Clinical trial

A Phase 1, Single-center, Placebo-controlled, Double-blind, Randomized Trial to Assess the Safety, Tolerability, and Pharmacokinetics of Single Ascending Oral Doses of ACH-000029 in Healthy Subjects

Name
X07-201-00001
Description
Randomized single ascending dose placebo controlled treatment of ACH-000029 administered orally via capsule in healthy volunteers.
Trial arms
Trial start
2022-05-06
Estimated PCD
2022-11-02
Trial end
2022-11-02
Status
Terminated
Phase
Early phase I
Treatment
ACH-000029
ACH-000029 will be administered orally via a capsule.
Arms:
SAD Cohorts 1 to 3 - Participants Receiving ACH-000029
Placebo
Placebo will be administered orally via a capsule.
Arms:
SAD Cohorts 1 to 3 - Participants Receiving Placebo
Other names:
Matching Placebo
Size
8
Primary endpoint
Number (%) of subjects experiencing orthostatic hypotension at any timepoint
Screening (Days -28 to Day -2) to end of treatment Day 7
Maximum change in timepoint-matched systolic blood pressure and diastolic blood pressure.
Screening (Days -28 to Day -2) to end of treatment Day 7
Maximum change in timepoint-matched resting heart rate.
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Hemoglobin & mean corpuscular hemoglobin concentration)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Hematocrit)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Mean corpuscular volume)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (RBC count)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (WBC count (absolute and differential))
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Platelets)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Mean platelet volume)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Anion gap, bicarbonate, calcium, chloride, cholesterol, glucose, magnesium, potassium, sodium, creatinine, uric acid, triglycerides, urea)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Lactate Dehydrogenase (LDH), Alanine Transaminase (ALT), gamma-glutamyl transferase (GGT), Alkaline phosphatase (ALP) , aspartate aminotransferase (AST), phosphatase, creatinine phosphokinase)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Albumin)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Glomerular filtration rate)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Globulin)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Total bilirubin)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal clinical laboratory tests (Total protein)
Screening (Days -28 to Day -2) to end of treatment Day 7
Coagulation
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Urinalysis (Bilirubin, blood, glucose, ketones, nitrites, protein)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Urinalysis (Leukocyte esterase)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Urinalysis (Microscopic analysis)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Urinalysis (pH)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Urinalysis (Specific gravity)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Vital signs (temperature)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Vital signs (respiratory rate)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Vital signs (blood pressure)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of abnormal Vital signs (heart rate)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of Physical examinations (height)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of Physical examinations (weight)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of Physical examinations (BMI)
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of Physical examinations
Screening (Days -28 to Day -2) to end of treatment Day 7
Assessment of Neurological examinations
Screening (Days -28 to Day -2) to end of treatment Day 7
12-lead ECG assessment of PR interval
Screening (Days -28 to Day -2), Day -1, Day 1, Day 2, Day 4 and end of treatment Day 7
12-lead ECG assessment of QRS duration
Screening (Days -28 to Day -2), Day -1, Day 1, Day 2, Day 4 and end of treatment Day 7
12-lead ECG assessment of QT interval
Screening (Days -28 to Day -2), Day -1, Day 1, Day 2, Day 4 and end of treatment Day 7
12-lead ECG assessment of QTc
Screening (Days -28 to Day -2), Day -1, Day 1, Day 2, Day 4 and end of treatment Day 7
C-SSRS
Screening (Days -28 to Day -2) to end of treatment Day 7
Monitoring of adverse events
Screening (Days -28 to Day -2) to end of treatment Day 7
Pharmacokinetic assessment 1
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 2
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 3
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 4
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 5
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 6
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 7
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 8
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 9
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 10
Day 1 to end of treatment Day 7
Pharmacokinetic assessment 11
Day 1 to end of treatment Day 7
Eligibility criteria
Inclusion Criteria: * Healthy male or non-childbearing potential female. * Surgically sterile male and female. Exclusion Criteria: * Breastfeeding female subjects. * Clinical abnormal past medical history. * History of drug and/or alcohol abuse within 2 years prior to screening. * History of or current hepatitis or acquired immunodeficiency syndrome or carriers of hepatitis B surface antigen and/or anti-hepatitis C virus antibodies, or human immunodeficiency virus (HIV) antibodies. * History of any significant drug allergy or known or suspected hypersensitivity. * A positive urine or breath alcohol test and/or urine drug screen for substances of abuse at screening or upon admission to the trial site (Day -1). * Subjects having taken an investigational drug within 30 days prior to screening or a biological investigational product within 30 days or 5 half-lives (whichever is longer) preceding screening, except the last dose of severe acute respiratory syndrome coronavirus (SARS-CoV-2 \[COVID-19\]) vaccine, which must be administered at least 7 days prior to screening. * Any history of significant bleeding or hemorrhagic tendencies. * Any history of difficulty in donating blood. * The donation of blood or plasma within 30 days prior to the first dose of IMP. * Use of prescription, over-the-counter, or herbal medications or vitamin supplements within 14 days prior to the first dose of IMP and oral antibiotics within 30 days prior to the first dose of IMP. * Use of tobacco products or daily exposure to second-hand smoke within 2 months prior to the screening visit. * Presenting with, or having a history of, uncontrolled hypertension (SBP \> 140 mmHg or DBP \> 90 mmHg) or symptomatic hypotension, or orthostatic hypotension, which is defined as a decrease of ≥ 30 mmHg in SBP or a decrease of ≥ 20 mmHg in DBP after at least 3 minutes of standing compared with the previous supine BP, OR development of symptoms. * Supine HR, after resting for at least 3 minutes, outside the range of 50 to 90 bpm. * Abnormal ECG findings at screening or check-in. * History of unexplained syncope, where orthostatic likely event. * Personal or family history of sudden death or long QT syndrome. * History of serious mental disorders that, in the opinion of the investigator, would exclude the subject from participating in this trial. * No permanent place of residence. * Subjects with active suicidal ideation prior to dosing.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 8, 'type': 'ACTUAL'}}
Updated at
2023-04-27

1 organization

1 product

1 drug

1 indication

Organization
Syneos Health
Product
ACH-000029