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Completed

NCT Number: NCT04150224

Safety, Tolerability, Pharmacokinetics and Food Effects Study of PBTZ169

Open-label prospective non-comparative ascending dose randomized cohort study of single and multiple oral administration of PBTZ169 (capsules 80 mg) in healthy volunteers

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Clinical hospital at the Yaroslavl station of the Open Joint Stock Company Russian Railways

Yaroslavl, 150030, Russia

About this study

Open-label prospective non-comparativerandomized cohort study of safety, tolerability, pharmacokinetics and the effect of food of PBTZ169 in adult healthy volunteers after single and multiple oral administration. Study was conducted in one study center in the Russian Federation. The study included two stages:

Stage 1 - single or double oral administration with dose escalation (fasted/after meal) in 5 cohorts 10 healthy volunteers each plus 5 back-up volunteers;

Stage 2 - multiple oral administration once a day after meal for 14 days in 1 cohort of 10 healthy volunteers.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Written informed consent from the volunteer.
  • Men and women aged 18-45 years, inclusive.
  • Body mass index of 18.5-30 kg/m2.
  • Verified "healthy" diagnosis based on physical examination, vital signs, standard laboratory tests (complete blood count and biochemical blood test, urine analysis) and instrumental tests (ECG, fluorography examination or X-ray examination).
  • Negative results of tests for human immunodeficiency virus (HIV), syphilis, hepatitis B (Hbs Ag) and hepatitis C (antibodies to HCV).
  • Ability to comply with all the requirements of the protocol in the opinion of the investigator.
  • Consent of the participant and his/her partner to use reliable contraceptive methods during the study and within 90 days after the end of their participation. A reliable method of contraception is a combination of a male condom with at least one of the following methods:
  • hormonal contraceptives used by the male's partner (only if she does not participate in this clinical study);
  • use of aerosols, creams, suppositories and other agents containing spermicides;
  • use of intrauterine device by female partner.

Exclusion criteria

  • History of allergies, including at least one episode of allergy to medications.
  • Chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine systems, ENT, as well as diseases of the gastrointestinal tract, liver, kidneys, blood, skin.
  • Hypolactasia (lactose intolerance, lactase deficiency) or glucose-galatose malabsorption in medical history.
  • Chronic eye diseases except for myopia, hypermetropia and astigmatism of mild and moderate severity.
  • Surgeries on the gastrointestinal tract (except for appendectomy done more than 1 year before screening).
  • Regular administration or use (including externally) of hormonal agent for more than 1 week less than 45 days before screening
  • Regular administration of medicinal products less than 4 weeks before screening.
  • Use of medicinal products that have a pronounced effect on liver function or hemodynamics (barbiturates, omeprazole, cimetidine, etc.) less than 30 days before screening.
  • Positive test for narcotics and psychotropic products.
  • Blood pressure after resting in supine position for at least 5 minutes above 130 mm Hg (systolic blood pressure) and 90 mm Hg (diastolic blood pressure) or below 110 mm Hg (systolic blood pressure) and 60 mm Hg (diastolic blood pressure).
  • Heart rate (according to ECG) after resting in supine position for at least 5 minutes above 90 bpm or below 60 bpm.
  • Blood donation (450 mL of blood or plasma and more) less than 3 months before the screening.
  • Acute infectious diseases less than 4 weeks before screening.
  • Administration of more than 10 units of alcohol per week (1 unit of alcohol is equivalent to 500 mL of beer, 200 mL of wine or 50 mL of a spirit) or history of alcoholism, drug abuse, substance abuse.
  • Mental diseases.
  • Smoking for three months before screening.
  • Participation in any clinical study less than 3 months before screening.
  • Planned conception or sperm donation during the study after the administration of the investigational product or within 3 months after the last administration of the product.
  • Positive pregnancy test for women.
  • Breastfeeding period.

Treatment and study plan

PBTZ169 640 mg OD

Drug

Two administrations once a day with a wash-out period: food effect

Other names: Macozinone (PBTZ169)

PBTZ169 640 mg BiD

Drug

Twice a day fasted; 1 day of administration

Other names: Macozinone (PBTZ169)

PBTZ169 960 mg SD

Drug

Once a day fasted

Other names: Macozinone (PBTZ169)

PBTZ169 1280 mg SD

Drug

Once a day fasted

Other names: Macozinone (PBTZ169)

PBTZ169 1280 mg MD

Drug

Once a day after meal, 14 doses

Other names: Macozinone (PBTZ169)

Primary outcomes

  1. Number of Adverse Events

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Safety and tolerability: number of (S)AEs

  2. Number of Subjects With AEs

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Safety and tolerability: number of subjects with adverse events

Secondary outcomes

  1. CS Changes in Vital Signs

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Safety and tolerability:Clinically significant changes in vital signs (blood pressure, HR, body temperature, RR)

  2. ECG Results (Safety and Tolerability)

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Clinically significant abnormal deviations in ECG findings

  3. Laboratory Examinations Results (Safety and Tolerability)

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Complete blood count, biochemical blood test, urine analysis

  4. Results of Physical Examination: CS Deviations

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Safety and tolerability: number of physical examinations with CS deviations in results

  5. Peak Plasma Concentration (Сmax)

    Time frame: In the dosing interval (up to 72 hours after the last drug administration)

    Сmax of PBTZ169 at the timepoints:

    C1A, C1B, C2 and C4: point 0 (-5 min to -1 min), 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 9:00, 12:00, 24:00, 48:00 and 72:00 (h:min).

    C3 (two administrations): point 0 (-5 min to -1 min), 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 9:00, 12:00 (the point before the second administration from -5 min to -1 min), 12:30, 13:00, 13:30, 14:00, 15:00, 16:00, 18:00, 21:00, 24:00, 48:00 , 72:00 (h:min) after the first administration of the medicinal product.

    C5 (14 days of intake): 5 minutes before the administration (only until the first dose), 0 min and within 24 h after the administration of the 1st, 7th and last (14th) dose: 0:15, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 (h:min after the administration of a dose of the medicinal product); at 48 h and 72 h points after the last (14th) dose of PBTZ169

  6. Trough Concentration With Repeated Administration (Ctrough)

    Time frame: Up to 72 hours after the last drug administration

    PBTZ169 concentration before drug intake (Days 2 - 15)

  7. Time to Reach Maximum Concentration (Tmax)

    Time frame: Up to 72 hours after the last drug administration

    Cohort 3: Tmax relative to the time of administration in any dosage interval

  8. Plasma Half-life Time (T1/2)

    Time frame: Up to 72 hours after the last drug administration

  9. Area Under the Concentration-time Curve (AUC0 t)

    Time frame: Up to 72 hours after the last drug administration

    In the time interval from 0 to time (t) when the last blood sample is collected with a concentration above the limit of quantification.

    C5: for the data of Day 14 based on measurements within 72 hours after the last dose administration

  10. Area Under the Concentration-time Curve (AUC0-∞)

    Time frame: Up to 72 hours after the last drug administration

    In the time interval from 0 to infinity

  11. Area Under the Concentration-time Curve (AUC0-24)

    Time frame: In the dosing interval (up to 24 hours after drug administration)

    C5 (multiple administration once a day for 14 days): AUC0-24 was calculated based on measurements within 24 hours after PBTZ169 intake

  12. Total Clearance (Clt/F)

    Time frame: Up to 72 hours after the last drug administration

  13. Volume of Distribution (Vd/F)

    Time frame: Up to 72 hours after the last drug administration

  14. Elimination Constant Kel

    Time frame: Up to 72 hours after the last drug administration

  15. Relative Bioavailability

    Time frame: Up to 72 hours after the last drug administration

    f=AUC0-∞(T)/AUC0-∞(R); f'=AUC0-t(T)/AUC0-t(R) Test (T) - PBTZ169 640 mg after meals, reference (R) - PBTZ169 640 mg fasted

  16. Relative Degree of Absorption

    Time frame: Up to 72 hours after the last drug administration

    f"=Cmax(T)/Cmax(R). Test (T) - PBTZ169 640 mg after meals, reference (R) - PBTZ169 640 mg fasted

  17. Number of Subjects With CS Changes in Vital Signs

    Time frame: Up to last visit time point: C2, C3, C4 up to Day 7; C1 up to Day 13; C5 up to Day 21 after first drug intake

    Safety and tolerability: No. of sbjs with clinically significant changes in vital signs (blood pressure, HR, body temperature, RR)

Sponsors and collaborators

Lead sponsor

Nearmedic Plus LLC

Industry

Registry information

Official study title

An Open-label, Prospective Study of Safety, Tolerability, Pharmacokinetics and Food Effects of PBTZ169, 80 mg Capsules, When Used in Ascending Doses in Healthy Volunteers

Important dates

Study start
2018
Primary completion
2018
Study completion
2019
First posted
Nov 4, 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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