Drug Interaction Study of CT1812 in Healthy Volunteers

Sponsor
Cognition Therapeutics (Industry)
Overall Status
Completed
CT.gov ID
NCT03716427
Collaborator
(none)
16
1
1
3.2
5

Study Details

Study Description

Brief Summary

This is Phase 1, single-center, open-label, single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of 4 probe drugs (tolbutamide, midazolam, dextromethorphan and omeprazole).

Detailed Description

This is Phase 1, single-center, open-label, single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of 4 probe drugs (tolbutamide, midazolam, dextromethorphan and omeprazole).

Each subject will qualify for entry into the study within 35 days before admission to the clinical unit. Subjects will check into the clinical unit on Day -3 for baseline assessments. Each subject will receive a single dose of each of the probe drugs on Day -2 as a 'cocktail'. A single dose of CT1812 and each of the probe drugs will be co-administered on Day 6. On Days 1 through 5, subjects will receive a single daily dose of CT1812.

Study Design

Study Type:
Interventional
Actual Enrollment :
16 participants
Intervention Model:
Sequential Assignment
Intervention Model Description:
This is Phase 1, single-center, open-label, single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of 4 probe drugs (tolbutamide, midazolam, dextromethorphan and omeprazole)This is Phase 1, single-center, open-label, single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of 4 probe drugs (tolbutamide, midazolam, dextromethorphan and omeprazole)
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Fixed-Sequence Trial to Examine the Effect of Multiple-Dose CT1812 Administration on Standard Probes of CYP2C19 (Omeprazole), CYP2C9 (Tolbutamide), CYP2D6 (Dextromethorphan), and CYP3A4/5 (Midazolam) Activity in Healthy Adult Volunteers
Actual Study Start Date :
Nov 10, 2016
Actual Primary Completion Date :
Dec 27, 2016
Actual Study Completion Date :
Feb 15, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Active Treatment- CT1812 560 mg

Single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of 4 probe drugs (tolbutamide, midazolam, dextromethorphan and omeprazole)

Drug: CT1812

Drug: tolbutamide
Single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of tolbutamide

Drug: dextromethorphan
Single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of dextromethorphan

Drug: Omeprazole
Single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of omeprazole

Drug: midazolam
Single-sequence drug-drug interaction study to determine the effect of CT1812 (560 mg) once daily on the pharmacokinetics of midazolam

Outcome Measures

Primary Outcome Measures

  1. Area under the plasma-concentration time curve of CT1812 (Day 6) compared to the baseline values (Day -2) [10 days]

    Single dose (Day -2 and Day 6) pharmacokinetic parameter Area under the plasma-concentration time curve

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Willing and able to provide written informed consent prior to initiation of any study-related procedures.

  2. Men and women ≥ 18 and ≤ 55 years of age

  3. In good health as determined by medical history, physical exam, laboratory examinations, ECG, and vital signs

  4. BMI between 18 and 35 kg/m2, inclusive

  5. Have a normal 12-lead electrocardiogram, without any clinically significant abnormalities of rate, rhythm or conduction

  6. Non-smokers; defined as not having smoked in the previous 6 months

  7. Women who are neither pregnant (negative pregnancy test) nor nursing, and are either:

  8. Surgically sterile (bilateral tubal ligation, hysterectomy), or

  9. Postmenopausal with last natural menses greater than 12 months, or

  10. Premenopausal and using an acceptable barrier form of birth control from screening until two-weeks post discharge. Acceptable forms of birth control include abstinence and any double combination of: hormonal contraceptive, intrauterine device (IUD), male or female condom, diaphragm, sponge, and cervical cap. Spermicides may be used, but is not considered one of the required double barrier methods. All premenopausal female subjects (regardless of whether they are surgically sterile) must have a negative serum pregnancy test at screening and baseline.

Exclusion Criteria:
  1. Known hypersensitivity or allergy to omeprazole, tolbutamide, dextromethorphan, midazolam, or CT1812

  2. Absence of one functional allele for CYP2D6, CYP2C9 or CYP2C19 at screening

  3. Any disease or condition (medical or surgical) which, in the opinion of the Investigator, might compromise the hematologic, cardiovascular, pulmonary, renal, gastrointestinal, hepatic, or central nervous system; or other conditions that may interfere with the absorption, distribution, metabolism or excretion of study drug, or would place the subject at increased risk

  4. The presence of abnormal laboratory values which are considered clinically significant

  5. Positive screen for Hepatitis B (HbsAg, Hepatitis B Surface Antigen), Hepatitis C (anti HCV, Hepatitis C Antibody), or HIV (anti-HIV 1/2)

  6. Received an investigational drug within a period of 30 days prior to enrollment in the study

  7. Received any drug therapy within 2 weeks prior to administration of the first dose of any study-related treatment. This exclusion is extended to 4 weeks for any drugs known to induce or inhibit hepatic drug metabolism.

  8. Consumption of alcohol within 14 days prior to dose administration or during any in-patient period

  9. A positive urine drug screen including ethanol, cocaine, THC, barbiturates, amphetamines, benzodiazepines, and opiates

  10. Any history of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid within the past two years, or any history of drug abuse or addiction within the past two years

  11. A history of difficulty with donating blood

  12. Donated whole blood within 45 days or blood products within 7 days prior to enrollment.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Jasper Clinic Kalamazoo Michigan United States 49007

Sponsors and Collaborators

  • Cognition Therapeutics

Investigators

  • Study Director: Alyssa Galley, Cognition Therapeutics, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Cognition Therapeutics
ClinicalTrials.gov Identifier:
NCT03716427
Other Study ID Numbers:
  • COG0103
First Posted:
Oct 23, 2018
Last Update Posted:
Oct 23, 2018
Last Verified:
Oct 1, 2018
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 Oct 23, 2018