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This study investigates the safety, tolerability, and PK profile of finafloxacin as a novel fluoroquinolone and a potential therapeutic agent for lower respiratory infections such as bacterial pneumonia. A comparison of the PK profile of finafloxacin in plasma and lung ELF using different bronchoscopic ELF sampling techniques (BMS and BAL) is conducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Day 1: Finafloxacin 800 mg will be administered as an oral dose once in the morning (first dose). Subjects will have plasma PK samples drawn at specified times around the first dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 3 hours after the oral dose. Day 2: Finafloxacin 800 mg will be administered as an oral dose once in the morning (second dose). Day 3: Finafloxacin 800 mg will be administered as an oral dose once in the morning (third dose). Subjects will have plasma PK samples drawn at specified times around the third dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 6 hours after the oral dose, followed immediately by BAL to obtain alveolar ELF samples. |
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| Cohort 2 | Experimental | Day 1: Finafloxacin 800 mg will be administered as an oral dose once in the morning (first dose). Subjects will have plasma PK samples drawn at specified times around the first dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 8 hours after the oral dose. Day 2: Finafloxacin 800 mg will be administered as an oral dose once in the morning (second dose). Day 3: Finafloxacin 800 mg will be administered as an oral dose once in the morning (third dose). Subjects will have plasma PK samples drawn at specified times around the third dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 12 hours after the oral dose, followed immediately by BAL to obtain alveolar ELF samples. |
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| Cohort 3 | Experimental | Day 1: Finafloxacin 800 mg will be administered as an oral dose once in the morning (first dose). Subjects will have plasma PK samples drawn at specified times around the first dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 12 hours after the oral dose. Day 2: Finafloxacin 800 mg will be administered as an oral dose once in the morning (second dose). Day 3: Finafloxacin 800 mg will be administered as an oral dose once in the morning (third dose). Subjects will have plasma PK samples drawn at specified times around the third dose. Bronchoscopic microsampling will be performed to obtain bronchial ELF samples in triplicate at 24 hours after the oral dose, followed immediately by BAL to obtain alveolar ELF samples. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Finafloxacin 800 mg (as 4 x 200 mg tablet) once daily for 3 days | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the safety and tolerability of orally administered finafloxacin in healthy subjects. | The assessment of safety will be based primarily on the frequency of adverse events, clinical laboratory assessments (chemistry, hematology, and urinalysis), physical examinations, vital signs, and 12-lead ECGs. Other safety data will be summarized as appropriate. The data will be presented in descriptive manner. | Day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic (PK) profile in plasma and epithelial lining fluid (ELF) | To assess the pharmacokinetic (PK) profile in plasma and epithelial lining fluid (ELF) of finafloxacin after single and multiple doses administered orally in healthy subjects; | Day 3 |
| Comparison of bronchial ELF PK profiles with alveolar ELF PK profiles. |
| Measure | Description | Time Frame |
|---|---|---|
| Intracellular concentrations of finafloxacin in alveolar macrophages (AMs). | To assess the intracellular concentrations of finafloxacin as measured in alveolar macrophages (AMs) obtained by BAL. | Day 3 |
Inclusion Criteria:
Able to provide written informed consent;
Age ≥18 years and ≤55 years;
Male or female healthy volunteer;
Body mass index (BMI) ≥18.0 kg/m2 and ≤30.0 kg/m2 and a body weight
≥48 kg and ≤100 kg;
Women of childbearing potential must have a negative urine pregnancy test confirmed at Screening before study enrollment, must not be breastfeeding, and must use an effective method of contraception for at least 1 month before enrollment and through 3 months following completion of the study:
If a male subject's sexual partner is of childbearing potential, the male subject must acknowledge that they are using an acceptable method of contraception (defined above) from the first dose of study drug until 3 months from last dosing occasion to prevent pregnancy;
Expectation, in the judgment of the Investigator, that the subject will complete all study activities; and
Willing to comply with all the study activities and procedures throughout the duration of the study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark H. Gottfried, MD | Pulmonary Associates, PA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pulmonary Associates, PA | Phoenix | Arizona | 85006 | United States |
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| ID | Term |
|---|---|
| C560572 | finafloxacin |
| D013607 | Tablets |
| ID | Term |
|---|---|
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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To compare the bronchial ELF PK profiles obtained by bronchoscopic microsampling (BMS) techniques to alveolar ELF PK profiles obtained by bronchoalveolar lavage (BAL). |
| Day 3 |