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This is a first in human study to determine the safety, tolerability, pharmacokinetics and pharmacodynamics of ONO-7684 in healthy adult volunteers. This study will be conducted in 2 parts: Part A is a single-ascending dose and Part B is a multiple-ascending dose.
This study aims to obtain safety, tolerability, pharmacokinetic and pharmacodynamic data when ONO-7684 is administered orally as single doses and as multiple doses to healthy subjects. The study will consist of 2 parts: A single ascending dose (SAD) phase (Part A); a multiple ascending dose (MAD) phase (Part B). One cohort of Part A will receive ONO-7684 under both fasted and fed conditions to investigate the effect of food.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ONO-7684 Part A1 | Experimental | Single ascending doses of ONO-7684 or placebo orally under fasted conditions |
|
| ONO-7684 Placebo Part A1 | Placebo Comparator | Single ascending doses of ONO-7684 or placebo orally under fasted conditions |
|
| ONO-7684 Part A2 | Experimental | Single doses of ONO-7684 or placebo orally under fed conditions |
|
| ONO-7684 Placebo Part A2 | Placebo Comparator | Single doses of ONO-7684 or placebo orally under fed conditions |
|
| ONO-7684 Part B1 | Experimental | Eligible subjects will receive multiple doses of ONO-7684 or placebo orally |
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| ONO-7684 Placebo Part B1 | Placebo Comparator | Eligible subjects will receive multiple doses of ONO-7684 or placebo orally |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ONO-7684 | Drug | Single ascending doses for cohorts A1-A8 and multiple ascending doses cohorts B1-3 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with clinically significant changes in vital signs (Part A & B) | Pulse rate (bpm), systolic and diastolic blood pressure (mmHg), Respiratory rate (bpm) | Part A: Day 1-4 & Follow-up and Part B: Day 1-15, 17 & Follow up |
| Number of participants with clinically significant changes observed on 12-lead electrocardiogram (ECG) (Part A & B) | Ventricular rate (beats/min), PR interval (msec), QRS interval (msec), QT (msec), QTcF interval (msec) | Part A: Day 1-4 & Follow up & Part B: Day 1,3,5,7,9,11,14,17 & Follow up |
| Number of participants with clinically significant changes in cardiac telemetry (Part A only) | Number of participants with cardiac telemetry abnormalities will be reported. | Part A: From 0.5-1 hours pre-dose until 12 hours after dosing at Day 1 |
| Number of participants with clinically significant changes in physical examination (Part A & B) | Number of participants with physical examination abnormalities will be reported. | Part A: Day -1, 1-4 & Follow-up and Part B: Day-1, 1-17 & Follow up |
| Number of participants with clinically significant changes in laboratory safety tests (haematology, biochemistry and urinalysis) (Part A & B) | Number of participants with abnormalities in laboratory safety tests will be reported. | Part A: Day-1, 1-4 & Follow up and Part B: Day-1, 1-17 & Follow up |
| Number of participants with adverse events (AE) (Part A & B) | AE is any untoward medical occurrence in a subject or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics (Cmax) | Assessment of the maximum observed plasma concentration of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 and Day 14 |
| Pharmacokinetics (tmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hammersmith Medicines Research (HMR) | London | NW10 7EW | United Kingdom |
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| ID | Term |
|---|---|
| D054556 | Venous Thromboembolism |
| ID | Term |
|---|---|
| D013923 | Thromboembolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Double-blinded
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| ONO-7684 Placebo | Drug | Placebo comparator |
|
| Part A: Day-1, 1-4 & Follow up and Part B: Day-1, 1-17 & Follow up |
Assessment of the maximum observed plasma concentration of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B
| Part A: Day 1 through Day 4. Part B: Day 1 and Day 14 |
| Pharmacokinetics (AUClast) | Assessment of the area under the curve of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 14 |
| Pharmacokinetics (AUCinf) | Assessment of the area under the curve of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 14 |
| Pharmacokinetics (AUCt) | Assessment of the area under the curve of concentration of ONO-7684 and 3-hydroxybenzoic acid - time from zero up to a definitive time, t in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 |
| Pharmacokinetics (%AUCextrap) | Assessment of the percentage of AUC∞ extrapolated from tlast to infinity of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 14 |
| Pharmacokinetics (t1/2) | Assessment of the elimination half-time of ONO-7684 and 3-hydroxybenzoic acid in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 14 |
| Pharmacokinetics (CL/F) | Assessment of the apparent clearance rate of ONO-7684 and 3-hydroxybenzoic acid in Part A only | Day 1 through Day 4 |
| Pharmacokinetics (Terminal Rate Constant) | Assessment of the terminal rate constant (slowest rate constant of the disposition) of ONO-7684 and 3-hydroxybenzoic acid in plasma in Part A only | Day 1 through Day 4 |
| Pharmacokinetics (Aet) | Assessment of the amount of ONO-7684 excreted in urine over the period of sample collection in Part A only | Day 1 through Day 4 |
| Pharmacokinetic (fe/F) | Assessment of the fraction of orally administered ONO-7684 excreted into urine in Part A only | Day 1 through Day 4 |
| Pharmacokinetic (CLr) | Assessment of the renal clearance of ONO-7684 from plasma in Part A only | Day 1 through Day 4 |
| Pharmacokinetic (Ctrough) | Assessment of the trough plasma concentration of ONO-7684 and 3-hydroxybenzoic acid in Part B only | Day 1 through Day 14 |
| Pharmacokinetic (AUCtau) | Assessment of the area under the plasma concentration of ONO-7684 and 3-hydroxybenzoic acid -time during a dosing interval in Part B only | Day 14 |
| Pharmacokinetic (CLSS/F) | Assessment of total clearance of ONO-7684 from plasma after oral administration in Part B only | Day 14 |
| Pharmacokinetic (VZ/F) | Assessment of apparent volume of distribution of ONO-7684 after non-intravenous administration calculated at steady state in Part B only | Day 14 |
| Pharmacodynamic (change from baseline in aPTT activity) in serum | Assessment of the effect of ONO-7684 in activated partial thromboplastin time in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 through Day 17 |
| Pharmacodynamic (change from baseline in PT activity) in serum | Assessment of the effect of ONO-7684 in prothrombin time in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 through Day 17 |
| Pharmacodynamic (change from baseline in PT-INR activity) in serum | Assessment of the effect of ONO-7684 in prothrombin time-international normalised ratio in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 through Day 17 |
| Pharmacodynamic (change from baseline in FXIa activity) in serum | Assessment of the effect of ONO-7684 in blood coagulation activated factor XI in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 through Day 17 |
| Pharmacodynamic (correlation of aPTT and FXIa activity) in serum | Assessment of the effect of ONO-7684 in the correlation of activated partial thromboplastin time to blood coagulation activated factor XI in Parts A and B | Part A: Day 1 through Day 4. Part B: Day 1 through Day 17 |