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OpenTrials
Completed

NCT Number: NCT04710407

Study to Assess the Intrapulmonary Pharmacokinetics of SPR859 by Comparing the Plasma, Epithelial Lining Fluid (ELF), and Alveolar Macrophages (AM) Concentrations Following the Oral Administration of Five Doses of SPR994 in Healthy, Nonsmoking Volunteers

To evaluate the intrapulmonary pharmacokinetics (PK), including ELF and AM concentrations, of SPR859 (tebipenem) compared to plasma concentrations of SPR859 (tebipenem) (the active moiety in plasma of the prodrug SPR994) in nonsmoking healthy adult volunteers.

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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

Pulmonary Associates

Phoenix, Arizona, 85032, United States

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Adult males or female subjects, between 18 and 55 years of age (both inclusive) at the time of screening
  • BMI ≥ 18.5 and ≤ 32 (kg/m2) and weight between 55.0 and 100.0 kg (both inclusive)
  • Willing and able to provide written informed consent; Willing and able to comply with all study assessments and adhere to the protocol schedule
  • Medically healthy without clinically significant abnormalities as assessed by the Investigator based on screening medical history, physical examination, vital signs, 12-lead ECG, hematology, biochemistry and urinalysis
  • Have suitable venous access for blood sampling

Exclusion criteria

  • History of seizure disorders
  • Positive urine drug, alcohol or cotinine testing at screening or check-in (Day -1)
  • Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C antibodies (HCV);
  • Positive testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at screening;
  • Presence of the following symptoms at screening or within 14 days prior to screening or Check-in (Day -1)
  • Fever, chills or sweats (temperature of 38 °C / 100.4 °F or higher)
  • Difficulty breathing
  • Cough
  • Sore throat
  • New or recent loss of taste or smell
  • Nausea, vomiting or diarrhea;
  • Close contact with anyone who tested positive for SARS-CoV-2 infection within 14 days prior to screening or Check-in (Day -1);
  • Electrocardiogram (ECG) with QTcF interval duration equal or greater than 450 msec for males and 470 msec for females
  • Subjects who have any of the following abnormalities on laboratory values at screening or prior confinement including:
  • White blood cell count < 3,000/mm3, hemoglobin < 11g/dL;
  • Absolute neutrophil count <1,200/mm3, platelet count <120,000/mm3;
  • alanine aminotransferase (ALT) and aspartate aminotransferase (AST) greater than 1.5 x the upper limit of normal (ULN) for the reference laboratory;
  • History of substance abuse or alcohol abuse
  • Use of tobacco/nicotine- or marijuana-containing products (including vaping products) within 12 months prior to screening;
  • Known history of clinically significant hypersensitivity reaction or anaphylaxis to any medication

Treatment and study plan

TBPM-PI-HBr

Drug

TBPM-PI-HBr (2 x 300mg tablets) a total of five doses

Other names: TBPM-PI-HBr oral capsule, SPR994

Primary outcomes

  1. Plasma PK and lung penetration of SPR859 following multiple doses

    Time frame: Day 1 to Day 3

    Plasma PK parameters will include the area under the curve (AUC) from time zero to the last quantifiable sample (AUC0-t), AUC from time zero to end of dosing interval (AUC0-8). The AUC0-8 values for ELF and AM will be determined. The ratios of the AUC0-8 of ELF to the AUC0-8 of plasma and the AUC0-8 of AM to the AUC0-8 of plasma will be calculated.

  2. Plasma PK and lung penetration of SPR859 following multiple doses

    Time frame: Day 1 to Day 3

    Plasma PK parameters will include the maximum concentration (Cmax), minimum concentration (Cmin), time to Cmax (tmax), and the terminal-phase half-life (t1/2).

Secondary outcomes

  1. Safety and tolerability, including adverse events (AEs)

    Time frame: Day 1 to Day 10

    Frequency of adverse events by severity, seriouness, system organ class, preferred term and treatment group

  2. Safety and tolerability, including clinically significant changes from baseline in clinical laboratory values

    Time frame: Day 1 to Day 10

    Change from baseline in selected laboratory assays including WBC, hemoglobin, platelet count, liver function tests (AST, ALT, AP), blood urea nitrogen (BUN), serum creatinine (Cr), and estimated Cr clearance (based on Cockcroft-Gault formula), by treatment group

  3. Safety and tolerability, including physical examination

    Time frame: Day 1 to Day 10

    Change from baseline in vital signs

  4. Safety and tolerability, including ECG

    Time frame: Day 1 to Day 10

    Cardiac (12-Lead ECG) will be summarized at each scheduled time point using descriptive statistics

Sponsors and collaborators

Lead sponsor

Spero Therapeutics

Industry

Collaborators

  • Clinartis

Registry information

Official study title

A Phase 1, Single-center, Open-label Study to Assess the Intrapulmonary Pharmacokinetics of SPR859 by Comparing the Plasma, Epithelial Lining Fluid (ELF), and Alveolar Macrophages (AM) Concentrations Following the Oral Administration of Five Doses of SPR994 in Healthy, Nonsmoking Volunteers

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Jan 14, 2021
Registry last updated
Mar 16, 2021

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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