The primary objective is to investigate the safety and tolerability of AS-0871 following single-dose oral administration in healthy subjects.The secondary objectives are:To investigate the PK of AS-0871 (in plasma) following single-dose oral…
ID
Source
Brief title
Condition
- Other condition
- Autoimmune disorders
Synonym
Health condition
Inflammatory disorders
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
safety and tolerability assessments as per protocol.
Secondary outcome
1. PK of AS-0871 in plasma following 7 single dose oral administrations under
fasted conditions;
One single dose level will be tested under fed conditions to assess the food
effect of AS-0871.
2. B-cell and basophil responses to anti-IgD and anti-IgE stimulation of
AS-0871 in blood following single dose oral administrations
3. Potential QT effects of AS-0871 following single dose oral administations by
exposure-response analysis
Background summary
AS-0871 is a low molecular weight compound belonging to a class of drugs called
*kinase inhibitor*, currently under development for the treatment of
inflammatory and autoimmune disorders (e.g., rheumatoid arthritis, chronic
spontaneous urticaria). AS-0871 is a non-covalent/reversible and highly
selective Bruton*s tyrosine kinase (BTK) inhibitor with an anticipated lower
safety risk in human as compared to covalent/irreversible BTK inhibitors; 2
covalent/irreversible BTK inhibitors, ibrutinib and acalabrutinib, are already
on the market. In an in vitro model of B cell activation (CD69 expression
induced by anti-human immunoglobulin D [IgD] in naïve B cells) and basophil
activation (CD63 expression, histamine release, and interleukin [IL]-4
secretion induced by combination of anti-human immunoglobulin E (IgE) and IL-13
treatment) in whole blood obtained from healthy subjects, AS-0871 showed a
concentration-dependent inhibition of B cell and basophil activation with
relative 50% and 90% inhibitory concentration (IC50/IC90) values of 103/677 nM
for CD69 expression, 163/804 nM for CD63 expression, 267/1606 nM for histamine
release, and 83/504 nM for IL-4 secretion, respectively. In addition, AS-0871
showed preventive as well as therapeutic efficacy in a mouse model of
collagen-induced arthritis.
Study objective
The primary objective is to investigate the safety and tolerability of AS-0871
following single-dose oral administration in healthy subjects.
The secondary objectives are:
To investigate the PK of AS-0871 (in plasma) following single-dose oral
administration in healthy subjects.
To investigate the PD of AS-0871 (in blood) following single-dose oral
administration in healthy subjects.
To investigate the effect of food on the PK of AS-0871 (in plasma) following
single-dose oral administration in healthy subjects.
To investigate potential QT effects of AS-0871 following single-dose oral
administration in healthy subjects, using serial electrocardiograms (ECGs)
extracted from continuous recordings (Holter) combined with AS-0871 plasma
concentration-QT interval corrected for heart rate (QTc) analysis.
The exploratory objectives are:
To collect blood and urine samples for (future) screening of metabolites of
AS-0871 following single-dose oral administration in healthy subjects.
To investigate the PK of AS-0871 in urine following single-dose oral
administration in healthy subjects.
Study design
This is an FIH, double-blind, placebo-controlled, randomized, single-centre
trial in 2 alternating cohorts of healthy adult male and female subjects.
Intervention
AS-0871
Placebo
Study burden and risks
The risk to health at these dose levels is limited but you may experience one
of the in the ICF mentioned side-effects or other symptoms not previously
reported. Your health will be closely monitored during the study to minimize
these risks. If you experience any side effects, the research physician will
treat these where necessary. If new information becomes available about the
safety of the study drug, you will be informed as soon as possible. For more
information refer to the IB.
BMA, 1-5-5 Minatojima-Minamimachi 3rd Floor
Chuo-ku Kobe 650-0047
JP
BMA, 1-5-5 Minatojima-Minamimachi 3rd Floor
Chuo-ku Kobe 650-0047
JP
Listed location countries
Age
Inclusion criteria
1. Must have signed an ICF prior to screening, indicating that he/she
understands the purpose of, and procedures required for, the trial, and
indicating that he/she is willing to participate in the trial.
2. Healthy males or females of non-childbearing potential, between 18 and 64
years of age, inclusive, at screening.
3. Body Mass Index (BMI) between 18.0 and 30.0 kg/m2, inclusive, at screening.
4. Good physical and mental health as established by medical history, physical
examination, ECG, and vital signs (including temporal body temperature)
recording, and results of biochemistry, haematology, and urinalysis tests
during screening as judged by the investigator.
5. Non-smoker/non-user of nicotine-containing products for at least 3 months
prior to screening, to be confirmed by a urine cotinine dipstick test at
screening and on Day -1 of the first treatment period of each cohort.
6. Availability and willingness to complete the trial and follow the
instructions of the investigator or trial-site personnel.
7. Willing and able to adhere to the prohibitions and restrictions specified in
the protocol.
8. Easy venous accessibility.
9. During the trial (from the day of first trial medication onwards) and for a
minimum of 1 spermatogenesis cycle (defined as approximately 90 days) after the
last trial medication intake, a male subject must agree:
to wear a condom when engaging in any activity that allows for passage of
ejaculate to another person (male subject should also be advised of the benefit
for a female partner to use a highly effective method of contraception as
condom may break or leak);
not to donate sperm for the purpose of reproduction.
Contraceptive use should be consistent with local regulations regarding the use
of contraceptive methods for subjects participating in clinical trials.
10. At screening, a female subject must be not of childbearing potential
defined as:
postmenopausal A postmenopausal state is defined as no menses for > 12 months
without an alternative medical explanation. A high follicle stimulating hormone
(FSH) level (> 40 IU/L or mIU/mL) in the postmenopausal range may be used to
confirm a postmenopausal state in women not using hormonal contraception or
hormone replacement therapy. In the absence of > 12 months of amenorrhea, 2 FSH
measurements have to be available, measured at least 3 months apart,
or
permanently sterile Permanent sterilization methods include hysterectomy,
bilateral salpingectomy, bilateral tubal occlusion/ligation procedures, and
bilateral oophorectomy.
11. Female subject, except if postmenopausal, must have a negative highly
sensitive serum (*-human chorionic gonadotropin [*-hCG]) pregnancy test at
screening and female subject must have a negative urine pregnancy test on Day
-1 of the first treatment period of each cohort.
12. Female subject must agree not to donate eggs (ova, oocytes) for the
purposes of assisted reproduction during the trial and for at least 90 days
after the last trial medication intake in the last treatment period.
13. Able to communicate well with the investigator, in the local language, and
to understand and comply with the requirements of the trial.
Exclusion criteria
1. History of or current clinically significant medical illness including (but
not limited to) gastrointestinal, cardiovascular, neurologic, psychiatric,
metabolic, endocrinologic, genitourinary, renal, hepatic, respiratory,
inflammatory, neoplastic, haematologic, or infectious disease, or any other
illness that the investigator considers should exclude the subject or that
could interfere with the interpretation of the trial results.
2. Clinically relevant abnormal values for haematology, biochemistry, or
urinalysis at screening or on Day -1 of the first treatment period, as judged
by the investigator.
3. Values of hepatic aminotransferase (ALT and/or AST) > 1.5 × the upper limit
of normal range (ULN) at screening or on Day -1 of the first treatment period.
4. Values of GGT and/or ALP > 1.25 x ULN at screening or on Day -1 of the first
treatment period.
5. Values of total cholesterol > ULN and LDL cholesterol > 1.25 x ULN at
screening or on Day -1 of the first treatment period.
6. Values of total bilirubin > ULN at screening or on Day -1 of the first
treatment period.
7. Values of urea >1.5 × ULN at screening or on Day -1 of the first treatment
period.
8. A QTcF > 450 ms for male subjects and > 470 ms for female subjects.
9. Clinically significant abnormal complete physical examination at screening
or on Day -1 of the first treatment period, or clinically significant abnormal
symptom-driven physical examination at predose on Day 1 of the first treatment
period (if applicable), or clinically significant abnormal values for vital
signs (including temporal body temperature) or 12-lead ECG at screening or at
predose on Day 1 of the first treatment period, as judged by the investigator.
10. Clinically significant presence or history of allergy or intolerance
(including lactose) as judged by the investigator.
11. Previously demonstrated clinically significant allergy or hypersensitivity
to any of the components of the trial medication (see IB8).
12. Positive serology for hepatitis A virus (HAV) immunoglobulin M (IgM),
hepatitis B virus surface antigen (HBsAg), anti-hepatitis C virus antibodies
(anti-HCV-AB), or anti human immunodeficiency virus antibodies 1 + 2
(anti-HIV-AB 1 + 2) at screening.
13. History of alcohol or drug abuse within the last 2 years before screening
or positive test result(s) for alcohol and/or drugs of abuse at screening or on
Day *1 of the first treatment period of each cohort.
Note: A positive alcohol and/or drug test may be repeated once (as soon as
possible and within the screening period) to exclude a technical error.
Subjects with a negative alcohol and/or drug test at retest may be included.
14. Regular alcohol consumption > 14 units per week (1 unit = a 200-mL glass of
average-strength beer, 25 mL of 40% spirit. A 125-mL glass of wine is 1.5 unit).
15. A history of cancer excluding carcinoma in situ or intra-mucosal cancer.
16. Surgery of gastro-intestinal tract that might interfere with absorption
(subjects who have had cholecystectomy may be included). Subject has currently
significant and active diarrhoea, nausea, or constipation that in the
investigator*s opinion could influence drug absorption or bioavailability.
17. Intake of any disallowed therapies (see Section 5.10, Prior and Concomitant
Medication) before the first trial medication intake.
18. Donation of blood or blood products or substantial loss of blood (more than
500 mL) within 3 months before the first trial medication intake or the
intention to donate blood or blood products during the trial.
19. Participation in a clinical trial of an investigational product or an
experimental medical device within 60 days or within a period less than 5 times
the drug*s half-live, whichever is longer, prior to the first trial medication
intake.
20. Major surgery, fracture, or prolonged immobilization (more than 2 weeks)
within 3 months preceding screening, or surgery has been planned during the
time the subject is expected to participate in the trial.
21. Female subject who is breastfeeding at screening.
22. Trial site employee or immediate family members of a trial site or sponsor
employee.
23. Has previously been enrolled in this trial.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2019-004348-31-NL |
CCMO | NL72381.056.19 |