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To evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of a single oral dose of CC-220 and to explore the effect of food on the bioavailability of CC-220 in healthy subjects
This is a 2-part study to be conducted at a single study center. Part 1 is a randomized, double-blind, placebo-controlled, ascending-dose study. During the course of Part 1, each subject will participate in a screening phase, a baseline phase, a treatment phase and a follow-up visit. There will be a total of 7 cohorts, each of which consists of a different dose level, with 8 subjects per cohort. In each cohort, 6 subjects will receive a dose of CC-220 and 2 subjects will receive placebo depending on the randomization schedule. A single dose will be administered to each subject. This study design allows safety and tolerability data to be gathered in a stepwise fashion. Administration of study drug at the next higher dose level will not begin until the safety and tolerability of the preceding dose have been evaluated and deemed acceptable by the investigator and sponsor's medical monitor. Part 2 is an open-label, randomized, 2-period, 2-way crossover study. During the course of Part 2, each subject will participate in a screening phase, a baseline phase in each study period, a treatment phase in each study period and a follow-up visit. A total of 10 subjects will receive a single dose of 1 mg CC-220 in each of 2 study periods, once without food and once with food, depending on the treatment sequence to which they are randomized. The CC-220 dose in each study period will be separated by a washout of 11 to 14 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CC-220 0.03 mg | Experimental |
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| CC-220 0.1 mg | Experimental |
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| CC-220 0.3 mg | Experimental |
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| CC-220 1 mg | Experimental |
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| CC-220 2 mg | Experimental |
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| Placebo | Experimental | In each arm, 6 subjects will receive a dose of CC-220 and 2 subjects will receive placebo depending on the randomization schedule. |
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| CC-220 4 mg | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CC-220 0.03 mg | Drug | A single dose of CC-220 0.03 mg will be administered orally once a day. |
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| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Number of study participants with Adverse Events | Up to 5 months overall |
| Concentrations of CC-220 and its R-enantiomer in plasma (Part 2 only) | Blood samples will be collected at pre-specified times to determine levels of CC-220 free base and its R-enantiomer in plasma | Up to 3 days in each period |
| Measure | Description | Time Frame |
|---|---|---|
| Concentrations of CC-220 and its R-enantiomer in plasma (Part 1 only) | Blood samples will be collected at pre-specified times to determine levels of CC-220 free base and its R-enantiomer in plasma | Up to 3 days |
| PK-Cmax |
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Inclusion Criteria:
Must understand and voluntarily sign a written informed consent document prior to any study related procedures being performed.
Must be able to communicate with the investigator, understand and comply with the requirements of the study, and agree to adhere to restrictions and examination schedules.
Healthy male or female of any race between 18 to 55 years of age (inclusive) at the time of signing the informed consent document, and in good health as determined by a physical exam.
For males:
Agree to use barrier contraception not made of natural (animal) membrane [for example, latex or polyurethane condoms are acceptable]) when engaging in sexual activity with a female of childbearing potential while on study medication, and for at least 28 days after the last dose of study medication.
For females:
Female subjects must have been surgically sterilized (hysterectomy or bilateral oophorectomy; proper documentation required) at least 6 months before screening, or be postmenopausal (defined as 24 months without menses before screening, with an estradiol level of < 30 pg/mL and follicle stimulating hormone level of > 40 IU/L at screening).
Must have a body mass index between 18 and 33 kg/m2 (inclusive).
Clinical laboratory tests must be within normal limits or acceptable to the investigator.
Subject must be afebrile, with supine systolic blood pressure: 90 to 140 mmHg, supine diastolic blood pressure: 50 to 90 mmHg, and pulse rate: 40 to 110 bpm.
Must have a normal or clinically acceptable 12-lead electrocardiogram at screening. Male subjects must have a QTcF value ≤ 430 msec. Female subjects must have a QTcF value ≤ 450 msec.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Weiss, MD | Celgene Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Covance Clinical Research Unit | Madison | Wisconsin | 53704 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29945920 | Background | Schafer PH, Ye Y, Wu L, Kosek J, Ringheim G, Yang Z, Liu L, Thomas M, Palmisano M, Chopra R. Cereblon modulator iberdomide induces degradation of the transcription factors Ikaros and Aiolos: immunomodulation in healthy volunteers and relevance to systemic lupus erythematosus. Ann Rheum Dis. 2018 Oct;77(10):1516-1523. doi: 10.1136/annrheumdis-2017-212916. Epub 2018 Jun 26. |
| Label | URL |
|---|---|
| Related Info | View source |
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| CC-220 6 mg |
| Experimental |
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| CC-220 1 mg (Part 2 only) | Experimental |
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| CC-220 0.1 mg | Drug | A single dose of CC-220 0.1 mg will be administered orally once a day. |
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| CC-220 0.3 mg | Drug | A single dose of CC-220 0.3 mg will be administered orally once a day. |
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| CC-220 1 mg | Drug | A single dose of CC-220 1 mg will be administered orally once a day. |
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| CC-220 2 mg | Drug | A single dose of CC-220 2 mg will be administered orally once a day. |
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| Placebo | Drug | A single dose of placebo will be administered orally once a day. |
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| CC-220 | Drug | CC-220 4 mg will be administered orally once a day |
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| CC-220 | Drug | CC-220 6 mg will be administered orally once a day |
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| CC-220 | Drug | CC-220 1 mg will be administered orally once a day in each of 2 study periods - once with food and once without food |
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Cmax: Maximum observed plasma concentration
| Up to 3 days |
| PK-Tmax | Time to Maximum Plasma Concentration | Up to 3 days |
| PK-AUC 0-∞ | Area under the plasma concentration-time curve from time zero extrapolated to infinity | Up to 3 days |
| PK-AUC 0-t | Area under the plasma concentration-time curve from time zero to the last quantifiable concentration | Up to 3 days |
| PK-t1/2,z | Terminal-phase elimination half-life | Up to 3 days |
| PK-CL/F | Apparent total plasma clearance when dosed orally | Up to 3 days |
| PK-Vz/F | Apparent total volume of distribution when dosed orally, based on the terminal phase | Up to 3 days |
| PK-Ae48 | Cumulative amount of drug excreted unchanged in urine through 48 hours postdose | Up to 3 days |
| PK-fe48 | Cumulative percentage of the administered dose excreted unchanged in urine through 48 hours postdose | Up to 3 days |
| PK-CLr | Renal clearance | Up to 3 days |
| ID | Term |
|---|---|
| C000624220 | iberdomide |
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