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| Name | Class |
|---|---|
| Parexel | INDUSTRY |
| KCAS | UNKNOWN |
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this study will be a Phase 1, single-dose, two parallel cohorts, open-label, randomized study in healthy subjects with Cohort 1 as bioequivalence (BE) and food effect study and Cohort 2 as a drug-drug interaction (DDI) study.
Cohort 1 (BE) is a four-period, four-sequence, four-treatment crossover BE and food effect study of zoliflodacin granules for oral suspension manufactured by Dr. Reddy's (test product, ZoliDr) and those manufactured by Patheon (reference product, ZoliPa) as a 3 g oral dose under fasting and a [specific] fed condition. This cohort will comprise of approximately 32 subjects (8 healthy subjects per treatment sequence) in 4 x 4 BE treatment arms in fasted and [specific] fed conditions. Healthy subjects will be randomized into 4 parallel treatment sequences to receive sequential Treatments A, B, C, and D in William's Square design pattern where:
Based on William's Square design, below treatment sequences will be followed:
A-B-C-D B-A-D-C C-D-A-B D-C-B-A
There will be 4 treatment periods, each with a single dose of the investigational medicinal products (IMP).
The washout period between each IMP administration will be at least 72 hours. Food regimen: Subjects, who are in a treatment period in which they are [specific] fed, will be dosed 30 minutes after the start of food intake. The subjects are expected to consume the entire meal within 30 minutes prior to dosing.
Cohort 2 (DDI): This is an open-label, 2-period, 2-treatment, fixed sequence crossover DDI study in healthy subjects. It will investigate PK of zoliflodacin (ZoliPa) in the absence and presence of itraconazole. Approximately 18 subjects will receive ZoliPa on Day 1 under fasting condition. After a washout of 72 hours after dosing of ZoliPa, on Day 4, subjects will receive a 400 mg loading dose of itraconazole followed by 200 mg of itraconazole once daily from Day 5-8. From Day 4 to Day 8, itraconazole will be administered immediately after a full meal. On Day 9, both itraconazole and zoliflodacin (ZoliPa) will be administered under fasting conditions at -1 hours and 0 hours, respectively. Itraconazole will then be administered with food at 24 hours (Day 10) and 48 hours (Day 11) after administration of zoliflodacin (ZoliPa).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BE study | Experimental | Cohort 1 (BE) is a four-period, four-sequence, four-treatment crossover BE and food effect study of zoliflodacin granules for oral suspension manufactured by Dr. Reddy's (test product, ZoliDr) and those manufactured by Patheon (reference product, ZoliPa) as a 3 g oral dose under fasting and a [specific] fed condition. This cohort will comprise of approximately 32 subjects (8 healthy subjects per treatment sequence) in 4 x 4 BE treatment arms in fasted and [specific] fed conditions. Healthy subjects will be randomized into 4 parallel treatment sequences to receive sequential Treatments A, B, C, and D in William's Square design pattern where:
Based on William's Square design, below treatment sequences will be followed: A-B-C-D B-A-D-C C-D-A-B D-C-B-A |
|
| DDI study | Experimental | This is an open-label, 2-period, 2-treatment, fixed sequence crossover DDI study in healthy subjects. It will investigate PK of zoliflodacin (ZoliPa) in the absence and presence of itraconazole. Approximately 18 subjects will receive ZoliPa on Day 1 under fasting condition. After a washout of 72 hours after dosing of ZoliPa, on Day 4, subjects will receive a 400 mg loading dose of itraconazole followed by 200 mg of itraconazole once daily from Day 5-8. From Day 4 to Day 8, itraconazole will be administered immediately after a full meal. On Day 9, both itraconazole and zoliflodacin (ZoliPa) will be administered under fasting conditions at -1 hours and 0 hours, respectively. Itraconazole will then be administered with food at 24 hours (Day 10) and 48 hours (Day 11) after administration of zoliflodacin (ZoliPa). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zoliflodacin Patheon | Drug | Zoliflodacin Patheon formulation to be compared with Zoliflodacin Dr Reddy's formulation during BE study (cohort 1). Itraconazole will be administered with Zoliflodacin Patheon formulation during DDI study (cohort 2) |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum observed plasma concentration | through study completion, an average of 5 months |
| AUC(0-t) | Area under the plasma concentration versus time curve, from time zero to t, where t is the time of the last quantifiable concentration | through study completion, an average of 5 months |
| AUC(0-∞) | Area under the plasma concentration versus time curve, with extrapolation to infinity | through study completion, an average of 5 months |
| clinically significant changes from baseline for vital signs: HR | clinically significant changes from baseline for heart rate | through study completion, an average of 5 months |
| clinically significant changes from baseline for vital signs: SBP | clinically significant changes from baseline for Systolic Blood Pressure | through study completion, an average of 5 months |
| clinically significant changes from baseline for vital signs: DBP | clinically significant changes from baseline for Diastolic Blood Pressure | through study completion, an average of 5 months |
| clinically significant changes from baseline for ECG: PR | clinically significant changes from baseline for PR | through study completion, an average of 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| tmax | Time to maximum observed plasma concentration | through study completion, an average of 5 months |
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Inclusion Criteria:
Healthy male and female subjects, 18 to 55 years of age at the time of signing of informed consent.
Body mass index (BMI, Quetelet index, calculated as weight in kg/height in m2) between 18.0 and 30.0 kg/m2 (both inclusive) and weigh at least 50 kg and no more than 95 kg inclusive at Screening.
Healthy subjects, defined as individuals who are free from clinically significant illness or disease as determined by their medical/surgical history, normal vital signs, normal physical examination, normal standard 12-lead electrocardiogram (ECG), and laboratory investigations.
At the Screening visit, supine vital signs must be within the following ranges:
Able to understand and communicate in German/or native language of the site with the Investigator and research staff and to comply with the requirements of the entire study. Provision of written informed consent to participate in the study.
Female subjects, if:
o Not of childbearing potential, e.g., have a documentation of irreversible surgical sterilization by hysterectomy and/or bilateral oophorectomy and/or bilateral salpingectomy and/or bilateral tubal ligation, at least 6 weeks before the Screening visit, amenorrhea for ≥ 12 months and follicle stimulating hormone (FSH) in the post menopausal range according to local laboratory ranges.
o Of childbearing potential (for inclusion in Cohort 1, BE Study only), the following conditions are to be met: i. Negative pregnancy test: If this test is positive, the subject will be excluded from the study. In the rare circumstance that a pregnancy is discovered after the subject received zoliflodacin, the IMP, every attempt must be made to follow her to term and the newborn(s) up to 2 years of age.
ii. Not lactating iii. The female subject must agree to use, with their partner, an approved method of highly effective contraception in combination with a barrier method from at least 1 month before the Screening visit until 1 month after last dosing of IMP. Female subjects must agree not to attempt to become pregnant, must not donate ova from the Screening visit until at least 1 month after last dosing of IMP.
The following are considered to be highly effective methods of birth control:
Barrier methods of contraception include:
Male subjects who agree to use appropriate contraception methods to prevent pregnancy in their female partner(s) from the time of first dose until one month after last dose of IMP administration, i.e., condoms with or without spermicide. A male subject should be instructed that, unless his female partner(s) has had a tubal ligation, hysterectomy, or bilateral oophorectomy or is post-menopausal, his female partner(s) should use another form of contraception from the time of first dosing until one month after last dose of IMP administration - such other forms of contraception include an intrauterine device, condom, diaphragm with spermicide, oral contraceptive, injectable progesterone, or subdermal implant; male subjects who have been vasectomized at least 6 months before the first dose of IMP are exempt from the use of condom, and his female partner(s) do(es) not need any additional form of contraception.
Provision of written informed consent to participate in the study.
Subjects in the BE cohort must be willing to consume the meal prescribed with administration of the IMP in full and within the required time under fed conditions.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Salman Nasr, MD | Parexel CPU Berlin, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parexel Early Phase Clinical Unit | Berlin | 14050 | Germany |
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BE study (cohort 1) will be managed in parallel with the DDI study (cohort 2)
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| clinically significant changes from baseline for ECG: QRS | clinically significant changes from baseline for QRS | through study completion, an average of 5 months |
| clinically significant changes from baseline for ECG: QTcF | clinically significant changes from baseline for QTcF | through study completion, an average of 5 months |
| TEAE | drug-related treatment-emergent | through study completion, an average of 5 months |