The purpose of the trial is to evaluate CUR-N399, a PI4KB inhibitor, in a first-in-human trial to evaluate the safety, tolerability and pharmacokinetics profile of single and multiple ascending doses in healthy adults. In the SAD part of the trial, single oral doses of CUR-N399 will be administered in 5 sequential cohorts. In all cohorts, safety and PK will be assessed before and after dose. Exploratory nasopharyngeal swab for assessment of airway infectants will be performed before dose and in the morning of Day 3. In SAD part Cohort 4: A urine sample will be taken from the first morning void on Day 1 and urine will be collected for potential quantification of CUR-N399 (and metabolites) during the first 24 hours post-dose. The MAD part of the trial will explore multiple ascending dosing of CUR-N399. The initial dose, dose escalation and dosing schedule will be based on emerging knowledge of safety, tolerability and PK of CUR-N399 observed in the SAD part of the trial. CUR-N399 will be administered in 3 sequential cohorts. An additional MAD cohort will evaluate CUR-N399 in older adults ≥65 years. All SAD and MAD cohorts will evaluate 8 subjects. Within each cohort, subjects will be randomised in a 3:1 ratio to receive CUR-N399 (n=6) or placebo (n=2) in a blinded fashion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
74
CTC Clinical Trial Consultants AB
Uppsala, Sweden
All Parts: Adverse events (AE)
• Incidence (frequency, intensity and seriousness) of AEs
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in electrocardiograms (ECGs)
• Single 12-lead ECG will be recorded in supine position after 10 minutes of rest using an ECG machine. HR and PR, QRS, QT and QTcF intervals will be recorded.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in vital signs (pulse)
• Pulse will be recorded.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in vital signs (blood pressure)
• Blood pressure will be recorded.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in safety laboratory parameters (clinical chemistry)
• Blood samples for analysis of clinical chemistry parameters: * Alanine aminotransferase (ALT) * Albumin * Alkaline phosphatase (ALP) * Aspartate aminotransferase (AST) * Bilirubin (total and conjugated) * Calcium * Cholesterol (HDL, LDL, total) * Creatinine (estimated Glomerular Filtration Rate \[eGFR\] included) * C-reactive protein (CRP) * Glucose * Lactate dehydrogenase (LD) * Phosphate * Potassium * Sodium * Triglycerides * Urea will be collected and sent to the certified clinical chemistry laboratory and analysed by routine analytical methods.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in safety laboratory parameters (heamatology)
• Blood samples for analysis of haematology parameters: * Haematocrit * Haemoglobin (Hb) * Platelet count * Red blood cell (RBC) count * White blood cell (WBC) count with differential count will be collected and sent to the certified clinical chemistry laboratory and analysed by routine analytical methods.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in safety laboratory parameters (coagulation)
• Blood samples for analysis of coagulation parameters: * Activated Partial Thromboplastin Time (APTT) * Prothrombin Complex International Normalised Ratio (PK\[INR\]) will be collected and sent to the certified clinical chemistry laboratory and analysed by routine analytical methods.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Clinically significant changes in physical examinations
• Routine physical examinations will be performed. Incidence of clinically significant changes will be recorded.
Time frame: From start of treatment Day 1 to End of Study (Day 8 SAD and Day 14 MAD)
All Parts: Pharmacokinetics (PK) of CUR-N399 (AUC0-t)
Area under the curve (AUC) from time 0 to time t (AUC0-t)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (AUC0-∞)
AUC from time 0 to infinity (AUC0-∞)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (T½)
Terminal half-life (T½)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (Cmax)
Observed maximum plasma concentration (Cmax)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (Tmax)
Time to Cmax (Tmax)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (dose proportionality)
Dose proportionality (based on AUC and Cmax)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (CL/F)
Apparent total body clearance following extravascular administration (CL/F)
Time frame: Pre-dose Day 1 to 48 hours post last dose (Day 3 SAD and Day 9 MAD respectively)
All Parts: Pharmacokinetics (PK) of CUR-N399 (Vz/F)
Apparent volume of distribution following extravascular administration (Vz/F)
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Time frame: Pre-dose Day 1 to 48 post last dose (Day 3 SAD and Day 9 MAD respectively)
Part II a+b: Pharmacokinetics (PK) of CUR-N399 (AUCtau) for MAD groups
AUC for the dosing interval (AUCtau)
Time frame: After first dose (Day 1) and up to 48 hours post last dose (Day 9)
Part II a+b: Pharmacokinetics (PK) of CUR-N399 (Ctrough) for MAD groups
Observed concentration at the end of a dosing interval (Ctrough)
Time frame: Pre-dose administration on Days 2 to 7
Part II a+b: Pharmacokinetics (PK) of CUR-N399 (Accumulation ratio) for MAD groups
Accumulation ratio
Time frame: Day 1 to 48 hours post last dose (Day 9)