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This study will evaluate the safety, tolerability and pharmacokinetics (PK) of escalating single- and multiple-oral doses of ZSP1601 on fasted condition, and characterize PK of ZSP1601 on an empty stomach (fasted condition) and following a high fat, high calorie meal (fed condition) in a 2-period, 2-sequence manner. The study will be conducted in 3 parts (Ascending single dose, multiple dose and food effect). Participants will receive either ZSP1601 or placebo .
The study is a randomized, double-blind phase 1 trial including 3 parts: single ascending dose(SAD) part,multiple ascending dose(MAD) part and postprandial pharmacokinetics part.The primary aims of the study as below:
Evaluating the safety and tolerance of single and multiple dose of ZSP1601 in healthy volunteers.
Evaluating the fasting and postprandial pharmacokinetic parameters of ZSP1601 in healthy volunteers.
Eligible participants will be admitted to the trial center on Day -1. Subjects will be randomly assigned to either experimental groups or placebo groups, according to a randomisation schedule in a (4:1) ratio (8 in per experimental group). Subjects in SAD will receive 25、50、100、175、275、350 mg once daily respectively.Each dose will be administrated after assurance of safety for the former dose. Subjects in MAD will receive 50 or 100 mg once daily for 14days respectively.The treatment in food effect consists of 2 periods,and subjects will receive 100mg on fasting and postprandial states respectively. There will be a 7-day wash out period between treatment periods.To monitor AEs,record abnormalities (12-lead ECG,Vital signs,Physical examination,Clinical Laboratory),and detect the pharmacokinetics of ZSP1601.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ZSP1601(single dose)-25 mg while fasted(Cohort 1) | Experimental | ZSP1601 25 mg /Placebo |
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| ZSP1601(single dose)-50 mg while fasted(Cohort 2) | Experimental | ZSP1601 50 mg/Placebo Enrollment into Cohort 2 will begin upon assurance of safety for Cohort 1. |
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| ZSP1601(single dose)-100 mg while fasted(Cohort 3) | Experimental | ZSP1601 100 mg/Placebo Enrollment into Cohort 3 will begin upon assurance of safety for Cohort 2. |
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| ZSP1601(single dose)-175 mg while fasted(Cohort 4) | Experimental | ZSP1601 175 mg/Placebo Enrollment into Cohort 4 will begin upon assurance of safety for Cohort 3. |
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| ZSP1601(single dose)-275 mg while fasted(Cohort 5,i.e.Group A) | Experimental | ZSP1601 275 mg/Placebo Enrollment into Cohort 5 will begin upon assurance of safety for Cohort 4. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZSP1601 25 mg | Drug | ZSP1601 tablet administered orally once daily under fasted condition |
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| Measure | Description | Time Frame |
|---|---|---|
| Number and severity of treatment-emergent adverse events (TEAEs) and Serious Adverse Events(SAE) following oral doses(single,multiple and food effect)of ZSP1601 and placebo. | SAD Group: Up to 4 days, MAD: Up to 17days, FE group: Up to 11 days after first dose | |
| Concomitant Medication | UP to 4, 17, 11 days for SAD, MAD, FE part respectively | |
| Clinical Laboratory Abnormalities(Blood routine test, serum biochemical test, conventional coagulation examinations, urine examination ) post dose of ZSP1601 and placebo. | UP to 4, 17, 11 days for SAD, MAD, FE part respectively | |
| 12-lead ECG Abnormalities following oral dosing of ZSP1601 and placebo. | UP to 4, 17, 11 days for SAD, MAD, FE part respectively | |
| Vital signs Abnormalities following oral dosing of ZSP1601 and placebo. | UP to 4, 17, 11 days for SAD, MAD, FE part respectively | |
| Physical examination Abnormalities following oral dossing of ZSP1601 and placebo. | UP to 4, 17, 11 days for SAD, MAD, FE part respectively | |
| Cardiac color ultrasound(UCG) Abnormalities following multiple oral doses of ZSP1601 and placebo. | Screening, Day17 |
| Measure | Description | Time Frame |
|---|---|---|
| AUClast(AUC0-t)of ZSP1601 | AUClast is defined as the concentration of drug from time zero to the last quantifiable concentration. | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| AUCinf(AUC0-∞)of ZSP1601 |
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Inclusion Criteria:
Subjects are required to meet the following criteria in order to be included in the trial:
Exclusion Criteria:
Eligible subjects must not meet any of the following exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yanhua Ding, MD | The First Hospital of Jilin University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Hospital of Jilin University | Changchun | Jilin | 130021 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33682556 | Derived | Zhu X, Wu M, Wang H, Li H, Lin J, Peng Y, Hu Y, Li C, Ding Y. Safety, tolerability, and pharmacokinetics of the novel pan-phosphodiesterase inhibitor ZSP1601 in healthy subjects: a double-blinded, placebo-controlled first-in-human single-dose and multiple-dose escalation and food effect study. Expert Opin Investig Drugs. 2021 May;30(5):579-589. doi: 10.1080/13543784.2021.1900822. Epub 2021 Mar 25. |
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Masking for Participant, Investigator and Clinical Research Associate
| ZSP1601(single dose)-350 mg while fasted(Cohort 6) | Experimental | ZSP1601 350 mg/Placebo Enrollment into Cohort 6 will begin upon assurance of safety for Cohort 5. |
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| ZSP1601(food effect)-100 mg (Cohort FE) | Experimental | Period 1 (Day1 to Day4): Group A and Group B receive ZSP1601 100 mg/Placebo under the fasting or fed condition ,respectively on Day1. Period 2 (Day 8 to Day11): Group A and Group B receive ZSP1601 100 mg/Placebo under the fed or fasting condition ,respectively on Day8. |
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| ZSP1601(multiple doses)-50 mg (Cohort 7) | Experimental | 50 mg ZSP1601 will be administrated while fasted or fed according to the results of Cohort FE ZSP1601 50 mg/Placebo for 14 Days. |
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| ZSP1601(multiple doses)-100 mg (Cohort 8) | Experimental | Enrollment into Cohort 8 will begin upon assurance of safety for Cohort 7. ZSP1601 100 mg/Placebo for 14 Days. |
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| Placebo 25mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted condition |
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| ZSP1601 50 mg | Drug | ZSP1601 tablet administered orally once daily under fasted condition |
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| Placebo 50 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted condition |
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| ZSP1601 100 mg | Drug | ZSP1601 tablets administered orally once daily in the fasting state |
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| Placebo 100 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily in the fasting state |
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| ZSP1601 175 mg | Drug | ZSP1601 tablets administerekd orally once daily under fasted condition |
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| Placebo 175 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted condition |
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| ZSP1601 275 mg | Drug | ZSP1601 tablets administered orally once daily in the fasting state |
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| Placebo 275 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily in the fasting state |
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| ZSP1601 350 mg | Drug | ZSP1601 tablets administered orally once daily under fasted condition |
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| Placebo 350mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted condition |
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| ZSP1601 100 mg | Drug | ZSP1601 tablets administered orally once daily under fasted or fed condition |
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| Placebo 100mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted or fed condition |
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| ZSP1601 50 mg | Drug | ZSP1601 tablets administered orally once daily under fasted or fed condition due to the results of Cohort FE for 14 Days(a total of 14 doses). |
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| Placebo 50 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted or fed condition due to the results of Cohort FE for 14 Days(a total of 14 doses). |
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| ZSP1601 100 mg | Drug | ZSP1601 tablets administered orally once daily under fasted or fed condition due to the results of Cohort FE for 14 Days(a total of 14 doses). |
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| Placebo 100 mg | Drug | Participants will receive placebo matching to ZSP1601 orally once daily under fasted or fed condition due to the results of Cohort FE for 14 Days(a total of 14 doses). |
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AUCinf is defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time).
| UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| Cmax of ZSP1601 | Cmax is defined as the maximum observed concentration of drug in plasma. | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| Tmax of ZSP1601 | Tmax is defined as the time to maximum concentration. | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| t1/2z of ZSP1601 | t1/2z is defined as the time to decline half of the drug concentration in plasma. | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| Single-dose PK Parameter: Ae of ZSP1601 | Ae is defined as the amount of unchanged drug excreted in urine or faeces after administration. | Up to Day 2 post-dose |
| Single-dose PK Parameter: Fe0-t of ZSP1601 | Fe0-t is defined as the cumulative excretion rate of the drug in urine and feces. | Up to Day 2 post-dose |
| CL/F of ZSP1601 | CL/F is defined as the ratio of total clearance(Cl) to bioavailability(F). | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| λz of ZSP1601 | λz is defined as the ratio between the elimination of compound per unit time and the total amount of compound. | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| CLr of ZSP1601 | CLr is defined as how many milliliters of plasma in which some substance can be completely eliminated in the unit time (per minute) of two kidneys | UP to 2, 16, 9 days for SAD, MAD, FE part respectively |
| Multiple-dose plasma PK parameter: Rac of ZSP1601 at steady state | Rac (Accumulation Index) is defined as the ratio between AUC0-XX in Day XX and AUC0-XX in Day1 | Up to 16days |
| Multiple-dose plasma PK parameter: DF of ZSP1601 at steady state | DF is defined as the percentage of fluctuation in steady state is 100 * (Cmax, ss - Cmin, ss)/Cavg, ss. | Up to 16 days |
| Multiple-dose plasma PK parameter: Cmin of ZSP1601 at steady state | Cmin is defined as the minimum observed concentration of drug in plasma at steady state. | Up to 16days |
| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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