A Study of NP-201 Acetate Injection in Healthy Adult Volunteers and in Patients With Mild-To-Mode… (NCT06681389) | Clinical Trial Compass
CompletedPhase 1
A Study of NP-201 Acetate Injection in Healthy Adult Volunteers and in Patients With Mild-To-Moderate Active Ulcerative Colitis
Australia35 participantsStarted 2024-11-25
Plain-language summary
This Phase 1b/2a clinical development plan is focused on the use of NP-201 acetate injection to investigate the pharmacokinetics (PK), safety, efficacy, PD (pharmacodynamic) markers (Phase 1b) and tolerability of NP-201 acetate injection after subcutaneous (SC) injection of multiple doses in healthy adults and in the ulcerative colitis (UC) patient population.
Who can participate
Age range18 Years – 60 Years
SexALL
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Inclusion criteria
✓. Healthy males and females, between 18 to 60 years inclusive, at the time of Screening.
✓. Body mass index (BMI) between 18.0 kg/m2 and 32.0 kg/m2(inclusive), at Screening, with a minimum body weight of 50 kg
✓. In good health based on the results of medical history, physical examinations, 12-lead ECG, vital signs measurement, and clinical laboratory evaluations at Screening, as assessed by the PI or designee.
✓. All female participants of childbearing potential with male sexual partners and male participants with female sexual partners of childbearing potential must consent to use two highly effective methods of contraception from start of study and for at least 90 days (male and female participants) following the EOS visit or last dose of study treatment, whichever is later. Male participants must refrain from sperm donation from start of study and for 90 days after last dose of IP; female participants must refrain from donation of ova from start of study and for 30 days after last dose of IP. WOCBP must have a negative serum pregnancy test at Screening and a negative urine pregnancy test on Screening, and be willing to undergo additional pregnancy tests, as required, throughout the study. Women not of childbearing potential must be postmenopausal (defined as cessation of regular menstrual periods for at least 12 months without an alternative medical cause), confirmed by follicle-stimulating hormone (FSH) level \>40 IU/mL at Screening.
✓. Participants whose smoking habit in the last 3 months prior to Screening included no more than 14 cigarettes per week (includes e-cigarettes and other nicotine and tobacco products) can be included in the study but must be willing to abstain from smoking from Screening until completion of the EOS visit (Part A only).
✓. Ability and willingness to restrict the use of alcohol to ≤ 21 units per week for males and ≤ 14 units per week for females. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits. Participants must have negative alcohol breath tests at Screening and Day -1 visits.
What they're measuring
1
Safety of NP-201 acetate injection in Healthy Volunteers. To evaluate the safety of NP-201 acetate injection by incidence, relationship and severity of adverse events (AE), serious adverse events and Treatment emergent AE
Timeframe: Part A-Screening to Day 12 post first dose administration
2
Safety of NP-201 acetate injection in Healthy Volunteers. To evaluate the safety of NP-201 acetate injection by changes in baseline Laboratory values
Timeframe: Part A-Screening to Day 12 post first dose administration
3
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- AUC from time 0 to 24 (AUC24)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
4
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- AUC over the dosing interval (AUCtau)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
5
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- Area under curve from 0 to last AUC(0-last)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
6
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- Maximum plasma concentration at steadystate (Cmax,ss)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
✓. Participants who are able to receive SC injections specifically participants who have scars or tattoos in the area of concern.
✓. Participants must participate voluntarily, sign the ICF, have good compliance, be able and willing to attend the necessary site visits and be willing to cooperate with follow-up visits.
Exclusion criteria
✕. Have a clinically significant medical history or surgical history and have at least one of the following findings:
✕. Have skin diseases that may affect the absorption of the IP (eg, psoriasis, contact dermatitis), scars, tattoos, and skin abnormalities that may interfere with SC injections, or a history of surgery within 60 days of Screening (except for simple appendectomy or hernia repair, as assessed by the PI or designee).
✕. Have a recent significant history of kidney diseases, pancreatitis and/ or nephrolithiasis.
✕. Participants with liver cirrhosis accompanying edema and/or ascites.
✕. Have known clinically significant allergies as assessed by the PI or designee, diseases of either/or the cardiovascular system, peripheral vascular system, skin, mucous membranes, eyes, respiratory system, musculoskeletal system, and/or any other diseases that may pose a problem with the PK evaluation. History of childhood asthma can be included at the discretion of the PI or designee.
✕. Presence of any underlying physical, or psychological medical condition that, in the opinion of the PI or designee, will make it unlikely that the participant will comply with the protocol, or complete the study per the protocol.
✕. Pregnant or lactating at Screening or planning to become pregnant at any time during the study, including the follow-up period.
✕. Have a clinically relevant history of hypersensitivity reactions or allergic reactions to drugs (such as aspirin and antibiotics), or known drug allergies (eg, to aspirin, nonsteroidal anti-inflammatory drugs \[NSAIDs\], antibiotics, iodine, anesthetics, other monoclonal antibodies, etc.).
7
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- time to Cmax,ss (tmax,ss)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
8
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- Apparent oral body clearance at steady-state (CL/Fss)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
9
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection- Apparent volume of distribution at steady-state (Vd/Fss)
Timeframe: Part A- Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
10
Part A-Plasma PK parameters following multiple doses of NP-201 acetate injection-Terminal half life (t1/2)
Timeframe: Part A-Samples collected on Day 1, Day 2, Day 5 and Day 6 post first dose administration
11
Part A-Urine PK parameters of NP-201 acetate injection after multiple doses- cumulative amount of drug excreted in urine (Ae)
Timeframe: Part A-Samples collected on Day 1 and Day 5 post first dose administration
12
Part A-Urine PK parameters of NP-201 acetate injection after multiple doses- percent fraction of drug recovered in urine (Fe)
Timeframe: Part A-Samples collected on Day 1 and Day 5 post first dose adminstration
13
Part A-Urine PK parameters of NP-201 acetate injection after multiple doses- Renal clearance (CLr)
Timeframe: Part A-Samples collected on Day 1 and Day 5 post first dose adminstration
14
Area Under the Plasma Concentration-Time Curve (AUC)
Timeframe: Day 1, Day 8, Day 15, Day 22, Day 29, Day 30 (24 hours post-dose), Day 43
15
Peak Plasma Concentration (Cmax)
Timeframe: Day 1, Day 8, Day 15, Day 22, Day 29, Day 30 (24 hours post-dose), Day 43
16
Time to Reach Maximum Plasma Concentration (Tmax)
Timeframe: Day 1, Day 8, Day 15, Day 22, Day 29
17
Apparent Clearance (CL/F)
Timeframe: Day 30, Day 43
18
Apparent Volume of Distribution (Vd/F)
Timeframe: Day 30, Day 43
19
Terminal Half-life (t½)
Timeframe: Day 30, Day 43
20
Renal Clearance (Clr)
Timeframe: Day 1 and Day 29
21
Amount Excreted in Urine (Ae)
Timeframe: Day 1 and Day 29
22
Fraction of Dose Excreted in Urine (Fe)
Timeframe: Day 1 and Day 29
23
Part A-Immunogenicity (ADA) in Cohort MAD4
Timeframe: Day 1 (pre-dose), Day 15, Day 29, and Day 43