Clinical trial

Two Part Study to Assess Comparative Bioavailability, Pharmacokinetics of a Single Dose of ACM-001.1, Two Single Doses of Pindolol (Part1) Followed by Evaluation of Steady State Pharmacokinetics, Pharmacodynamics of ACM-001.1 in HV (Part2)

Name
ACM-2021-1-CT
Description
The aim of this early phase two-part study was to compare the bioavailability (BA) pharmacokinetics (PK) and pharmacodynamics (PD) of racemic pindolol with the benzoate salt of the S-enantiomer of pindolol (ACM-001.1) and provide safety information. A total of 51 healthy male and female subjects were enrolled, and 48 healthy subjects completed the study. Part 1 consisted of two Groups to compare BA and PK, Group 1 received two treatment sequences of a single dose of ACM-001.1 versus racemic pindolol; Group 2 ran in parallel with Group 1 and assessed the PK of a single dose of racemic pindolol in a single period. Part 2 consisted of four groups, to evaluate the steady state PK and PD of ACM-001.1 with multiple ascending doses over 4 days.
Trial arms
Trial start
2021-11-26
Estimated PCD
2022-06-02
Trial end
2022-06-02
Status
Completed
Phase
Early phase I
Treatment
Part 1 Group 1 Regime A (ACM-001.1)
Drug: ACM-001.1 immediate release tablets for oral use and matching placebo, and pindolol tablets for oral use. Subjects randomised to Regimen A received placebo tablets to match the tablet number received by subjects in Regimen B.
Arms:
Part 1 Group 1 (BA), Part 1 Group1 (AB)
Part 1 Group 2 Regimen C (Pindolol)
Drug: Pindolol tablets for oral use.
Arms:
Part 1 Group 2 (C)
Part 2 Group D (Pindolol)
Drug: Pindolol tablets for oral use. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group D
Part 2 Group E (ACM-001.1)
Drug: ACM-001.1 immediate release tablets for oral use and matching placebo. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group E
Part 2 Group F (ACM-001.1 )
Drug: ACM-001.1 immediate release tablets for oral use and matching placebo. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group F
Part 2 Group G (ACM-001.1)
Drug: ACM-001.1 immediate release tablets for oral use and matching placebo. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group G
Part 1 Group 1 Regimen B (Pindolol)
Drug: pindolol tablets for oral use. Subjects randomised to Regimen A received placebo tablets to match the tablet number received by subjects in Regimen B.
Arms:
Part 1 Group 1 (BA), Part 1 Group1 (AB)
Part 1 Group 1 Regimen A (Placebo)
Placebo for oral use. Subjects randomised to Regimen A received placebo tablets to match the tablet number received by subjects in Regimen B.
Arms:
Part 1 Group 1 (BA), Part 1 Group1 (AB)
Part 2 Group E (Placebo)
Placebo for oral use. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group E
Part 2 Group F (Placebo)
Placebo for oral use. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group F
Part 2 Group G ( Placebo)
Placebo for oral use. Subjects were dosed over a four day treatment period twice daily. Subjects receiving ACM-001.1 in regimens E, F and G also received placebo tablets to match the tablet number received by subjects receiving pindolol in Regimen D.
Arms:
Part 2 Group G
Size
51
Primary endpoint
Part 1 Composite of PK parameters following single doses
Up to 5 days
Part 1 PK parameters following single doses
Up to 5 days
Part 1 PK parameters following single doses
Up to 5 days
PK parameters following single doses
Up to 5 days
PK parameters following single doses
Up to 5 days
PK parameters following single doses
Up to 5 days
Stoichiometric dose relationship measured using PK parameters following single doses
Up to 5 days
Stoichiometric dose relationship measured using PK parameters following single doses
Up to 5 days
Part 2 Composite of PK parameters following multiple doses in plasma
Up to 6 days
Part 2 Composite of PK parameters following multiple doses in plasma
Up to 6 days
Part 2 Composite of PK parameters following multiple doses in plasma
Up to 6 days
Pharmacodynamics of ACM-001.1: Cardiovascular vital parameter- heart rate
Up to 6 days
Cardiovascular vital parameter- blood pressure
Up to 6 days
Serum biomarker- DHEA/Cortisol
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours
Serum biomarker- Myostatin
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker- Folistatin
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker-IGF1
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - (Type 3 procollagen peptide) PIIINP
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - monokine-induced by gamma interferon (MIG/CXL9) Leptin
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - epithelial neutrophil activating peptide 78 (ENA78)
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - Ghrelin
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - Growth Hormone Receptor Hormone
Day 1 at pre-dose. Day 4 at pre-dose, 1.5 hours.
Serum biomarker - Somatostatin
Day 1 at pre-dose (baseline). Day 4 at pre-dose, 1.5 hours.
Eligibility criteria
Inclusion Criteria: * Healthy males or non-pregnant, non-lactating healthy females * Aged 20 to 45 years inclusive at the time of signing informed consent * Body Mass Index (BMI) of 18.0 to 30.0 kg/m2 as measured at screening * Weight of 50 to 100 kg at screening Exclusion Criteria: * Subjects who had received any investigational medicinal product in a clinical research study within the 90 days prior to Day 1, * Subjects for whom pindolol was contraindicated: hypersensitivity to the active substance or to any of its listed excipients. * Evidence of current Severe Acute Respiratory Coronavirus 2 infection. * History of any drug or alcohol abuse in the past 2 years. * Females of childbearing potential who were pregnant or lactating. * History of clinically significant cardiovascular disease, Raynaud's disease or phenomenon, renal, hepatic, dermatological, chronic respiratory or gastrointestinal disease, neurological or psychiatric disorder. * Subjects who were found to have mean heart rate less than 50 bpm at rest or mean systolic blood pressure (BP) less than 100 mmHg or mean diastolic heart rate less than 50 mmHg. * Subjects who were taking, or had taken, any prescribed or over-the-counter drug or herbal remedies (other than paracetamol, hormonal replacement therapy/hormonal contraception). Pindolol should not be taken in conjunction with agents which inhibit calcium transport.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'CROSSOVER', 'interventionModelDescription': 'Part 1: part - blinded, part randomized, partial cross- over study. Group 1: double - blinded and randomized to two treatment sequences in a two period cross- over.\n\nGroup 2: open label, non-randomized and in parallel with Group 1. Part 2: single-blind (subject blinded), randomized, parallel-group.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'TRIPLE', 'maskingDescription': 'Part 2 was single - blind study (subject blinded). Masking was not triple for all parts of the study or all arms.', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 51, 'type': 'ACTUAL'}}
Updated at
2023-10-10

1 organization

7 products

1 indication

Indication
Cachexia
Product
Pindolol
Product
ACM-001.1