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This is an open-label, Phase I study of the bioavailability and safety of BPM31510 administered orally in healthy subjects dosed 3 times daily for 14 days. The last study dose is administered on Day 15 (one morning dose only). The study will consist of 25 subjects.
Study subjects will be admitted to the clinic on Day -1. All subjects will self-administer the Day 1 doses of study drug under supervision of the clinic staff. Doses of 3200 mg will be administered three times per day before meals.
Dosing will continue for an additional 14 days on an outpatient basis with Day 5 morning dose and the last study dose on Day 15 to be administered at the clinic (one morning dose, is given on Day 15).
On Days 1, 2, 5 and 15, 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 with an additional PK draw on Day 1 at 0.5, 1, 2, and 4 after the second dose. Urine for PK/PD will be collected pre-dose on Day 1, Day 2, Day 5 and Day 15. At all visits (on Days 1, 2, 5 and at the final dose on Day 15), samples will be collected for chemistry, Complete Blood Count (CBC), International normalized ratio (INR), prothrombin time (PT), partial thromboplastin time (PTT), cholesterol, low density lipoprotein (LDL), and high density lipoprotein (HDL), and vitamin K level. Blood samples for PK/PD will be collected 30 minutes prior to the morning dose on Day 5 and Day 15 and also at 0.5, 1, 2, and 4 hours after dosing. Lab samples (chemistry, etc.), will also be drawn at the time of the first PK/PD draw on Day 5 and Day 15.
A phone interview will be conducted no fewer than 25 days and no more than 35 days after the last dose on Day 15 to collect information on concomitant medications and adverse events Graded using Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPM31510 Oral Nanosuspension 4% | Experimental | Study subjects will self-administer 80 mL (4 vials of 20 mL) of oral BPM31510 (Ubidecarenone, USP; 40 mg/mL) nano-suspension 3 times daily every 4 to 6 hours for a total daily dose 9600 mg/day of BPM31510 for 14 consecutive days. The last study dose (morning dose only) is administered at the clinic on Day 15. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BPM31510 Oral Nanosuspension 4% | Drug | Oral nanosuspension formulation of BPM31510 (ubidecarenone, USP) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) | Pharmacokinetic (PK) samples collected to establish oral bioavailability. | Days 1, 2, 5, 15; baseline pre-dosing concentrations |
| Area under the plasma concentration curve (AUC0-4) | Pharmacokinetic (PK) samples collected to establish oral bioavailability. | Days 1, 2, 5, 15; baseline pre-dosing concentrations |
| Measure | Description | Time Frame |
|---|---|---|
| Number of study subjects with adverse events | A follow-up phone interview with each study subject will occur 25 to 35 days after the end of dosing to measure the number of adverse events that have occurred. | Baseline to 25-35 days after the end of dosing |
| C-reactive protein measurement |
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Inclusion Criteria:
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.
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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| Days 1, 2, 5, 15 |
| Cholesterol measurement | Days 1, 2, 5, 15 |
| Low density lipoprotein (LDL) measurement | Days 1, 2, 5, 15 |
| High density lipoprotein (HDL) measurement | Days 1, 2, 5, 15 |