The purpose of this study is to evaluate the safety and tolerability of single ascending oral doses of ASP2205 in healthy young male and female subjects. This study will also evaluate the safety and tolerability of multiple ascending oral doses of ASP2205 in healthy young and elderly female subjects.
Part 1 is a single ascending dose investigator-blinded study in healthy young male and female subjects. Six doses of ASP2205 or matching placebo will be given to separate cohorts consisting of 8 subjects each, with 6 subjects receiving ASP2205 and 2 subjects receiving matching placebo. ASP2205 or matching placebo will be given as a single oral dose under fasted conditions. The effect of a high-calorie high-fat meal (breakfast) on the safety, tolerability and pharmacokinetics of a single oral dose of ASP2205 will be evaluated in a separate cohort of 8 subjects in an open-label manner. Part 2 is a multiple ascending dose subject- and investigator-blinded study comprising 3 cohorts with each 12 healthy young (aged 25 to 55 years) female subjects and 1 cohort with 12 healthy elderly (aged 65 years or older) female subjects who will receive ASP2205 or matching placebo. Nine subjects in each cohort will be treated with ASP2205 and 3 subjects will be treated with matching placebo (ratio 3:1).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
93
Site GB44001
Harrow, United Kingdom
Part 1 and Part 2: Safety assessed by nature, frequency and severity of adverse events
Time frame: up to 29 days
Part 1 and Part 2: Safety assessed by vital signs
Vital signs include blood pressure, pulse rate, body temperature
Time frame: up to 29 days
Part 1 and Part 2: Safety assessed by orthostatic challenge test
Time frame: up to 29 days
Part 1 and Part 2: Assessment of clinical laboratory tests
Clinical laboratory tests include hematology, biochemistry and urinalysis
Time frame: up to 29 days
Part 1 and Part 2: Safety assessed by routine 12 lead electrocardiogram (ECG)
Time frame: up to 29 days
Part 1 and Part 2: Safety assessed by continuous cardiac monitoring (Holter ECG)
Time frame: up to 29 days
Part 1: Safety assessed by real-time cardiac monitoring (ECG telemetry)
Time frame: up to 16 days
Part 1 and Part 2: Safety laboratory test: prolactin
Time frame: up to 29 days
Part 1 and Part 2: Safety laboratory test: cortisol
Time frame: up to 29 days
Part 1 and Part 2: Safety laboratory test: bicarbonate (HCO3)
Time frame: up to 29 days
Part 1 and Part 2: Safety assessed by chemistry profile
Chemistry profile includes total cholesterol, high-density lipoprotein (HDL) / low-density lipoprotein (LDL), triglycerides
Time frame: up to 29 days
Part 1 and Part 2: Safety laboratory test: fasting blood glucose
Time frame: up to 29 days
Part 1 and Part 2: Safety laboratory test: creatinine urine
Time frame: up to 29 days
Part 1: Central nervous system (CNS) safety monitoring: Bond & Lader visual analogue scale (VAS)
Time frame: up to 4 days
Part 1: CNS safety monitoring: Drug effects questionnaire (DEQ) VAS
PhenX toolkit version
Time frame: up to 4 days
Part 1: Pharmacokinetics profile of ASP2205 in plasma: AUCinf, AUCinf (% extrapolated), AUClast, AUC24, CL/F, Cmax, terminal elimination rate constant, MRT, tlag, tmax, t1/2, Vz/F
Area under the concentration-time curve (AUC) from the time of dosing extrapolated to time infinity (AUCinf), percentage of AUCinf due to extrapolation from tlast to time infinity (AUCinf %extrapolated), AUC from the time of dosing to the last measurable concentration (AUClast), AUC from the time of dosing to 24 hours (AUC24), apparent total systemic clearance after single or multiple extravascular dosing (CL/F), maximum concentration (Cmax), mean residence time (MRT), time prior to the time corresponding to the first measurable (nonzero) concentration (tlag), time to maximum concentration (tmax), terminal elimination half-life (t1/2), apparent volume of distribution during the terminal elimination phase after single or multiple extravascular dosing (Vz/F)
Time frame: Day 1
Part 1: Pharmacokinetics profile of ASP2205 in urine: Aeinf, Aeinf%, Aelast, Aelast%, CLR
Cumulative amount of drug excreted into urine from time of dosing extrapolated to time infinity (Aeinf), percentage of drug dose excreted into urine from time of dosing extrapolated to time infinity (Aeinf%), cumulative amount of drug excreted into urine from time of dosing up to the collection time of the last measurable concentration (Aelast), percentage of drug dose excreted into urine from time of dosing up to the collection time of the last measurable concentration (Aelast%), renal clearance (CLR)
Time frame: Day 1
Part 2: Safety laboratory test: di-docosahexaenoyl-bis(monoacylglycerol) phosphate (di-22:6-BMP) in serum and urine
Time frame: up to 29 days
Part 2: CNS safety monitoring: CogState's neurocognition test battery (short version)
Time frame: up to 14 days
Part 2: CNS safety monitoring: Bond & Lader VAS
Time frame: up to 17 days
Part 2: CNS safety monitoring: DEQ VAS
PhenX toolkit version
Time frame: Time Frame : up to 13 days
Part 2: CNS safety monitoring: Addiction Research Center Inventory (49-item short form) (ARCI-49)
Time frame: up to 13 days
Part 2: CNS safety monitoring: Physician Withdrawal Checklist
Time frame: up to 29 days
Part 2: CNS safety monitoring: Columbia - Suicide Severity Rate Scale (C-SSRS)
Time frame: up to 29 days
Part 2: Appetite visual analogue scale (AVAS)
Time frame: up to 15 days
Part 2: Nausea VAS
From the McGill Nausea questionnaire
Time frame: up to 15 days
Part 2: Body weight
Time frame: up to 29 days
Part 2: Total daily urine production (24-hour volume)
Time frame: up to 15 days
Part 2: Total daily urine osmolality (24 hour pooled sample from each void)
Time frame: up to 15 days
Part 2: Total daily fluid intake
Time frame: up to 15 days
Part 2: Pharmacokinetic profile of ASP2205 in plasma: AUC24, Cmax, tlag, tmax
Time frame: Day 1
Part 2: Pharmacokinetic parameter: Ctrough
Time frame: Day 1 immediately prior to dosing (morning Ctrough and, only in case of twice daily dosing, evening C trough): days 2, 4, 6, 8, 10, 12
Part 2: Pharmacokinetic profile of ASP2205 in plasma: AUCtau, Cmax, tmax
Time frame: Days 12, 13 (in case of twice daily dosing)
Part 2: Pharmacokinetic profile of ASP2205 in plasma: AUCtau, CL/F, Cmax, terminal elimination rate constant, MRT, peak trough ratio (PTR), accumulation ratio calculated using the area under the concentration -time curve [Rac(AUC)], tmax, t1/2, VzF
Time frame: Day 14
Part 2: Pharmacokinetic profile of ASP2205 in urine: Aetau, Aetau%, CLR
Time frame: Day 14
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