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This was a Phase 1, single-center, randomized, placebo-controlled, 2-period, ascending single-dose study assessing the PK, safety, and tolerability of single ascending doses of XG005 (Period 1) and the naproxen and pregabalin combination (Period 2), in 5 dose groups each with 10 subjects.
Period 1 was double-blind and randomized 8 subjects (1:1 allocation ratio by gender) to XG005 and 2 subjects (1:1 allocation ratio by gender) to placebo. Subjects were enrolled sequentially into a total of 5 ascending dose levels pending safety review, and PK review where possible, of Period 1 of the prior dose level. Sentinel dose participants (1 for XG005 and 1 for placebo) were included as the first dose administered at each dose level in Period 1.
In Period 2, all subjects in the last three XG005 dose groups received approximate molar equivalents of naproxen and pregabalin corresponding to XG005 doses after a 7-day washout period. Period 2 was open-label with 10 subjects per group.
PK blood samples in each treatment period were collected at 0 (pre-dosing), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hrs after drug administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Period 1- XG005 | Experimental | XG005 capsule in 4 dose level |
|
| Period 2- Naproxen and Pregabalin | Active Comparator | Combination of Naproxen and Pregabalin |
|
| Period 1- Placebo | Placebo Comparator | XG005 matching placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XG005 | Drug | XG005 Capsule |
| |
| Combination of Naproxen and Pregabalin |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum concentration (Cmax) | Day1 to Day 4 | |
| Time to maximum concentration (Tmax) | Day1 to Day 4 | |
| Area under the concentration-time curve from time 0 to last measurable time-point (AUC0-t) | Day1 to Day 4 | |
| Area under the concentration-time curve from time 0 to infinity (AUC0-inf) | Day1 to Day 4 | |
| Terminal Elimination Rate Constant (kel) | Day1 to Day 4 | |
| Terminal half-life (t1/2) | Day1 to Day 4 | |
| Terminal clearance (CL/F) | Day1 to Day 4 | |
| Volume of distribution (Vd/F) | Day1 to Day 4 |
| Measure | Description | Time Frame |
|---|---|---|
| incidence and severity of adverse events (AEs) | Day -1 to Day 8 | |
| blood pressure | vital signs | Day -1 to Day 8 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Linear Clinical Research Ltd | Nedlands | Western Australia | 6009 | Australia |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000069583 | Pregabalin |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
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Period 1: ascending single-dose of XG005 vs Placebo; Period 2: combination of Naproxen and Pregabalin
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Period 1: Participants and investigators were blinded Period 2: Open label
| Drug |
Naproxen and Pregabalin are commercially available products with trade names of Aleve and Lyrica |
|
| Placebos | Drug | Placebo Capsule |
|
| heart rate |
vital signs |
| Day -1 to Day 8 |
| respiratory rate | vital signs | Day -1 to Day 8 |
| temperature | vital signs | Day -1 to Day 8 |
| physical examination | Cardiovascular, Ears, Nose and Throat, Eyes, Gastrointestinal, Head, Lymph Nodes, Musculoskeletal, Neurological, Respiratory, Skin | Day -1 to Day 8 |
| electrocardiogram (ECG) parameters; | ECG-PR, RR, QRS, QT, and QTc intervals | Day -1 to Day 8 |
| clinical laboratory parameters -chemistry | BUN, Creatinine, Total bilirubin, Total protein, Alkaline phosphatase, Uric Acid, Estimated creatinine clearance, Creatine Phosphokinase (CPK), AST (SGOT), ALT (SGPT), Glucose, Sodium, Potassium | Day -1 to Day 8 |
| clinical laboratory parameters- hematology | Hemoglobin, Hematocrit, Red Blood Cell Count, White Blood Cell Count with differential, Platelet Count | Day -1 to Day 8 |
| clinical laboratory parameters urinalysis |
| Day -1 to Day 8 |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |