 msec, QRS =120 msec, or QTcF >450 msec for male & QTcF >470 msec for female on the screening or Day -1 ECG, or any clinically significant electrocardiographic abnormality in the opinion of the investigator.
  • Male subjects with partners currently pregnant; male subjects able to father children who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 3 months after the last dose of investigational product.
  • Female subjects currently pregnant or lactating; female subjects able to bear children or of child bearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 3 months after the last dose of investigational product.
  • Subjects whose urine drug/alcohol screening was positive at the time of screening and/or on Day-1.
  • Subjects having difficulty in swallowing pills/tablets.
  • Subjects smoking > 5 cigarettes per day within 3 months prior to the screening visit.
  • Subjects unwilling or unable to comply with the Lifestyle Guidelines described in the protocol.
  • Subjects who are investigational site staff members directly involved in the conduct of the studies and their family members, site staff members otherwise supervised by the Investigator, or subjects who are the sponsors' employees directly involved in the conduct of the studies.
  • Evidence of any severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this trial.
  • Subjects who have participated in another clinical trial less than 3 months before or donated his/her blood in a quantity greater than 200 milliliters (mL) within 1 month of the screening period of this clinical trial.

Treatment and study plan

TTYP01 single ascending doses

Drug

TTYP01 (30 mg edaravone tablet) will be orally administrated at single ascending doses of 60 mg, 120 mg, 180 mg and 240 mg (n=6 per dose)

Other names: edaravone tablet

Placebo

Drug

Placebo control for Part A of the study

TTYP01, 60 mg

Drug

TTYP01 oral tablets (30 mg edaravone per tablet)

Other names: Edaravone tablet

TTYP01, 120 mg

Drug

TTYP01 oral tablets (30 mg edaravone per tablet)

Other names: Edaravone tablet

Radicut® (ampoule), 30 mg

Drug

An intravenous dose of edaravone injection, containing 30 mg edaravone in a 20 mL ampoule, will be administered at a dose of 30 mg over 30 minutes

Other names: Edaravone injection

Radicut® (bag) , 60 mg

Drug

An intravenous dose of edaravone injection, containing 30 mg edaravone in a 100 mL injection bag, will be administered at a dose of 60 mg over 60 minutes

Other names: Edaravone injection

TTYP01, up to 120 mg

Drug

TTYP01 oral tablets (30 mg edaravone per tablet). The fixed oral dose level of TTYP01 will depend on the results obtained in Part B of the study (no more than 120 mg)

Other names: Edaravone tablet

Primary outcomes

  1. Adverse events

    Time frame: until the last follow-up visit, up to 4 weeks

    Frequencies (number and percentage) of subjects with one or more AEs

  2. change in hemoglobin (g/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  3. change in hematocrit (ratio)

    Time frame: up to 6 days post each dose

    measured by hematology test

  4. change in red blood cell count (cells x 10^12/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  5. change in white blood cell (WBC) count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  6. change in platelet count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  7. change in total neutrophils count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  8. change in lymphocytes count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  9. change in monocytes count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  10. change in eosinophils count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  11. change in basophils count (cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by hematology test

  12. change in serum sodium (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  13. change in serum potassium (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  14. change in serum chloride (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  15. change in serum calcium (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  16. change in serum glucose (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  17. change in serum urea (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  18. change in serum creatinine (umol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  19. change in serum total bilirubin (umol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  20. change in aspartate aminotransferase (AST) (U/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  21. change in alanine aminotransferase (ALT) (U/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  22. change in alkaline phosphatase (ALP) (U/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  23. change in serum creatine kinase (CK) (U/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  24. change in serum albumin (g/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  25. change in serum phosphate (mmol/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  26. change in serum lipase (U/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  27. change in serum total protein (g/L)

    Time frame: up to 6 days post each dose

    measured by serum chemistry

  28. change in urine pH

    Time frame: up to 6 days post each dose

    measured by urinalysis

  29. change in urine specific gravity

    Time frame: up to 6 days post each dose

    measured by urinalysis

  30. change in urine glucose

    Time frame: up to 6 days post each dose

    measured by urinalysis

  31. change in urine protein

    Time frame: up to 6 days post each dose

    measured by urinalysis

  32. change in urine ketones

    Time frame: up to 6 days post each dose

    measured by urinalysis

  33. change in urine blood

    Time frame: up to 6 days post each dose

    measured by urinalysis

  34. change in urine casts

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  35. change in urine crystals

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  36. change in urine epithelial cells

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  37. change in urine bacteria (cfu/L)

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  38. change in urine red blood cells (Cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  39. change in urine white blood cells (Cells x 10^9/L)

    Time frame: up to 6 days post each dose

    measured by microscopic analysis, if any abnormalities in urinalysis are detected

  40. change in systolic blood pressure (mmHg)

    Time frame: up to 6 days post each dose

  41. change in diastolic blood pressure (mmHg)

    Time frame: up to 6 days post each dose

  42. change in pulse rate (bpm)

    Time frame: up to 6 days post each dose

  43. change in body temperature (celsius)

    Time frame: up to 6 days post each dose

  44. Change in QT intervals (msec)

    Time frame: up to 6 days post each dose

    Measured using a 12 Lead Electrocardiogram

  45. Change in RR intervals (msec)

    Time frame: up to 6 days post each dose

    Measured using a 12 Lead Electrocardiogram

  46. Change in PR intervals (msec)

    Time frame: up to 6 days post each dose

    Measured using a 12 Lead Electrocardiogram

  47. Change in QRS duration (msec)

    Time frame: up to 6 days post each dose

    Measured using a 12 Lead Electrocardiogram

  48. Change in corrected QTcF (msec)

    Time frame: up to 6 days post each dose

    Calculated using measurements by a 12 Lead Electrocardiogram

  49. clinically significant abnormality in brief physical examinations

    Time frame: up to 6 days post each dose

    clinically significant abnormality in skin, lungs, cardiovascular system, and abdomen (spleen and liver)

Secondary outcomes

  1. Maximum observed plasma concentration (Cmax)

    Time frame: up to 24 hours post each dose

  2. Time of maximum plasma concentration (Tmax)

    Time frame: up to 24 hours post each dose

  3. Area under the plasma concentration-time curve from time-zero extrapolated to infinite time (AUC0-inf)

    Time frame: up to 24 hours post each dose

  4. Area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-last)

    Time frame: up to 24 hours post each dose

  5. The ratio of area under the plasma concentration-time curve from time-zero to the time of the last measurable concentration (AUC0-last) extrapolated to AUC0-inf over AUC0-inf (% AUCex)

    Time frame: up to 24 hours post each dose

  6. Apparent volume of distribution (Vd/F)

    Time frame: up to 24 hours post each dose

  7. Terminal half-life(T1/2)

    Time frame: up to 24 hours post each dose

  8. Apparent oral clearance (CL/F)

    Time frame: up to 24 hours post each dose

  9. Mean retention time (MRT)

    Time frame: up to 24 hours post each dose

  10. Lambda z - the reciprocal of elimination rate constant (λz)

    Time frame: up to 24 hours post each dose

  11. Fabs-bioavailability value (Fabs)

    Time frame: up to 24 hours post each dose

Sponsors and collaborators

Lead sponsor

Shanghai Auzone Biological Technology Co., Ltd.

Industry

Collaborators

  • CMAX Clinical Research Pty Ltd
  • TIGERMED AUSTRALIA PTY LIMITED

Registry information

Official study title

A Phase I, Single Center, Randomized, Single-Ascending Dose, Pharmacokinetic and Safety Study (Part A), Bioavailability Comparison Study (Part B) and Food Effect Study (Part C) in Healthy Adult Subjects.

Important dates

Study start
2020
Primary completion
2020
Study completion
2021
First posted
May 1, 2020
Registry last updated
Jan 6, 2025

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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