This is a single centre, open label, randomized, 3 treatment arms, with and without food dosing, Phase 1b pharmacology study to assess the safety, tolerability, Pharmacokinetics (PK) and Pharmacodynamics (PD) of Farnesoid X Receptor (FXR) agonist/modulator EYP001a in healthy volunteers and Nonalcoholic Steatohepatitis (NASH) patients.
In total 16 participants (4 healthy volunteers and 12 NASH patients) will be enrolled and randomly assigned to one of the 3 treatment arms: * Treatment Arm 1: Dose A once daily morning dose (n=4 NASH patients, n=4 healthy volunteers) * Treatment Arm 2: Dose B once daily morning dose (n=4 NASH patients) * Treatment Arm 3: Dose C twice daily - first morning dose and second dose 3 hours post first dose (n=4 NASH patients). Subsequently, all the enrolled participants (both healthy volunteers and NASH patients) will be randomly assigned to one of the 2 parallel study Groups: * Group A (n=8, 2 healthy volunteers and 6 NASH patients): This group will include 2 NASH patients from Treatment Arms 1, 2 and 3 and 2 healthy volunteers from Treatment Arm 1. Participants in Group A will be dosed in a fasted state on Days 2, 3, 4 and 5 followed by dosing in fed state on Days 6, 7, 8 and 9. * Group B (n=8, 2 healthy volunteers and 6 NASH patients): This group will include 2 NASH patients from Treatment Arms 1, 2 and 3 and 2 healthy volunteers from Treatment Arm 1. Participants in Group B will be dosed in a fed state on Days 2, 3, 4 and 5 followed by dosing in fasted state on Days 6, 7, 8 and 9. The maximum total engagement duration for eligible participants in this study is up to 76 days: 60 days screening, 1-day admission visit and 8 days dosing period (in-patient in clinical trial unit) and 7 days follow-up. The participants who are eligible for enrolment will be admitted to the Clinical Trial Unit on Day 1. The participants will receive EYP001a at the study site by trained personnel per the schedule of dosing for the study from Day 2 to Day 9 in fed/fasted state depending upon the study group. Participants will be discharged on the morning (8:00 AM) of Day 10 after collection of last PK and PD blood samples. Participants will return to the Clinical Trial Unit on Day 16 for the follow-up visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Oral tablets
ENYO Pharma clinical site
Randwick, New South Wales, Australia
Maximum plasma concentration (Cmax) of EYP001a
Time frame: Day 2 through day 9
Time to reach maximum concentration (Tmax) after EYP001a administration
Time frame: Day 2 through day 9
Area under the concentration-time curve (AUC) from time 0 to last measurable concentration (AUC0-10h and AUClast) of EYP001a
Time frame: Day 2 through day 9
Area under the concentration-time curve (AUC) and Maximum plasma concentration (Cmax) ratios
Time frame: Day 2 through day 9
Type and frequencies of Adverse events
Time frame: Day 1 through day 16
Bile acid precursor : C4 (7αhydroxy-4-cholesten-3-one)
pg/mL (picogram per milliliter). These will be measured in plasma samples using a validated method
Time frame: Day 2 through day 9
Bile acid precursor : Fibroblast growth factor 19 (FGF19)
mg/mL (milligram per milliliter). These will be measured in plasma samples using a validated method
Time frame: Day 2 through day 9
Total Bile acids (secondary and primary)
These will be measured in plasma samples using a validated method
Time frame: Day 1 through day 9
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