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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-002903-36 | EudraCT Number |
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Parts A and B: The primary objective of this study is to evaluate the safety and tolerability of single and multiple ascending oral doses of BIIB113 in healthy participants. The secondary objectives of this study are to evaluate the single and multiple oral dose pharmacokinetic (PK) profile of BIIB113 in healthy participants and to evaluate the effect of food on the single oral dose of BIIB113 in healthy participants of Part A cohort 3.
Part C: The primary objectives of this study are to evaluate the safety and tolerability of single and multiple ascending oral doses of BIIB113 in healthy participants and to determine target occupancy (TO) as measured by O-GlcNAcase-Positron Emission Tomography (OGA-PET) of single and multiple oral doses of BIIB113 in healthy participants.
BIIB113 is a small molecule inhibitor of OGA being evaluated in Alzheimer's disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A [Single Ascending Dose (SAD)]: BIIB113 Cohort 1 | Experimental | Participants aged 18 to 64 years will receive Dose 1 of BIIB113, orally, once daily (QD), on Day 1 of Part A of the study. |
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| Part A (SAD): BIIB113 Cohort 2 | Experimental | Participants aged 18 to 64 years will receive Dose 2 of BIIB113, orally, QD, on Day 1 of Part A of the study |
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| Part A (SAD): BIIB113 Cohort 3 | Experimental | Participants aged 18 to 64 years will receive Dose 3 of BIIB113, orally, QD, on Day 1 of Part A of the study. |
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| Part A (SAD): BIIB113 Cohort 4 | Experimental | Participants aged 18 to 64 years will receive Dose 4 of BIIB113, orally, QD, on Day 1 of Part A of the study. |
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| Part A (SAD): BIIB113 Cohort 5 | Experimental | Participants aged 18 to 64 years will receive Dose 5 of BIIB113, orally, QD, on Day 1 of Part A of the study |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIIB113 | Drug | Administered as specified in the treatment arm. |
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| Measure | Description | Time Frame |
|---|---|---|
| Parts A, B and C: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) | An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. An SAE is any untoward medical occurrence that at any dose results in death; in the view of the investigator, places the participant at immediate risk of death (a life-threatening event); requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; results in a congenital anomaly/birth defect or is a medically important event. | Part A: Up to 54 days; Part B: Up to 53 days; Part C: Up to 71 days (SAD); Up to 85 days (MAD) |
| Parts A, B and C: Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Parameters, Vital Signs, and 12-Lead Electrocardiogram (ECG) | Part A: Baseline up to 54 days; Part B: Baseline up to 53 days; Part C: Baseline up to 71 days (SAD), Baseline up to 85 days (MAD) | |
| Parts A, B and C: Number of Participants With Change in Columbia Suicide Severity Rating Scale (C-SSRS) Score | C-SSRS is used to assess the suicidality of participants during the study. The assessment includes "yes" or "no" responses for 5 questions each, related to suicidal ideation (wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with any methods, active suicidal ideation with some intent, active suicidal ideation with specific plan) and suicidal behavior (preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, suicide). Numeric ratings are provided for severity of ideation, from 1 to 5, with 5 being the most severe. | Part A: Up to 54 days; Part B: Up to 53 days; Part C: Up to 71 days (SAD); Up to 85 days (MAD) |
| Part C: Percent O-GlcNAcase-Positron Emission Tomography (OGA PET) Target Engagement/Occupancy (TO) as a Function of Dose and Time |
| Measure | Description | Time Frame |
|---|---|---|
| Parts A and B: Area Under the Concentration-Time Curve From Time Zero to Time of the Last Measurable Concentration (AUClast) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Biogen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Comprehensive Cancer Center - Studieenheten | Flemingsberg | Stockholm County | 14186 | Sweden | ||
In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/
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| Part A (SAD): BIIB113-Matching Placebo (Cohorts 1-5) |
| Placebo Comparator |
Participants aged 18 to 64 years will receive BIIB113-matching placebo, orally, QD, on Day 1 of Part A of the study. |
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| Part B [Multiple Ascending Dose (MAD)]: BIIB113 Cohort 6 | Experimental | Participants aged 18 to 64 years will receive Dose 3 of BIIB113, orally, QD, up to Day 14 of Part B of the study. |
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| Part B (MAD): BIIB113 Cohort 7 | Experimental | Participants aged 18 to 64 years will receive Dose 4 of BIIB113, orally, QD, on Days 1 to 14 of Part B of the study. |
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| Part B (MAD): BIIB113 Cohort 8 | Experimental | Participants aged 18 to 64 years will receive Dose 6 of BIIB113, orally, QD, on Days 1 to 14 of Part B of the study. |
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| Part B (MAD): BIIB113 Cohort 9 | Placebo Comparator | Participants aged 65 to 75 years will receive BIIB113, orally, QD, on Days 1 to 14 of Part B of the study. The calculated dose level will be adaptive by design based on review of the safety, tolerability, and PK data from Cohorts 1 to 7. |
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| Part B (MAD): BIIB113-Matching Placebo (Cohorts 6 to 9) | Placebo Comparator | Participants aged 18 to 75 will receive BIIB113-matching placebo, orally, QD, on Days 1 to 14 of Part B of the study. |
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| Part C (OGA-PET SAD): BIIB113 | Experimental | Participants aged 20 to 64 will receive single dose of BIIB113, orally, QD, on Day 1 of Part C of the study, followed by a radiotracer specific to OGA ([11^C]BIO-1819578), on Days 1 to 4 of Part C of the study. |
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| Part C (OGA-PET MAD): BIIB113 | Experimental | Participants aged 20 to 64 years will receive multiple doses of BIIB113, orally, QD, on Days 1 to 14 of Part C of the study, followed by a radiotracer specific to OGA ([11^C]BIO-1819578) on Day 1 and either of Day 15, Day 16 or Day 17 of Part C of the study. |
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| BIIB113-Matching Placebo | Drug | Administered as specified in the treatment arm. |
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| 11^C]BIO-1819578 | Drug | Administered as specified in the treatment arm. |
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| Up to Day 4 (SAD); Up to Day 17 (MAD) |
| Parts A and B: Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC∞) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Area Under the Plasma Concentration-Time Curve Within a Dosing Interval (AUCtau) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Maximum Observed Concentration (Cmax) for BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Trough Concentration (Ctrough) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Time to Maximum Observed Concentration (Tmax) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Terminal Elimination Half-Life (t½) of BIIB113 | t1/2 is the time measured for the plasma concentration to decrease by one half. The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Apparent Total Body Clearance (CL/F) of BIIB113 | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. If the bioavailability (F) of a dose is assumed to be 100% or equivalently, that clearance is the apparent clearance (CL/F) when the ratio of clearance to bioavailability is assumed to be constant. The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of BIIB113 | Volume of distribution is defined as the apparent volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Accumulation Ratio (AR) of BIIB113 | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Amount of BIIB113 Excreted in Urine (Aeu) | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Parts A and B: Percentage of BIIB113 Excreted in Urine (%fe) | The parameter will be assessed under fed conditions for Part A Cohort 3. | Part A: Pre-dose and at multiple timepoints post-dose on Days 1 to 4; Part B: Pre-dose and at multiple timepoints post-dose on Days 1 to 15 |
| Hammersmith Medicine Research |
| London |
| Brent |
| NW10 7EW |
| United Kingdom |
| Medicines Evaluation Unit | Wythenshawe | Manchester | M23 9QZ | United Kingdom |