This is a phase I, double-blind, placebo-controlled, randomized, single- and multiple-ascending dose study to evaluate new study intervention, PS1. PS1 is a potential blood glucose control medication, which is developed by Pharmasaga Co. Ltd. planned for treating type II diabetes mellitus (T2DM). This is a first-in-human study to evaluate the safety, tolerability, pharmacokinetics (PK), food effect and potential efficacy of PS1 in subjects.
This first-in-human Phase I study consists of a single ascending-dose (SAD) portion, a food effect (FE) portion, and a multiple ascending-dose (MAD) portion, aiming to evaluate the safety, tolerability, pharmacokinetics, food effect and potential efficacy of PS1 in healthy subjects. A randomized, double-blinded, placebo-controlled study design will be applied for the SAD portion with three SAD dose cohorts-25 mg (Cohort 1), 50 mg (Cohort 2), and 75 mg (Cohort 3). An eligible subject in this portion will receive a single dose of PS1 or Placebo tablets in a fed condition on Day 1 and be followed for 7 days. In FE portion, only one cohort (Cohort 4) is assigned. The FE cohort (Cohort 4) will use the same study design as the SAD cohorts. An eligible subject in this portion will receive a single dose of 50 mg PS1 or Placebo tablets in a fasted condition on Day 1 and be followed for 7 days. Four cohorts are assigned in the MAD portion: 25 mg/day (Cohort 5 \& 7) and 50 mg/day (Cohort 6 \& 8) in healthy volunteers and participants respectively. Only the dose level of MAD lower than the maximum tolerated dose (MTD) of SAD portion can be activated (If 50 mg was determined as the MTD of SAD, only cohort 5 \& 7 could be activated). An eligible subject will receive PS1 or Placebo tablets once daily in a fed condition for 14 days \& 28 days in healthy volunteers and participants respectively and be followed for additional 7 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
64
Mingche Liu
Taipei, Taiwan
RECRUITINGIncidence of dose-limiting toxicity (DLT) during the DLT observation period
DLT is defined as: (1) any adverse event (AE) ≥ Grade 3 (CTCAE v5.0) or (2) Grade 2 AE that does not resolve to grade 1 or less within 72 hours, that occurs in the DLT observation period and is causally related (possibly, probably, or definitely related) to the test article judged by the investigator.
Time frame: Day 1~ Day 8 (SAD cohort); Day 1~ Day 35 (MAD cohort)
Incidence of adverse events (AEs) and serious adverse events (SAEs)
All adverse events (AEs) will be assessed for severity by the investigator based on NCI-CTCAE v5.0
Time frame: SAD, FE: up to 4 weeks; MAD: up to 8 weeks
Number of participants with abnormalities in Vital signs
Number of participants with abnormal systolic/diastolic blood pressure (in mmHg), respiratory rate, pulse rate (in beat per minute, bpm), and body temperature (in ℃)
Time frame: SAD, FE: Baseline,1~2 weeks; MAD: Baseline,1~6 weeks
Number of participants with abnormalities in Laboratory examinations
Number of participants with abnormal Hematology (hemoglobin, hematocrit, RBC, platelet, WBC, WBC differentials (neutrophils, eosinophils, basophils, lymphocytes, monocytes), MCV, MCH, MCHC), biochemistry (HbA1c, fasting plasma glucose, albumin, alkaline phosphatase, ALT, AST, BUN, creatinine, cholestero1, γ-GT, total protein, total bilirubin, direct bilirubin, triglyceride, amylase, lipase, calcium, sodium, potassium, chloride), and urinalysis (pH, protein, glucose, bilirubin, urobilinogen, ketone body, specific gravity, occult blood, RBC, WBC, creatinine, ratio of albumin/creatinine) results
Time frame: SAD, FE: Baseline,1~2 weeks; MAD: Baseline,1~6 weeks
Acute kidney injury (AKI) marker
Urine samples will be collected for analyzing acute kidney injury (AKI) markers
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
Number of participants with abnormalities in 12-lead electrocardiogram (EKG)
Number of participants with abnormal Ventricular rate, PR interval, QRS interval, and QT interval
Time frame: SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
Number of participants with abnormalities in Physical examination
Number of participants with abnormal Physical examination results, including general appearance, skin, eyes, ears, nose, throat, head and neck (including thyroid), heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological system, and other body systems
Time frame: SAD, FE: Baseline, 1~2 weeks; MAD: Baseline, 1~6 weeks
Pharmacokinetics (PK) of PS1
AUC\_Area under the serum concentration-time profile
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
Cmax\_The peak post-dose concentration
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
Tmax\_Time at which Cmax is observed
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
T1/2\_Terminal phase elimination half-life
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
MRT\_Mean Residence Time
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
CL/F\_Apparent Clearance
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
Volume of distribution
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Pharmacokinetics (PK) of PS1
Rac\_Accumulation ratio
Time frame: Day 1 and 2 (SAD, FE and MAD portion), Day 28 and 29 (MAD portion only)
Potential efficacy (For Cohort 7 and 8 only)
Changes from baseline of fasting plasma glucose (FPG) at each post-treatment visit; Changes from baseline of C-peptide at each post-treatment visit; Changes from baseline of hemoglobin A1c (HbA1c) at Visit 10 and Visit 11.
Time frame: MAD: Baseline, 1~6 weeks
Exploratory Endpoints (For MAD only)
Changes from baseline of serum PDIA4
Time frame: MAD: Baseline, 1~6 weeks