The primary objective of this study is to assess the safety and tolerability of single and multiple oral administered doses of HS-10353 separately in Chinese healthy and major depressive disorder subjects.
This is a phase I, randomized, double-blinded, placebo-controlled, both single ascending doses (SAD) study and multiple ascending dose (MAD) clinical trial to assess the safety, tolerability, and pharmacokinetics of HS-10353 tablet(s) separately in Chinese healthy and major depressive disorder (MDD) subjects. Approximately six sequential dose cohorts will be evaluated in SAD study. Sentinel dosing will be employed for the first SAD cohort to protect the subjects' safety. Escalation to the next dose cohort will be undertaken only after safety and PK data are reviewed by the Safety Review Committee (SRC) and agreement reach that it is safe to increase the dose. Each SAD cohort is dosed at approximately weekly intervals to allow adequate time for collection and review of safety and PK data. Approximately three sequential dose cohorts will be evaluated in MAD study. The total daily dose for each MAD cohort will be based on information obtained from the SAD study. Each subject will receive only one dose regimen in this study. Safety data up to Day14 (±1) in SAD and up to Day20 (±1) in MAD will be reviewed prior to the next dose level. The number of Cohorts in SAD and MAD would be adjusted based on the assessment of SRC.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
96
West China Hospital
Chengdu, Sichuan, China
Endpoints of the trial:AE,SAE
The incidence, severity, and association of AE, SAE and AE leading to withdrawal from the trial
Time frame: Baseline to end of follow-up (a maximum of 20 days)
SAD pharmacokinetic endpoints:Cmax
The maximum plasma concentration (Cmax)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:Tmax
Time to Cmax (Tmax)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:AUC0-t
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUC0-t)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:AUC0-∞
The area under the plasma concentration-time curve from time zero to infinite time (AUC0-∞)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:λz
Terminal rate constant (λz)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:t½
Half-life (t½)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:CL/F
Apparent clearance following oral administration (CL/F)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:Vz/F
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Apparent volume of distribution following oral administration (Vz/F)
Time frame: Day1-Day6
SAD pharmacokinetic endpoints:MRT
Mean residence time (MRT)
Time frame: Day1-Day6
MAD pharmacokinetic endpoints:Css,max
The maximum steady state drug concentration in plasma during dosing interval (Css,max)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:Css,av
Average steady state drug concentration in plasma during dosing interval (Css,av)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:Tss,max
Time to Css, max (Tss,max)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:AUCss, 0-t
The area under the plasma concentration-time curve from time zero to the time of the last measurable concentration over the dosing interval at steady state (AUCss, 0-t)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:DF
Coefficient of fluctuation(DF)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:Rac
Accumulation ratio (Rac)
Time frame: Day1-Day12
MAD pharmacokinetic endpoints:Css,min
The minimum steady state drug concentration in plasma during dosing interval (Css,min)
Time frame: Day1-Day12