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This trial will consist of three parts: the first two parts will enroll healthy female volunteers into a single ascending dose (SAD) and multiple ascending dose (MAD) treatment groups.
The SAD treatment group is comprised of at least 3 cohorts where subjects will be randomized to a single dose of either PTI-428 or placebo and will be followed for 7 days post dose. A total of 24 subjects are anticipated to participate in this part of the study.
Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult female subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts where subjects will be randomized to either PTI-428 or placebo and will be followed for a total of 14 days. The SRC will convene after the completion of each cohort to evaluate safety, PK and other relevant data. The SRC will determine whether to proceed to the next planned dose level, to reduce the dose, or to stop the study. The next cohort may commence only after written SRC approval. A total of 24 subjects are anticipated to participate in this part of the study.
Following completion of the SAD and MAD, 40 female healthy volunteers will participate in two treatment periods of the DDI study component: Treatment period A will consist of once daily oral contraceptive (OC) for 28-days (21-day hormonal active + 7 days off).
Treatment period B will randomize subjects to PTI-428 or placebo in combination with once daily OC for 28 days (21-day hormonal active and PTI-428 or placebo + 7 days off). Following completion of the subjects' second treatment period, they will be followed for 7-days after their last dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SAD PTI-428 | Active Comparator | The safety, tolerability, and pharmacokinetic profile of PTI-428 will be evaluated following a single dose of PTI-428. Three cohorts are planned for evaluation where subjects will be randomized to PTI-428 or placebo.The subjects will be followed for 7 days post dose. |
|
| SAD placebo | Placebo Comparator | The safety, tolerability, and pharmacokinetic profile of PTI-428 will be evaluated following a single dose of PTI-428. Three cohorts are planned for evaluation where subjects will be randomized to PTI-428 or placebo.The subjects will be followed for 7 days post dose. |
|
| MAD PTI-428 | Active Comparator | Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult female subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to either PTI-428 or placebo. Each dose will be administered once daily (QD) for a total of 7 days. Follow up visits will occur on Days 12 and 14. |
|
| MAD placebo | Placebo Comparator | Following the conclusion of the respective SAD level dose groups and after sufficient review of study data and approval by the SRC, a second set of healthy adult female subjects will participate in an assigned MAD treatment group. The MAD treatment group is comprised of 3 cohorts. Subjects will be randomized to either PTI-428 or placebo. Each dose will be administered once daily (QD) for a total of 7 days. Follow up visits will occur on Days 12 and 14. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PTI-428 | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| SAD and MAD: Safety and tolerability measured by number of subjects who experience adverse events and potential clinically significant changes in safety labs, electrocardiograms (ECGs), physical examinations, and vital signs | baseline to 7 days | |
| SAD: Apparent terminal half-life (t1/2) of single oral dose | through 72-hours post dose | |
| SAD: Time to reach maximum plasma concentration (Tmax) of single oral dose | through 72-hours post dose | |
| SAD: Maximum plasma concentration (Cmax) of single oral dose | through 72-hours post dose | |
| SAD: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) of single oral dose | through 72-hours post dose | |
| MAD: Apparent terminal half-life (t1/2) of multiple oral doses | through 72 hours post day 7 dose | |
| MAD: Time to reach maximum plasma concentration (Tmax) of multiple oral doses | through 72 hours post day 7 dose | |
| MAD: Maximum plasma concentration (Cmax) of multiple oral doses | through 72 hours post day 7 dose | |
| MAD: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) of multiple oral doses | through 72 hours post day 7 dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Overland Park | Kansas | United States |
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|
| OC (ethinyl estradiol and levonorgestrel) DDI Period A | Experimental | Treatment period A will consist of once daily oral contraceptive (OC) for 28-days (21-day hormonal active + 7 days off). |
|
| OC (ethinyl estradiol and levonorgestrel) DDI Period B | Active Comparator | Treatment period B will randomize subjects to PTI-428 or placebo in combination with once daily OC daily for 28 days (21-day hormonal active + 7 days off). |
|
| OC (ethinyl estradiol and levonorgestrel) DDI | Placebo Comparator | Treatment period B will randomize subjects 4:1 to PTI-428 or placebo in combination with once daily OC daily for 28 days (21-day hormonal active + 7 days off). |
|
| Other |
|
| ethinyl estradiol and levonorgestrel | Drug |
|
| SAD: Cumulative amount of PTI-428 excreted unchanged in urine (Ae) | through 72-hours post dose |
| SAD: renal clearance (CLR) | through 72-hours post dose |
| MAD: Cumulative amount of PTI-428 excreted unchanged in urine (Ae) | through 72 hours post day 7 dose |
| MAD: renal clearance (CLR) | through 72 hours post day 7 dose |
| OC: Time to reach maximum plasma concentration (Tmax) of multiple oral doses | through day 49 |
| OC: Maximum plasma concentration (Cmax) of multiple oral doses | through day 49 |
| OC: Area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) of multiple oral doses | through day 49 |
| ID | Term |
|---|---|
| C072593 | ethinyl estradiol, levonorgestrel drug combination |
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