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Part 1 was completed, Part 2 and Part 3 of the study were not conducted under this study protocol due to subject recruitment difficulty.
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The purpose of this study is to evaluate the pharmacokinetics, safety, and tolerability of new liquid formulations of tricaprilin, with the aim of finding a suitable formulation to advance in development. This is a three-part, part-randomised study that include single-dose, food effect, and titration tolerability in up to 80 healthy participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 (Formulation Optimisation) | Experimental | Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided 30 minutes after study drug administration. There will be 4 different formulations of the study drug and participants will be randomised to one of 4 sequences. There will be a washout of 2 days between each administration. |
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| Part 2 (Placebo Assessment) | Experimental | Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided either 30 minutes before or after study drug administration, depending on the results of the food effect assessment. Participants are randomised to 1 of 2 sequences (tricaprilin formulation - matching placebo; matching placebo - tricaprilin formulation) with a 2-day washout between periods. |
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| Part 3 (Titration Tolerability) | Experimental | Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided either 30 minutes before or after study drug administration, depending on the results of the food effect assessment. Participants will be randomised to either study drug or the matching placebo. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AC-1202 | Drug | Tricaprilin formulated as AC-1202 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration-time curve (AUC) of total ketones (β-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2) | AUC will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | 0 to 8 hours post-dose |
| Maximum observed concentration (Cmax) of total ketones (β-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2) | Cmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | 0 to 8 hours post-dose |
| Time of maximum concentration (Tmax) of total ketones (β-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2) | Tmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | 0 to 8 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of treatment emergent adverse events | Adverse event incidence will be tabulated | Baseline to end of treatment period |
| Gastrointestinal side effects of single-dose administration of each of tricaprilin formulations and the placebo formulation (Parts 1, 2) assessed using the Baxter Retching Faces Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | Cerecin | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMAX | Adelaide | South Australia | 5000 | Australia |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| ID | Term |
|---|---|
| D003704 | Dementia |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C538853 | AC-1202 |
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This is a three-part study.
Part 1 (Formulation Optimisation): Participants will be assigned to all 4 different formulations of tricaprilin, with randomization to one of 4 sequences with a 2-day washout in between different formulations. There are 2 series in this part.
Part 1 (Food Effect): Participants will be administered to 1 formulation of tricaprilin. There are 2 series in this part.
Part 2 (Placebo Assessment): Participants will be randomised to 1 of 2 sequences (tricaprilin formulation - matching placebo; matching placebo - tricaprilin formulation) with a 2-day washout between periods.
Part 3 (Titration Tolerability): Participants will be administered to either tricaprilin or a matching placebo.
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| AC-OLE-01 |
| Drug |
Tricaprilin Formulation |
|
| AC-OLE-02 | Drug | Tricaprilin Formulation |
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| AC-OLE-03 | Drug | Tricaprilin Formulation |
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| AC-OLE-04 | Drug | Tricaprilin Formulation |
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| AC-OLE-05 | Drug | Tricaprilin Formulation |
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| AC-OLE-06 | Drug | Tricaprilin Formulation |
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| AC-OLE-07 | Drug | Tricaprilin Formulation |
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| AC-OLE-08 | Drug | Tricaprilin Formulation |
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| AC-OLE-09 | Drug | Tricaprilin Formulation |
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| AC-OLE-010 | Drug | Tricaprilin Formulation |
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| AC-OLE-P | Drug | Placebo to tricaprilin formulation |
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The Baxter Retching Faces Scale is a pictorial scale rated from 0 to 10, with 6 faces depicting level of nausea/gastrointestinal discomfort. |
| Pre-dose, 0.5, 1, 1.5, 2, 3 hours post-dose |
| Gastrointestinal side effects of single-dose administration of each of tricaprilin formulations and the placebo formulation (Parts 1, 2) assessed using the Pain Numerical Rating Scale | The Pain Numerical Rating Scale 10-point numeric rating scale with participants instructed to rate any abdominal pain from 0 (no pain) to 10 (worst possible pain) | Pre-dose, 0.5, 1, 1.5, 2, 3 hours post-dose |
| Area under the concentration-time curve (AUC) of total ketones (β-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3) | AUC will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose |
| Maximum observed concentration (Cmax) of total ketones (β-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3) | Cmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose |
| Time of maximum concentration (Tmax) of total ketones (β-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3) | Tmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate) | Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose |
| D024801 |
| Tauopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |