The XEN1101 Phase 1 clinical trial is a randomized, double-blind, placebo-controlled study that will evaluate the safety, tolerability and PK of both single ascending doses (SAD) and multiple ascending doses (MAD) of XEN1101 in healthy subjects. In addition to safety and PK data, the clinical trial has been designed to include a pharmacodynamic read-out by incorporating a pilot transcranial magnetic stimulation (TMS) sub-study. The TMS model sub-study is designed to demonstrate delivery of XEN1101 into the central nervous system and to observe a change in cortical excitability as measured by EEG and/or electromyographic (EMG) activity. Part 3, 4 and 5: Phase 1, randomised, multi part study to evaluate the safety, tolerability, PK, relative bioavailability and food effect of single and multiple ascending doses of XEN1101 and Preliminary Drug-Drug Interaction Assessment with Itraconazole.
Part 1 will study safety, tolerability, PK of single ascending doses (SAD) of XPF-008 as well as the impact and variability of single ascending doses of XPF-008 on TMS. Part 2 will study the safety, tolerability and PK of multiple ascending doses (MAD) of XPF-008 Part 3 will explore dose proportionality of XPF-010 and confirm dosing for subsequent cohorts, and the food effect and relative bioavailability of XPF-010 compared to XPF-008. Part 4 will explore multiple dose PK. Part 5 will explore the drug-drug interaction of XPF-010, when given with itraconazole.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
130
Richmond Pharmacology Ltd.
London, United Kingdom
Parts 1 & 2: Number of Participants with Adverse Events (AEs)
To assess AEs as a criteria of safety and tolerability
Time frame: From screening (28 days prior to Day 1) through to 30 days post-final dose
Parts 1 & 2: Resting electrocardiogram (ECG)
To assess ECG as a criteria of safety and tolerability
Time frame: At screening (28 days prior to Day 1) through to 7 days post-final dose
Parts 1 & 2: Vital signs
To assess vital signs as a criteria of safety and tolerability
Time frame: At screening (28 days prior to Day 1) through to 7 days post-final dose
Part 3a: Maximum Observed Plasma Concentration (Cmax) of XEN1101
To characterize the PK profile of XEN1101 and M11 (a metabolite of XEN1101) in plasma of single ascending, oral doses of XPF-010
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 3a: Area under the plasma concentration-time curve (AUC) of XEN1101
To characterize the PK profile of XEN1101 and M11 (a metabolite of XEN1101) in plasma of single ascending, oral doses of XPF-010
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 3a: Frequency and severity of treatment-emergent adverse events (TEAEs), treatment-emergent serious adverse events (SAEs), and TEAEs leading to treatment discontinuations
To evaluate the safety and tolerability of XEN1101 (XPF-010)
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 3b: Maximum Observed Plasma Concentration (Cmax) of XEN1101
To assess the Food Effect on PK (Cmax) and the relative bioavailability/comparability (Cmax) of XEN1101 following single oral doses of XPF-010 (fed), XPF-008 (fed) and XPF-010 (fasted)
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 3b: Area under the plasma concentration-time curve (AUC) of XEN1101
To assess the Food Effect on PK (AUC0-240h) and the relative bioavailability/comparability (AUC0-240h) of XEN1101 following single oral doses of XPF-010 (fed), XPF-008 (fed) and XPF-010 (fasted)
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 3b: Frequency and severity of TEAEs, treatment-emergent SAEs, and TEAEs leading to treatment discontinuations
To evaluate the safety and tolerability of XEN1101
Time frame: At screening (27 days prior to Day -1) through to 31 days post dose
Part 4: Maximum Observed Plasma Concentration (Cmax) of XEN1101
To characterize the PK profile of XEN1101 and M11 (metabolite of XEN1101) in plasma of multiple daily oral doses of XPF-010
Time frame: At screening (27 days prior to Day -1) through to 51 days post dose
Part 4: Area under the plasma concentration-time curve (AUC) of XEN1101
To characterize the PK profile of XEN1101 and M11 (metabolite of XEN1101) in plasma of multiple daily oral doses of XPF-010
Time frame: At screening (27 days prior to Day -1) through to 51 days post dose
Part 4: Frequency and severity of TEAEs, treatment-emergent SAEs, and TEAEs leading to treatment discontinuations
To evaluate the safety and tolerability of XEN1101 (XPF-010)
Time frame: At screening (27 days prior to Day -1) through to 51 days post dose
Part 5: Maximum Observed Plasma Concentration (Cmax) of XEN1101
To assess the PK of XEN1101 (XPF-010) in the presence and absence of itraconazole
Time frame: Day 10 and Day 11
Part 5: Area under the plasma concentration-time curve (AUC) of XEN1101
To assess the PK of XEN1101 (XPF-010) in the presence and absence of itraconazole
Time frame: Day 10 and Day 11
Part 5: Frequency and severity of TEAEs, treatment-emergent SAEs, and TEAEs leading to treatment discontinuations
To evaluate the safety and tolerability of XEN1101 (XPF-010)
Time frame: At screening (27 days prior to Day -1) through to 51 days post dose
Parts 1 & 2: Maximum Observed Plasma Concentration (Cmax)
Cmax is the maximum observed plasma concentration in ng/mL
Time frame: Day 1 predose through to 7 days post-final dose
Parts 1 & 2: Time to the Maximum Observed Plasma Concentration (Tmax)
Tmax is the time in hours to reach Cmax following dosing
Time frame: Day 1 predose through to 7 days post-final dose
Parts 1 & 2: Terminal elimination half-life (t1/2)
The time in hours required for the plasma level of the study drug to decrease by one-half during the terminal elimination phase
Time frame: Day 1 predose through to 7 days post-final dose
Parts 1 & 2: Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Quantifiable Plasma Concentration (AUC0-last)
The area under the plasma concentration-time curve \[in ng.h/mL\] from time zero to the time corresponding to the last quantifiable plasma concentration
Time frame: Day 1 predose through to 7 days post-final dose
Parts 3 to 5: Cardiac Safety
To evaluate the cardiovascular safety profile of XEN1101 (XPF-010), assessing potential ECG interval changes from baseline following dosing, in particular any effects on the QTc interval.
Time frame: At screening (27 days prior to Day -1) through to 11 days post dose for Parts 3a and 3b and at screening (27days prior to Day -1) through to Day 21
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