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The primary objective of this study is to assess the safety and tolerability of single and multiple oral administered doses of HS-10380 in Chinese healthy subjects.
This is a phase I, randomized, double-blinded, placebo-controlled, both single ascending doses (SAD) study and multiple ascending dose (MAD) clinical trial to assess the safety, tolerability, and pharmacokinetics of HS-10380 in Chinese healthy subjects.
There will be four phases in SAD and MAD study: a 2-week screening phase, a 1-day baseline phase, a double-blind treatment phase, and a 1-week post-treatment (follow-up) phase.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose (SAD) | Experimental | Subjects in cohorts 1-6 will receive oral administration of single dose of HS-10380 tablets or matching placebo. |
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| Multiple Ascending Dose (MAD) | Placebo Comparator | Subjects in cohorts 7 will receive oral administration of 7 dose of HS-10380 tablets or matching placebo. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HS-10380 | Drug | Administered orally as a tablet |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects Experiencing Adverse Events (AEs) | AE include adverse events (AEs) and serious adverse events (SAEs) | Baseline to end of follow-up (a maximum of 20 days) |
| Changes from baseline in laboratory tests | Laboratory tests include blood routine, urine routine, blood biochemistry, coagulation function, thyroid function and serum prolactin; | Baseline to end of follow-up (a maximum of 20 days) |
| Changes from baseline in vital signs | Vital signs include respiration, pulse, blood pressure, body temperature and SpO2 | Baseline to end of follow-up (a maximum of 20 days) |
| Change from baseline in Electrocardiogram (ECG) | ECG parameters including heart rate, PR interval, RR interval and QTcF, etc. | Baseline to end of follow-up (a maximum of 20 days) |
| Change from baseline in weight (kg) | Baseline to end of follow-up (a maximum of 20 days) | |
| Change from baseline in physical examination | Including general condition, heart, chest and abdomen, skin and mucous membranes, lymph node examination, etc. | Baseline to end of follow-up (a maximum of 20 days) |
| Change from baseline in Simpson-Angus Scale (SAS) score | The SAS is a 10-item testing instrument used to evaluate drug-related extrapyramidal syndromes. The following items are included in the SAS: gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, glabella reflex, tremor, and salivation. Total score ranges from 0 to 40 with a higher score indicating increased severity. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) of single-dose HS-10380 administration | Up to 120 hours post-dose | |
| Time of the Maximum Concentration (Tmax) of single-dose HS-10380 administration | Up to 120 hours post-dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Huafang Li, MD | Contact | 021-34773128 | lhlh_5@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Mental Health Center | Recruiting | Shanghai | Shanghai Municipality | 200030 | China |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| Placebo | Drug | Administered orally as a tablet |
|
| Baseline to end of follow-up (a maximum of 20 days) |
| Change from baseline in Abnormal Involuntary Movement Scale (AIMS) score | AIMS is a rating scale measuring involuntary movements known as tardive dyskinesia, that sometimes develop as a side effect of long-term treatment with antipsychotic medications. The AIMS score was calculated as the sum of questions 1 through 7 of the AIMS instrument, which includes assessments of involuntary movements in the face, lips, jaw, tongue, upper and lower extremities, and neck/shoulders/hips. Each item is rated on a five-point scale of severity from 0-4 with 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). Total scores range from 0 to 28. | Baseline to end of follow-up (a maximum of 20 days) |
| Change from baseline in Barnes Akathisia Rating Scale (BARS) score | BAS is a rating scale that is administered by physicians to assess the severity of drug-induced akathisia, which is a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, as well as by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, and crossing and uncrossing the legs while sitting. The following subcategories are scored: objective akathisia, subjective awareness of restlessness and subjective distress related to restlessness and are rated on a 4-point scale from 0-3. In addition, the global clinical assessment of akathisia uses a 6-point scale ranging from 0-5. Total score ranges from 0 to 14 with a higher score indicating increased severity. | Baseline to end of follow-up (a maximum of 20 days) |
| Terminal rate constant (λz) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Elimination half-life (t1/2) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC0-t) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC0-∞) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Apparent clearance (CL/F) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Apparent volume of distribution (Vd/F) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Mean retention time (MRT) of single-dose HS-10380 administration | Up to 120 hours post-dose |
| Maximum plasma concentration (Cmax) of first HS-10380 administration | Up to 12 days |
| Time of the Maximum Concentration (Tmax) of first HS-10380 administration | Up to 12 days |
| Area under the plasma concentration-time curve from time zero to 24 hours (AUC0-24) first HS-10380 administration | Up to 24 hours |
| Maximum concentration at steady state (Css, max) of multiple-dose HS-10380 administration | Up to 12 days |
| Time of the maximum concentration at steady state (Tss, max) of multiple-dose HS-10380 administration | Up to 12 days |
| Minimum concentration at steady state (Css, min) of multiple-dose HS-10380 administration | Up to 12 days |
| Area under the concentration-time curve at steady state (AUCss) of multiple-dose HS-10380 administration | Up to 12 days |
| Accumulation ratio (RAC) after multiple doses | Up to 12 days |