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出境医 / 临床实验 / A Study to Test the Safety and Tolerability of Single and Multiple Doses of Padsevonil in Adult and Elderly Study Participants

A Study to Test the Safety and Tolerability of Single and Multiple Doses of Padsevonil in Adult and Elderly Study Participants

Study Description
Brief Summary:
The purpose of the study is to evaluate the plasma pharmacokinetic of padsevonil in adult and elderly study participants.

Condition or disease Intervention/treatment Phase
Elderly Study Participants Adult Study Participants Drug: Padsevonil Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 28 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: An Open-Label, Parallel-Group, Pharmacokinetic, Safety and Tolerability Study of Single and Multiple Oral Administrations of Padsevonil in Adult and Elderly Study Participants
Actual Study Start Date : July 9, 2019
Actual Primary Completion Date : October 3, 2019
Actual Study Completion Date : October 3, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: Adult study participants
Participants will receive assigned single and multiple doses of padsevonil.
Drug: Padsevonil
Padsevonil will be administered in predefined dosages.

Experimental: Elderly study participants
Participants will receive assigned single and multiple doses of padsevonil.
Drug: Padsevonil
Padsevonil will be administered in predefined dosages.

Outcome Measures
Primary Outcome Measures :
  1. The maximum plasma concentration (Cmax) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    Cmax: Maximum observed plasma concentration

  2. The area under the curve from 0 to t (AUC0-t) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    AUC0-t: Area under the plasma concentration-time curve from time zero to time t

  3. The area under the curve (AUC) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    AUC: Area under the plasma concentration-time curve from time 0 to infinity

  4. The maximum plasma concentration (Cmax) of multiple doses padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8 and 12 hours on Day 13 ]
    Cmax: Maximum observed plasma concentration

  5. The area under the curve (AUCtau) over a dosing interval of multiple doses padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, and 12 hours on Day 13 ]
    AUC0-tau: Area Under the Curve over a dosing interval


Secondary Outcome Measures :
  1. The amount of padsevonil (PSL) excreted in urine [ Time Frame: Urine samples will be taken on Day 1, Day 2, Day 3, Day 4 and Day 13 ]
    Samples will be taken to assess the amount of padsevonil that is excreted in urine.

  2. The ratio of padsevonil (PSL) and its metabolites excreted in urine [ Time Frame: Urine samples will be taken on Day 1, Day 2, Day 3, Day 4 and Day 13 ]
    Samples will be taken to assess the metabolic ratio of padsevonil that is excreted in urine.

  3. Number of participants with Treatment-related Adverse events [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]
    Treatment-related Adverse events is an Adverse Event for which a causal relationship between the product and the occurrence is suspected.

  4. Number of participants with Serious Adverse events [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]

    A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose:

    • Results in death
    • Is life-threatening
    • Requires in patient hospitalization or prolongation of existing hospitalization
    • Is a congenital anomaly or birth defect
    • Is an infection that requires treatment parenteral antibiotics
    • Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above

  5. Number of participants with Treatment-related Adverse events leading to discontinuation of the study [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]
    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Study participants in the adult cohort must be ≥18 to 64 years of age at the time of signing the informed consent form (ICF)
  • Study participants in the elderly cohort must be ≥65 years of age at the time of signing the ICF
  • Study participants who are overtly healthy as determined by medical evaluation, including medical history, physical examination, laboratory tests, and cardiac monitoring. In addition, elderly study participants must be considered to be in general good physical and mental health
  • Study participants must have a body weight of at least 50 kg for males and 45 kg for females, and a body mass index within the range of 18 to 32 kg/m2 (inclusive)

Exclusion Criteria:

  • Study participant has a current or past psychiatric condition that, in the opinion of the Investigator, could compromise the study participant's safety or ability to participate in this study, or a history of schizophrenia or other psychotic disorder, bipolar disorder, or severe unipolar depression. The presence of potential psychiatric exclusion criteria will be determined based on the psychiatric history collected at Screening
  • Study participant has history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data
  • Study participant has a known hypersensitivity to any components of the study medication as stated in this protocol
  • Subject has a history of unexplained syncope or a family history of sudden death due to long QT syndrome
  • Study participant has abnormal blood pressure
  • Study participant has had lymphoma, leukemia, or any malignancy within the past 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years
  • Study participant has a lifetime history of suicide attempt, or has had suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the "Screening/Baseline" version of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening
  • Study participant has past or intended use of over-the-counter or prescription medication, including herbal medications within 2 weeks or 5 half-lives prior to dosing
  • The study participant has used hepatic enzyme-inducing drugs within 2 months prior to dosing
  • Study participant has previously received padsevonil (PSL) in this or another study
  • Study participant has alanine aminotransferase (ALT), aspartate aminotransferase (AST), or alkaline phosphatase (ALP) >1.0x upper limit of normal (ULN)
  • Study participant has bilirubin >1.0xULN (isolated bilirubin >1.0xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • Study participant has current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
  • Study participant has any clinically relevant electrocardiogram (ECG) finding at Screening or at Baseline. Study participant has an abnormality in the 12-lead ECG that, in the opinion of the Investigator, increases the risks associated with participating in the study. In addition, any study participant with any of the following findings will be excluded: (a) QT interval corrected for heart rate using Bazett's formula (QTcB) or Fridericia's formula (QTcF) >450 ms in study participants in 2 of 3 ECG recordings; (b) other conduction abnormalities (defined as PR interval ≥220 ms); (c) irregular rhythms other than sinus arrhythmia or occasional, rare supraventricular or rare ventricular ectopic beats. In case of an out of range result, 1 repeat will be allowed. If out of range again, the study participant cannot be included
Contacts and Locations

Locations
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United States, Texas
Up0053 001
San Antonio, Texas, United States, 78209
Sponsors and Collaborators
UCB Biopharma S.P.R.L.
Investigators
Layout table for investigator information
Study Director: UCB Cares 001 844 599 2273 (UCB)
Tracking Information
First Submitted Date  ICMJE July 5, 2019
First Posted Date  ICMJE July 9, 2019
Last Update Posted Date November 13, 2020
Actual Study Start Date  ICMJE July 9, 2019
Actual Primary Completion Date October 3, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: July 5, 2019)
  • The maximum plasma concentration (Cmax) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    Cmax: Maximum observed plasma concentration
  • The area under the curve from 0 to t (AUC0-t) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    AUC0-t: Area under the plasma concentration-time curve from time zero to time t
  • The area under the curve (AUC) of a single dose padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose on Day 1 and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, 12, 24, 48 and 72 hours postdose ]
    AUC: Area under the plasma concentration-time curve from time 0 to infinity
  • The maximum plasma concentration (Cmax) of multiple doses padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8 and 12 hours on Day 13 ]
    Cmax: Maximum observed plasma concentration
  • The area under the curve (AUCtau) over a dosing interval of multiple doses padsevonil (PSL) [ Time Frame: Plasma samples will be taken predose and 0.25, 0.5, 0.75, 1, 1.5, 3, 4, 6, 8, and 12 hours on Day 13 ]
    AUC0-tau: Area Under the Curve over a dosing interval
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: July 5, 2019)
  • The amount of padsevonil (PSL) excreted in urine [ Time Frame: Urine samples will be taken on Day 1, Day 2, Day 3, Day 4 and Day 13 ]
    Samples will be taken to assess the amount of padsevonil that is excreted in urine.
  • The ratio of padsevonil (PSL) and its metabolites excreted in urine [ Time Frame: Urine samples will be taken on Day 1, Day 2, Day 3, Day 4 and Day 13 ]
    Samples will be taken to assess the metabolic ratio of padsevonil that is excreted in urine.
  • Number of participants with Treatment-related Adverse events [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]
    Treatment-related Adverse events is an Adverse Event for which a causal relationship between the product and the occurrence is suspected.
  • Number of participants with Serious Adverse events [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]
    A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose:
    • Results in death
    • Is life-threatening
    • Requires in patient hospitalization or prolongation of existing hospitalization
    • Is a congenital anomaly or birth defect
    • Is an infection that requires treatment parenteral antibiotics
    • Other important medical events which based on medical or scientific judgement may jeopardize the patients, or may require medical or surgical intervention to prevent any of the above
  • Number of participants with Treatment-related Adverse events leading to discontinuation of the study [ Time Frame: From Baseline until End-of-Treatment visit (up to Day 22) ]
    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Study to Test the Safety and Tolerability of Single and Multiple Doses of Padsevonil in Adult and Elderly Study Participants
Official Title  ICMJE An Open-Label, Parallel-Group, Pharmacokinetic, Safety and Tolerability Study of Single and Multiple Oral Administrations of Padsevonil in Adult and Elderly Study Participants
Brief Summary The purpose of the study is to evaluate the plasma pharmacokinetic of padsevonil in adult and elderly study participants.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Condition  ICMJE
  • Elderly Study Participants
  • Adult Study Participants
Intervention  ICMJE Drug: Padsevonil
Padsevonil will be administered in predefined dosages.
Study Arms  ICMJE
  • Experimental: Adult study participants
    Participants will receive assigned single and multiple doses of padsevonil.
    Intervention: Drug: Padsevonil
  • Experimental: Elderly study participants
    Participants will receive assigned single and multiple doses of padsevonil.
    Intervention: Drug: Padsevonil
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: July 5, 2019)
28
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE October 3, 2019
Actual Primary Completion Date October 3, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Study participants in the adult cohort must be ≥18 to 64 years of age at the time of signing the informed consent form (ICF)
  • Study participants in the elderly cohort must be ≥65 years of age at the time of signing the ICF
  • Study participants who are overtly healthy as determined by medical evaluation, including medical history, physical examination, laboratory tests, and cardiac monitoring. In addition, elderly study participants must be considered to be in general good physical and mental health
  • Study participants must have a body weight of at least 50 kg for males and 45 kg for females, and a body mass index within the range of 18 to 32 kg/m2 (inclusive)

Exclusion Criteria:

  • Study participant has a current or past psychiatric condition that, in the opinion of the Investigator, could compromise the study participant's safety or ability to participate in this study, or a history of schizophrenia or other psychotic disorder, bipolar disorder, or severe unipolar depression. The presence of potential psychiatric exclusion criteria will be determined based on the psychiatric history collected at Screening
  • Study participant has history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data
  • Study participant has a known hypersensitivity to any components of the study medication as stated in this protocol
  • Subject has a history of unexplained syncope or a family history of sudden death due to long QT syndrome
  • Study participant has abnormal blood pressure
  • Study participant has had lymphoma, leukemia, or any malignancy within the past 5 years, except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years
  • Study participant has a lifetime history of suicide attempt, or has had suicidal ideation in the past 6 months as indicated by a positive response ("Yes") to either Question 4 or Question 5 of the "Screening/Baseline" version of the Columbia-Suicide Severity Rating Scale (C-SSRS) at Screening
  • Study participant has past or intended use of over-the-counter or prescription medication, including herbal medications within 2 weeks or 5 half-lives prior to dosing
  • The study participant has used hepatic enzyme-inducing drugs within 2 months prior to dosing
  • Study participant has previously received padsevonil (PSL) in this or another study
  • Study participant has alanine aminotransferase (ALT), aspartate aminotransferase (AST), or alkaline phosphatase (ALP) >1.0x upper limit of normal (ULN)
  • Study participant has bilirubin >1.0xULN (isolated bilirubin >1.0xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • Study participant has current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
  • Study participant has any clinically relevant electrocardiogram (ECG) finding at Screening or at Baseline. Study participant has an abnormality in the 12-lead ECG that, in the opinion of the Investigator, increases the risks associated with participating in the study. In addition, any study participant with any of the following findings will be excluded: (a) QT interval corrected for heart rate using Bazett's formula (QTcB) or Fridericia's formula (QTcF) >450 ms in study participants in 2 of 3 ECG recordings; (b) other conduction abnormalities (defined as PR interval ≥220 ms); (c) irregular rhythms other than sinus arrhythmia or occasional, rare supraventricular or rare ventricular ectopic beats. In case of an out of range result, 1 repeat will be allowed. If out of range again, the study participant cannot be included
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT04013191
Other Study ID Numbers  ICMJE UP0053
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Plan Description: Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.
Responsible Party UCB Pharma ( UCB Biopharma S.P.R.L. )
Study Sponsor  ICMJE UCB Biopharma S.P.R.L.
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: UCB Cares 001 844 599 2273 (UCB)
PRS Account UCB Pharma
Verification Date November 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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