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Completed

NCT Number: NCT04022473

Study to Compare GI Tolerability Following Oral Administration of Bafiertam™ or Tecfidera to Healthy Volunteers

The primary objective of the study is to compare in healthy subjects, the GI tolerability of bioequivalent doses of Bafiertam™(monomethyl fumarate) and its pro-drug Tecfidera® (dimethyl fumarate).

Secondary objective of this study is to compare the safety and tolerability of Bafiertam™ and Tecfidera® when administered orally following bioequivalent dose regimens in healthy subjects.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

BioPharma Services, Inc.

Columbia, Missouri, 65201, United States

About this study

Subjects randomized (1:1) to either Bafiertam (monomethyl fumarate) or Tecfidera (dimethyl fumarate) will enter a double-blind titration period where they will receive either Bafiertam 95 mg twice daily (BID) or Tecfidera 120 mg BID for 7 days. Following the titration period, they will enter a maintenance period in which they will receive Bafiertam 190 mg BID or Tecfidera 240 mg BID for 4 weeks.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Males or non-pregnant females.
  • Healthy, according to the medical history, ECG, vital signs, laboratory results and physical examination as determined by the PI/Sub-Investigator.
  • Body Mass Index within 18.0 - 34.0 kg/m2, inclusive

Exclusion criteria

  • Known history or presence of any clinically significant hepatic, renal/genitourinary, Gastrointestinal (GI), cardiovascular, cerebrovascular, pulmonary, endocrine, immunological, musculoskeletal, neurological, psychiatric, dermatological or hematological disease or condition unless determined as not clinically significant by the PI/Sub-Investigator.
  • Clinically significant history or presence of any clinically significant GI pathology unresolved GI symptoms, or other conditions known to interfere with the absorption, distribution, metabolism or excretion of the drug experienced within 7 days prior to first study drug administration, as determined by the PI/Sub-Investigator.
  • Presence of any significant physical or organ abnormality as determined by the PI/Sub-Investigator.
  • Subject with abnormal baseline laboratory values deemed to be clinically significant by the Investigator.
  • Lymphocyte count <1.5x 10^9/L.
  • Known history or presence of: Alcohol abuse or dependence within one year prior to first study drug administration; Drug abuse or dependence; Hypersensitivity or idiosyncratic reaction to DMF, its excipients, and/or related substances; Progressive multifocal leukoencephalopathy (PML); Fanconi syndrome; Flushing (e.g., warmth, redness, itching, and burning sensation); Low white blood cell count (lymphopenia);

Treatment and study plan

Bafiertam

Drug

Over-encapsulated capsule to mask treatment

Other names: monomethyl fumarate

Tecfidera

Drug

Over-encapsulated capsule to mask treatment

Other names: dimethyl fumarate

Primary outcomes

  1. Area Under the Curve (AUC) in each of the individual symptoms over the treatment period.

    Time frame: 5 weeks

    The symptoms measured are (1) nausea, (2) vomiting, (3) diarrhea, (4) upper abdominal pain, (5) lower abdominal pain, (6) constipation, (7) bloating, and (8) flatulence

Secondary outcomes

  1. Comparison of the Modified Overall Gastrointestinal Symptom Scale (MOGISS) composite score

    Time frame: 5 weeks

    The MOGISS assesses global GI events (defined as one or more of the following symptoms: nausea, diarrhea, upper abdominal pain, lower abdominal pain, vomiting, constipation, bloating, and flatulence) and their effect on the patient during the 24 hours before each morning dose. The events items are rated on a 10-point numerical rating scale, where 0 = no events, 1 to 3 = mild events, 4 to 6 = moderate events, 7 to 9 = severe events, and 10 = extreme events. The MOGISS Total (sum of 8 scores) range is 0 (no symptoms) to 80 (worst possible symptoms) and the MOGISS Composite (average of 8 scores) range is 0 (no symptoms) - 10 (worst possible symptoms).

  2. The number of days that a subject experiences at least one GI symptom.

    Time frame: 5 weeks

    Number of days with at (as reported on the MOGISS) with a severity score of at least 1

  3. AUC in the MOGISS total score within in each subject over the treatment period

    Time frame: 5 weeks

    Defined as the daily total of all 8 individual symptom scores within each subject

  4. Frequency, severity, and duration of overall GI events using the MOGISS.

    Time frame: 5 weeks

    Frequency, severity and duration of overall GI events will be completed using the MOGISS for each week of study treatment as well as for the overall study treatment period.

  5. Safety and tolerability outcomes: incidence rates of all non GI-adverse events

    Time frame: 5 weeks

    Subject incidence rates of all non GI-adverse events

Sponsors and collaborators

Lead sponsor

Banner Life Sciences LLC

Industry

Registry information

Official study title

A Randomized, Double-Blind Study to Compare Gastrointestinal Tolerability Following Oral Administration of Bafiertam™ (Monomethyl Fumarate) or Tecfidera® (Dimethyl Fumarate) to Healthy Male and Female Volunteers

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Jul 17, 2019
Registry last updated
Jan 18, 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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