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This study is designed to evaluate the safety, tolerability, and PK of JPH034 and identify side effects that occur in healthy participants between the ages of 18 and 50 years. Participants enrolling in the trial will be randomly assigned to receive JPH034 or placebo. Participants in the in single-ascending dose (SAD) cohorts will receive treatment once, and one group of participants will receive treatment a second time to study the effects of food. Health measurements including physical examinations, vital signs, ECGs, and safety laboratory tests will be performed to monitor safety. Blood tests will be performed to measure how much JPH034 and its major metabolite (M1) gets into the bloodstream and how long it stays in the body.
This is a Phase 1, single-center, randomized, double-blind, placebo-controlled study designed to assess the safety, tolerability, and PK and PD of single-ascending doses of JPH034 and its major metabolite (M1) in healthy adult participants. In addition, an unblinded pilot food effect (FE) evaluation is planned to characterize the effect of food (high-fat meal vs fasted conditions) on the single-dose PK of JPH034. Participants will be randomly allocated to treatment cohorts (JPH034 or placebo) at the dose level open at the time of enrollment; randomization (prior to dosing on Day 1) will be managed using a sequential list. Participants will be permitted to participate in only 1 dose cohort of the study.
Single-Ascending Dose: The first SAD cohort will receive a dose of 20 mg JPH034 or placebo, and subsequent cohorts will receive anticipated escalating doses of JPH034 or placebo. Sentinel dosing will be utilized for all SAD cohorts. Eligible participants will check into the clinic on Day -1 and will remain confined through the 48-hour PK collection on Day 3. On Day 1, participants will receive a single dose of study intervention under fasted conditions.
Following completion of the observation period for the last participant in each cohort, the Safety Review Committee (SRC) will review available data from the observation period (including TEAEs, laboratory results, vital signs, ECGs, and PK data) and any cumulative data from prior cohorts. The observation period will be 7 days after administration of study intervention. The SRC may review unblinded data as necessary.
Pilot Food Effect: The FE evaluation will be performed at a safe dose level as determined by the SRC. The effect of food on the systemic exposure of JPH034 is not known; therefore, the SRC will consider safety associated with potentially higher exposures and select an appropriate dose for the FE evaluation accordingly.
JPH034-treated participants (N = 6) from the selected SAD cohort will return for a pilot FE evaluation. Participants will undergo a washout prior to this FE evaluation (fasted dose on Day 1; fed dose on FE Day 1) for a minimum of 5 half-lives of JPH034. Participants will check into the clinic on FE Day -1 and will remain confined through the 48-hour PK collection on FE Day 3. On FE Day 1, participants will receive a single dose of JPH034 in a fed state (high-fat/high-calorie standard meal) following a minimum 10-hour overnight fast. Participants will have 30 minutes to ingest the entire meal, and the JPH034 dose will be administered 30 minutes after the start of the meal. Participants will then fast for at least 4 hours postdose.
For the SAD and FE cohorts safety assessments, as well as blood samples and urine collection for PK analyses will be performed. Participants will return to the clinic for PK collections 72 and 96 hours after administration of study intervention (Days 4 and 5, respectively). Seven to 9 days after administration of study intervention, participants will attend a follow-up visit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1. SAD Cohort 1 - 20mg | Experimental | Single dose N = 6 JPH034: 2 Placebo |
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| 2. SAD Cohort 2 - 40mg | Experimental | Single dose N = 6 JPH034: 2 Placebo |
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| 3. SAD Cohort 3 - 80mg | Experimental | Single dose N = 6 JPH034: 2 Placebo |
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| 4. SAD Cohort 4 -160mg | Experimental | Single dose N = 6 JPH034: 2 Placebo |
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| 5. SAD Cohort 5 - TBD | Experimental | Single dose N = 6 JPH034: 2 Placebo |
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| 6. SAD Food Effect - TBD | Experimental | Single dose N = 6 JPH034: 2 Placebo |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JPH034 | Drug | Oral JPH034 |
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| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of JPH034 - Adverse Events | Frequency and severity of Adverse Events (AEs), including SAEs. | From first participant dosed to last participant completion (Day 9) in each cohort . |
| Safety and Tolerability of JPH034 - Discontinuation of Study Intervention | Frequency of premature discontinuation of study intervention due to AEs. | From first participant dosed to last participant completion (Day 9) in each cohort . |
| Safety and Tolerability of JPH034 - Measurement of Clinical Safety (Chemistry, Hematology and Urinalysis) Laboratory Tests. | Clinically significant post dose measures for Chemistry, Hematology and Urinalysis Laboratory tests will be reported using standardized units. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of the change from baseline of Clinical Safety (Chemistry, Hematology and Urinalysis) Laboratory Tests. | Clinically significant post dose measures for Chemistry, Hematology and Urinalysis Laboratory tests will be compared with the respective baseline value and the change will be reported using standardized units of measure. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of Heart Rate. | Clinically significant post dose measures for Heart Rate will be reported in beats/min. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of change from baseline for heart rate. |
| Measure | Description | Time Frame |
|---|---|---|
| To characterize the single dose plasma PK of JPH034 and its metabolite (M1) | Plasma measurement of JPH034 and metabolite (M1). | PK sampling pre-dose to 96 hrs postdose for each participant. |
| To characterize the single dose urine PK of JPH034 and its metabolite (M1) in cohort 3 |
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Inclusion Criteria:
Age 18 to 50 years, inclusive, at the time of Screening.
Body mass index (BMI) ≥ 18.5 and ≤ 34 kg/m2 at Screening and Check-in. Sex and Contraceptive/Barrier Requirements
Females who are not pregnant or breastfeeding, agree to refrain from donating eggs during the study intervention period and for at least 30 days after the last dose of study intervention, and who meet one of the following conditions:
Females with a negative serum pregnancy test at Screening and a negative urine pregnancy test at Check-in (within 24 hours before the first dose of study intervention).
Males who agree to the following conditions during the study intervention period and for at least 30 days after the last dose of study intervention:
Refrain from donating sperm and
Use one of the following forms of contraception:
Willing and able to provide voluntary, written informed consent to participate in the study.
Able to communicate well with the Investigator and/or study site personnel and to comply with the requirements of the entire study.
Negative drug/alcohol testing at Screening and Check-in.
Vital signs (after semi-recumbent for at least 5 minutes) that are within the following ranges at Screening and Check-in. If not within the stated ranges, they must be without clinical significance as determined by the Investigator.
Normal renal function, defined as eGFR > 90 mL/min at Screening; an Investigator can determine based on clinical judgment whether a lower rate can be accepted based on the muscle composition of the participants.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Masuhiro Yoshitake | Contact | +81-3-6432-4270 | yoshitake@j-pharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Axis Clinicals Phase 1 Unit | Recruiting | Dilworth | Minnesota | 56529 | United States |
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| Placebo Control | Other | Simple Syrup |
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Clinically significant post dose measures for heart rate will be compared with the respective baseline value and the change will be reported in beats/min. |
| From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of blood pressure. | Clinically significant post dose measures for blood pressure will be reported in mmHg. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of change from baseline for blood pressure. | Clinically significant post dose measures for blood pressure will be compared with the respective baseline value and the change will be reported in mmHg. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of respiratory rate. | Clinically significant post dose measures for respiratory rate will be reported in breaths/min. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of change from baseline for respiratory rate. | Clinically significant post dose measures for respiratory rate will be compared with the respective baseline value and the change will be reported in breaths/min. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of body temperature. | Clinically significant post dose measures for body temperature will be reported in degrees centigrade. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of change from baseline for body temperature. | Clinically significant post dose measures for body temperature will be compared with the respective baseline value and the change will be reported in degrees centigrade. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of QTc interval on ECG. | Clinically significant QTc interval measurement on ECG will be reported in msec. | From first participant dosed to last participant completion (Day 9) in each cohort. |
| Safety and Tolerability of JPH034 - Measurement of change from baseline in QTc interval on ECG. | Clinically significant post dose measures for QTc interval measurement on ECG will be compared with the respective baseline value and the change will be reported in msec. | From first participant dosed to last participant completion (Day 9) in each cohort. |
Urine measurement of JPH034 and metabolite (M1). |
| Urine sampling pre-dose to 24 hrs postdose for each participant in cohort 3. |