This is a randomized, open-label, cross-over, pharmacokinetic and pharmacodynamic PK/PD study. (Part A)The PK portion of the study is designed to evaluate the pharmacokinetics of ALZT-OP1 (a combination drug therapy) designated as ALZT-OP1a and ALZT-OP1b, in both plasma and CSF, following co-administration of the two active investigational products, in healthy volunteers and Alzheimer subjects aged 55-79 and in good health. (Part B) The PD portion of the study will evaluate the pharmacodynamics of ALZT- OP1, using both plasma and CSF biomarkers, following 60 days of consecutive daily treatment, in AD subjects only.
This is a phase I/II randomized, open-label, cross-over, PK/PD study. The PK (Part A) portion of the study is designed to evaluate both single and double doses of ALZT-OP-1a (17.1mg or 34.2 mg) and ALZT-OP1b (10 mg or 20 mg) in both Alzheimer's subjects and healthy volunteers. The PD (Part B) portion of the study is designed to evaluate single doses of ALZT-OP-1a (17.1mg) and ALZT-OP1b (10 mg) in AD subjects treated for 60 days. An Alzheimer's control group will be utilized for comparison to active treatment groups but will not be administered study treatment; however, they will have biomarkers collected. PK (Part A) n=24, both healthy volunteers and AD subjects Part A is an open-label study, cross-over, PK study where 24 subjects will be randomly assigned to receive treatment regimen A-B or B-A for two consecutive day of dosing. Subjects will be admitted to the Phase 1 unit the morning before dosing and will initiate dosing the following morning for 2 consecutive days of dosing (A-B, or B-A). Day 1 (A-B) will consist of a single inhaled oral dose of ALZT-OP1a via dry powder inhaler + a single oral tablet dose of ALZT-OP1b. Day 2 (B-A) will consist of two oral inhaled doses of ALZT-OP1a, not more than 2 mins apart, via dry powder inhaler + two oral tablets doses of ALZT-OP1b. Day 1 (B-A) will consist of two oral inhaled doses of ALZT-OP1a, not more than 2 mins apart, via dry powder inhaler + two oral tablets doses of ALZT-OP1b. Day 2 (A-B) regimen consists of a single inhaled oral dose of ALZT-OP1a via dry powder inhaler + a single oral tablet dose of ALZT-OP1b. AD subjects will be given the option to roll over into the PD portion of the study. PD (Part B) n=32, AD subjects only Part B is an open-label, PD study where 32 AD subjects will be randomly assigned to receive either active treatment or be assigned to a non-treatment control arm. Twenty-four (24) subjects will be randomly assigned to Treatment Group 1 to receive a single (17.1 mg) inhaled dose of ALZT-OP1a plus a single (10 mg) oral dose of ALZT-OP1b daily for 60 days. Eight (8) subjects will be randomly assigned to Treatment Group 2 (Control Group) and will not be administered study drug. All subjects will have plasma collected on Day 1, Day 30, and Day 60 and CSF collected on Day 1 and Day 60.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
56
Drug : ALZT-OP1a 1. Mast cell stabilizer 2. Neuroinflammatory microglial modulator ALZT-OP1b anti-inflammatory Device: Dry Powder Inhaler The inhaler will be used to deliver ALZT-OP1a via oral inhalation for dosing on study.
Panax Clinical Research
Miami Lakes, Florida, United States
Part A Non-compartmental PK parameters will be calculated and reported for ALZT-OP1a and ALZT-OP1b
• PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF
Time frame: • 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUC 0-∞
Evaluation AUC 0-∞ (area under the curve from 0 to infinity)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUC 0-t
Evaluation AUC 0-t (area under the curve from 0 to t hours where t is the last measured concentration)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF AUCPLASMA/AUCCSF
Evaluation AUCPLASMA/AUCCSF (ratio at 60 min, 120 min, 240 min, 360 min and 480 min)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF CL/F
Evaluation CL/F (apparent total body clearance)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF Cmax
Evaluation Cmax (maximum plasma and CSF concentration observed)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF t½ (half-life)
Evaluation t½ (half-life)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF tmax
Evaluation tmax (sampling time at which Cmax occurred)
Time frame: 2 Days
PK profile for ALZT-OP1a and ALZT-OP1b in plasma and CSF Vd/F
Evaluation Vd/F (apparent volume of distribution)
Time frame: 2 Days
Biomarker Beta Amyloid (Αβ-42) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Beta Amyloid (Αβ-42)
Time frame: Day 1 to Day 60
Biomarker Beta Amyloid (Αβ-40) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Beta Amyloid (Αβ-40)
Time frame: Day 1 to Day 60
Biomarker Beta Amyloid (Αβ-38) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Beta Amyloid (Αβ-38)
Time frame: Day 1 to Day 60
Biomarker Total Tau Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Total Tau
Time frame: Day 1 to Day 60
Biomarker Neurofilament light (Nf-L) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Neurofilament light (Nf-L)
Time frame: Day 1 to Day 60
Biomarker Glial Fibrillary Acidic Protein (GFAP) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Glial Fibrillary Acidic Protein (GFAP)
Time frame: Day 1 to Day 60
Biomarker P-Tau (Thr 231) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation P-Tau (Thr 231)
Time frame: Day 1 to Day 60
Biomarker Interferon-γ (IFN-γ) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Interferon-γ (IFN-γ)
Time frame: Day 1 to Day 60
Biomarker Tumor Necrosis Factor-α (TNF-α) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Tumor Necrosis Factor-α (TNF-α)
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Time frame: Day 1 to Day 60
Biomarker Transforming Growth Factor-β1 (TGF-β1) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Transforming Growth Factor-β1 (TGF-β1)
Time frame: Day 1 to Day 60
Biomarker CD33 Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation CD33
Time frame: Day 1 to Day 60
Biomarker Triggering Receptor Expressed on Myeloid Cells-2 (TREM2) Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Triggering Receptor Expressed on Myeloid Cells-2 (TREM2)
Time frame: Day 1 to Day 60
Biomarker Neurogranin Sample Analysis plasma and CSF Day 1 to 60 Days
Evaluation Neurogranin
Time frame: Day 1 to Day 60