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Completed

NCT Number: NCT05841160

Thorough QT/QTc Study to Evaluate the Effects of Ecopipam (EBS-101) on Cardiac Repolarization

THOROUGH QT/QTc STUDY TO EVALUATE THE EFFECTS OF ECOPIPAM (EBS-101) ON CARDIAC REPOLARIZATION

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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

PPD Austin Phase 1 Clinical Research Unit

Austin, Texas, 78744, United States

About this study

This is a single-center, randomized, partially double-blind (open-label moxifloxacin), placebo- and positive-controlled, 4-way crossover study in healthy subjects. Following a 28 day screening period, eligible subjects will enter the clinical research unit (CRU) on Day -1. A total of 32 subjects will be randomized in a 1:1:1:1 ratio to 1 of 4 treatment sequences (8 subjects per treatment sequence). Subjects will receive the assigned study drug as a single oral dose in the morning on Day 1 of each treatment period (Day 1 [Period 1], Day 8 [Period 2], Day 15 [Period 3], and Day 22 [Period 4]) after an overnight fast. Subjects will have serially matched blood samples (for determination of plasma concentrations) and 12-lead ECGs collected at predose and up to 48 hours after each dose for C QTc analysis. Subjects will be discharged from the CRU 96 hours after the last dose of the study drug (Day 26). A follow-up telephone call will occur 5 ±2 days after discharge (Day 31 ±2).

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or female of nonchildbearing potential
  • 18 to 55 years of age
  • BMI of 18 to 30 kg/m2, and weight of at least 50 kg for males and 45 kg for females.
  • Subject considered by the investigator to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead ECG results, and PE findings.
  • Male subjects with female partners of childbearing potential must agree to use a double-barrier method of contraception during the study and agree to continue the use of male contraception for at least 90 days after the last dose of study drug.
  • Male subjects must be willing to refrain from donating sperm during study participation and for 90 days after the last dose of study drug.
  • The subject is able to provide written informed consent and agrees to comply with all protocol requirements.

Exclusion criteria

  • Female subjects of childbearing potential or who are currently pregnant or lactating
  • Subjects with a history of significant medical illness
  • Clinically significant abnormalities on screening tests/exams
  • History of or serious risk of committing suicide
  • Donation of plasma within 7 days prior to dosing
  • Donation of significant loss of blood within 30 days prior to dosing
  • Major surgery within 3 months or minor surgery within 1 month prior to CRU admission
  • Use of prohibited prescription, over-the-counter medications or natural health products
  • Alcohol-based products within 24 hours prior to check-in on Day -1
  • Vaccinations within 72 hours prior to check-in on Day -1
  • Subjects with a history of any clinically significant ECG or vital sign abnormalities or presence of any clinically significant ECG or vital sign abnormalities or changes at screening or on Day -1
  • Positive test result for drugs of abuse, alcohol, or cotinine
  • Use of nicotine or nicotine-containing products within 90 days before the first dose of study drug.
  • Subjects with a history of excessive alcohol intake or abuse or drug addiction within the last year
  • Subjects with a history of allergy, allergic skin rash, asthma, or an intolerance, sensitivity, or photosensitivity to moxifloxacin or ecopipam
  • Subjects who have participated in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dose or administration of a biological product in the context of a clinical research study within 90 days prior to the first dose
  • Subjects with prior exposure to ecopipam
  • Any subject who, in the opinion of the investigator, is not a suitable candidate for the study.

Treatment and study plan

Ecopipam Hydrochloride

Drug

oral tablets

moxifloxacin

Drug

oral tablet

Placebo

Drug

oral tablet

Primary outcomes

  1. Evaluate ecopipam's effect on the QTc interval after administration of therapeutic and supratherapeutic doses, compared to placebo as a negative control using C-QTc analysis.

    Time frame: Up to Day 25

    ECGs and PK samples will be collected for up to 96 hours after each dose

Secondary outcomes

  1. Evaluate the effect of ecopipam at a therapeutic dose on heart rate

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  2. Evaluate the effect of ecopipam at a therapeutic dose on PR interval

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  3. Evaluate the effect of ecopipam at a therapeutic dose on QRS interval

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  4. Evaluate the effect of ecopipam at a therapeutic dose on T-wave morphology

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  5. Evaluate the effect of ecopipam at a therapeutic dose on U wave presence

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  6. Evaluate the effect of ecopipam at supratherapeutic dose on heart rate

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  7. Evaluate the effect of ecopipam at supratherapeutic dose on PR interval

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  8. Evaluate the effect of ecopipam at supratherapeutic dose on QRS interval

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  9. Evaluate the effect of ecopipam at supratherapeutic dose on T-wave morphology

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  10. Evaluate the effect of ecopipam at supratherapeutic dose on U wave presence

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  11. Evaluate the ECG assay sensitivity to detect a change in the QT interval corrected for heart rate using Fridericia's formula (QTcF interval) using 400 mg moxifloxacin as the positive control

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  12. Evaluate the effects of ecopipam on the emergence of arrhythmias

    Time frame: Up to Day 25

    ECGs will be collected for up to 48 hours after each dose

  13. Describe the incidence of treatment-emergent adverse events after a single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    AEs will be collected throughout the duration of the study

  14. Describe the incidence of treatment-emergent adverse events after a single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    AEs will be collected throughout the duration of the study

  15. Describe the incidence of treatment-emergent adverse events after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    AEs will be collected throughout the duration of the study

  16. Describe the Cmax of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  17. Describe the Tmax of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  18. Describe the AUClast of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  19. Describe the AUCinf of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  20. Describe the AUCext of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  21. Describe the λz of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  22. Describe the t1/2 of ecopipam after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  23. Describe the Cmax of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  24. Describe the Tmax of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  25. Describe the AUClast of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  26. Describe the AUCinf of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  27. Describe the AUCext of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  28. Describe the λz of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  29. Describe the t1/2 of ecopipam after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  30. Describe the Cmax of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  31. Describe the Tmax of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  32. Describe the AUClast of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  33. Describe the AUCinf of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  34. Describe the AUCext of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  35. Describe the λz of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  36. Describe the t1/2 of EBS-101-40853 after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  37. Describe the Cmax of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  38. Describe the Tmax of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  39. Describe the AUClast of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  40. Describe the AUCinf of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  41. Describe the AUCext of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  42. Describe the λz of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  43. Describe the t1/2 of EBS-101-40853 after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  44. Describe the Cmax of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  45. Describe the Tmax of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  46. Describe the AUClast of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  47. Describe the AUCinf of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  48. Describe the AUCext of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  49. Describe the λz of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  50. Describe the t1/2 of ecopipam glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  51. Describe the Cmax of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  52. Describe the Tmax of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  53. Describe the AUClast of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  54. Describe the AUCinf of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  55. Describe the AUCext of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  56. Describe the λz of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  57. Describe the t1/2 of ecopipam glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  58. Describe the Cmax of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  59. Describe the Tmax of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  60. Describe the AUClast of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  61. Describe the AUCinf of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  62. Describe the AUCext of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  63. Describe the λz of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  64. Describe the t1/2 of EBS-101-40853 glucuronide after single therapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  65. Describe the Cmax of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  66. Describe the Tmax of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  67. Describe the AUClast of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  68. Describe the AUCinf of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  69. Describe the AUCext of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  70. Describe the λz of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  71. Describe the t1/2 of EBS-101-40853 glucuronide after single supratherapeutic dose of ecopipam

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  72. Describe the Cmax of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  73. Describe the Tmax of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  74. Describe the AUClast of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  75. Describe the AUCinf of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  76. Describe the AUCext of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  77. Describe the λz of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

  78. Describe the t1/2 of moxifloxacin after a single dose of moxifloxacin 400 mg

    Time frame: Up to Day 33

    17 blood samples will be collected at the indicated timepoints for pharmacokinetic analysis

Sponsors and collaborators

Lead sponsor

Emalex Biosciences Inc.

Industry

Collaborators

  • Clario
  • PPD Development, LP

Registry information

Official study title

A Randomized, Double-Blind, Placebo- and Positive Controlled, Crossover, Thorough QT/QTc Study to Evaluate the Effects of a Therapeutic and Supratherapeutic Dose of Ecopipam (EBS-101) on Cardiac Repolarization in Healthy Subjects

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
May 3, 2023
Registry last updated
Jun 9, 2023

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.