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This is an open-label, Phase I study of the bioavailability and safety of BPM31510 in healthy subjects dosed 2 or 3 times daily for 4 days, after an initial cohort of 6 subjects receiving a single dose (pre-study cohort). The pre-study cohort subjects will receive 1600 mg as a single administration. Cohort 1 and Cohort 2 will consist of 10 patients each. The cohorts may be enrolled sequentially.
This is an open-label, Phase I study of the bioavailability and safety of Berg Pharma Molecule 31510 (BPM31510) in healthy subjects dosed 2 or 3 times daily for 4 days, after an initial cohort of 6 subjects receiving a single dose (pre-study cohort). The pre-study cohort subjects will receive 1600 mg as a single administration. Cohort 1 and Cohort 2 will consist of 10 patients each. Men and women over the age of 18, and in good general health, will undergo Screening and baseline evaluations up to 21 days prior to dosing. The cohorts may be enrolled sequentially. Subjects will be admitted to the clinic on Day 0.
All subjects will self-administer the all Day 1 doses of study drug under supervision of the clinic staff. In the pre-study cohort, subjects will be administered a single dose of 1600 mg. In Cohort 1, doses will be administered two times per day before the morning and evening meals with no less than 8 and no more than 10 hours between doses. Immediately after administration, subjects will ingest 6 ounces of tap or bottled water. Solid food and drinks, other than water should be restricted to 2 hours before and 1 hour after dosing. In Cohort 2 doses will be administered three times per day before meals, with no less than 4 and no more than 6 hours between doses. Immediately after administration, subjects will ingest 6 ounces of tap or bottled water. Solid food and drinks, other than water should be restricted to 2 hours before and 1 hour after dosing. Dosing will continue for an additional 4 days on an outpatient basis with the last study dose to be administered at the clinic on Day 5 (only morning dose is given on Day 5).
For the pre-study cohort, subjects will be administered a single dose of 1600 mg before breakfast. PK and PD sampling will be performed 30 minutes prior to dosing, and 0.5, 1, 2 and 4 hours later. Subjects will be evaluated for any untoward signs or symptoms and will be discharged. For cohorts 1 and 2, on Days 1, 2,and 5, pharmacokinetic (PK) and pharmacodynamics (PD) sampling will be performed 30 minutes prior to the first dose, and 0.5, 1, 2, and 4 hours after the first dose at all visits for BID and TID (with an additional PK draw on Day 1 at 0.5, 1, 2, and 4 after the second dose of TID subjects only). Urine for PK/PD will be collected pre-dose on Day 1, Day 2, and Day 5. At all visits (on Days 1, 2,and at the final dose on Day5), samples will be collected for chemistry, CBC, INR, PT, PTT, cholesterol, LDL, and HDL, and vitamin K level. Blood samples for PK/PD will be collected 30 minutes prior to the last dose (AM) on Day 5 and also at 0.5, 1, 2, and 4 hours after dosing. Lab samples (chemistry, etc.), as above will also be drawn at the time of the first PK/PD draw on Day 5.
A phone interview will be conducted no fewer than 25 days and no more than 35 days after the last dose on Day 5 to collect information on concomitant medications and adverse events (AEs).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Active Comparator | In Cohort 1, doses of BPM31510 Oral Nanosuspension 4% will be administered two times per day before the morning and evening meals with no less than 8 and no more than 10 hours between doses. Immediately after administration, subjects will ingest 6 ounces of tap or bottled water. Solid food and drinks, other than water should be restricted to 2 hours before and 1 hour after dosing. |
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| Cohort 2 | Active Comparator | In Cohort 2 doses BPM31510 Oral Nanosuspension 4% will be administered three times per day before meals, with no less than 4 and no more than 6 hours between doses. Immediately after administration, subjects will ingest 6 ounces of tap or bottled water. Solid food and drinks, other than water should be restricted to 2 hours before and 1 hour after dosing. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BPM31510 Oral Nanosuspension 4% | Drug | Oral nanosuspension formulation of BPM31510 (ubidecarenone, USP) |
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| Measure | Description | Time Frame |
|---|---|---|
| Cmax | PK parameters maximum plasma concentration (Cmax) and area under the plasma concentration curve from 0 to 4 hours (AUC0-4) on Days 1, 2, 8, and 15; baseline pre-dosing concentrations. | Days 1, 2, 8, and 15; baseline pre-dosing concentrations |
| Measure | Description | Time Frame |
|---|---|---|
| Blood sample analysis as a measure of safety and tolerability | Complete blood count, INR/PT/PTT, comprehensive chemistry panel, international normalized ratio (INR), liver function tests, vitamin K levels, AEs, C-reactive protein, cholesterol, LDL, HDL for investigative purposes. | Days 1, 2, 8, and 15; baseline pre-dosing concentrations |
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Inclusion Criteria:
1. Men and women, age >18 years
Body mass index (BMI)≥19 and ≤30
Good health conditions or without significant illness, by judgment of a legally qualified professional, according to the following evaluations: medical history, physical examination, vital signs, electrocardiogram (ECG), and screening or baseline hematology and clinical chemistry measures.
Subjects of child bearing potential must agree to use one of the accepted methods of contraception (listed below) during the trial (including the screening period prior to receiving trial medication), at least until return of menstruation after stopping the trial medication.
The following subjects are not required to use contraception:
Female subjects must have a negative pregnancy test result at screening and Day-1
PT/PTT/INR within normal limits
Vitamin K levels within normal limits
Capable of understanding and complying with the protocol and signing informed consent.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Magdy Shenouda, MD | Clinilabs, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinilabs, Inc. | Eatontown | New Jersey | 07724 | United States |
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| ID | Term |
|---|---|
| C024989 | coenzyme Q10 |
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| Number of Participants with Adverse Events as a Measure of Safety and Tolerability |
A follow-up phone interview with each study subject will occur 30 to 45 days after the end of dosing to measure the number of adverse events that have occurred. |
| 30 to 45 days after the end of dosing |