Arm 1: Primary Objective: • To determine the safety and tolerability of multiple ascending, supratherapeutic doses of HPN-100. Arm 2: Primary Objective: • To assess the effects of steady-state levels of HPN-100 metabolites (4 phenylbutyric acid \[PBA\], phenylacetic acid \[PAA\], and phenylacetylglutamine \[PAGN\]) on 12-lead electrocardiogram (ECG) parameters in healthy male and female subjects with the primary endpoint being the time-matched change from baseline in the QT interval corrected for heart rate (HR) based on an individual correction method (QTcI).
Assess the effects of steady-state levels of HPN-100 metabolites (4-phenylbutryic acid (PBA), phenylacetic acid (PAA), and phenylacetylglutamine (PAGN) on 12-lead electrocardiogram (ECG) parameters in health male and female subjects with the primary endpoint being the time-matched change from baseline in the QT interval corrected for heart rate(HR) based on an individual correction method (QTcl). Study acquired from Horizon in 2024.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
TRIPLE
Enrollment
98
Covance Clinical Pharmacology, Inc.
Madison, Wisconsin, United States
Safety and tolerability as measured by the rate and severity of adverse events in each treatment group.
Time frame: 3-day treatment period
Changes from baseline QTcI as a measure of effects of study-state HPN-100 metabolites: PBA, PAA, and PAGN
Time frame: 4 treatment regimens for 3 days with a 4 day minimum washout period between treatments
Correlate time-matched ECG waveform changes to steady-state levels of HPN-100 by using QTcB and QTcF formulas to assess ECG morphologic changes.
Time frame: 4 treatment regimens for 3 days with a 4 day minimum washout period between treatments
Correlate time-matched QTcI change from baseline and serum levels of PBA, PAA, and PAGN drawn on Day 1, Day 2, Day 3, and Day 4
Time frame: 4 treatment regimens for 3 days with a 4 day minimum washout period between treatments
Gender differences in metabolism of HPN-100 as measured by time-matched serum levels of HTN-100, PBA, PAA, and PAGN via samples drawn on Day 1, Day 2, Day 3, and Day 4.
Time frame: 4 treatment regimens for 3 days with a 4 day minimum washout period between treatments
Number and severity of adverse events in each treatment group.
Time frame: 4 treatment regimens for 3 days with a 4 day minimum washout period between treatments
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single oral 400-mg dose on study Day 3
single oral dose of 6 mL HPN-100 and 3 mL placebo given via syringes 3 times daily for 3 days
single oral dose of 9 mL HPN-100 given via syringes 3 times daily for 3 days