This single-center study will be conducted in 3 phases: a single-ascending dose phase (up to 8 cohorts, 8 subjects/cohort), a multiple-dose phase (up to 5 cohorts, 9 subjects/cohort), and a midazolam drug-drug interaction phase (one cohort of 8 subjects).
The single-dose phase initiates with ascending doses of an oral solution followed by a 3-way crossover food effect and bioavailability (capsule formulation) cohort. Serum IGF-1 levels and GHRH-analog stimulated GH levels will be assessed as pharmacodynamics measures. The first multiple-dose (7 days dosing) cohort will be initiated after the PK and safety data are available from the single-dose phase. Subsequent multiple-dose cohorts will have 10 days of dosing. Serum IGF-1 level and GH levels will be assessed as pharmacodynamics measures. The last cohort in the study is midazolam drug-drug interaction study. The dose will be selected based on review of all pharmacokinetic and safety data for the single-dose and multiple-dose cohorts completed. On Day 1, 8 subjects will receive a single oral 2 mg dose of midazolam. Starting on Day 3 through Day 8, subjects will receive daily doses of CRN00808. On Day 9, subjects will be administered CRN00808 and 2 mg midazolam together.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
99
Investigational drug
Placebo
Midazolam as part of the drug-drug interaction arm of the study
Nucleus Network
Melbourne, Victoria, Australia
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of CRN00808 single ascending doses using clinical assessments, telemetry, and Holter monitoring and subject self-reporting
ECG, clinical laboratory parameters, vital signs, physical examinations, telemetry, Holter monitoring
Time frame: Day 1 through Day 10
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] of CRN00808 multiple ascending doses using clinical assessments and subject self-reporting
ECG, clinical laboratory parameters, vital signs, physical examinations
Time frame: Day 1 through Day 21
AUC of CRN00808 single ascending doses
plasma AUC
Time frame: Day 1 through Day 7
Cmax of CRN00808 single ascending doses
plasma Cmax
Time frame: Day 1 through Day 7
t1/2 of CRN00808 single ascending doses
plasma t1/2
Time frame: Day 1 through Day 7
Tmax of CRN00808 single ascending doses
plasma Tmax
Time frame: Day 1 through Day 7
AUC of CRN00808 multiple ascending doses
plasma AUC
Time frame: Day 1 through Day 20
Cmax of CRN00808 multiple ascending doses
plasma Cmax
Time frame: Day 1 through Day 20
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Placebo
t1/2 of CRN00808 multiple ascending doses
plasma t1/2
Time frame: Day 1 through Day 20
Tmax of CRN00808 multiple ascending doses
plasma Tmax
Time frame: Day 1 through Day 20
Pharmacodynamics of CRN00808 in single ascending dose cohorts assessed by GHRH analog stimulated GH levels
Suppression of serum GH induced by a GH secretagogue
Time frame: Day -1 and Day 1
Effect of CRN00808 on pharmacokinetics of midazolam
midazolam plasma AUC
Time frame: Day 1 through Day 10
Effect of CRN00808 on Cmax of midazolam
midazolam plasma Cmax
Time frame: Day 1 through Day 10
Effect of CRN00808 on t1/2 of midazolam
midazolam plasma t 1/2
Time frame: Day 1 through Day 10
Effect of CRN00808 on Tmax of midazolam
midazolam plasma Tmax
Time frame: Day 1 through Day 10
Relative bioavailability of capsule formulation
single-dose crossover arm only
Time frame: Day 1 to Day 7
Effect of food on Cmax of CRN00808
plasma Cmax compared with and without food in single dose arm
Time frame: Day 1 to Day 7
Effect of food on AUC of CRN00808
Plasma AUC compared with and without food in single dose arm
Time frame: Day 1 to Day 7
Pharmacodynamics of CRN00808 in multiple ascending dose cohorts assessed by serum IGF-1 and GH
serum IGF-1 and GH
Time frame: Day -1 to Day 21