Drug-Drug Interaction Study to Evaluate the Effects of Ecopipam on the Pharmacokinetics of Multiple Substrates for Drug Metabolism and Transport

Sponsor
Emalex Biosciences Inc. (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT05334108
Collaborator
ICON Early Phase Services (Other), Nuventra (Other)
54
1
3
3.2
16.9

Study Details

Study Description

Brief Summary

This is a single center, open-label, fixed sequence Phase 1, drug-drug interaction (DDI) study in healthy subjects.

Condition or Disease Intervention/Treatment Phase
  • Drug: Ecopipam
  • Combination Product: Cohort 1 Probe Substrate Cocktail
  • Drug: Cohort 2 Probe Substrate
  • Combination Product: Cohort 3 Probe Substrate Cocktail
Phase 1

Detailed Description

Following a Screening period, eligible subjects will be enrolled sequentially to one of three cohorts to receive a single dose of probe substrate(s), followed by repeated titrated doses of ecopipam twice daily (BID) (with subjects in Cohort 3 also receiving a single dose of ecopipam and probe substrates on Day 4 prior to titration). After steady-state ecopipam dosing is reached, ecopipam will be co-administered with a single dose of probe substrate(s) (with continuation of ecopipam BID (every 12 h) dosing during the blood sampling period for the respective probe substrates), followed by an ecopipam tapering period and clinic discharge assessments.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
54 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
A Phase 1, Open-Label, Fixed Sequence, Drug-Drug Interaction Study to Evaluate the Effects of Repeat Titrated Doses of Ecopipam on the Pharmacokinetics of Multiple Substrates for Drug Metabolism and Transport in Healthy Subjects
Actual Study Start Date :
Apr 26, 2022
Actual Primary Completion Date :
Aug 1, 2022
Anticipated Study Completion Date :
Aug 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Other: Cohort 1

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days Cohort 1 Probe Substrate Cocktail given on 2 separate days: midazolam: 1 µg infused IV caffeine: 200 mg oral tablet omeprazole: two 20 mg oral tablets dextromethorphan: 1.6mL (containing ~10 mg) oral solution

Drug: Ecopipam
ecopipam HCl ~2mg/kg/day

Combination Product: Cohort 1 Probe Substrate Cocktail
dextromethorphan, caffeine, omeprazole, and midazolam

Other: Cohort 2

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days Cohort 2 Probe Substrate given on 2 separate days: - bupropion: 100mg oral tablet

Drug: Ecopipam
ecopipam HCl ~2mg/kg/day

Drug: Cohort 2 Probe Substrate
bupropion

Other: Cohort 3

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days Cohort 3 Probe Substrate Cocktail given on 3 separate days: midazolam: 10 µg/mL given as 1mL oral solution. dabigatran: 375 µg/mL and pitavastatin: 10 µg/mL given as 1mL oral solution rosuvastatin: 25 µg/mL and atorvastatin: 50 µg/mL given as 2mL oral solution

Drug: Ecopipam
ecopipam HCl ~2mg/kg/day

Combination Product: Cohort 3 Probe Substrate Cocktail
dabigatran, pitavastatin, rosuvastatin, atorvastatin, midazolam

Outcome Measures

Primary Outcome Measures

  1. Cmax of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  2. Cmax of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  3. Cmax of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  4. Cmax oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  5. Cmax of dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  6. Cmax of dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  7. Cmax of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  8. Cmax of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  9. Cmax of rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  10. Cmax of rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  11. Cmax of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  12. Cmax of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  13. AUCinf of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  14. AUCinf of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  15. AUCinf of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  16. AUCinf of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  17. AUCinf of dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  18. AUCinf of dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  19. AUCinf of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  20. AUCinf of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  21. AUCinf of rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  22. AUCinf of rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  23. AUCinf of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  24. AUCinf of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  25. AUClast of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  26. AUClast of IV midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  27. AUClast of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  28. AUClast of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  29. AUClast of dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  30. AUClast of dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  31. AUClast of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  32. AUClast of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  33. AUClast of rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  34. AUClast of rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  35. AUClast of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  36. AUClast of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  37. AUC0-24 of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  38. AUC0-24 of oral midazolam (and its 1'-hydroxymidazolam metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  39. AUC0-24 of dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  40. AUC0-24 of dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  41. AUC0-24 of pitavastatin (and its pitavastatin lactone metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  42. AUC0-24 of pitavastatin (and its pitavastatin lactone metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  43. AUC0-24 of rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  44. AUC0-24 of rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  45. AUC0-24 of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  46. AUC0-24 of atorvastatin (and its 4'-hydroxy atorvastatin metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

Secondary Outcome Measures

  1. Cmax of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  2. Cmax of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  3. Cmax omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  4. Cmax omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  5. AUCinf of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  6. AUCinf of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  7. AUCinf of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  8. AUCinf of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  9. AUClast of bupropion (and its 4-hydroxybupropion metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  10. AUClast of bupropion (and its 4-hydroxybupropion metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  11. AUClast of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  12. AUClast of omeprazole (and its 5'-hydroxy omeprazole metabolite) in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  13. CL/F for dextromethorphan in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  14. CL/F for dextromethorphan in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  15. CL for IV midazolam in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  16. CL for IV midazolam in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  17. CL/F for oral midazolam in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  18. CL/F for oral midazolam in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  19. CL/F for dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  20. CL/F for dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  21. CL/F for pitavastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  22. CL/F for pitavastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  23. CL/F for rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  24. CL/F for rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  25. CL/F for atorvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  26. CL/F for atorvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  27. CL/F for bupropion in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  28. CL/F for bupropion in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  29. CL/F for caffeine in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  30. CL/F for caffeine in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  31. CL/F for omeprazole in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  32. CL/F for omeprazole in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  33. V/F for dextromethorphan in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  34. V/F for dextromethorphan in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  35. V for IV midazolam in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  36. V for IV midazolam in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  37. V/F for oral midazolam in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  38. V/F for oral midazolam in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  39. V/F for dabigatran in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  40. V/F for dabigatran in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  41. V/F for pitavastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  42. V/F for pitavastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  43. V/F for rosuvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  44. V/F for rosuvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  45. V/F for bupropion in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  46. V/F for bupropion in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  47. V/F for atorvastatin in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  48. V/F for atorvastatin in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  49. V/F for caffeine in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  50. V/F for caffeine in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  51. V/F for omeprazole in the presence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  52. V/F for omeprazole in the absence of ecopipam [Up to Day 22]

    Up to 46 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  53. Total concentration of bilirubin in the presence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  54. Total concentration of bilirubin in the absence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  55. Unconjugated concentration of bilirubin in the presence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  56. Unconjugated concentration of bilirubin in the absence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  57. Conjugated concentration of bilirubin in the presence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  58. Conjugated concentration of bilirubin in the absence of ecopipam [Up to Day 18]

    Bilirubin sampling will occur on Day 1 and Day 18

  59. Average of the 6-hour plasma dextromethorphan: dextrorphan ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  60. Average of the 8-hour plasma dextromethorphan: dextrorphan ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  61. Average of the 12-hour plasma dextromethorphan: dextrorphan ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  62. Average of the 6-hour plasma dextromethorphan: dextrorphan ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  63. Average of the 8-hour plasma dextromethorphan: dextrorphan ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  64. Average of the 12-hour plasma dextromethorphan: dextrorphan ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  65. Average of the 6-hour plasma caffeine: paraxanthine metabolite ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  66. Average of the 8-hour plasma caffeine: paraxanthine metabolite ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  67. Average of the 12-hour plasma caffeine: paraxanthine metabolite ratio in the presence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  68. Average of the 6-hour plasma caffeine: paraxanthine metabolite ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  69. Average of the 8-hour plasma caffeine: paraxanthine metabolite ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  70. Average of the 12-hour plasma caffeine: paraxanthine metabolite ratio in the absence of ecopipam [Up to Day 14]

    6 blood samples will be collected at the indicated time points for pharmacokinetic analysis

  71. Safety and tolerability as demonstrated by the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) [Up to Day 63]

    Score from 0-5 where 0 is no response and 5 is responds readily. MOAA/S measures will be recorded at the indicated timepoints

  72. Safety and tolerability as demonstrated by the Columbia Suicide Severity Rating Scale (C-SSRS) [Up to Day 63]

    Safety and tolerability measures will be recorded at the indicated timepoints

  73. Number of participants requiring concomitant medications [Up to Day 63]

    Participants will be continuously monitored for the use of concomitant medications

  74. AEs with relatedness associated with dextromethorphan [Up to Day 63]

    Subjects will be continually monitored for adverse events

  75. AEs with relatedness associated with IV midazolam [Up to Day 63]

    Subjects will be continually monitored for adverse events

  76. AEs with relatedness associated with oral midazolam [Up to Day 63]

    Subjects will be continually monitored for adverse events

  77. AEs with relatedness associated with dabigatran [Up to Day 63]

    Subjects will be continually monitored for adverse events

  78. AEs with relatedness associated with pitavastatin [Up to Day 63]

    Subjects will be continually monitored for adverse events

  79. AEs with relatedness associated with rosuvastatin [Up to Day 63]

    Subjects will be continually monitored for adverse events

  80. AEs with relatedness associated with atorvastatin [Up to Day 63]

    Subjects will be continually monitored for adverse events

  81. AEs with relatedness associated with bupropion [Up to Day 63]

    Subjects will be continually monitored for adverse events

  82. AEs with relatedness associated with caffeine [Up to Day 63]

    Subjects will be continually monitored for adverse events

  83. AEs with relatedness associated with omeprazole [Up to Day 63]

    Subjects will be continually monitored for adverse events

  84. AEs with relatedness associated with ecopipam [Up to Day 63]

    Subjects will be continually monitored for adverse events

  85. Absolute values of white blood cell (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils and platelets (1000/mm3) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  86. Absolute values of hematocrit (percent) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  87. Absolute values of hemoglobin (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  88. Absolute values of Red blood cell (RBC) count (M/mm3) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  89. Absolute values of sodium, potassium, chloride (mmol/L) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  90. Absolute values of magnesium, urea, phosphorus, calcium, glucose, and total, conjugated and unconjugated bilirubin (mg/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  91. Absolute values of albumin and total protein (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  92. Absolute values of alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), creatinine phosphokinase (CPK), and creatinine (U/L) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  93. Absolute values of urine specific gravity [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  94. Absolute values of urine pH [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  95. Absolute values of urine glucose [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  96. Absolute values of urine protein [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  97. Absolute values of urine blood [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  98. Absolute values of urine ketones [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  99. Absolute values of urine bilirubin and nitrite [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  100. Absolute values of urobilinogen (Eu/dL) [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  101. Absolute values of urine leukocytes by dipstick [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  102. Change from Day -1 to Day of Discharge white blood cell (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils and platelets (1000/mm3) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  103. Change from Day -1 to Day of Discharge in hematocrit (percent) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  104. Change from Day -1 to Day of Discharge in hemoglobin (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  105. Change from Day -1 to Day of Discharge in Red blood cell (RBC) count (M/mm3) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  106. Change from Day -1 to Day of Discharge in sodium, potassium, chloride (mmol/L) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  107. Change from Day -1 to Day of Discharge in magnesium, urea, phosphorus, calcium, glucose, and total, conjugated and unconjugated bilirubin (mg/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  108. Change from Day -1 to Day of Discharge in albumin and total protein (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  109. Change from Day -1 to Day of Discharge in alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), and creatinine phosphokinase (CPK), and creatinine (U/L) [Up to Day 26]

    Blood samples will be collected for the assessment of clinical chemistry parameters

  110. Change from Day -1 to Day of Discharge in urine specific gravity [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  111. Change from Day -1 to Day of Discharge in urine pH [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  112. Change from Day -1 to Day of Discharge in urine glucose [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  113. Change from Day -1 to Day of Discharge in urine protein [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  114. Change from Day -1 to Day of Discharge in urine blood [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  115. Change from Day -1 to Day of Discharge in urine ketones [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  116. Change from Day -1 to Day of Discharge in urine bilirubin and nitrite [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  117. Change from Day -1 to Day of Discharge in urobilinogen (Eu/dL) [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  118. Change from Day -1 to Day of Discharge in urine leukocytes by dipstick [Up to Day 26]

    Urine samples will be collected for the assessment of urine parameters

  119. Absolute values of electrocardiogram (ECG) parameters: PR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) (Milliseconds) [Up to Day 26]

    Twelve-lead ECGs will be obtained with the participant in a supine position after a rest of at least 5 minutes using an automated ECG machine. PR, QRS, QT, and QTcF intervals will be measured

  120. Change from pre-dose for the respective day in ECG parameters: PR, QRS, QT, and QTcF (Milliseconds) [Up to Day 26]

    Twelve-lead ECGs will be obtained with the participant in a supine position after a rest of at least 5 minutes using an automated ECG machine. PR, QRS, QT, and QTcF intervals will be measured

  121. Absolute values of oral temperature (degrees Celsius) [Up to Day 26]

    Temperature will be assessed as part of vital signs

  122. Change from pre-dose for the respective day in oral temperature (degrees Celsius) [Up to Day 26]

    Temperature will be assessed as part of vital signs

  123. Absolute values of heart rate (beats/minute) [Up to Day 26]

    Heart rate will be assessed as part of vital signs

  124. Change from pre-dose for the respective day in heart rate (beats/minute) [Up to Day 26]

    Heart rate will be assessed as part of vital signs

  125. Absolute values of respiratory rate (breaths/minute) [Up to Day 26]

    Respiratory rate will be assessed as part of vital signs

  126. Absolute values of systolic blood pressure (SBP) and diastolic blood pressure (DBP) (mmHG) [Up to Day 26]

    Blood pressure will be assessed as part of vital signs

  127. Change from pre-dose for the respective day in SBP and DBP (mmHG) [Up to Day 26]

    Blood pressure will be assessed as part of vital signs

  128. Absolute values of mean corpuscular hemoglobin (MCH) (pg) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  129. Change from Day 1 to Day of Discharge of mean corpuscular hemoglobin (MCH) (pg) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  130. Absolute values of mean corpuscular volume (MCV) (fL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  131. Change from Day 1 to Day of Discharge of mean corpuscular volume (MCV) (fL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  132. Absolute values of mean corpuscular hemoglobin concentration (MCHC) (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

  133. Change from Day 1 to Day of Discharge of mean corpuscular hemoglobin concentration (MCHC) (g/dL) [Up to Day 26]

    Blood samples will be collected for the assessment of hematology parameters

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Male subjects or female subjects of non-childbearing potential

  • ≥18 and <55 years of age at the time of consent

  • BMI >18.5 and <30 kg/m2 and a weight of ≥50 kg for males or ≥45 kg for females

  • Subjects must be healthy, as determined by the Investigator, based on medical history, physical examination, ECG, and standard panel of blood and laboratory tests at Screening.

  • Sexually active males must use a double barrier method of contraception during the study and for at least 90 days after the last dose of study drug

  • Male subjects must be willing not to donate sperm until 90 days following the last study drug administration

Exclusion Criteria:
  • Personal or family History of significant medical illness

  • Clinically significant abnormalities on screening tests/exams

  • History of or significant risk of committing suicide

  • Donation of plasma within 7 days prior to dosing

  • Donation or significant loss of blood within 30 days prior to the first dosing

  • Major surgery within 3 months or minor surgery within 1 month prior to admission

  • Use of prohibited prescription, over-the-counter medications or natural health products

  • Alcohol-based products 24 hours prior to admission

  • Female subjects who are currently pregnant or lactating

  • Positive pregnancy test

  • Use of tobacco or nicotine products within 3 months prior to Screening

  • Significant alcohol consumption

  • History of drug abuse within the previous 2 years, or a positive drug screen

  • History of allergy to study medications

  • Undergoing abrupt discontinuation of alcohol or sedatives

  • Not suitable for study in the opinion of the Principal Investigator

Contacts and Locations

Locations

Site City State Country Postal Code
1 ICON Early Phase Services San Antonio Texas United States 78209

Sponsors and Collaborators

  • Emalex Biosciences Inc.
  • ICON Early Phase Services
  • Nuventra

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Emalex Biosciences Inc.
ClinicalTrials.gov Identifier:
NCT05334108
Other Study ID Numbers:
  • EBS-101-HV-104
First Posted:
Apr 19, 2022
Last Update Posted:
Aug 19, 2022
Last Verified:
Aug 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
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 19, 2022