Open-label prospective non-comparative safety, tolerability and pharmacokinetics ascending dose randomized cohort study of PBTZ169 (capsules 40 mg) in fasted healthy volunteers after single and multiple oral administration
Open-label prospective non-comparative safety, tolerability and pharmacokinetics ascending dose randomized cohort study of PBTZ169 (capsules 40 mg) in adult man healthy volunteers after single and multiple oral fasting administration. Study was conducted in one study center in Russian Federation. The study included two stages: * Stage 1 - single oral fasting administration with dose escalation in 5 cohorts 6 healthy man volunteers each in main groups (plus 1 back-up volunteer in every group); * Stage 2 - multiple oral fasting administration with dose escalation in 2 cohorts 6 healthy man volunteers each in main groups (plus 1 back-up volunteer in every group). Screening procedures for each cohort performed within 7 days before the drug prescription and after the end of administration period in previous cohort. Screening in cohorts 2 and 6 was started only after safety tolerability and PK data analysis of previous cohorts. All volunteers met the study inclusion/exclusion criteria was included successively into the following cohorts on Stage 1 (actual data): * Cohort 1 (C1) - 6 volunteers of the main group each of whom received once single dose of the drug - 1 capsule containing 40 mg of PBTZ169; * Cohort 2 (C2) - 6 volunteers of the main group each of whom received once 80 mg of PBTZ169 (2 capsules 40 mg); * Cohort 3 (C3) - 6 volunteers of the main group each of whom received once 160 mg of PBTZ169 (4 capsules 40 mg); * Cohort 4 (C4) - 6 volunteers of the main group each of whom received once 320 mg of PBTZ169 (8 capsules 40 mg); * Cohort 5 (C5) - 6 volunteers of the main group each of whom received once 640 mg of PBTZ169 (16 capsules 40 mg). On Stage 2 (actual data): * Cohort 6 (C6) - 5 volunteers of the main group each of whom received 320 mg of PBTZ169 (8 capsules 40 mg) once daily for 14 days; * Cohort 7 (C7) - 5 volunteers of the main group each of whom received 640 mg of PBTZ169 (16 capsules 40 mg) once daily for 14 days. Safety was assessed throughout the study. For every volunteer series of urine and venous blood samples was collected for the safety, tolerability and PK assessment of PBTZ169.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
40
40 mg of PBTZ169 (1 capsule) orally once in fasting state
80 mg of PBTZ169 (2 capsules 40 mg) orally once in fasting state
160 mg of PBTZ169 (4 capsules 40 mg) orally once in fasting state
Incidence of Drug-related Adverse Events [Safety and Tolerability]
The frequency of adverse events for which a relationship to the test drug PBTZ169 was noted
Time frame: 14±1 days after the drug administration (up to last visit time point)
Peak Plasma Concentration (Сmax) of PBTZ169
Up to 72 hours after the last drug administration: Single dosing (Cohorts 1-5): up to Day 4 (72 h after the dosing (Day 1)) Multiple dosing (Cohorts 6. 7): up to Day 17 (72 h after the last (14th) dosing)
Time frame: Up to 72 hours after the last drug administration
Time to Reach Maximum Concentration (Tmax) of PBTZ169
Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
Time frame: Up to 72 hours after the last drug administration
Area Under the Concentration-time Curve (AUC0-∞)
In the time interval from 0 to infinity
Time frame: Up to 72 hours after the last drug administration
Plasma Half-life Time (T1/2) of PBTZ169
Single dosing (Cohorts 1-5): data for the dosing day (Day 1). Multiple dosing (Cohorts 6, 7): data for days 1 (1st dose), 7 and 14 (last dose)
Time frame: Up to 72 hours after the last drug administration
Mean Plasma Retention Time (MRT) of PBTZ169
Time frame: Up to 72 hours after the last drug administration
Total (Plasma) Clearance (Cl) of PBTZ169
The Cl parameter was calculated using the following formulas: for Day 1: Cl=D/AUCinf; for Days 7 and 14: Clss=D/AUCτ
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320 mg of PBTZ169 (8 capsules 40 mg) orally once in fasting state
640 mg of PBTZ169 (16 capsules 40 mg) orally once in fasting state
320 mg of PBTZ169 (8 capsules 40 mg) orally once per day in fasting state for 14 days
640 mg of PBTZ169 (16 capsules 40 mg) orally once per day in fasting state for 14 days
Time frame: Up to 72 hours after the last drug administration
Volume of Distribution (Vd) of PBTZ169
Time frame: Up to 72 hours after the last drug administration
Elimination Constant (Kel) of PBTZ169
Data for doses 320 mg (Cohorts 4 and 6, total 11 volunters) \& 640 mg (Cohorts 5 and 7, total 11 volunters) were combined
Time frame: Up to 72 hours after the last drug administration
Renal Clearance (Clren) of PBTZ169
The renal clearance was calculated using values of the cumulative excretion in urine (from zero to 24 hours) and the area under the pharmacokinetic curve (from zero to 24 hours) (the ratio of the cumulative excretion to AUC0-24)
Time frame: Up to 24 hours after the drug administration
Peak Steady State Plasma Concentration (Cmax,ss) of PBTZ169
For cohorts 6 and 7 (multiple administration) only
Time frame: Up to 72 hours after the last drug administration
Time to Reach Maximum Steady State Concentration (Tmax,ss) of PBTZ169
For cohorts 6 and 7 (multiple administration) only
Time frame: Up to 72 hours after the last drug administration
Area Under the Plasma Concentration Versus Time Curve in Steady State (AUCss) of PBTZ169
For cohorts 6 and 7 (multiple administration) only
Time frame: Up to 72 hours after the last drug administration
Volume of Steady State Distribution (Vd,ss) of PBTZ169
For cohorts 6 and 7 (multiple administration) only
Time frame: Up to 72 hours after the last drug administration
Area Under the Concentration-time Curve (AUC0-t)
The area under the concentration-time curve from 0 to last blood sampling
Time frame: Up to 72 hours after the last drug administration
AUC0-t/AUC0-∞
AUC0-t/AUC0-∞ ratio
Time frame: Up to 72 hours after the last drug administration