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First-in-human, single centre, two parts, dose-escalation, parallel-group, safety, tolerability, pharmacokinetic and pharmacodynamic Phase I study. Part A: randomised, double-blind, placebo-controlled, single ascending dose study.
Part B: open label, multiple ascending dose study.
First-in-human, single centre, two parts, dose-escalation, parallel-group, safety, tolerability, pharmacokinetic and pharmacodynamic Phase I study. Part A: randomised, double-blind, placebo-controlled, single ascending dose study to evaluate the safety and tolerability of BAR502 and matching placebo across 4 single ascending doses administered to 4 cohorts of 8 healthy subjects each.
Part B: open label, multiple ascending dose study to evaluate the safety and tolerability of two ascending doses of BAR502, considered as safe in study Part A, when administered as multiple doses to 2 cohorts of 10 healthy subjects each.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BAR502 single dose | Experimental | Each subject will receive an oral single-dose of BAR 502 [Study Part A] |
|
| Placebo single dose | Placebo Comparator | Each subject will receive an oral single-dose of placebo [Study Part A] |
|
| BAR502 multiple doses | Experimental | Each subject will receive a dose of BAR502 once a day for 14 days [Study Part B] |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BAR502 single dose | Drug | Single oral doses of BAR 502/placebo will be administered as film-coated tablets, in the morning of Day 1, with 150 mL of water, after an overnight fasting of at least 8 hours. BAR 502 film-coated tablets are available at dose strengths of 3, 10 and 50mg. A maximum of 4 dose levels are pre-planned (3, 10, 30 and 60mg). |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment-emergent adverse events | Safety will be evaluated through the assessment of adverse events | PART A: Day-15/-2; Day-1 to Day4; Day 8; Day15 - PART B: Day-15/-2 to Day18; Day30 |
| Change in vital sign - BP | Tolerability will be evaluated throught the change in Blood preassure from baseline | PART A: Day-1 to Day4; Day 8; - PART B: Day-15/-2 to Day15; Day18 |
| Change in vital sign - HR | Tolerability will be evaluated throught the change in Heart rate from baseline | PART A: Day-1 to Day4; Day 8; - PART B: Day-15/-2 to Day15; Day18 |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma BAR502 - Study Part A | Plasma BAR502 concentration-time profile after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3, Day4 |
| Urine BAR502 - Study Part A | Urine BAR502 concentration-time profile after IMP single dose administration |
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Inclusion Criteria:
Informed consent: signed written informed consent before inclusion in the study
Sex and Age: men/women, 18-55 years old inclusive
Body Mass Index: 18.5-30 kg/m2 inclusive
Vital signs: systolic blood pressure 100-139 mmHg, diastolic blood pressure 50-89 mmHg, heart rate 50-99 bpm, measured after 5 min at rest in the sitting position
Full comprehension: ability to comprehend the full nature and purpose of the study, including possible risks and side effects; ability to co-operate with the Investigator and to comply with the requirements of the entire study
Renal functionality: estimated glomerular filtration rate calculated using the Cockcroft-Gault equation and normalized to an average surface area of 1.73 m2 ≥ 90 mL/min at screening
Tobacco: non-smokers, non-users of nicotine containing products and non-users of Vapo e-cigarettes for at least 3 months prior to study screening
Contraception and fertility (women only): women of non-child-bearing potential or in post-menopausal status for at least 1 year, defined as such when there is either:
Contraception (men only): men will either be sterile or agree to use one of the following approved methods of contraception from the first investigational medicinal product administration until at least 90 days after the last administration, also in case their partner is currently pregnant:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stefano Fiorucci, MD | Contact | +3905221403366 | stefano.fiorucci@unipg.it | |
| Fania Ferrari, BSc | Contact | f.ferrari@barpharmaceuticals.com |
| Name | Affiliation | Role |
|---|---|---|
| Milko Radicioni, MD | CROSS Research S.A., Phase I Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CROSS Research S.A. Phase I Unit | Recruiting | Arzo | CH-6864 | Switzerland |
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| ID | Term |
|---|---|
| D065626 | Non-alcoholic Fatty Liver Disease |
| ID | Term |
|---|---|
| D005234 | Fatty Liver |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C000656652 | BAR502 |
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The Part A of the study follows a randomised, double-blind, placebo-controlled, parallel group design. The participants are enrolled in 4 consecutive cohorts of 8 healthy subjects each. In each cohort, the first 2 groups include 2 subjects each, while the 3rd group in each cohort includes 4 subjects. Each group of subjects is exposed to the treatment under investigation only if the Investigator's evaluation of the previous group's safety data up to 72 h post-dose is satisfactory and if the competent Ethics Committee gives written authorisation to continue with the next group. At the end of each cohort, before proceeding to the next dose level, safety and tolerability results up to 168 h post-dose (Day 8) are evaluated by a Data Safety Monitoring Board.
Part B of the study: Two ascending doses of IMP identified in study Part A, are subsequentially administered as daily multiple doses for 2 consecutive weeks (14 days) in two cohorts of 10 healthy subjects each.
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Double-blind: Active or placebo
|
| Placebo single dose | Drug | Matching BAR 502 placebo film-coated tablets will be given to 2 out of 8 subjects in each cohort using the same regimen as outlined for the active study treatment |
|
| BAR502 multiple doses | Drug | The 2 multiple ascending doses selected based on results of study part A will be administered to 2 study cohorts of 10 subjects each. The IMP will be orally administered once a day from Day 1 to Day 14, at 8:00±1 h, for a total of 14 doses. |
|
| Day1 (pre- and post- dose), Day2, Day3 |
| Plasma BAR505 - Study Part A | Plasma BAR505 concentration-time profiles after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3, Day4 |
| Urine BAR505 - Study Part A | Urine BAR505 concentration-time profiles after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Plasma BAR502 PK: Cmax - Study Part A | Plasma BAR502 Cmax value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3, Day4 |
| Plasma BAR502 PK: t_max - Study Part A | Plasma BAR502 t_max value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3, Day4 |
| Plasma BAR502 PK: AUC0-t - Study Part A | Plasma BAR502 AUC0-t value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3, Day4 |
| Urine BAR502 PK: Ae0-t - Study Part A | Urine BAR502 Ae0-t value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: Fe0-t - Study Part A | Urine BAR502 Fe0-t value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: Rmax - Study Part A | Urine BAR502 Rmax value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: AUR_Clast - Study Part A | Urine BAR502 AUR_Clast value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: REC% - Study Part A | Urine BAR502 REC% value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: tu_max - Study Part A | Urine BAR502 tu_max value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Urine BAR502 PK: Cl_r r - Study Part A | Urine BAR502 Cl_r r value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum biomarker FGF19 - Study Part A | Serum FGF19 baseline-corrected concentration-time profile after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum biomarker C4 - Study Part A | Serum C4 baseline-corrected concentration-time profile and PD parameters after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum biomarker GLP-1 - Study Part A | Serum GLP-1 baseline-corrected concentration-time profile after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: Cb_max - Study Part A | Serum Cb_max value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: Cb_min - Study Part A | Serum Cb_min value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: tb_max - Study Part A | Serum PD tb_max value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: tb_min - Study Part A | Serum tb_min value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: AUbC_0-24 - Study Part A | Serum AUbC_0-24 value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum PD: partial AUbC - Study Part A | Serum partial AUbC value after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Serum total bile acids - Study Part A | Serum total bile acids baseline-corrected concentration-time profiles after IMP single dose administration | Day1 (pre- and post- dose), Day2, Day3 |
| Plasma BAR502 concentration - Study Part B | Plasma BAR502 concentration-time profile after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Plasma BAR505 concentration - Study Part B | Plasma BAR505 concentration-time profile after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Plasma BAR502 PK: Cmax - Study Part B | Plasma BAR502 Cmax value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Plasma BAR502 PK: t_max - Study Part B | Plasma BAR502 t_max value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Plasma BAR502 PK: AUC_0-24 - Study Part B | Plasma BAR502 AUC_0-24 value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Plasma BAR502 PK: AUC_0-t - Study Part B | Plasma BAR502 AUC_0-t value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day18 |
| Serum biomarker GLP-1 - Study Part B | Serum GLP-1 baseline-corrected concentration-time profile after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum biomarker C4 - Study Part B | Serum C4 baseline-corrected concentration-time profile after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum biomarker FGF19 - Study Part B | Serum FGF19 baseline-corrected concentration-time profile after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: Cb_max - Study Part B | Serum Cb_max value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: Cb_min - Study Part B | Serum Cb_min value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: tb_max - Study Part B | Serum tb_max value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: tb_min - Study Part B | Serum tb_min after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: AUbC_0-24 - Study Part B | Serum AUbC_0-24 value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum PD: partial AUbC - Study Part B | Serum partial AUbC value after IMP multiple dose | daily from Day1 to Day14 (pre- and post- dose); Day15 to Day17 |
| Serum total bile acids - Study Part B | Serum total bile acids baseline-corrected concentration-time profiles after after IMP multiple dose | Daily from Day1 to Day17 |
| Change in body weight | Change in body weight from baseline after single and multiple IMP dose | PART A: Day1; Day 8 - PART B: Day1; Day18; Day30 |
| Check for Physical abnormalities | Change in Physical examination from baseline after single and multiple IMP dose | PART A: Day1; Day 8 - PART B: Day1; Day18; Day30 |
| hepatic parameters: AST | Change from baseline in AST value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: ALT | Change from baseline in ALT value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: Total bilirubin | Change from baseline in Total bilirubin value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: Direct bilirubin | Change from baseline in Direct bilirubin value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: Indirect bilirubin | Change from baseline in Indirect bilirubin value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: Total cholesterol | Change from baseline in Total cholesterol value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: HDL cholesterol | Change from baseline in HDL cholesterol value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| hepatic parameters: LDL cholesterol | Change from baseline in LDL cholesterol value after single and multiple IMP dose | PART A: Day2; Day3; Day 8; - PART B: daily from Day2 to Day13; Day15; Day18 |
| Change in Gallbladder contraction - Study Part B | Change from baseline in Gallbladder contraction after IMP multiple dose | daily from Day2 to Day13; Day15 |
| Change in Gallbladder volume - Study Part B | Change from baseline in Gallbladder volume after IMP multiple dose | daily from Day2 to Day13; Day15 |
| Change in ECG trace: PR | Change from baseline in ECG trace PR interval value after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |
| Change in ECG trace: QRS | Change from baseline in ECG trace QRS interval value after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |
| Change in ECG trace: QT | Change from baseline in ECG trace QT interval value after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |
| Change in ECG trace: QTcB | Change from baseline in ECG trace QT interval corrected with Bazett's formula after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |
| Change in ECG trace: QTcF | Change from baseline in ECG trace QT interval corrected with Fridericia's formula after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |
| Change in ECG: Heart rate | Change from baseline in ECG Heart rate after single and multiple IMP dose | PART A: daily from Day1 to Day 4 - PART B: daily from Day to Day15 |