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This is a 2-part, Phase 1, placebo-controlled, double-blind, randomized, single and multiple ascending dose study. CAT-2054 will be administered either as an uncoated capsule (CAT-2054) or a coated capsule (CAT-2054-C). In Part A, CAT-2054 or placebo is administered as a single dose in a fasting state at 4 dose levels; at 3 dose levels, subjects will return for a second dose of the study drug after a high-fat meal. Additionally, at 1 dose level, CAT-2054-C or placebo will be administered as a single dose in a fasting state, and subjects will return for a second dose of the study drug after a high-fat meal. In Part B, CAT-2054 will be administered as multiple ascending doses at 4 dose levels for 14 consecutive days. In selected cohorts, CAT-2054, CAT-2054-C or CAT-2054 with atorvastatin will be dosed to assess safety in anticipation of future clinical trials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A1, Dose Level 1: CAT-2054 or placebo fasting | Experimental | Single dose |
|
| Cohort A2, Dose Level 2: CAT-2054 or placebo fasting and fed | Experimental | Single dose |
|
| Cohort A3, Dose Level 3: CAT-2054 or placebo fasting and fed | Experimental | Single dose |
|
| Cohort A4, Dose Level 4: CAT-2054 or placebo fasting and fed | Experimental | Single dose |
|
| Cohort A5, Dose Level 5: CAT-2054-C or placebo fasting and fed | Experimental | Single dose |
|
| Cohort B1, Dose Level 1: CAT-2054 or placebo | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CAT-2054 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Frequency and severity of adverse events | up to 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| AUCinf of CAT-2054 | Days 1 through 4 | |
| Cmax of CAT-2054 | up to 3 weeks | |
| Changes from baseline for hematology, chemistry, coagulation and urinalysis |
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Inclusion Criteria:
Provision of written informed consent before any study-specific procedure
Good health as determined by medical history, physical examination, vital sign measurements, ECG, and clinical laboratory measurements
Satisfies one of the following:
For Part B only, measured at Screening: Fasting LDL-C ≥100 mg/dL; or (Cohort B6 only) fasting LDL-C ≥130 mg/dL
Body mass index (BMI) between 18 and 30 kg/m², inclusive, for Part A and between 18 and 40 kg/m², inclusive, for Part B, and body weight >50 kg at Screening
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spaulding Clinical Research | West Bend | Wisconsin | 53095 | United States |
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Multiple dose for 14 days
|
| Cohort B2, Dose Level 2: CAT-2054 or placebo | Experimental | Multiple dose for 14 days |
|
| Cohort B3, Dose Level 3: CAT-2054 or placebo | Experimental | Multiple dose for 14 days |
|
| Cohort B4, Dose Level 4: CAT-2054 or placebo | Experimental | Multiple dose for 14 days |
|
| Cohort B5, Dose Level 5: CAT-2054 or placebo | Experimental | Multiple dose for 14 days |
|
| Cohort B6, Dose Level 6: CAT-2054 with atorvastatin | Experimental | Multiple dose for 14 days |
|
| Cohort B7, Dose Level 7: CAT-2054 or placebo | Experimental | Multiple dose for 14 days |
|
| Placebo | Drug |
|
| CAT-2054-C | Drug |
|
| Atorvastatin | Drug |
|
| up to 3 weeks |
| Assess the pharmacodynamic effects of multiple doses of CAT-2054 on serum lipids LDL-C, non-HDL-C, total cholesterol, triglycerides, HDL-C, apoB, and PCSK9. | up to 3 weeks |
| AUC48 of Atorvastatin | up to 3 weeks |
| ID | Term |
|---|---|
| D006937 | Hypercholesterolemia |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069059 | Atorvastatin |
| ID | Term |
|---|---|
| D011758 | Pyrroles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006538 | Heptanoic Acids |
| D005227 | Fatty Acids |
| D008055 | Lipids |
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