A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of KRP-A218 in Healthy Subjects

Sponsor
Kyorin Pharmaceutical Co.,Ltd (Industry)
Overall Status
Completed
CT.gov ID
NCT04908800
Collaborator
(none)
99
1
3
10.8
9.2

Study Details

Study Description

Brief Summary

This first-in-human study has three parts. In Parts A and B, the safety, tolerability, and pharmacokinetics (PK) will be evaluated following administration of single and multiple doses of KRP-A218, including food-effect. In Part C, the drug-drug interaction (DDI) with itraconazole will be evaluated.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
99 participants
Allocation:
Randomized
Intervention Model:
Sequential Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A First-in-Human, Phase I, Double-blind, Placebo-controlled, Single and Multiple Ascending Oral Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of KRP-A218 in Healthy Subjects, Including Food-Effect and Drug-drug Interaction With Itraconazole
Actual Study Start Date :
May 27, 2021
Actual Primary Completion Date :
Apr 21, 2022
Actual Study Completion Date :
Apr 21, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part A single ascending dose (SAD) and Part B multiple ascending dose (MAD): KRP-A218

Administration Route: Oral

Drug: KRP-A218
KRP-A218 tablet

Placebo Comparator: Part A (SAD) and Part B (MAD): Placebo

Administration Route: Oral

Drug: Placebo
Placebo tablet

Experimental: Part C drug-drug interaction (DDI): KRP-A218 and itraconazole

Administration Route: Oral

Drug: KRP-A218
KRP-A218 tablet

Drug: itraconazole
10 mg/mL oral solution
Other Names:
  • Sporanox
  • Outcome Measures

    Primary Outcome Measures

    1. Part A: Number of participants with adverse events [Screening to follow-up (Approximately 6 weeks)]

    2. Part B: Number of participants with adverse events [Screening to follow-up (Approximately 8 weeks)]

    3. Part C: Area under concentration-time curve from time 0 extrapolated to infinity (AUC0-∞) [Days 1 to 14]

    4. Part C: Area under curve from time 0 to the time of the last quantifiable concentration (AUC0-tlast) [Days 1 to 14]

    5. Part C: Maximum observed concentration (Cmax) [Days 1 to 14]

    6. Part C: Time of the maximum observed concentration (tmax) [Days 1 to 14]

    7. Part C: Apparent terminal elimination half-life (t1/2) [Days 1 to 14]

    8. Part C: Apparent total clearance (CL/F) [Days 1 to 14]

    9. Part C: Apparent volume of distribution during the terminal phase (Vz/F) [Days 1 to 14]

    Secondary Outcome Measures

    1. Part A: Area under concentration-time curve from time 0 extrapolated to infinity (AUC0-∞) [Days 1 to 4]

    2. Part A: Area under curve from time 0 to the time of the last quantifiable concentration (AUC0-tlast) [Days 1 to 4]

    3. Part A: Maximum observed concentration (Cmax) [Days 1 to 4]

    4. Part A: Time of the maximum observed concentration (tmax) [Days 1 to 4]

    5. Part A: Apparent terminal elimination half-life (t1/2) [Days 1 to 4]

    6. Part A: Apparent total clearance (CL/F) [Days 1 to 4]

    7. Part A: Apparent volume of distribution during the terminal phase (Vz/F) [Days 1 to 4]

    8. Part B: Area under the concentration-time curve over a dosing interval (AUC0-τ) [Days 1 to 17]

    9. Part B: Area under concentration-time curve from time 0 extrapolated to infinity (AUC0-∞) [Days 1 to 17]

    10. Part B: Area under curve from time 0 to the time of the last quantifiable concentration (AUC0-tlast) [Days 1 to 17]

    11. Part B: Maximum observed concentration (Cmax) [Days 1 to 17]

    12. Part B: Minimum observed concentration (Cmin) [Days 1 to 17]

    13. Part B: Time of the maximum observed concentration (tmax) [Days 1 to 17]

    14. Part B: Apparent terminal elimination half-life (t1/2) [Days 1 to 17]

    15. Part B: Apparent total clearance (CL/F) [Days 1 to 17]

    16. Part B: Apparent volume of distribution during the terminal phase (Vz/F) [Days 1 to 17]

    17. Part B: Observed accumulation ratio based on AUC0-τ (ARAUC0-τ) [Days 1 to 17]

    18. Part B: Observed accumulation ratio based on Cmax during the dosing interval (ARCmax) [Days 1 to 17]

    19. Part C: Number of participants with adverse events [Screening to follow-up (Approximately 7 weeks)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Key Inclusion Criteria:
    • Male or female adults, between 20 and 55 years of age, inclusive.

    • Body weight ≥50 kg, with body mass index (BMI) between 18.0 and 30.0 kg/m^2, inclusive.

    • In good health, at Screening or Day -1 as assessed by the Investigator.

    • Females will not be pregnant or lactating, and females of childbearing potential will agree to use contraception and to not donate eggs (ova, oocytes). Males will agree to use contraception and to not donate sperm.

    • Able to comprehend and willing to sign an informed consent form (ICF) and to abide by the study restrictions.

    Key Exclusion Criteria:
    • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, haematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the Investigator.

    • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days prior to dosing.

    • Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's wort, within 30 days prior to dosing.

    • Use or intend to use any prescription medications/products within 14 days or 5 half-lives (whichever is longer) prior to dosing, unless deemed acceptable by the Investigator.

    • Use or intend to use slow release medications/products considered to still be active within 14 days prior to dosing, unless deemed acceptable by the Investigator.

    • Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant derived preparations within 7 days prior to dosing, unless deemed acceptable by the Investigator.

    • Use of tobacco or nicotine-containing products within 3 months prior to Day -1, or positive cotinine test at screening or Day -1.

    • Ingestion of poppy seed-, Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to Day -1.

    • Consumption of caffeine- or xanthine-containing foods and beverages within 36 hours prior to Day -1.

    • Participation in strenuous exercised within 7 days prior to Day -1.

    • Receipt of blood products within 2 months prior to Day -1.

    • Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening.

    • Poor peripheral venous access.

    • Have previously completed or withdrawn from this study or have previously received the investigational medicinal product (IMP).

    • Subject is, in the opinion of the Investigator, unlikely to comply with the protocol or unsuitable to participate in this study for any reason.

    Other protocol defined Inclusion/Exclusion criteria may apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Labcorp Clinical Research Leeds United Kingdom LS2 9LH

    Sponsors and Collaborators

    • Kyorin Pharmaceutical Co.,Ltd

    Investigators

    • Study Chair: Yoji Mimaki, Kyorin Pharmaceutical Co.,Ltd

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Kyorin Pharmaceutical Co.,Ltd
    ClinicalTrials.gov Identifier:
    NCT04908800
    Other Study ID Numbers:
    • KRPA218-T101
    First Posted:
    Jun 1, 2021
    Last Update Posted:
    May 10, 2022
    Last Verified:
    May 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 10, 2022