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This is a first in human (FIH), single-centre, double blind, randomised, cross-over, SAD followed by a MAD study of Inzomelid. The study is designed to evaluate the safety, tolerability, PK, PD, and food effect of Inzomelid in healthy adult participants and to evaluate the safety, tolerability, PK, PD, and preliminary clinical efficacy of Inzomelid in adult patients with CAPS. Oversight will be provided by a safety monitoring committee (SMC) comprised of the Investigator, the Sponsor's Medical Monitor and an Independent Medical Monitor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose | Experimental | Inzomelid or Placebo |
|
| Multiple Ascending Dose | Experimental | Inzomelid or Placebo |
|
| Patients with CAPS | Experimental | Inzomelid Open Label |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inzomelid | Drug | Active Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment emergent advert events [Safety and Tolerability] | Incidence, frequency and severity of treatment emergent advert events | Day 1-8 for SAD, Day 1-16 for MAD |
| Peak Plasma Concentration (Cmax)-single dose | Peak plasma concentration following single dose administration | Day 1-3 |
| Area under the plasma concentration versus time curve (AUC)- single dose | AUC following single dose administration | Day 1-3 |
| Peak Plasma Concentration (Cmax)-multiple dose | Peak plasma concentration following multiple dose administration | Days 1-9 |
| Area under the plasma concentration versus time curve (AUC)- multiple dose | AUC following multiple dose administration | Days 1-9 |
| Peak Plasma Concentration (Cmax)-multiple dose | Peak plasma concentration following multiple dose administration | Days 1-16 |
| Area under the plasma concentration versus time curve (AUC)- multiple dose | AUC following multiple dose administration | Days 1-16 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamic activity | NLRP3 Inhibition in whole blood | Day 1-3 for SAD and Day 1-9 for MAD |
| Reduction in CAPS symptom scores | Reduction in Physician Assessed CAPS scores based on 8 point questionnaire |
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Inclusion Criteria- Healthy Volunteers:
Inclusion Criteria- CAPS Patients:
* Patients with a confirmed diagnosis of CAPS (FCAS, NOMID, or MWS) aged 18 to 70 years (inclusive at the time of informed consent);
Exclusion Criteria- Healthy Volunteers:
Exclusion Criteria- CAPS Patients:
Participants who have a positive QuantiFERON test with documentation of BCG vaccination, who are at low environmental risk for TB infection or reactivation, and have a negative chest X-ray can be included;
* Pregnant or lactating at Screening or planning to becomepregnant (self or partner) at any time during the study, including the follow-up period;
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| Name | Affiliation | Role |
|---|---|---|
| Ben Snyder, MB, BS | Nucleus Network | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nucleus Network | Melbourne | Queensland | Australia |
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| Placebo | Drug | Placebo to Match |
|
| Days 1-15 |