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| Name | Class |
|---|---|
| Spaulding Clinical Research LLC | OTHER |
| Covance | INDUSTRY |
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This study evaluates SKL24741 safety and tolerability in healthy subjects. Subjects will be randomized to receive oral doses of SKL24741 or placebo. This is a two-part, double-blinded, randomized study of SKL24741.
The study includes a sequential cohort design that is intended to optimize subject safety and assess tolerability, safety, and PK of SKL24741. In the single-dose escalation part of the study (Part A), tolerability, safety, and PK of SKL24741 will be assessed in healthy male subjects under fasting conditions. At an appropriate dose based on PK results, additional cohorts will be repeated with the subjects under fed conditions, in order to evaluate the magnitude on the disposition of SKL24741. To assess the gender effect on the disposition of SKL24741, female subjects will be treated at one dose level under fasting conditions. A preliminary formulation effect may be assessed in a cohort of subjects to compare the capsule versus tablet formulation on the disposition of SKL24741.
Part A Primary Objective: To evaluate the safety and tolerability of single oral ascending doses of SKL24741 administered to healthy male subjects
Part A Secondary Objectives:
Part A Exploratory Objective: To assess the formulation effect on the PK of SKL24741 and SKL24742 (if appropriate) following administration of a single oral dose of SKL24741 administered to healthy male subjects
Part B Primary Objective: To evaluate safety and tolerability of multiple oral ascending doses of SKL24741 administered for 14 days to healthy male subjects
Part B Secondary Objective: To evaluate the PK of SKL24741, SKL24742 (if appropriate), and its possible metabolites (if deemed necessary) following administration of multiple oral ascending doses of SKL24741 administered to healthy male subjects
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose Level 1 | Experimental | 4 Subjects will receive one dose of 10 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 2 | Experimental | 4 Subjects will receive one dose of 25 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 3 | Experimental | 4 Subjects will receive one dose of 50 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 4 | Experimental | 4 Subjects will receive one dose of 100 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 5 | Experimental | 4 Subjects will receive one dose of 200 mg and 2 subjects will receive one dose of placebo |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SKL24741 | Drug | An inhibitor of voltage-gated sodium channels and a possible activator of Big Potassium channels. Administered as an oral dose in the form of a capsule or tablet. |
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| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (Incidence of treatment-emergent adverse events) | The number [count] and percentage [%] of subjects experiencing an adverse event | From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Clinically significant laboratory assessments | Hematology, coagulation, clinical chemistry, urinalysis, and cholesterol | From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Electrocardiogram outcomes | Standard electrocardiograms (ECGs) parameters will be measured, including heart rate (HR) [beats/min], RR [millisecond], PR [millisecond], QT [millisecond], QTc intervals [millisecond], and QRS duration [millisecond]. Extensive triplicate 12-lead ECGs, except for the food effect cohort, will be collected at various time points. | From Screening until follow-up, including time-point assessments (In Part A, pre-dose until 24 hours post-dose. In Part B, Day1: pre-dose until 8 hours post-dose; Day 2-13: pre-dose only; Day 14: pre-dose until 24 hours post-dose) |
| Vital sign | Blood pressure (systolic and diastolic measurements in supine and standing in the same sequence in each subject, in order to allow orthostatic measurements) [mmHg] | From Screening until follow-up, including time-point assessments (In Part A, Day1: pre-dose until 12 hours post-dose. In Part B, Day1: pre-dose until 12 hours post-dose; Day 2-14: pre-dose until 8 hours post-dose) |
| Vital sign | Temperature [Celsius] | From Screening until follow-up, including time-point assessments (In Part A, Day1: pre-dose until 12 hours post-dose. In Part B, Day1: pre-dose until 12 hours post-dose; Day 2-14: pre-dose until 8 hours post-dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum concentration (Cmax) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Maximum concentration (Cmax) [ng/mL] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Measure | Description | Time Frame |
|---|---|---|
| Fraction excreted unchanged in the urine (fe) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single dose administration of SKL24741 | Fraction excreted unchanged in the urine (fe) [unit of fraction] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the urine concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose urine samples. |
Inclusion Criteria:
Exclusion Criteria:
This study will enroll up to 138 Healthy Male Subjects and 6 Non-childbearing potential Female Subjects.
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| Name | Affiliation | Role |
|---|---|---|
| Vijaykumar Vashi, PhD | SK Life Science, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spaulding Clinical Research | West Bend | Wisconsin | 53095 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 21, 2020 | Mar 12, 2020 | Prot_000.pdf |
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| Single Ascending Dose Level 6 |
| Experimental |
4 Subjects will receive one dose of 300 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 7 | Experimental | 4 Subjects will receive one dose of 400 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 8 | Experimental | 4 Subjects will receive one dose of 800 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 9 | Experimental | 4 Subjects will receive one dose of 1200 mg and 2 subjects will receive one dose of placebo |
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| Single Ascending Dose Level 10 | Experimental | 4 Subjects will receive one dose on the outcome of preceding dose levels and 2 subjects will receive one dose of placebo |
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| Multiple Ascending Dose Level 1 | Experimental | 6 Subjects will receive one dose of 50 mg each day for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose). |
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| Multiple Ascending Dose Level 2 | Experimental | 6 Subjects will receive one dose of 200 mg each day for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). |
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| Multiple Ascending Dose Level 3 | Experimental | 6 Subjects will receive one dose of 400 mg each day for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). |
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| Multiple Ascending Dose Level 4 | Experimental | 6 Subjects will receive one dose of 800 mg each day for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). |
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| Multiple Ascending Dose Level 5 | Experimental | 6 Subjects will receive one dose of 1200 mg each day for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). |
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| Multiple Ascending Dose Level 6 | Experimental | 6 Subjects will receive one dose of 1200 mg each day (using tablet formulation instead of capsule formulation*) for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). *Tablet formulation is utilized, instead of capsule formulation, in the marked dose levels. |
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| Food Effect Cohort | Experimental | After completing the fasting Single Ascending Dose escalation, the same 6 subjects who received one dose of 50 mg under fasting conditions will return to the clinic after a washout period for a second confinement to receive a second dose (same as fasting) under fed conditions. |
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| Gender Effect Cohort | Experimental | 6 female subjects of non-childbearing potential will receive one dose of 50 mg under fasting conditions. |
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| Optional Food Effect Cohort | Experimental | Up to 12 male subjects will undergo an open-label, two period, two-sequence crossover design at the maximum daily dose tested in Part A. |
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| Optional Formulation Effect Cohort | Experimental | Up to 12 male subjects will be treated with the maximum daily dose tested in Part A using open-label, two period, two-sequence crossover design. |
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| Multiple Ascending Dose Level 7 | Experimental | 6 Subjects will receive one dose of 2000 mg each day (using tablet formulation instead of capsule formulation*) for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). *Tablet formulation is utilized, instead of capsule formulation, in the marked dose levels. |
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| Multiple Ascending Dose Level 8 | Experimental | 6 Subjects will receive one dose each day (using tablet formulation instead of capsule formulation*) for 14 days and 2 subjects will receive one dose placebo every day for 14 days. The dose will be determined based on the outcome of Part A (Single Ascending Dose) and/or preceding dose levels of Part B (Multiple Ascending Dose). *Tablet formulation is utilized, instead of capsule formulation, in the marked dose levels. |
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| Placebo | Drug | Sugar pill manufactured to mimic SKL24741 |
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| Vital sign | Heart rate [beats/min] | From Screening until follow-up, including time-point assessments (In Part A, Day1: pre-dose until 12 hours post-dose. In Part B, Day1: pre-dose until 12 hours post-dose; Day 2-14: pre-dose until 8 hours post-dose) |
| Vital sign | Respiratory rate [breaths/min] | From Screening until follow-up, including time-point assessments (In Part A, Day1: pre-dose until 12 hours post-dose. In Part B, Day1: pre-dose until 12 hours post-dose; Day 2-14: pre-dose until 8 hours post-dose) |
| Vital signs | Arterial oxygen saturation (SaO2) (using pulse oximetry) [%] | From Screening until follow-up, including time-point assessments (In Part A, Day1: pre-dose until 12 hours post-dose. In Part B, Day1: pre-dose until 12 hours post-dose; Day 2-14: pre-dose until 8 hours post-dose) |
| Physical examination | Full physical examination (review of all body systems - head/neck/thyroid, eyes/ears/nose/throat, respiratory, cardiovascular, lymph nodes, abdomen, skin, musculoskeletal, and neurological. Breast, anorectal, and genital examinations) | Full (complete) physical examination at screening only. From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Physical examination | Height [centimeter] | Full (complete) physical examination at screening only. From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Physical examination | Weight [kg] | Full (complete) physical examination at screening only. From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Physical examination | BMI [kg/m^2] | Full (complete) physical examination at screening only. From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Physical examination | Abbreviated (symptom-directed) physical examination. | Full (complete) physical examination at screening only. From Screening until follow-up (14-16 days after dosing day or final dosing day) |
| Peak expiratory flow rate | Peak expiratory flow rate [L/min], the maximum rate that a person can exhale during a short maximal expiratory effort after a full inspiration | Assessed at admission (Day -1), pre-dose (baseline), 2 and 24 hours post-dose after the first dose (Day 1 dosing) and the last dose (Day 14 dosing for Part B), and follow-up (14-16 days after dosing day or final dosing day) |
| Columbia-Suicide Severity Rating Scale (Part B only) | Columbia-Suicide Severity Rating Scale (C-SSRS) is a brief questionnaire that provides for the identification, quantification, and standardized assessment of the occurrences and severity of suicidal ideation and behavior. The changes from baseline and clinical abnormalities will be assessed (units on a scale). | From Screening until follow-up (14-16 days after dosing day or final dosing day). Baseline ("Lifetime/Recent") at Screening and "Since Last Visit" versions on other visits |
| Time to maximum concentration (tmax) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Time to maximum concentration (tmax) [hours, or h] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Area under the concentration-time curve (AUC) from 0 to infinity (AUC∞) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Area under the concentration-time curve (AUC) from 0 to infinity (AUC∞) [ng*h/mL] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles after a single dose administration | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| AUC from time 0 to a given time t (AUCt) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | AUC from time 0 to a given time t (AUCt) [ng*h/mL] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| AUC over the dosing interval (AUCτ) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | AUC over the dosing interval (AUCτ) [ng*h/mL] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Apparent clearance (CL/F) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Apparent clearance (CL/F) [L/h] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Apparent volume of distribution (Vd/F) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Apparent volume of distribution (Vd/F) [Liter, or L] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Half-life (t1/2) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Half-life (t1/2) [hour] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Accumulation ratio (Racc) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single and/or multiple dose administration of SKL24741 | Accumulation ratio (Racc) [unit of ratio] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the plasma concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose plasma samples. In Part B, Days 1 and 7: pre-dose and up to 24 hours post-dose, Days 3-6 and 9-13: pre-dose only, and Day 14: Pre-dose and up to 240 hours post-dose plasma samples |
| Renal clearance (CLr) of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) following the single dose administration of SKL24741 | Renal clearance (CLr) [Liter/h or milliliter/min] of SKL24741, SKL24742 (if appropriate), and possible metabolites (if deemed necessary) for the urine concentration-time profiles | In Part A, pre-dose and up to 240 hours post-dose urine samples. |