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This is a phase 1, single-center, randomized, open-label study to characterize the pharmacokinetics (PK), pharmacodynamics (PD), and safety of vamifeport after multiple oral administrations of one immediate-release (IR) formulation and after single and multiple oral administrations of two prolonged-release (PR) formulation in healthy adult participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Period 1: Vamifeport IR Formulation Dose Level 1 | Experimental | Participants will receive multiple doses of Vamifeport Immediate-release (IR) formulation at Dose level 1. |
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| Treatment Period 2: Vamifeport PR1 Dose Level 2 | Experimental | Participants will receive multiple doses of Vamifeport Prolonged-release formulation 1 (PR1) at Dose level 2. |
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| Treatment Period 2: Vamifeport PR2 Dose Level 2 | Experimental | Participants will receive multiple doses of Vamifeport Prolonged-release formulation 2 (PR2) at Dose level 2. |
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| Treatment Period 3: Vamifeport PR1 Dose Level 3 | Experimental | Participants will receive a single dose of Vamifeport PR1 at Dose level 3. |
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| Treatment Period 3: Vamifeport PR2 Dose Level 3 | Experimental | Participants will receive a single dose of Vamifeport PR2 at Dose level 3. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vamifeport IRF | Drug | Vamifeport IRF will be administered orally as per the dosing levels and formulations for respective treatment periods. |
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| Measure | Description | Time Frame |
|---|---|---|
| Plasma concentration-time course profiles of vamifeport | Treatment Period (TP) 2: Before and after dosing on Day 4 (up to 12 hours), Day 8 (up to 48 hours), Before dosing on Day 5, 6, 7 TP 3: Before and after dosing on Day 13 (up to 48 hours) TP 4: Before and after dosing on Day 16 (up to 48 hours) | |
| Maximum plasma concentration (Cmax) of first and last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP2: Before, and up to 48 hours after, both the first and the last dose | |
| Time to reach Cmax (Tmax) of first and last dose vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after, both the first and the last dose | |
| Area under the plasma concentration curve from time zero to 12 hours (AUC0-12) of first and last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after, both the first and the last dose | |
| Trough concentration (Ctrough) of first dose of vamifeport PR1 and PR2 in Treatment Period 2 | Before and up to 24 hours after the first dose in TP2 | |
| AUC from time zero to infinity (AUC0-inf) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after last dose | |
| AUC from time zero to time tlast (AUC0-last) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after last dose | |
| AUC from time zero to 8 hours (AUC0-8) and 24 hours (AUC0-24) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with treatment-emergent (TE): adverse event (AE), AE by severity, AE related to vamifeport, and serious AE | Up to 25 days after treatment | |
| Percentage of participants with TEAE, AE by severity, AE related to vamifeport, and serious AE |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Director | CSL Behring | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigator Site 82600083 | Leeds | West Yorkshire | LS11 | United Kingdom |
CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.
Requests for IPD will generally be considered once review by major regulatory authorities (i.e. FDA, EMA) is complete and the primary publication is available
Proposed research should seek to answer a previously unanswered important medical or scientific question.
Applicable country specific privacy and other laws and regulations will be considered and may prevent sharing of IPD.
If the request is approved and the researcher has executed an appropriate data sharing agreement, IPD that has been appropriately anonymized will be available.
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| ID | Term |
|---|---|
| D019190 | Iron Overload |
| ID | Term |
|---|---|
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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This is a 4-treatment period study that uses three different models: Treatment Period 1 will be a single-arm model, Treatment Period 2 will be a parallel-group model, and Treatment Periods 3 and 4 will be crossover models.
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| Treatment Period 4: Vamifeport PR1 Dose Level 3 |
| Experimental |
Participants will receive a single dose of Vamifeport PR1 at Dose level 3. |
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| Treatment Period 4: Vamifeport PR2 Dose Level 3 | Experimental | Participants will receive a single dose of Vamifeport PR2 at Dose level 3. |
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| Vamifeport PR1 | Drug | Vamifeport PR1 will be administered orally as per the dosing levels and formulations for respective treatment periods. |
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| Vamifeport PR2 | Drug | Vamifeport PR2 will be administered orally as per the dosing levels and formulations for respective treatment periods. |
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| TP 2: Before, and up to 8 and 24 hours after last dose |
| Plasma concentration at 12 hours (Conc [t=12]) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before and up to 12 hours after last dose |
| Apparent clearance (CL/F) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after last dose |
| Apparent volume of distribution at steady state (Vss/F) of last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after last dose |
| Accumulation ratio (Rac) of Cmax between first and last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after first and last dose |
| Rac(Ctrough/Conc[t=12]) between first and last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 12 hours after first and last dose |
| Rac (AUC0-12) between first and last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 12 hours after first and last dose |
| Half-life (t1/2) after last dose of vamifeport PR1 and PR2 in Treatment Period 2 | TP 2: Before, and up to 48 hours after last dose |
| Cmax of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Tmax of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| AUC0-inf of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| AUC0-last of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| AUC0-8, AUC0-12 and AUC0-24 of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 8, 12 and 24 hours after dosing, in TP3 and TP4 |
| Plasma Concentration at 8 hours (Conc [t=8]), 12 hours (Conc [t=12]) and 24 hours (Conc [t=24]) of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 8, 12 and 24 hours after dosing, in TP3 and TP4 |
| CL/F of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| t1/2 of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Apparent volume of distribution (Vz/F) of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Up to 25 days after treatment |
| Number of participants with clinically significant change from Baseline in clinical laboratory safety tests, 12 lead Electrocardiogram (ECG), and vital signs | The clinical laboratory safety tests include biochemistry, hematology, urinalysis. | At baseline and up to 25 days after treatment |
| AUC0-24 of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of AUC0-24 between PR1 and PR2 | Before and up to 24 hours after dosing, in TP3 and TP4 |
| AUC0-12 of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of AUC0-12 between PR1 and PR2 | Before and up to 12 hours after dosing, in TP3 and TP4 |
| AUC0-inf of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of AUC0-inf between PR1 and PR2 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Conc (t=12) of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of conc(t=12) between PR1 and PR2 | Before and up to 12 hours after dosing, in TP3 and TP4 |
| Conc (t=24) of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of conc(t=24) between PR1 and PR2 | Before and up to 24 hours after dosing, in TP3 and TP4 |
| Cmax of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of cmax between PR1 and PR2 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Tmax of vamifeport PR1 and PR2 in Treatment Period 3 and 4 | Comparison of tmax between PR1 and PR2 | Before and up to 48 hours after dosing, in TP3 and TP4 |
| Absolute values of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Absolute values of transferrin saturation (TSAT) | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Change from baseline of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Change from baseline of TSAT | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Maximum percentage change from baseline (Emax) of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Emax of TSAT | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Time to Emax (TEmax) of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| TEmax of TSAT | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Time below baseline of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| Time below baseline of TSAT | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| AUC below baseline of serum iron | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |
| AUC below baseline of TSAT | Before and up to 48 hours after dosing in TP2, TP3 and TP4 |