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This is a first-in-human, Phase 1, single-center, randomized, single-blind, placebo-controlled, single dose-escalation study to evaluate the safety, tolerability, PK, PD of SSS17 following oral administration in healthy subjects. Approximately 65 subjects (53 receiving active drug and 12 receiving placebo) will participate in this study.
The study will enroll healthy volunteers from a single academic medical center in China. All participants will be informed about the study and potential risks and required to provide written informed consent prior to undergoing study-related procedures.
The improved Fibonacci dose escalation design will be implemented. The protocol specifies 10 mg, oral, one time for the first cohort without placebo control. Successive cohorts will be given doses up to 540 mg with placebo parallel control. Only no observation meets the criteria under stop rules, dose will escalate to the next higher level.
The study will be divided into 2 stages: 1st period (fast) and 2nd period(fed).
First period (fast): Subjects will be allocated 1:4 to receive placebo or SSS17, which will be administered by oral route. At each dose, tolerability, safety, PK and PD characteristics will be investigated.
Second period (fed): in order to investigate the effects of food on PK and PD of SSS17. Subjects in one cohort will be administered again after meal on Day15. The accurate dose will be adjusted according to the findings in 1st period (fast)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation SSS17 | Experimental | Escalating doses of SSS17; single dose administration; different dosage forms (redosing of the SSS17 in one cohort with food on Day15) |
|
| Escalation matching Placebo | Placebo Comparator | Escalating doses of matching placebo; single dose administration; different dosage forms (redosing of matching placebo in one cohort with food on Day15) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SSS17 | Drug | SSS17 is a novel small molecule compound which stimulates erythropoiesis through inhibition of hypoxia-inducible factor- prolyl hydroxylases( HIF-PH). It is being developed for the treatment of anemia in patients with chronic kidney disease. |
| Measure | Description | Time Frame |
|---|---|---|
| AEs | assessment AEs by frequency, severity | up to Day14 or 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) of SSS17 | Plasma samples will be collected and Cmax will be assessed. | [ up to 48 hours post-dose] |
| Area under the concentration-time curve (AUC) of plasma concentration of SSS17 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hongzhou Lu, Ph.D | Contact | (021)37990333-5278 | jigouban@126.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Public Health Clinical Center | Shanghai | Shanghai Municipality | 201203 | China |
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| Placebo | Drug | matched placebo |
|
Plasma samples will be collected and the AUC from zero to infinity will be assessed.
| [ up to 48 hours post-dose] |
| Time-to-Cmax (Tmax) of SSS 17 | Plasma samples will be collected and the Tmax will be assessed from the concentration-time curve. | [ up to 48 hours post-dose] |
| Elimination terminal half-life (t1/2) of SSS17 | Plasma samples will be collected and the t1/2 will be assessed. | [up to 48 hours post-dose] |
| Total amount of SSS17 excreted in urine over 24 hours (Ae0-24) | Urine sample will be collected at pre-specified intervals and Ae0-24 will be assessed. | only for one cohort (up to 72 hours post-dose) |
| Fraction of SSS17 excretion during each collection interval (Fe0-24) | Urine sample will be collected at pre-specified intervals and Fe0-24 will be assessed. | only for one cohort (up to 72 hours post-dose) |
| Total amount of SSS17 excreted in urine over 72 hours (Ae0-72) | Urine sample will be collected at pre-specified intervals and Ae0-72 will be assessed. | only for one cohort (up to 72 hours post-dose) |
| Fraction of SSS17 excretion during each collection interval (Fe0-72) | Urine sample will be collected at pre-specified intervals and Fe0-72 will be assessed. | only for one cohort (up to 72 hours post-dose) |
| Renal clearance (CLR) of SSS17 | Urine sample will be collected at pre-specified intervals and CLR will be assessed. | only for one cohort (up to 72 hours post-dose) |
| EPO concentrations | Change of EPO concentrations from baseline following SSS17 | up to 168 hours post-dose. |
| VEGF concentrations | Change of VEGF concentrations from baseline following SSS17 | up to 168 hours post-dose. |
| Change of RTC from baseline | Change of RTC from baseline following SSS17 | up to 168 hours post-dose. |
| Change of RBC from baseline | Change of RBC from baseline following SSS17 | up to 168 hours post-dose. |
| Change of Hgb from baseline | Change of Hgb from baseline following SSS17 | up to 168 hours post-dose. |
| Change of hepcidin from baseline | Change of serum hepcidin concentrations from baseline following SSS17 | up to 168 hours post-dose. |