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| Name | Class |
|---|---|
| Leibniz Institute for Natural Product Research and Infection Biology Hans Knöll Institute | OTHER |
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This study is a Phase 1, single-center, open-label study to investigate the absorption, metabolism, and excretion of BTZ-043 after a single oral administration of 500 mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 in 4 healthy adult male subjects
A total of 4 evaluable subjects completing all procedures are required. Six (6) subjects will be enrolled in the cohort in order to have 4 evaluable subjects.
The study will consist of a screening period (Day -21 to -2), a baseline period (Day -1), a single dose treatment on Day 1 with a minimum of 96 hours (=4 days) post dose in-house observation period (Days -1 up to afternoon Day 5), and a follow-up visit 30 days (±2 days) after the [14C]BTZ-043 dose.
Subjects will be administered a single 500 mg [14C]BTZ-043 dose as drinking suspension. Subjects will be confined to the clinical site for at least 96 hours following drug administration (ie, afternoon of Day 5). During this time, blood, feces, and urine samples for measurement of [14C]BTZ-043 and metabolites will be collected.
The subjects will be released from the clinic approximately 96 hours to 168 hours after dose administration and upon satisfactory recovery of radioactivity (at least 90%) approved by the Sponsor's scientific advisor after consulation of the Sponsor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single oral administration of 500 mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 | Experimental | 4 subjects to receive a single oral administration of 14C-labeled radioactive 500mg BTZ-043 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 500mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 | Drug | Single oral administration of 14C-labeled radioactive 500mg BTZ-043 |
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| Measure | Description | Time Frame |
|---|---|---|
| Rates and Routes of Excretion | To determine the rates and routes of excretion of [14C]BTZ-043-related radioactivity, including mass balance of total drug-related radioactivity in urine and feces (and vomit, if applicable), following the oral administration of a single 500 mg dose of [14C]BTZ-043 in healthy male volunteers. All excreta were collected for the analysis for 14C quick or normal counts of total radioactivity (as feasible). the radioactivity measured was translated into mg eq (Radioactivity equivalent to 1 mg BTZ-043). | Urine and faeces were collected from the administration of the study medication until cumulative excretion reached 90% of total radioactivity administered. This was achieved by all subjects after 168 hours. |
| Pharmacokinetics of Total Radioactivity in Blood and Plasma (Cmax) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
| Pharmacokinetics of Total Radioactivity in Blood and Plasma (AUC-t) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
| Pharmacokinetics of Total Radioactivity in Blood (T1/2) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events | To assess the safety and tolerability of a single 500 mg oral dose of BTZ-043 administered to healthy volunteers. | Day -1 to day 32 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jan Jaap van Lier, MD | PRA Health Sciences (PRA) - Early Development Services (EDS) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA Health Sciences (PRA) - Early Development Services (EDS) | Groningen | Netherlands |
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Screening started on 27th September 2021. The first participant was enrolled on October 8th, 2021. The healthy volunteers were recruited by PRA Health Sciences - Early Development Services in 9728 NZ Groningen
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| ID | Title | Description |
|---|---|---|
| FG000 | Single Oral Administration of 500 mg BTZ-043 Containing 3.7 MBq of [14C]BTZ-043 | 4 subjects to receive a single oral administration of 14C-labeled radioactive 500mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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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 | Jul 1, 2021 | Jul 10, 2023 |
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| Pharmacokinetics of Total Radioactivity in Plasma (T1/2) |
To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. |
| Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
| Plasma PK of BTZ-043 and Main Metabolites (Cmax) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites.Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Day 1 to Day 3 |
| Plasma PK of BTZ-043 and Main Metabolites (AUC-last) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites. Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Day 1 to Day 3 |
| Plasma PK of BTZ-043 and Main Metabolites (t1/2) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites. Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Day 1 to Day 3 |
| Urine Concentrations of BTZ-043 and Main Metabolites | Urine volume was measured after every micturation and hamilton pools have been prepared for analysis of BTZ-043 and main metabolites by LC-MS. BTZ-043 could only be measured in urine within the first 24h, then no additional BTZ-043 was excreted in urine anymore. The same applies for M1. M2, M4 total and M10 total excretion could be measured in urine up to 48h post dose. | Assessed from time of dosing up to 168 h post dose. BTZ-043 and metabolites were excreted fom 0 - 24 h (BTZ-043 and M1) and from 0 - 48 h (M2, M4 total and M10 total). |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Single Oral Administration of 500 mg BTZ-043 Containing 3.7 MBq of [14C]BTZ-043 | 4 subjects to receive a single oral administration of 14C-labeled radioactive 500mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
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| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex/Gender, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| BMI | Mean | Standard Deviation | kg/m² |
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| Height | Mean | Standard Deviation | cm |
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| Weight | Mean | Standard Deviation | kg |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Rates and Routes of Excretion | To determine the rates and routes of excretion of [14C]BTZ-043-related radioactivity, including mass balance of total drug-related radioactivity in urine and feces (and vomit, if applicable), following the oral administration of a single 500 mg dose of [14C]BTZ-043 in healthy male volunteers. All excreta were collected for the analysis for 14C quick or normal counts of total radioactivity (as feasible). the radioactivity measured was translated into mg eq (Radioactivity equivalent to 1 mg BTZ-043). | Per protocol | Posted | Mean | Standard Deviation | mg eq | Urine and faeces were collected from the administration of the study medication until cumulative excretion reached 90% of total radioactivity administered. This was achieved by all subjects after 168 hours. |
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| Primary | Pharmacokinetics of Total Radioactivity in Blood and Plasma (Cmax) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | per protocol | Posted | Mean | Standard Deviation | ng eq/mL | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
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| Primary | Pharmacokinetics of Total Radioactivity in Blood and Plasma (AUC-t) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | per protocol | Posted | Mean | Standard Deviation | h*ng eq/mL | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
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| Primary | Pharmacokinetics of Total Radioactivity in Blood (T1/2) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | per protocol. On participant excluded as value was justed unreliable | Posted | Mean | Standard Deviation | h | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
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| Primary | Pharmacokinetics of Total Radioactivity in Plasma (T1/2) | To determine the pharmacokinetics (PK) of total radioactivity in whole blood and in plasma. Measured radioactivity was translated into ng equivalent of BTZ-043. Based on the ng eq, pharmacokinetic parameters were calculated. | per protocol. | Posted | Mean | Standard Deviation | h | Blood samples for total radioactivity were collected from day 1 until 168 h post dosing |
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| Primary | Plasma PK of BTZ-043 and Main Metabolites (Cmax) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites.Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Per protocol | Posted | Mean | Standard Deviation | ng/mL | Day 1 to Day 3 |
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| Primary | Plasma PK of BTZ-043 and Main Metabolites (AUC-last) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites. Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Per protocol | Posted | Mean | Standard Deviation | h*ng/mL | Day 1 to Day 3 |
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| Primary | Plasma PK of BTZ-043 and Main Metabolites (t1/2) | To characterize the plasma PK of BTZ-043 and main metabolites by liquid chromatography-mass spectrometry (LC-MS), if applicable. BTZ-043 is metabolized in the human body. Some of the metabolites were known prior to this study like the main metabolite M2, a hydrid Meisenheimer complex or the aminometabolite M1. Metabolite M4 and M10 were known before as well, therefore, the bioanalytical methods mentioned above could be developed and validated for these metabolites. Pharmacokinetic parameters are calculated from the individual plasma level measurements. | Per protocol | Posted | Mean | Standard Deviation | h | Day 1 to Day 3 |
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| Primary | Urine Concentrations of BTZ-043 and Main Metabolites | Urine volume was measured after every micturation and hamilton pools have been prepared for analysis of BTZ-043 and main metabolites by LC-MS. BTZ-043 could only be measured in urine within the first 24h, then no additional BTZ-043 was excreted in urine anymore. The same applies for M1. M2, M4 total and M10 total excretion could be measured in urine up to 48h post dose. | Per protocol | Posted | Mean | Standard Deviation | mg eq | Assessed from time of dosing up to 168 h post dose. BTZ-043 and metabolites were excreted fom 0 - 24 h (BTZ-043 and M1) and from 0 - 48 h (M2, M4 total and M10 total). |
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| Secondary | Number of Adverse Events | To assess the safety and tolerability of a single 500 mg oral dose of BTZ-043 administered to healthy volunteers. | Received at least one dose of BTZ-043 | Posted | Number | Adverse Events | Day -1 to day 32 |
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Day -1 (admission) until follow-up on day 31 or 32
An AE is any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure. AE definitions according to ICH topic E2A.
All AEs reported or apparent from their physical appearance during the clinical study were reported on the AE eCRF page.
Severity of AEs was graded using the most current version of the MedDRA
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Single Oral Administration of 500 mg BTZ-043 Containing 3.7 MBq of [14C]BTZ-043 | 4 subjects to receive a single oral administration of 14C-labeled radioactive 500mg BTZ-043 containing 3.7 MBq of [14C]BTZ-043 | 0 | 4 | 0 | 4 | 4 | 4 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dizziness | Nervous system disorders | MedDRA 24.1 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 24.1 | Systematic Assessment |
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| Oral Herpes | Infections and infestations | MedDRA 24.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. med. vet. Julia Dreisbach | Klinikum der Universität München (LMU) | +49 89 4400 | 59825 | julia.dreisbach@med.uni-muenchen.de |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 2, 2021 | Jun 19, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| D014397 | Tuberculosis, Pulmonary |
| D008171 | Lung Diseases |
| D009164 | Mycobacterium Infections |
| ID | Term |
|---|---|
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D012141 | Respiratory Tract Infections |
| D012140 | Respiratory Tract Diseases |
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