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The study was terminated after the second cohort had completed Part II due complex PK results. There were no safety concerns.
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| Name | Class |
|---|---|
| PRA Health Sciences | INDUSTRY |
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The purpose of the study is to investigate to what extent this new study drug is tolerated in humans.
The study is divided into 3 parts (Part III is optional and may go ahead depending on the results of Parts I and II). The volunteers will only be enrolled to one part of the study. In parts I and II the volunteer will receive active study drug or placebo. In part I the volunteers will receive a single dose of one of the eight planned escalating dose levels.
In part II volunteers will receive 4 planned dose levels based on the results obtained in Part 1 of the study, with the option to include an additional dosing group.
In optional part III the volunteer will receive ODM-108 and an already registered drug so that interactions with other drugs can be studied.
It will be investigated how quickly and to what extent the study drug is absorbed and eliminated from the body (this is called pharmacokinetics). In addition, in parts I and II the effect of the compound on the sensation of pain and on cognition (activities of thinking, understanding, learning, and remembering) will be investigated (this is called pharmacodynamics).
This is the first time that this compound is being given to humans.
The study will only take place after it has been approved by the Independent Ethics Committee.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ODM-108 Part I | Experimental | Oral capsules dosage 0.2 - 240 mg once daily for one day |
|
| Placebo Part I | Placebo Comparator | Oral capsules given once daily for one day |
|
| ODM-108 Part II | Experimental | Oral capsules 4 dose levels to be decided after Part 1 of the study. 1 - 4 times a day for 7 days |
|
| Placebo Part II | Placebo Comparator | Oral capsules 1 - 4 times per day for 7 days |
|
| ODM-108 Part III | Experimental | Oral capsules 1-4 times daily for 7 to 10 days |
|
| Midazolam | Active Comparator | Single dose as a solution 3 days prior to the first dose of ODM-108 and on the last day of dosing with ODM-108 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ODM-108 Part I | Drug | Single oral escalating dose of ODM-108. Each volunteer will receive either one dose of ODM-108 or placebo |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events in Part I and Part II. | Clinically relevant changes from baseline of safety assessment | From screening up to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Part III (optional) Effect of ODM-108 on the activity of CYP3A4 (cytochrome P450 3A4) isoenzymes | Measurement of biomarkers | Day 1 up to Day 11 |
| Part I Peak plasma concentration Cmax of ODM-108 |
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Inclusion Criteria applicable to Parts I - III:
Exclusion Criteria:
Additional exclusion criteria for Part I and II:
Additional exclusion criterion for Part II:
The following additional exclusion criterion will be checked in Part I and II:
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| Name | Affiliation | Role |
|---|---|---|
| Sjoerd van Marle, M.D | PRA Health Sciences | Principal Investigator |
| Sara Haworth | Orion Corporation, Orion Pharma | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA Health Sciences | Zuidlaren | 9471GP | Netherlands |
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| ID | Term |
|---|---|
| D008874 | Midazolam |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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|
| Placebo Part I | Drug | Single oral escalating dose of ODM-108. Each volunteer will receive either one dose of ODM-108 or placebo |
|
| ODM-108-Part II | Drug | Multiple escalating doses based on the results of Part 1. Either ODM-108 or placebo 1 - 4 times a day for 7 days |
|
| Placebo Part II | Drug | Multiple escalating doses based on the results of Part 1. Either ODM-108 or placebo 1 - 4 times a day for 7 days |
|
| ODM-108 Part III | Drug | Oral capsules 1 - 4 times daily for 7 to 10 days |
|
| Midazolam | Drug | Single dose as a solution 3 days prior to the first dose of ODM-108 and on the last day of dosing with ODM-108 |
|
Cmax of ODM-108 after single dosing
| Pre dose,15, 30, 45 mins, 1 h, 1 h 15, 1 h 30, 2 h, 2 h 30, 3 h, 4 h, 6 h, 8 h, 12h, 24 h, 48 h, 72 h, 96 h post dose at each dose level. |
| Part I Metabolite screening in plasma and urine | Metabolite screening in plasma and urine after single dosing | Pre-dose and 30 min, 1 h, 2 h, 4 h, 6 h, 12 h, 24 h and 48 h post dose at each dose level. Urine samples pre-dose and for 24 hours post dose at each dose level. |
| Part I Sedation scores on Visual Analogue Scales | Assessment of sedation by subject | Pre-dose, 2 h 30 min and 10 h post dose at each dose level |
| Part I Cognitive function - Digital Symbol Substitution Test | Assessment of cognitive function | Pre-dose, 2 h 30 min and 10 h post dose at each dose level |
| Part I Intensity of spontaneous pain | Intensity of spontaneous pain as assessed by a visual analogue scale | Screening and day 1 at 1, 5, 15, 30, 60 and 120 min after capsaicin injection. |
| Part I Area of hyperalgesia | Area of hyperalgesia quantified by a Von Frey monofilament | Screening and day 1 at 15, 30, 60 and 120 min after capsaicin injection. |
| Part I area of flare response | Area of flare response measured by Doppler blood flow scan | Screening and day 1 at baseline and 15, 30, 60 and 120 min after capsaicin injection. |
| Part II Peak plasma concentration Cmax of ODM-108 | Cmax of ODM-108 after multiple dosing | Days 1 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Peak plasma concentration Cmax of ODM-108 fed day 5 period 1 | Cmax of ODM-108 after multiple dosing | Days 1,5 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Time to peak plasma concentration (tmax) of ODM-108 | tmax of ODM-108 after multiple dosing | Days 1 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Time to peak plasma concentration (tmax) of ODM-108 fed day 5 period 1 | tmax of ODM-108 after multiple dosing | Days 1,5 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Area under the plasma concentration versus time curve (AUC) of ODM-108. | AUC of ODM-108 after multiple dosing | Days 1 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Area under the plasma concentration versus time curve (AUC) of ODM-108 fed day 5 period 1 | AUC of ODM-108 after multiple dosing | Days 1,5 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Elimination half-life of ODM-108 | Elimination half-life of ODM-108 after multiple dosing | Days 1 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Elimination half-life of ODM-108- fed day 5 period 1 | Elimination half-life of ODM-108 after multiple dosing | Days 1,5 and 7: Pre-dose and 0.25, 0.5, 0.75,1,1.25,1.5, 2, 2.5, 3,4,6,8,12h post dose. Day 2-6 pre-dose, Day 7: 24, 48, 72 and 96h post dose |
| Part II Binding of ODM-108 to proteins in plasma | Assessment of binding of ODM-108 to proteins in plasma | Days 1 and 7 -1 h 30 min post dose |
| Part II Metabolite screening in plasma and urine | Metabolite screening in plasma and urine | Day 1 and 7 pre-dose and 30 min, 1 h, 2 h, 4 h, 6 h, 12 h, 24 h and 48 h post dose. Urine samples pre-dose and for 24 hours post dose at each dose level on days 1 and 7. |
| Part II Sedation scores on Visual Analogue Scales | Assessment of sedation by subject | Day 1 and day 6 pre-dose, 2 h 30 min, and 10 h post dose |
| Part II Computerised psychomotor test battery measuring: attention, concentration, vigilance, memory, visual motor coordination and body sway. | Assessment of psychomotor function | Days 1 and 6: pre-dose, approx. 2 h 30 min and 10 h after first daily ODM-108 dose |
| Part II Intensity of spontaneous pain | Assessed by numerical rating scale | Screening and day 5 at 1, 5, 15, 30, 60 and 120 min after capsaicin injection. |
| Part II Area of hyperalgesia | Area of hyperalgesia quantified by a Von Frey monofilament | Screening and day 5 at 5, 15, 30, 60 and 120 min after capsaicin injection. |
| Part II Cutaneous blood flow and area of flare response | Pain assessments | Screening and day 5 pre -dose and 5, 15, 30, 60 and 120 min after capsaicin injection. |
| Part II Intensity of spontaneous pain | Intensity of spontaneous pain as assessed by a visual analogue scale | Screening and day 7 at 1, 5, 15, 30, 60 and 120 min after mustard oil challenge. |
| Part II Area of hyperalgesia | Area of hyperalgesia quantified by a Von Frey monofilament | Screening and day 7 at 5, 15, 30, 60 and 120 min after mustard oil challenge. |
| Part II Area of flare response | Area of flare response measured by Doppler blood flow scan | Screening and day 7 baseline and 5, 15, 30, 60 and 120 min after mustard oil challenge. |
| Part III (optional) Peak plasma concentration Cmax of midazolam | Cmax of midazolam | day 1 and day 10 or 13 |
| Part III (optional) Time to peak plasma concentration (tmax) of midazolam | tmax of midazolam | day 1 and day 10 or 13 |
| Part III (optional) Area under the plasma concentration versus time curve (AUC) of midazolam. | AUC of midazolam | day 1 and day 10 or 13 ( |
| Part III (optional) ODM-108 levels in cerebrospinal fluid | Assessment of levels of ODM 108 in cerebrospinal fluid | day 9 |
| Part I Time to peak plasma concentration (tmax) of ODM-108 | tmax of ODM-108 after single dosing | Pre dose,15, 30, 45 mins, 1 h, 1 h 15,1 h 30, 2 h, 2 h 30, 3 h, 4 h, 6 h, 8 h, 12h, 24 h, 48 h, 72 h, 96 h post dose at each dose level. |
| Part I Area under the plasma concentration versus time curve (AUC) of ODM-108. | AUC of ODM-108 after single dosing | Pre dose,15, 30, 45 mins, 1 h, 1 h 15,1 h 30, 2 h, 2 h 30, 3 h, 4 h, 6 h, 8 h, 12h, 24 h, 48 h, 72 h, 96 h post dose at each dose level. |
| Part I Elimination half-life of ODM-108 | Elimination half-life of ODM-108 after single dosing | Pre dose,15, 30, 45 mins, 1 h, 1 h 15,1 h 30, 2 h, 2 h 30, 3 h, 4 h, 6 h, 8 h, 12h, 24 h, 48 h, 72 h, 96 h post dose at each dose level. |
| D006571 | Heterocyclic Compounds |