The purpose of this study is to identifying the intramuscular dose equivalent to the 4mg intravenous dose and assess its safety and tolerability as a weekly injection.
The purpose of this bridging study is to advance the therapeutic development of Allopregnanolone (Allo) by using the intramuscular (IM) route of administration as an alternative to the intravenous (IV) route. In order to identify the equivalent IM dose we will conduct pharmacokinetic (PK) analysis previously informed by simulations and modeling. We will recruit a total of 12 participants, both males and females equally distributed, into this single-arm, open-label study. PK analysis and dose finding will take place for the initial 4 weeks; some participants may not require all 4 weeks of initial dosing to establish maintenance dose. Once maintenance dose is established all participants will receive weekly administration of Allo IM until they complete 12 weeks total of Allo exposure (5 or 6 clinic visits and 6 or 7 home-nurse visits).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Administration of weekly IM injections of Allopregnanolone.
University of Southern California - Alzheimer Disease Research Center - Healthcare Consultation Center II
Los Angeles, California, United States
Safety - Adverse events
Incidence and severity of treatment emergent adverse events assessed weekly.
Time frame: From baseline to visit 16 (14 weeks)
Safety - clinical laboratory measures
Proportion of subjects exceeding pre-established critical laboratory values.
Time frame: From Baseline to visit 16 (14 weeks)
Safety - clinical assessment
Proportion of subjects with abnormal findings in physical/neurological exams, vital signs and electrocardiograms.
Time frame: From Baseline to visit 16 (14 weeks)
Pharmacokinetic parameter - Cmax
Determine maximum serum concentration of Allo after IM administration of each dose.
Time frame: Visits 3 - 6 (up to 4 weeks)
Pharmacokinetic parameter - AUC
Determine the area under the curve after each IM administration of Allo.
Time frame: Visits 3 - 6 (up to 4 weeks)
Pharmacokinetic parameter - Tmax
Determine the time at which Cmax is attained.
Time frame: Visits 3 - 6 (up to 4 weeks)
Pharmacokinetic parameter - Clearance
Pharmacokinetic measurement of the volume of plasma from which Allo is completely removed per unit time.
Time frame: Visits 3 - 6 (up to 4 weeks)
Pharmacokinetic parameter - Volume of distribution
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Determine the volume of distribution at steady state of Allo.
Time frame: Visits 3 - 6 (up to 4 weeks)
Satisfaction and feasibility of home nurse survey
Standardized patient satisfaction questionnaire to assess the feasibility of home-health care visits to administer the study medication and its desirability by participants and caregivers. Levels of satisfaction measured on a 5-point scale (1 = lowest satisfaction, 5 = greatest).
Time frame: Visits 8-9 and 11-15 (up to 8 weeks)