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This is a phase 1, randomized, double-blind, placebo-controlled, SAD and MAD study in healthy adult volunteers. DGX-001 is a peptide being investigated for the treatment of the major depressive disorder. This study will examine the safety and tolerability of increasing doses of DGX-001 and, in an exploratory way, potential moderators and functional markers of its activity.
The study will be conducted in three parts, Part 1 consisting of SAD cohorts and Part 2 consisting of MAD cohorts and Part 3 consisting of one cohorts of stress exposure resilience panel. In Part 1, approximately 32 adult healthy volunteers will be enrolled sequentially into 1 of 4 single-dose cohorts and will be randomized to receive either a dose of DGX-001 or a placebo. In Part 2, approximately 24 adult healthy volunteers will be enrolled into 1 of 3 multiple-dose cohorts. An adaptive dose-escalation schedule will be employed for both the SAD and MAD parts of the study. In Part 3, 14 subjects will be enrolled in 1 cohorts to further explore the pharmacodynamic effect of DGX-001 under a physiological challenge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose Cohort S1 | Experimental | Subjects will receive a single dose of either dose level 1 of DGX-001 or placebo |
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| Single Ascending Dose Cohort S2 | Experimental | Subjects will receive a single dose of either dose level 2 of DGX-001 or placebo |
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| Single Ascending Dose Cohort S3 | Experimental | Subjects will receive a single dose of either dose level 3 of DGX-001 or placebo |
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| Single Ascending Dose Cohort S4 | Experimental | Subjects will receive a single dose of either dose level 4 of DGX-001 or placebo |
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| Multiple Ascending Doses Cohort M1 | Experimental | Subjects will receive multiple doses of either dose level 1 of DGX-001 or placebo |
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| Multiple Ascending Doses Cohort M2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DGX-001Dose 1 | Drug | Dose level 1 of DGX-001 |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of treatment-emergent adverse events (TEAEs) | A TEAE is any event that is not present before the initiation of the investigational product or any event already present that worsens in either intensity or frequency following exposure to the investigational product. | Day1- Day14 |
| Severity of treatment-emergent adverse events as assessed by CTCAE v5.0 | A TEAE is any event that is not present before the initiation of the investigational product or any event already present that worsens in either intensity or frequency following exposure to the investigational product. | Day 1- Day14 |
| Number of subjects with abnormal and clinically significant safety laboratory tests | Safety laboratory tests include clinical chemistry and hematology | Day 1- Day 14 |
| Number of subjects with abnormal and clinically significant electrocardiogram test | 12 lead ECGs will be collected in triplicate, which will measure heart rate, PR, QRS, QT, QTc | Day 1- Day 21 |
| Number of subjects with abnormal and clinically significant urinalysis findings | This will include routine urine test | Day 1-Day 21 |
| Measure | Description | Time Frame |
|---|---|---|
| AUCt in SAD and MAD | Total exposure | Day 1-Day 9 |
| AUC24 in SAD and MAD | Area under plasma concentration -time curve at 24 hours | Day 1-Day 9 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMAX Clinical Research Address | Adelaide | South Australia | 5000 | Australia |
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| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| ID | Term |
|---|---|
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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Part 1 and Part 2 of the study will have a parallel assignment and Part 3 of the study will have a parallel assignment with a crossover design.
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Double-blind
Subjects will receive multiple doses of either dose level 2 of DGX-001 or placebo |
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| Multiple Ascending Doses Cohort M3 | Experimental | Subjects will receive multiple doses of either dose level 3 of DGX-001 or placebo |
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| Stress Exposure Resilience Panel Cohort 1 | Experimental | Subjects will receive any of the MAD dose panel or placebo |
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| DGX-001 Dose 2 | Drug | Dose level 2 of DGX-001 |
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| DGX-001 Dose 3 | Drug | Dose level 3 of DGX-001 |
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| DGX-001 Dose 4 | Drug | Dose level 4 of DGX-001 |
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| MAD dose panel of DGX-001 | Drug | Dose levels confirmed through SAD and MAD |
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| AUC∞ in SAD and MAD | Area under plasma concentration -time from time 0 to infinity | Day 1-Day 9 |
| Cmax in SAD and MAD | Maximum plasma concentration | Day 1-day 9 |
| tmax in SAD and MAD | Time to maximum plasma concentration | Day 1-Day 9 |
| t1/2 in SAD and MAD | Terminal elimination half-life | Day 1-Day 9 |
| CL/F in SAD and MAD | Oral clearance | Day 1-Day 9 |
| Vz/F in SAD and MAD | Apparent volume of distribution during terminal phase after non-intravenous administration | Day 1-Day 9 |
| λz in SAD and MAD | Elimination rate constant | Day 1-Day 9 |