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This is a first-in-human, single-blind, placebo-controlled, single-centre study designed to assess the safety and tolerability of PDNO in healthy male and female subjects. In addition, the exposure of 1,2 propanediol (PD) will be evaluated.
There are 2 parts to the study:
Part I: single ascending dose (SAD), 7 cohorts, 30 minutes intravenous (i.v.) infusion of placebo followed by 1-hour i.v. infusion of PDNO to assess safety, tolerability and PD exposure in healthy male and female subjects.
Part II: ascending doses of PDNO in 2 cohorts, 30 minutes i.v. infusion of placebo followed by 3 ascending doses of PDNO in cohort 1 and 3 ascending doses of PDNO in cohort 2. The first 2 doses in each cohort will be i.v. infused for 30 minutes whereas the last will be i.v. infused for 3 hours to assess safety, tolerability and PD exposure in healthy male and female subjects.
If indicated by emerging data and recommended by the internal safety review committee (iSRC), 2 additional dose groups/cohorts (4+4 subjects) may be added to Part I and 1 dose group/cohort (4 subjects) may be added to Part II.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part I: single ascending dose (SAD) | Experimental | In Part I, each subject will receive a 30 minute i.v. infusion of placebo followed by a 1-hour i.v. infusion of PDNO in parallel with a carrier sodium bicarbonate buffer, the infusion of which will start 5 minutes prior to start of placebo infusion and continue until 15 minutes after end of PDNO infusion. Between the end of placebo infusion and prior to the start of PDNO infusion, there will be a 20-minute stabilisation period with infusion of sodium bicarbonate buffer only. |
|
| Part II: ascending doses of PDNO | Experimental | In Part II, each subject will receive a 30 minute i.v. infusion of placebo followed by 2 x 30 minute infusions of PDNO at 2 ascending dose levels and one 3-hour infusion of PDNO at a third dose level. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PDNO | Drug | PDNO consists of propylene glycol (1,2-propanediol, PD) chemically combined with NO (to be donated). The drug substance is formulated as an inherent mixture of 4 structure analogues. The mixture consists of an equilibrium of the 2 regioisomers 1-(nitrosooxy) propan-2-ol and 2-(nitrosooxy) propan-1-ol. In addition, each regioisomer is a racemic mixture. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of PDNO following i.v. infusion to healthy volunteers, as measured by incidence of treatment-emergent AEs, SAEs, AESI, changes in vital signs, ECG abnormalities, and laboratory abnormalities. |
| Through study completion (i.e., Day 8) |
| Measure | Description | Time Frame |
|---|---|---|
| Exposure parameters for 1,2-propanediol (PD): area under the curve from time 0 to time t (AUC0-t) | During 24 hours from start of dosing | |
| Exposure parameters for 1,2-propanediol (PD): area under the curve from time 0 to infinity (AUC0-inf) | During 24 hours from start of dosing |
| Measure | Description | Time Frame |
|---|---|---|
| Change in FeNO levels before and after i.v. infusion of PDNO | FeNO levels (Part 1 only) as measured using a NIOX VERO airway inflammation monitor. | During Day 1 |
| Collection of plasma for future analysis of biomarkers such as nitrite and nitrate in plasma (µM) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Folke Sjöberg, MD | CTC Clinical Trial Consultants AB | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CTC Clinical Trial Consultants AB | Uppsala | 75185 | Sweden |
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| ID | Term |
|---|---|
| D006976 | Hypertension, Pulmonary |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006973 | Hypertension |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| C000717227 | 1-(nitrosooxy)propan-2-ol and 2-(nitrosooxy)propan-1-ol drug combination |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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In Part I, each subject will receive a 30 minute i.v. infusion of placebo followed by a 1-hour i.v. infusion of PDNO in parallel with a carrier sodium bicarbonate buffer, the infusion of which will start 5 minutes prior to start of placebo infusion and continue until 15 minutes after end of PDNO infusion. Between the end of placebo infusion and prior to the start of PDNO infusion, there will be a 20-minute stabilisation period with infusion of sodium bicarbonate buffer only.
In Part II, each subject will receive a 30 minute i.v. infusion of placebo followed by 2 x 30 minute infusions of PDNO at 2 ascending dose levels and one 3-hour infusion of PDNO at a third dose level.
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During the administration, the infusion set is masked for the subject.
|
|
| Sodium chloride (placebo) | Drug | Placebo (NaCl, commercially available dilution solution for parenteral use, 9 mg/mL) |
|
|
| Exposure parameters for 1,2-propanediol (PD): maximum plasma concentration (Cmax) | During 24 hours from start of dosing |
| Exposure parameters for 1,2-propanediol (PD): terminal elimination half-life (T1/2) | During 24 hours from start of dosing |
| During Day 1 |
| D002318 |
| Cardiovascular Diseases |
| D017670 |
| Sodium Compounds |