This will be the first clinical study of oral administration SMP-100 in healthy subjects. The proposed randomized Phase 1 trial is a double-blind, placebo-controlled, single and multiple ascending dose study in approximately 72 healthy male and female subjects.
SMP-100 is a novel serotonin receptor 3 (5-HT3) partial agonist which has been designed to be a safe and effective therapy for irritable bowel syndrome (IBS) patients . This will be a single center, Phase 1, double-blind, placebo-controlled, randomized, sequential single ascending dose (SAD)/ multiple ascending dose (MAD) study to assess the safety, tolerability, and PK of SMP-100 in healthy adult male and female subjects. The study will be divided into two parts: Part A: SAD cohorts Part A will consist of 6 cohorts (1 cohort per dose level) of 8 subjects (6 subjects receiving the study drug and 2 receiving matching placebo), for a total of 48 subjects. Each subject will participate in only one cohort. Efforts will be made to randomize at least 3 subjects of each gender in each cohort. Part B: MAD cohorts Part B will consist of 3 cohorts (1 cohort per dose level) of 8 subjects. Six subjects will receive study drug and 2 subjects will receive matching placebo, daily for 14 consecutive days, for a total of 24 subjects (18 study drug; 6 placebo). Each study subject will participate in only one cohort. Efforts will be made to randomize at least 3 subjects of each gender in each cohort. For both Part A and Part B, subjects who withdraw or are withdrawn from the study after dosing, for reasons other than safety and tolerability, may be replaced after consultation between the Safety Review Committee (SRC) members. The total number of subjects dosed (including potential replacement subjects) will remain within a maximum of 10 subjects per cohort.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
53
CMAX Clinical Research Pty Ltd
Adelaide, Australia
Safety Endpoints of SAD
Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.
Time frame: 10±2 days post dose
Safety Endpoints of MAD
Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.
Time frame: 13±2 days post last dose
PK Endpoints AUC0-t of SAD
area under the concentration-time curve from time zero to the last non-zero concentration (AUC0-t)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints AUC0-24 of SAD
area under the concentration-time curve from time zero to time 24 hours (AUC0-24)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints AUC0 inf of SAD
area under the concentration-time curve from time zero to infinity (extrapolated) (AUC0 inf)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints Cmax of SAD
maximum plasma concentration (Cmax)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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PK Endpoints Tmax of SAD
time of maximum concentration ( Tmax)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints T½ el of SAD
elimination half-life ( T½ el)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints Cl/F of SAD
Total body clearance, calculated as Dose / AUC0-inf (Cl/F)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints Vz/F of SAD
apparent volume of distribution, calculated as Dose / (Kel \* AUC0-inf) (Vz/F)
Time frame: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
PK Endpoints AUC0-24 of MAD
area under the concentration-time curve from time zero to time 24 hours (AUC0-24)
Time frame: Day 1
PK Endpoints Cmax of MAD
maximum plasma concentration (Cmax)
Time frame: Day 1
PK Endpoints Tmax of MAD
time of maximum concentration ( Tmax)
Time frame: Day 1
PK Endpoints T½ el of MAD
elimination half-life ( T½ el)
Time frame: Day 1
PK Endpoints AUC0-τ of MAD
area under the concentration-time curve at steady-state from time zero to time 24 hours ( AUC0-τ)
Time frame: Day 14
PK Endpoints AUC0-48 of MAD
area under the concentration-time curve from time zero to time 48 hours ( AUC0-48)
Time frame: Day 14
PK Endpoints AUC0-72 of MAD
area under the concentration-time curve from time zero to time 72 hours ( AUC0-72)
Time frame: Day 14
PK Endpoints Cmax ss of MAD
maximum observed concentration at steady-state (Cmax ss)
Time frame: Day 14
PK Endpoints Tmax ss of MAD
time of maximum concentration at steady-state(Tmax ss)
Time frame: Day 14
PK Endpoints Cmin ss of MAD
minimum observed concentration at steady-state(Cmin ss)
Time frame: Day 14
PK Endpoints AUC0- t of MAD
area under the concentration-time curve from time zero to the last non-zero concentration(AUC0- t)
Time frame: Day 14
PK Endpoints T½ el of MAD
elimination half-life(T½ el)
Time frame: Day 14
PK Endpoints Clss/F of MAD
total body clearance at steady-state, calculated as Dose / AUC0-inf(Clss/F)
Time frame: Day 14
PK Endpoints Vz ss/F of MAD
apparent volume of distribution at steady-state, calculated as Dose / (Kel \* AUC0-inf)(Vz ss/F)
Time frame: Day 14
Plasma concentration observed of MAD
Plasma concentration observed will be presented
Time frame: before treatment administrations (Ctrough) during repeated dosing (Days 2-13)