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This is a randomized, double-blind, first-in-human study to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of single and multiple oral doses of YH35995
YH35995 is being developed as a treatment for the neurological symptoms of Gaucher Disease type 3. This study is a first-in-human (FIH), phase 1, randomized, double-blind, placebo-controlled study of YH35995, which consists of two parts. In Part A (SAD), single ascending dose of YH35995 is administered to healthy male participants to assess its safety, tolerability, PK, and PD. In Part B (MAD), multiple ascending dose of YH35995 is administered to healthy male participants to assess its safety, tolerability, PK, and PD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| YH35995 | Experimental | [Part A] Participants will be orally administered a single dose of YH35995 in five dose groups, gradually escalating from lower to higher doses. Each cohort includes 10 participants (8 randomly assigned to the YH35995 arm and 2 randomly assigned to the placebo arm). [Part B] Participants will receive multiple oral doses of YH35995 once every 4 weeks in three dose groups. Each cohort includes 12 participants (9 randomly assigned to the YH35995 arm and 3 randomly assigned to the placebo arm). |
|
| Placebo | Placebo Comparator | [Part A] Participants will be orally administered a single dose of Placebo in five dose groups, gradually escalating from lower to higher doses. Each cohort includes 10 participants (8 randomly assigned to the YH35995 arm and 2 randomly assigned to the placebo arm). [Part B] Participants will receive multiple oral doses of Placebo once every 4 weeks in three dose groups. Each cohort includes 12 participants (9 randomly assigned to the YH35995 arm and 3 randomly assigned to the placebo arm). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| YH35995 | Drug | Oral administration of YH35995 |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| [Part A, B] Treatment-emergent adverse events (TEAEs) | To assess the safety and tolerability of a single dose and multiple dose administration of YH35995 | Part A: Day1-150, Part B: Day1-232 |
| Measure | Description | Time Frame |
|---|---|---|
| [Part A] Maximum observed plasma concentration (Cmax) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part A] Time to reach Cmax (Tmax) | To characterize the pharmacokinetics (PK) of YH35995 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jeeyeon Kim | Contact | +82 2-828-0483 | clinicaltrials@yuhan.co.kr | |
| Sungjae Lee | Contact | +82 2-828-0366 | sjlee@yuhan.co.kr |
| Name | Affiliation | Role |
|---|---|---|
| Hyounggyoon Yoo | CHA Bundang Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHA Bundang Medical Center | Recruiting | Seongnam | Bundang-gu | 13496 | South Korea |
De-identified individual participant data (including data dictionaries) that underline the results reported in study-related publications will be made available during the period beginning 1 year and ending 5 years after all trial primary and secondary endpoints were assessed. Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to clinicaltrials@yuhan.co.kr.
A summary of the study results will be posted in the publicly accessible database (i.e. clinicaltrials.gov) no later than 1 year after the study's primary completion date.
Beginning 1 year and ending 5 years after all trial endpoints were assessed
Only requests from researchers who provide a methodologically sound proposal will be reviewed and approved by the sponsor. The analysis type should be in accordance with aims in the proposal approved by the sponsor. Proposals should be directed to clinicaltrials@yuhan.co.kr
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| ID | Term |
|---|---|
| D005776 | Gaucher Disease |
| ID | Term |
|---|---|
| D013106 | Sphingolipidoses |
| D020140 | Lysosomal Storage Diseases, Nervous System |
| D020739 | Brain Diseases, Metabolic, Inborn |
| D001928 | Brain Diseases, Metabolic |
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This is a double-blind study, meaning that YH35995 tablets and placebo tablets will be identical in appearance and will be packaged in the same way.
Information about the treatment arm to which participants are assigned must remain blinded for the duration of the study unless information about the causal relationship between the adverse event and the Investigational Product that meets the drug withdrawal criteria becomes essential or, in an emergency, if the information about the Investigational Product becomes critical for treating the participant.
| Drug |
Oral administration of Placebo |
|
| Day1-150 |
| [Part A] Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUClast) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part A] AUC from time 0 to infinity (AUCinf) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part A] Apparent terminal elimination half-life (t1/2) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part A] Total plasma clearance (CL/F) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part A] Apparent volume of distribution (Vz/F) | To characterize the pharmacokinetics (PK) of YH35995 | Day1-150 |
| [Part B] Cmax during the first dosing interval | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Tmax during the first dosing interval | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] AUC during the first dosing interval (AUCsingle) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] AUC during the dosing interval at steady state (AUCtau,ss) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Cmax at steady state (Cmax,ss) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Tmax at steady state (Tmax,ss) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Accumulation ratio using AUC (Rac(AUC)) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Accumulation ratio using Cmax (Rac(Cmax)) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Plasma concentration at the last observed time point during the dosing interval at steady state (Ctrough) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Average plasma concentration (Cavg) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Clearance at steady state (CLss/F) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Volume of distribution at steady state (Vss) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Effective half-life (t1/2,Rac) | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Cerebrospinal fluid to plasma concentration ratio(C/P ratio) of YH35995 | To assess the pharmacokinetics (PK) of YH35995 after multiple dose administration | Day1-232 |
| [Part B] Properly derived PD parameters for YH35995, including the area under the effect curve (AUEC) and maximum effect (Emax) | To assess the pharmacodynamics (PD) of YH35995 after multiple dose administration | Day1-232 |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008064 | Lipidoses |
| D008052 | Lipid Metabolism, Inborn Errors |
| D016464 | Lysosomal Storage Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D052439 | Lipid Metabolism Disorders |