Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to characterize and compare the pharmacokinetics of hPTH(1 34) after treatment with modified oral formulations (EBP11, EBP11-F1, EBP11-F2, EBP11-F4, EBP11-F5 and EBP22) versus three dose levels of Entera Bio's extensively studied oral EBP05 1.5 mg, 2.5 mg and 3.0 mg as well as the commercial Forteo 0.02 mg subcutaneous injection.
Stated in summary, eligibility criteria and outcome measures
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A EBP05 2.5 mg | Experimental | Single dose of oral EBP05 2.5 mg |
|
| Treatment B EBP05 1.5 mg | Experimental | Single dose of oral EBP05 1.5 mg |
|
| Treatment C Forteo 0.02 mg | Experimental | Single SC injection of Forteo 0.02 mg |
|
| Treatment D EBP11 1.5 mg | Experimental | Single dose of oral EBP11 1.5 mg |
|
| Treatment E EBP11 BID (dose determined after IA) | Experimental | BID administration of oral EBP11 2.5 mg tablets |
|
| Treatment F EBP11 BID (dose determined after IA) | Experimental | BID administration of oral EBP11 tablets 1.5 mg tablets (3 x 0.5 mg tablets) as first dose and 2.5 mg (5 x 0.5 mg tablets) as second dose. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EBP05 | Drug | Oral tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the pharmacokinetic profile of plasma hPTH(1-34) after single or twice daily oral administration for treatment regimen as listed under Arms and Interventions at 5, 10, 15, 20, 40, 50, 60, 75, 90, 105, 120, 180, 240, 360 min. post dose | Pharmacokinetic parameter - plasma hPTH(1-34) in pg/mL | 6 hours |
| Calculation of plasma levels of hPTH(1-34) AUC0-t for each treatment regimen | Pharmacokinetic parameter - total drug exposure at different time points up to 360 min. post dose | 6 hours |
| Calculation of plasma levels of hPTH(1-34) AUC0-inf for each treatment regimen | Pharmacokinetic parameter - total drug exposure in pg/mL over time from 0 extrapolated to infinity | 6-14 hours |
| Calculation of plasma levels of hPTH(1-34) AUC%extrap for each treatment regimen | Pharmacokinetic parameter - Percent of AUC0-inf extrapolated to confirm reliability | 6-14 hours |
| Calculation of plasma levels of hPTH(1-34) Cmax for each treatment regimen | Pharmacokinetic parameter - hPTH (1-34) maximal concentration in pg/mL (Cmax) | 6-14 hours |
| Calculation of plasma levels of hPTH(1-34) Tmax for each treatment regimen | Pharmacokinetic parameter - time in minutes to reach max. concentration of hPTH(1-34) | 6-14 hours |
| Calculation of plasma levels of hPTH(1-34) Kel for each treatment regimen |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of plasma soybean trypsin inhibitor, Kunitz type (SBTI) levels (EBP05 only) | Pharmacokinetic parameter in ng/mL | 6 hours |
| Measurement of plasma salcaprozate sodium (SNAC) levels (EBP05 only) |
Inclusion Criteria:
Exclusion Criteria:
History or current condition of mental instability or cognitive impairment that, in the opinion of the investigator, could compromise the validity of informed consent, compromise the safety of the participant, or lead to nonadherence with the study protocol or inability to conduct the study procedures.
Active gastrointestinal inflammatory disorder, gastrointestinal motility disorders, and chronic gastritis, including but not limited to: ulcerative colitis, Crohn's disease, irritable bowel syndrome, short bowel syndrome, celiac disease, gastroparesis, that may affect drug bioavailability.
Any conditions or factors that, in the judgment of the PI or designee, somehow may impact gastrointestinal absorption, distribution or metabolism of parathyroid hormone analogues, or known to potentiate or predispose to undesired effects.
History of significant gastrointestinal, liver or kidney disease, or gastrointestinal surgery (including bariatric surgery, or any other interventional procedures with stomach and intestinal tract) that may affect either drug bioavailability, or hPTH(1-34) or SNAC metabolism.
History or presence of alcohol or drug abuse or positive urine drug or blood alcohol results at screening.
Known allergies or sensitivities to components of the Study Medication (e.g. soy) or known hypersensitivity to PTH or hPTH(1-34).
History or presence of clinically significant:
Subjects with ECG findings deemed abnormal with clinical significance by the PI or designee at screening for the following:
Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
Seated blood pressure is less than 90 systolic or 40 diastolic mmHg or greater than 140 systolic or 90 diastolic mmHg at screening;
Orthostatic vital sign results with a decrease in systolic > 20 mmHg or decrease in diastolic > 10 mm Hg, and/or increase in heart rate of > 20 beats per minute at screening or Day 1 check-in.
Seated heart rate is lower than 50 bpm or higher than 99 bpm at screening (when clinically significant as determined by PI).
Estimated creatinine clearance < 80 mL/min at screening
Unable to refrain from or anticipates the use of:
Donation of blood or significant blood loss within 56 days prior to first dosing.
Hemoglobin levels below 13 g/dL at screening or at in screening test done during the study.
Plasma donation within 7 days prior to first dosing.
Participation in another interventional clinical study within 30 days prior to screening visit.
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Yosef Caraco, MD | Clinical Research Center Hadassah Ein Kerem Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Center Hadassah Ein Kerem Medical Center | Jerusalem | 91120, | Israel |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Treatment G EBP11 1.5 mg | Experimental | Single dose of oral EBP11 1.5 mg |
|
| Treatment I EBP22 1.5 mg | Experimental | Single dose of oral EBP22 1.5 mg |
|
| Treatment J EBP22 1.5 mg | Experimental | Single dose of oral EBP22 1.5 mg |
|
| Treatment K EBP05 1.5 mg | Experimental | Single dose of oral EBP05 1.5 mg |
|
| Treatment L EBP05 2.5 mg | Experimental | Single dose of oral EBP05 2.5 mg |
|
| Treatment M Forteo 0.02 mg | Experimental | Single SC injection of Forteo 0.02 mg |
|
| Treatment N EBP05 3.0 mg | Experimental | Single dose of oral EBP05 3.0 mg |
|
| Treatment H EBP22 2.5 mg (5 x 0.5 mg tablets) | Experimental | Single dose of oral EBP22 2.5 mg (5 x 0.5 mg tablets) |
|
| Treatment O EBP11-F4 2.5 mg | Experimental | Single dose of oral EBP11-F4 2.5 mg |
|
| Treatment P EBP11-F2 1.5 mg | Experimental | Single dose of oral EBP11-F2 1.5 mg |
|
| Treatment Q EBP11-F4 2.5 mg | Experimental | Single dose of oral EBP11-F4 2.5 mg |
|
| Treatment R EBP11-F5 3.0 mg | Experimental | Single dose of oral EBP11-F5 3.0 mg |
|
| Treatment S EBP11-F1 1.0 mg | Experimental | Single dose of oral EBP11-F1 1.0 mg |
|
|
| Forteo 0.02 mg | Drug | Subcutaneous injection |
|
|
| EBP11 | Drug | Oral tablets |
|
|
| EBP22 | Drug | Oral tablets |
|
|
| EBP11-F2 | Drug | Oral tablets |
|
|
| EBP11-F4 | Drug | Oral tablets |
|
|
| EBP11-F1 | Drug | Oral tablets |
|
|
| EBP11-F5 | Drug | Oral tablets |
|
|
Pharmacokinetic parameter - elimination rate constant in pg/mL, fraction of drug eliminated per time-point up to 360 min. post dose |
| 6 hours |
| Calculation of plasma levels of hPTH(1-34) t½ for each treatment regimen | Pharmacokinetic parameter - terminal elimination half life of hPTH(1-34) in minutes | 6-14 hours |
| Calculation of plasma levels of hPTH(1-34) Tlast for each treatment regimen | Pharmacokinetic parameter - time of the last measurable concentration of hPTH(1-34) in minutes | 6-14 hours |
| Assessment of inter-subject variability of hPTH(1-34) for each treatment regimen | Pharmacokinetic parameter - Coefficient of Variance (CV%) of hPTH (1-34) | 6-14 hours |
| Calculation of dose proportionality for hPTH(1-34) for relevant treatment regimen | Pharmacokinetic parameter | 6 hours |
| Assessment of the duration of exposure to hPTH(1-34) in minutes | Pharmacokinetic parameter - up to 360 min. post dose | 6 hours |
| Vital Signs - body temperature (Celsius) | Safety parameter (group mean at each time point up to 360 min. post dose) | 6 hours |
| Vital Signs - respiratory rate (breaths per minute) | Safety parameter (group mean at each time point up to 360 min. post dose) | 6 hours |
| Vital Signs - blood pressure (systolic/diastolic mmHg) | Safety parameter (group mean at each time point up to 360 min. post dose) | 6 hours |
| Vital Signs - heart rate (beats per minute) | Safety parameter (group mean at each time point up to 360 min. post dose) | 6 hours |
| Incidence of Treatment-Emergent Adverse Events as assessed by the Principle Investigator | Safety parameter - AEs observed over duration of study participation | 6-14 hours |
| Incidence of Serious Adverse Events (SAEs) as assessed by the Principle Investigator | Safety parameter - SAEs observed over duration of study participation | 6-14 hours |
Pharmacokinetic parameter in μg/mL
| 6 hours |
| Measurement of serum calcium (albumin-corrected total calcium) for all treatment regimen | Pharmacodynamic parameter in mg/dL at 120, 240, 360 min post dose | 6 hours |
| Measurement of serum phosphate for all treatment regimen | Pharmacodynamic parameter in mg/dL at 120, 240, 360 min post dose | 6 hours |
| Measurement of serum intact hPTH(1-84) for all treatment regimen | Pharmacodynamic parameter in pg/mL at 120, 240, 360 min post dose | 6 hours |
| Measurement of serum 1,25-(OH)2D for all treatment regimen (optional) | Pharmacodynamic parameter in ng/mL at 120, 240, 360 min post dose | 6 hours |
| Assessment of food effect on EBP05 PK profile | Pharmacokinetic parameter measured in pg/mL | 60 minutes |
| Assessment of food effect on EBP11 PK profile | Pharmacokinetic parameter measured in pg/mL | 60 minutes |
| ID | Term |
|---|---|
| D007011 | Hypoparathyroidism |
| D010024 | Osteoporosis |
| D050723 | Fractures, Bone |
| D004194 | Disease |
| ID | Term |
|---|---|
| D010279 | Parathyroid Diseases |
| D004700 | Endocrine System Diseases |
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D014947 | Wounds and Injuries |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D019379 | Teriparatide |
| ID | Term |
|---|---|
| D010281 | Parathyroid Hormone |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
Not provided
Not provided