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Completed

NCT Number: NCT03919409

First-in-Human Study With Single and Multiple Doses of TS-161 in Healthy Participants

This is a Phase 1, first-in-human study involving single and multiple oral doses of TS-161 in healthy male and female participants. The safety, tolerability, pharmacokinetics and pharmacodynamics of TS-161 will be evaluated.

The study includes 3 parts; Part A (single ascending dose: Cohorts 1 to 5) , Part B (single dose, cerebrospinal fluid [CSF] collection: Cohort 6), and Part C (multiple ascending dose: Cohorts 7 to 9). Participants will be assigned to one of the 9 Cohorts.

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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

PAREXEL - Early Phase Clinical Unit-Los Angeles

Glendale, California, 91206, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy adult male and female participants between 18 and 55 years of age, inclusive
  • Body weight ≥ 45 kg
  • Body Mass Index (BMI) 18 - 30 kg/m^2, inclusive

Exclusion criteria

  • Significant history or presence of medical disorders or condition capable of significantly affecting the absorption, metabolism, or elimination of drugs
  • History or presence of psychiatric or neurologic disease or condition
  • History of seizures
  • Abnormal EEG observed at screening
  • Abnormal blood pressure
  • Breast cancer within the past 10 years, or any other malignancies within the past 5 years
  • Clinically significant abnormal results in electrocardiogram, blood and urine test
  • History or presence of liver disease
  • Participants using medication or supplements within 14 days prior to dosing
  • Use of N-methyl-D-aspartate (NMDA) receptor modulators (example: dextromethorphan, ketamine, amantadine, memantine) within 90 days of screening
  • Loss of blood or blood products in excess of 450 mL within 60 days prior to screening
  • Used any investigational drug within 60 days prior to screening
  • Recent history of alcohol or drug abuse
  • Any participant who currently uses or has used tobacco products or nicotine-containing products (cigarettes, pipes, e-cigarettes, nicotine patches, etc.) for one month or more prior to screening

Exclusion criteria

for Part B only:

  • Significant abnormalities in lumbar spine
  • History of clinically significant back pain, back pathology, and/or back injury
  • History of migraines, and/or frequent, severe headaches
  • History or presence of significant active bleeding or coagulation disorder or use of non-steroidal anti-inflammatory drugs or other drugs that affect coagulation or platelet function within 14 days prior to lumbar catheter insertion
  • Allergy to lidocaine (Xylocaine®) or related drugs
  • History of adverse reaction to lumbar puncture or epidural procedure

Treatment and study plan

TS-161

Drug

TS-161 capsules

TS-161 Placebo

Drug

TS-161 matching placebo capsules

Primary outcomes

  1. Incidence and severity of Adverse Events

    Time frame: Parts A and B: Day 1 to Day 8; Part C: Day 1 to Day 17

  2. TS-161 Plasma Pharmacokinetic Profile - Cmax

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose; Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Maximum plasma concentration

  3. TS-161 Plasma Pharmacokinetic Profile - Tmax

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose; Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Time to maximum plasma concentration

  4. TS-161 Plasma Pharmacokinetic Profile - AUC(0-last)

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose

    Area under the plasma concentration versus time curve from time zero to last measurable concentration

  5. TS-161 Plasma Pharmacokinetic Profile - AUC(0-tau)

    Time frame: Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Area under the plasma concentration versus time curve over a dosing interval

  6. TS-161 Plasma Pharmacokinetic Profile - T1/2

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose; Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Apparent terminal elimination half-life

  7. TS-161 Plasma Pharmacokinetic Profile - CL/F

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose; Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Apparent clearance following oral administration

  8. TS-161 Plasma Pharmacokinetic Profile - Vd,z/F

    Time frame: Parts A and B: Day 1 predose and at multiple time points (up to 48 hours) postdose; Part C: Day 1 predose and at multiple time points (up to 12 hours) postdose, Day 2 to Day 9 predose, Day 10 predose and at multiple time points (up to 48 hours) postdose

    Apparent volume of distribution following oral administration

  9. TS-161 Urine Pharmacokinetic Profile - Ae

    Time frame: Part A: Day 1 predose and pooled for multiple intervals (up to 48 hours) postdose; Part C: Day 1 predose and pooled for multiple intervals (up to 48 hours after last dose) postdose

    Amount excreted in urine

  10. TS-161 Urine Pharmacokinetic Profile - Fe%

    Time frame: Part A: Day 1 predose and pooled for multiple intervals (up to 48 hours) postdose; Part C: Day 1 predose and pooled for multiple intervals (up to 48 hours after last dose) postdose

    Percent of dose excreted in urine

  11. TS-161 Urine Pharmacokinetic Profile - CLr

    Time frame: Part A: Day 1 predose and pooled for multiple intervals (up to 48 hours) postdose; Part C: Day 1 predose and pooled for multiple intervals (up to 48 hours after last dose) postdose

    Renal Clearance

Secondary outcomes

  1. TS-161 CSF Pharmacokinetic Profile - Cmax

    Time frame: Part B: Day 1 predose and at multiple time points (up to 24 hours) postdose

    Maximum CSF concentration

  2. TS-161 CSF Pharmacokinetic Profile - Tmax

    Time frame: Part B: Day 1 predose and at multiple time points (up to 24 hours) postdose

    Time to maximum CSF concentration

  3. TS-161 CSF Pharmacokinetic Profile - AUC(0-last)

    Time frame: Part B: Day 1 predose and at multiple time points (up to 24 hours) postdose

    Area under the CSF concentration versus time curve from time zero to last

  4. TS-161 CSF Pharmacokinetic Profile - T1/2

    Time frame: Part B: Day 1 predose and at multiple time points (up to 24 hours) postdose

    Apparent terminal elimination half-life

  5. Changes from baseline in relative and absolute powers of the delta, theta, alpha, beta and gamma bands using quantitative electroencephalogram (qEEG) compared to placebo

    Time frame: Part A: predose and at multiple time points (up to 8 hours) postdose

Sponsors and collaborators

Lead sponsor

Taisho Pharmaceutical R&D Inc.

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of TS-161 Administered Orally to Healthy Male and Female Participants

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Apr 18, 2019
Registry last updated
Feb 28, 2020

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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