A study to assess the safety and tolerability of a drug called ELE-101 and see how the body absorbs and removes the drug and how it affects the body in healthy adult participants (Part 1) and in patients with depression (Part 2).
This is a 2-part study. Part 1 is a phase I, double-blind, placebo-controlled, randomized study to assess the safety, tolerability, pharmacokinetic (PK) profile, pharmacodynamic (PD) and subjective drug intensity (SDI) of single ascending intravenous (IV) doses of ELE-101 in healthy male and female adult participants. Part 2 is a Phase IIa, open-label study to evaluate a range of pharmacodynamic effects of a single intravenous dose of ELE-101 in patients with depression. Healthy participants will receive either ELE-101 or placebo as an IV infusion in Part 1 and patients with MDD will receive ELE-101 as an IV infusion in Part 2.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
84
ELE-101 solution for intravenous infusion
ELE-101 placebo matching solution for intravenous infusion
MAC Clinical Research
Liverpool, United Kingdom
MAC Clinical Research
Manchester, United Kingdom
Part 1: Percentage of participants with at least one safety event
* Safety will be evaluated by the monitoring of adverse events (AEs), vital signs, blood pressure, heart rate, pulse oximetry, electrocardiogram (ECG) evaluations, clinical laboratory assessments, injection site reactions and physical examination findings. * Suicidal ideation and behavior will be evaluated using the Columbia-Suicide Severity Rating Scale (C-SSRS). * Percentage of participants who experience at least one treatment-emergent adverse event (TEAE) will be captured. * Tolerability will be measured using the SDI questionnaires to rate the intensity of the psychedelic experience alongside recordings of anticipated adverse effects such as nausea and headache.
Time frame: Baseline up to Day 8
Part 2: Subjective Drug Intensity Ratings
\- The SDI questionnaire will be used to rate the real-time intensity of the psychedelic experience
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: Cmax: Maximum observed plasma concentration for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: Tmax: Time to reach maximum plasma concentration (Cmax) for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: AUCinf: Area under the plasma concentration-time curve from Time 0 to Infinity for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
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Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: AUClast: Area under the plasma concentration-time curve from Time 0 to the time of the last quantifiable concentration for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: AUC0-24: Area under the plasma concentration-time curve from Time 0 to 24 hours for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: VZ: volume of distribution during the terminal disposition phase for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: VZss: volume of distribution at steady state for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: Cl: apparent total clearance from plasma for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: MRTinf: mean residence time from Time 0 to Infinity for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: t1/2: Terminal disposition phase half-life for ELE-101 and its metabolites
PK parameters in plasma will be calculated for psilocin and its primary metabolites throughout the study
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 1 and 2: Dischargeability: Assessment of subject-discharge readiness
The dischargeability evaluation will be based on Investigator judgement after review of participant safety data.
Time frame: post-dose and 24 hours post-dose
Part 1: The dose related psychoactive effects of ELE-101 as evaluated by a Visual Analogue Scale
The Subjective Drug Intensity (SDI) is a Visual Analogue Scale scored from 0-10.
Time frame: pre-dose and at multiple time-points up to 24 hours post-dose
Part 2: The effects of ELE-101 on the severity of depression evaluated by the Montgomery-Asberg Depression Rating Scale (MADRS)
The MADRS is a diagnostic questionnaire with ten items for measuring the severity of depressive episodes in patients with mood disorders. A higher MADRS score indicates more severe depression, and each item is scored from 0 to 6. The overall score ranges from 0 to 60.
Time frame: Baseline up to Day 85
Part 2: Percentage of participants with at least one safety event
* Safety will be evaluated by the monitoring of adverse events (AEs), vital signs, blood pressure, heart rate, pulse oximetry, electrocardiogram (ECG) evaluations, clinical laboratory assessments, injection site reactions and physical examination findings. * Suicidal ideation and behavior will be evaluated using the Columbia-Suicide Severity Rating Scale (C-SSRS). * Percentage of participants who experience at least one treatment-emergent adverse event (TEAE) will be captured. * Tolerability will be measured using the SDI questionnaires to rate the intensity of the psychedelic experience alongside recordings of anticipated adverse effects such as nausea and headache.
Time frame: Baseline up to Day 85