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The primary objectives of this study are to evaluate the safety, tolerability and pharmacokinetics characteristics of single ascending dose (SAD) of PA1010 tablets in Chinese healthy adults and the impact of food and gender on the pharmacokinetics
Stage I: Single dose, Single Ascending Dose (SAD)
This is a randomized, double-blind, placebo-controlled, dose-escalation clinical trial. The objective is to evaluate the safety, tolerability and pharmacokinetics characteristics of PA1010 tablets in Chinese healthy subjects. There are six dose groups of PA1010 ( 5 mg、10 mg、20 mg、30 mg、45 mg and 60 mg) proposed to be tested sequentially in this study. A total of 60 healthy subjects are planned to be enrolled in this study and will be randomly assigned to the corresponding dose group in equal proportion, stratified by gender (male vs female). 10 subjects in each dose group are randomly assigned in a ratio of 4:1 to receive PA1010 tablets or placebo. All subjects will be dosed in a single dose, and the dose-related safety, tolerability and PK of PA1010 will be evaluated.
Stage II: Study on the effect of food on Pharmacokinetics
This is a single center, randomized, open, two group crossover, self-control clinical trial. A total of 20 subjects are planned to be enrolled in this study, and will be randomly assigned to a dosing order (i.e. fasting administration followed by high-fat meal administration, or high-fat meal administration followed by fasting administration) in a ratio of 1:1. Subjects will be dosed 10 mg PA1010 tablets in a single dose, and the food-related PK of PA1010 will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PA1010 5mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 5 mg of PA1010 tablets or 5mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
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| PA1010 10mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 10mg of PA1010 tablets or 10mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
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| PA1010 20mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 20mg of PA1010 tablets or 20mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
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| PA1010 30mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 30mg of PA1010 tablets or 30mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
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| PA1010 45mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 45mg of PA1010 tablets or 45mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PA1010 | Drug | Placebo as control |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects having abnormal hematology laboratory parameters | Absolute and relative number of subjects with values below, within or above the normal range will be assessed. | Up to 72 hours after last dose |
| Number of subjects with abnormal clinical chemistry parameters | Absolute and relative number of subjects with values below, within or above the normal range will be assessed. | Up to 72 hours after last dose |
| Number of subjects with abnormal values for urinalysis | Absolute and relative number of subjects with values below, within or above the normal range will be assessed. | Up to 72 hours after last dose |
| Number of subjects with abnormal with blood coagulation function | Absolute and relative number of subjects with values below, within or above the normal range will be assessed. | Up to 72 hours after last dose |
| Ear temperature | Vital sign-ear temperature | Up to 72 hours after last dose |
| Systolic and diastolic blood pressure | Vital sign-Systolic and diastolic blood pressure | Up to 72 hours after last dose |
| Pulse rate | Vital sign-Pulse rate | Up to 72 hours after last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of single dose of PA1010-T1/2 | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Elimination Half-Life Period (T1/2) | Up to 72 hours after last dose |
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Inclusion Criteria:
Male or female subjects aged between 18 and 55 (including upper and lower limits);
Body mass index (BMI) is between 18 and 28 kg/m2 (including upper and lower limits);
During the study period (from signing the informed consent to the last follow-up) and within 90 days after the last dose, there is no possibility of pregnancy (or making the sexual partner pregnant), childbirth or lactation, including:
There is no history of major diseases, and the physical examination, vital signs, electrocardiogram and laboratory examination results during the screening period are normal, or although they exceed the normal reference value range, they are judged by the researcher to be of no clinical significance;
Be able to communicate with clinical staff normally and comply with the requirements of this study;
Sign the informed consent form to indicate willingness to participate in this study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xuebing Yan, MD | The Affiliated Hospital of Xuzhou Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Affiliated Hospital of Xuzhou Medical University | Xuzhou | Jiangsu | China |
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| PA1010 60mg | Experimental | Ten subjects will be randomly assigned in a ratio of 4:1 to receive 60mg of PA1010 tablets or 60mg of PA1010 placebo tablets. They will be administered a single dose and observed for four days. |
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| PA1010 10mg before and after meals | Experimental | Ten subjects will be administered 10mg PA1010 after overnight fasting for 10 hours in the first cycle, and then will be administered 10mg PA1010 within 30 minutes after high-fat meal in the second cycle. They will receive a single dose in each cycle and will be observed for four days. The cleaning period between the two cycles is 10 days. |
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| PA1010 10mg after and before meals | Experimental | Ten subjects will be administered 10mg PA1010 within 30 minutes after the high-fat meal in the first cycle, and then will be administered 10mg PA1010 after overnight fasting 10 hours in the second cycle. They will receive a single dose in each cycle and will be observed for four days. The cleaning period between the two cycles is 10 days. |
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| Breathing rate | Vital sign-Breathing rate | Up to 72 hours after last dose |
| ECG parameter-QTc interval | A 12 lead electrocardiogram (ECG) will be recorded using an ECG machine that automatically calculates the QTc intervals | Up to 72 hours after last dose |
| ECG parameter-PR interval | A 12 lead electrocardiogram (ECG) will be recorded using an ECG machine that automatically measures PR intervals | Up to 72 hours after last dose |
| ECG parameter-QRS duration | A 12 lead electrocardiogram (ECG) will be recorded using an ECG machine that automatically measures QRS duration | Up to 72 hours after last dose |
| Number of subjects experiencing adverse events (AEs) | An adverse event (AE) is defined as any untoward medical occurrence in a clinical study subject administered a medicinal product which does not necessarily have a causal relationship with this treatment. | Up to 4days after the last dose |
| Pharmacokinetics of single dose of PA1010-Cmax | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Maximum Observed Plasma Concentration (Cmax) | Up to 72 hours after last dose |
| Pharmacokinetics of single dose of PA1010-Tmax | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Time to Reach Maximum Observed Plasma Concentration (Tmax) | Up to 72 hours after last dose |
| Pharmacokinetics of single dose of PA1010-AUC | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Area Under the Plasma Concentration-Time Curve (AUC) | Up to 72 hours after last dose |
| Pharmacokinetics of single dose of PA1010-Vz/F | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Apparent Volume of Distribution(Vz/F) | Up to 72 hours after last dose |
| Pharmacokinetics of single dose of PA1010-λz | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Elimination Rate Constant(λz) | Up to 72 hours after last dose |
| Pharmacokinetics of single dose of PA1010-CL/F | Blood samples will be collected serially, and the concentrations of PA1010 in plasma samples are determined by liquid chromatography/mass spectrometry/mass spectrometry (LC/MS/MS), followed by the calculation of pharmacokinetic parameter Apparent Clearance(CL/F) | Up to 72 hours after last dose |