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Completed

NCT Number: NCT00907803

Safety, Tolerability, Pharmacokinetics (PK) of the Anti-Orthopox Drug, ST-246

The purpose of this study was to assess the safety, tolerability, and pharmacokinetics of two clinical doses of the anti-orthopoxvirus drug, ST-246, administered as a single daily oral dose for 14 days to healthy, fed volunteers. The results of this trial determine which dose will be used in expanded pivotal safety trials.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Apex Research Institute, Santa Ana, California, United States

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About this study

This study is a Phase II, double-blind, randomized, placebo-controlled, multi-center (3 sites) trial to assess the safety, tolerability, and pharmacokinetics of 400 mg and 600 mg Form I ST-246 when administered as a single daily oral dose for 14 days to 107 healthy, fed volunteers between 18 and 74 years of age. Safety parameters included adverse events, vital signs, physical examinations, laboratory tests (hematology, blood chemistry, and urinalysis) and electrocardiograms.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • 18 - 75 yrs
  • Healthy volunteer
  • Ability to consent
  • Available for clinical follow-up for study
  • Not taking other medications
  • Adequate venous access
  • Using adequate birth control; negative pregnancy test
  • Able and willing to avoid alcohol for screening and study duration

Exclusion criteria

  • Inability to swallow study medication
  • Pregnant or breast-feeding
  • Medical condition, e.g., asthma, hypertension, angioedema, traumatic brain injury other than concussion, bleeding disorder, blood dyscrasia, idiopathic seizures, cardiac disease that limits activity, diabetes, active malignancy, Hepatitis B or C, HIV or AIDS, chronic microbial infection,
  • History of drug allergy that contraindicates study participation
  • Medical, psychiatric, social, occupational or other reason that jeopardizes the safety/rights of participant or renders he/she unable to comply with the protocol (including drug or alcohol abuse, or homelessness)
  • Clinically abnormal ECG
  • Has or will participate in a clinical trial or experimental treatment within 30 days of, or during, the study
  • Cannot or will not do physical exercise 24 hrs before and after PK days
  • Will not consume grapefruit/grapefruit juice during study
  • Vaccination within 2 wks of screening, or planned before Day 42 of study
  • Treatment with prednisone or equivalent immunosuppressant/modulatory drug <3 mths before screening
  • Clinically significant physical exam and lab results <2weeks from 1st study drug dose

Treatment and study plan

ST-246 400 mg

Drug

Capsules, 400 mg daily for 14 days

Other names: Tecovirimat

ST-246 600 mg

Drug

Capsules, 600 mg daily for 14 days

Other names: Tecovirimat

Placebo

Drug

Capsules, once daily for 14 days

Primary outcomes

  1. Number of Study Participants Who Tolerated a Single Daily Oral ST-246 Dose as Determined by Safety Parameter Changes According to the DAIDS (Division of Acquired Immunodeficiency Syndrome) Adverse Events (AE) Grading Table.

    Time frame: Days 1 to 14; then 24, 48, 72, 96 and 120 hours and 4 weeks after final dose

    Subjects were administered a single, daily oral dose of ST-246 (400 or 600 mg)and changes in safety parameteres were monitored. Safety parameters included adverse events, vital signs, physical examinations, laboratory tests (hematology, blood chemistry, and urinalysis) and electrocardiograms. The DAIDS AE grading table is a list of common terms and severity (intensity) of parameters used to describe adverse events occurring in NIAID-sponsored clinical studies/trials.

Secondary outcomes

  1. Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax

    Time frame: Day 1 post-dose

    Cmax: Maximum drug concentration in plasma determined directly from individual concentration-time data

  2. Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax

    Time frame: Day 14 post-dose

    Cmax: Maximum drug concentration in plasma determined directly from individual concentration-time data

  3. Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax

    Time frame: Day 1 post-dose

    Tmax: Time to reach maximum drug concentration in plasma calculated from [plasma] versus time profiles

  4. Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax

    Time frame: Day 14 post-dose

    Tmax: Time to reach maximum drug concentration in plasma calculated from [plasma] versus time profiles

  5. Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau

    Time frame: Day 1 post-dose

    AUCtau: Area under the plasma concentration-time curve for each dosing interval (from time 0 to 24 hours sample) determined using the linear trapezoidal rule

  6. Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau

    Time frame: Day 14 post-dose

    AUCtau: Area under the plasma concentration-time curve for each dosing interval (from time 0 to 24 hours sample) determined using the linear trapezoidal rule

  7. Evaluation of Pharmacokinetic Parameters to Assess Interventions: t½

    Time frame: Day 14 post-dose

    t½: Observed terminal elimination half-life determined after the last dose on Day 14

Sponsors and collaborators

Lead sponsor

SIGA Technologies

Industry

Collaborators

  • National Institutes of Health (NIH)

Registry information

Official study title

Double-Blind, Randomized, Placebo-Controlled, Multi-Center Trial to Assess Safety, Tolerability, and PK of the Anti-Orthopoxvirus Compound ST-246 When Administered as a Single Daily Oral Dose for 14 Days in Volunteers in the Fed State

Acronym: 246-Safety

Important dates

Study start
2009
Primary completion
2010
Study completion
2010
First posted
May 25, 2009
Registry last updated
Sep 21, 2010

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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