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Completed

NCT Number: NCT01998672

Multiple Ascending Oral Dose Phase I Study With Px-102

The purpose of this study is to assess the safety and tolerability of the FXR agonist Px-102 in healthy subjects after 7 days multiple oral dosing.

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Key information

Conditions

Age range

18 year–45 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Primary location

FOCUS Clinical Drug Development GmbH

Neuss, Germany

About this study

The study is a single-centre, double-blind, randomized, placebo-controlled, parallel group phase I study with healthy male subjects receiving ascending multiple oral oral doses of Px-102 to assess the safety and tolerability, pharmacokinetics and pharmacodynamics.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy male subject of Caucasian origin 18 to 45 years of age (inclusive).
  • Good state of health (mentally and physically) as determined by medical history, physical examination, vital signs, ECG recording and clinical lab results.
  • BMI in between 20-29 kg/m² (inclusive); with absolute weight in between 70 to 120 kg.
  • Total cholesterol and liver enzyme levels [alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyltransferase (GGT), alkaline phosphatase (AP)] strictly within the normal ranges at screening and on Day -1. Serum triglyceride not exceeding the upper limit of normal range.
  • HbA1c ≤ 6.5%
  • Subject has been informed both verbally and in writing and has given written consent to participation in the study prior to start and any study-related procedure.
  • Negative results for HIV- and Hepatitis-B and -C serology at screening.
  • Subject (including female partners of childbearing potential) has to use a highly effective method of birth control (failure rate less than 1% per year when used consistently and correctly), e.g. implants, injectables, combined oral contra-ceptives in combination with a barrier method, some intrauterine contraceptive devices or sexual abstinence.

Exclusion criteria

  • Female gender
  • Use of prescription or non-prescription drugs within 7 days (30 if the drug is a possible enzyme inducer) prior to administration of study medication. Use of drugs known to induce steatosis (e.g. valproate, amiodarone or prednisone) or to affect body weight and carbohydrate metabolism
  • Any acute or chronic illness or clinically relevant finding at screening and at base-line examination which may jeopardize the subject's participation in the study
  • History or presence of biliary obstruction or biliary disease, hepatic encephalopathy, advanced ascites, portal hypertension, esophageal/gastric variceal bleeding, hepatocellular carcinoma, previous liver transplantation or any other chronic liver disease
  • Renal dysfunction, e.g. glomerular filtration rate ≤ 80 ml/min/1.73 m2 (as determined by the formula of Cockroft-Gault)
  • Type I or II Diabetes
  • Any clinically relevant abnormality on screening medical assessment, laboratory examination, 12-lead ECG
  • Any clinically relevant finding in the baseline telemetry within the pre-dose evaluated observation period of at least 20 hours
  • Marked baseline prolongation of QT/QTc interval (QTc interval > 440 ms) in the 12-lead ECG using the Fridericia method for QTc analysis
  • Heart rate < 50 bpm.
  • History of pathological cardiovascular symptoms or a severe cardiovascular event
  • History of severe chronic autoimmune diseases such as severe allergy, atopic eczema, chronic dermatitis, severe psoriasis, multiple sclerosis, severe asthma, lupus or related disorders
  • Allergies (except for mild forms of hay fever) or history of hypersensitivity reactions
  • Smoking (regular or irregular) > 5 cigarettes (or equivalent) per day
  • Excessive alcohol drinking (more than approximately 20 g alcohol per day), unable to refrain from alcohol drinking from 48 hours prior to dosing until the last pharmacokinetic blood sample has been withdrawn
  • Positive test for drugs or alcohol at screening or prior to the dosing session
  • History of alcoholism or drug/chemical/substance abuse within past 2 years
  • Investigator deems the subject unable or unwilling to comply fully with the study protocol
  • Has received clinical study medication within the last 30 days prior to this study
  • Donation or loss of 400 ml or more of blood within eight (8) weeks prior to dosing
  • Allergic to any of the active or inactive ingredients in the study medication
  • Any other reason which the Investigator considers unsuitable for the subject to participate
  • Any condition or previous disease leading to pruritus or itching of the skin.

Treatment and study plan

Px-102

Drug

Px-102 drinking solution, 0.5 mg/kg, 1.0 mg/kg and 1.5 mg/kg

Placebo

Drug

Drinking solution

Primary outcomes

  1. Safety and tolerability of Px-102

    Time frame: 7 days

    Adverse event monitoring, laboratory values, cardiovascular monitoring. Comparison active vs. placebo

Secondary outcomes

  1. Pharmacokinetics of Px-102 and metabolites

    Time frame: Day 1: 0 min, 15 min, 30 min, 60 min, 1.5 h, 2 h, 3 h, 4 h, 5 h, 6 h, 7 h, 8 h, 12 h, 22 h, 24 h; Day 5 and 6: pre-dose; Day 7: 0 min, 15 min, 30 min, 60 min, 1.5 h, 2 h, 3 h, 4 h, 5 h, 6 h, 7 h, 8 h, 12 h, 22 h, 24 h, 30 h.

    Plasma, urine and fecal concentrations (ng/mL) of Px-102 and metabolites measured by LC-MS/MS. AUC, Cmax and other pk parameters. Comparison of the pk data on day 7 vs. day 1

  2. Pharmacodynamics

    Time frame: Pre-dose, 1, 2, 4, 8 and 10 hours after administration on Days 1 and 7; Pre-dose, 2 hours and 8 hours after administration on Days 2 to 6; at 22 hours after the last administration

    Markers for FXR activation (e.G. FGF19 (pg/mL) measurement by ELISA). Comparison active vs. placebo

Sponsors and collaborators

Lead sponsor

Phenex Pharmaceuticals AG

Industry

Registry information

Official study title

A Double-blind, Randomised, Placebo-controlled, Dose-escalation Study of the Safety, Tolerability and Pharmacokinetics of Increasing Multiple Oral Doses of Px-102 to Healthy Subjects

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Dec 2, 2013
Registry last updated
Nov 4, 2014

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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