Phase 1 Oral QPX7831 SAD and MAD in Healthy Adults

Sponsor
Qpex Biopharma, Inc. (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04578873
Collaborator
Biomedical Advanced Research and Development Authority (U.S. Fed)
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Study Details

Study Description

Brief Summary

This Phase 1 study will assess the safety, tolerability, and pharmacokinetics (PK) of QPX7831, a beta-lactamase inhibitor, when administered orally in single ascending doses and in multiple ascending doses to heathy adult subjects.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

Qpex Biopharma, Inc. is developing an oral dosage form that delivers QPX7728, a new boron-based beta-lactamase inhibitor with activity against both serine and metallo-beta-lactamases, for oral treatment in combination with a beta-lactam antibiotic.

The objectives are:
  1. To assess the safety and tolerability of QPX7831 when administered orally in single ascending doses (SAD) and in multiple ascending doses (MAD) to healthy adult subjects.

  2. To assess the PK of single and multiple doses of oral QPX7831 when administered to healthy adult subjects to determine if the target exposures identified in preclinical studies can be attained in healthy adult subjects.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
78 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Intervention Model Description:
Double-blind, placebo-controlled, sequential, ascending single-and multiple-dose designDouble-blind, placebo-controlled, sequential, ascending single-and multiple-dose design
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description:
matched oral placebo capsule
Primary Purpose:
Treatment
Official Title:
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Ascending Single- and Multiple-Dose Study of the Safety, Tolerability, and Pharmacokinetics of Oral QPX7831 in Healthy Adult Subjects
Actual Study Start Date :
Apr 13, 2021
Anticipated Primary Completion Date :
Aug 30, 2022
Anticipated Study Completion Date :
Nov 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: QPX7831 SAD Cohorts

oral, single ascending dose (or placebo)

Drug: QPX7831
capsule

Drug: placebo comparator
oral matched placebo capsule

Experimental: QPX7831 MAD Cohorts

oral, multiple ascending dose (or placebo)

Drug: QPX7831
capsule

Drug: placebo comparator
oral matched placebo capsule

Outcome Measures

Primary Outcome Measures

  1. Incidence of Treatment -Emergent Adverse events by subject and by cohort (single dose, multiple doses) [up to 17 days]

    Number of patients with Treatment-Emergent AEs by subject, by cohort, severity and relationship to treatment

  2. Number of patients with changes from baseline in safety parameters [up to 17 days]

    Number of patients with changes in safety parameters before and after dosing by subject and cohort

  3. Peak plasma Concentration measurements by subject and by cohort (Cmax) [up to 17 days]

    Comparison will be performed between the cohorts for Cmax. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.

  4. Time concentration data measurements by subject and by cohort (Tmax) [up to 17 days]

    Comparison will be performed between the cohorts for Tmax.

  5. Area under the plasma concentration versus time curve (AUC) between cohorts [up to 17 days]

    Comparison will be performed between the cohorts for AUC. Mean graphical presentation of the data will be reported. Statistical analysis of exposure parameters will be performed.

  6. Urine PK amount excreted by subject and by cohort [up to 17 days]

    Urine PK parameters such as amount excreted will be calculated from urinary excretion data

  7. Urine PK % dose excreted by subject and by cohort [up to 17 days]

    Urine PK parameters such as amount of % dose excreted will be calculated from urinary excretion data

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Healthy adult males and/or females of non-childbearing potential, 18 to 55 years of age (inclusive) at the time of screening.

  2. Body mass index (BMI) ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive).

  3. Medically healthy with clinically insignificant screening results (e.g., laboratory profiles, medical histories, electrocardiograms [ECGs], physical examination) as assessed by the PI.

  4. Voluntarily consent to participate in the study.

  5. Male volunteers must agree to use a condom when engaging in any sexual activity from study check-in through 30 days following the last administration of the study drug, and to not donate sperm during this same period of time. If engaging in sexual activity with a female partner of childbearing potential, an additional method of birth control must be used. Approved additional methods of birth control include:

  6. Intra-uterine device (IUD) in place for at least 3 months prior to Day 1 through 30 days following the final dosing of the study drug.

  7. Barrier method (diaphragm) for at least 14 days prior to Day 1 through 30 days following dosing of the study drug.

  8. Stable hormonal contraceptive for at least 3 months prior to Day 1 through 30 days following dosing of the study drug.

  9. Surgical sterilization (vasectomy) at least 6 months prior to Day 1.

  10. Females of non-childbearing potential with serum FSH levels ≥ 40 mIU/mL are either postmenopausal (defined as 12 months spontaneous amenorrhea) or have undergone one of the following sterilization procedures at least 6 months prior to Day 1 (and is documented):

  11. Bilateral tubal ligation;

  12. Hysterectomy;

  13. Hysterectomy with unilateral or bilateral oophorectomy;

  14. Bilateral oophorectomy.

Exclusion Criteria:
  1. History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, neurological, or psychiatric disease.

  2. Positive urine drug/alcohol testing at screening or check-in (Day -1).

  3. Positive testing for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (HCV).

  4. History or presence of alcoholism or drug abuse within the 2 years prior to Day 1.

  5. Use of more than 5 packs/week of cigarettes (or equivalent amount of nicotine-containing product) within 6 months prior to Day 1. Subjects must agree to refrain from smoking for the duration of the study.

  6. Excessive intake of alcohol, defined as an average daily intake of greater than 2 standard drinks for women and 4 standard drinks for men; 1 bottle of beer (375mL) is equivalent to approximately 1.4 standard drinks, 1 glass of spirits (30mL) is equivalent to approximately 1 standard drink and 1 glass (150mL) of wine is equivalent to approximately 1.5 standard drinks.

  7. Use of any prescription medication (with the exception of hormone replacement therapy for females) within 14 days prior to Day 1.

  8. Use of any over the counter (OTC) medication, including herbal products, probiotics and vitamins, within the 7 days prior to Day 1. Up to 2 grams per day of paracetamol is allowed for acute events at the discretion of the PI.

  9. Use of antacids, H2 receptor blockers or proton pump inhibitors within 7 days prior to Day 1.

  10. Documented hypersensitivity reaction or anaphylaxis to any medication

  11. Blood donation or significant blood loss (i.e., > 500 mL) within 56 days prior to Day

  12. Plasma donation within 7 days prior to Day 1.

  13. Participation in another investigational clinical trial within 30 days prior to Day 1 or within 5 half-lives of the previous investigational drug, whichever is longer.

  14. Females who are pregnant or lactating.

  15. Surgery within the past three months prior to Day 1 determined by the PI to be clinically relevant.

  16. Any acute illness within 30 days prior to Day 1.

  17. QTcF interval >450 msec for males and >470 for females or history of prolonged QT syndrome at screening or check-in (Day -1).

  18. Calculated creatinine clearance less than 80 mL/min (Cockcroft-Gault method) at screening or check-in (Day -1).

  19. Subjects who have any clinically significant abnormalities on laboratory values at screening or check-in (Day -1), in particular:

  20. White blood cell count < 3,000/mm3, hemoglobin < 11g/dL.

  21. Absolute neutrophil count < 1,200/mm3 or platelet count < 120,000/mm3.

  22. Liver function abnormalities at screening or check-in (Day -1) (defined by an elevation in bilirubin, AST or ALT 1.5 x ULN of the normal range for subjects based on age and sex).

  23. Any other condition or prior therapy, which, in the opinion of the PI, would make the subject unsuitable for this study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Altasciences Cypress California United States 90630
2 CMAX Adelaide South Australia Australia

Sponsors and Collaborators

  • Qpex Biopharma, Inc.
  • Biomedical Advanced Research and Development Authority

Investigators

  • Study Director: Jeffery Loutit, MBChB, Qpex Biopharma, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Qpex Biopharma, Inc.
ClinicalTrials.gov Identifier:
NCT04578873
Other Study ID Numbers:
  • Qpex-101
First Posted:
Oct 8, 2020
Last Update Posted:
Apr 20, 2022
Last Verified:
Feb 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Qpex Biopharma, Inc.
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 20, 2022