The study is to evaluate the safety, tolerability, and pharmacokinetic (PK) of multiple orally administered TCK-276 in both males and females with Rheumatoid Arthritis (RA).
This is a Phase 1, multi-center, double-blind, randomized, placebo-controlled, multiple ascending dose (MAD) study. The study will consist of a Screening Visit (Days -1 to Day 10), Treatment duration (up to 11 days) and a Follow-up/end of treatment (EOT) visit. This MAD study will consist of 4 cohorts of 8 patients (6 active treatment and 2 matching placebo, or a 3:1 ratio), each receiving an oral dose of TCK-276 or matching placebo for 7 days (once daily (QD) under fed condition). The first cohort will be divided into 2 subgroups to implement the sentinel dosing approach. The study duration is approximately 42 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
32
Patients will receive an oral dose of TCK-276 QD under fed conditions from Day 1 to Day 7.
Patients will receive an oral dose of TCK-276 matching placebo QD under fed conditions from Day 1 to Day 7.
Orange County Research Center
Tustin, California, United States
St. Jude Clinical Research, LLC
Doral, Florida, United States
SouthCoast Research Center, Inc
Miami, Florida, United States
Allied Biomedical Research Institute
Miami, Florida, United States
Number ot Participants With Treatment Emergent Adverse Events
To evaluate the safety and tolerability of multiple oral doses of TCK-276 or placebo in patients with rheumatoid arthritis (RA)
Time frame: 42 days (duration of study)
Cmax: Plasma Concentrations of TCK-276 and TEI-W00595 (Metabolite)
Cmax: Plasma Concentrations of TCK-276 and TEI-W00595 with time-concentration profile
Time frame: Day 1 and Day 7
Tmax: Time of Maximum Plasma Concentration Determined Directly From the Concentration-time Profile
To evaluate tmax as pharmacokinetic (PK) variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
t½: Terminal Elimination Half-life
To evaluate t½ as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
AUCtau: Area Under the Plasma Concentration-time Curve Over a Dosing Interval, Tau = 24 Hours
To evaluate AUCtau as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
AUC0-inf: Area Under the Plasma Concentration Time Curve From Pre-dose (Time 0) Extrapolated to Infinite Time
AUC0-inf:Area under the plasma concentration time curve from pre-dose (time 0) extrapolated to infinite time (Days 1 and 7)
Time frame: Day 1 and Day 7
Clearance (CL)/F: Apparent Total Body Clearance (Parent Only)
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San Marcus Research Clinic, Inc.
Miami Lakes, Florida, United States
Floridian Clinical Research, LLC
Miami Lakes, Florida, United States
Clinical Site Partners, LLC dba CSP Orlando
Winter Park, Florida, United States
SMS Clinical Research, LLC
Mesquite, Texas, United States
To evaluate CL/F as PK variables of TCK-276 in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
Vz/F: Apparent Volume of Distribution Based on Terminal Phase (Parent Only)
To evaluate Vz/F as PK variables of TCK-276 in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
MRT0-inf: Mean Residence Time Extrapolated to Infinity
To evaluate MRT0-inf as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
Racc (Cmax): Accumulation Ratio Based on Cmax
Racc (Cmax) calculated as Cmax on Day 7/Cmax on Day 1.
Time frame: Day 1 and Day 7
Racc (AUCtau): Accumulation Ratio Based on AUCtau
Racc (AUCtau) calculated as AUCtau on Day 7/AUCtau on Day 1. To evaluate Racc (AUCtau) as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
Metabolic Ratio (MR) for Cmax
Molar metabolic ratio of Cmax calculated as (Cmax \[metabolite\] × molecular weight of parent)/(Cmax \[parent\] × molecular weight of metabolite).
Time frame: Day 1 and Day 7
MR for Area Under the Plasma Concentration-time Curve (AUC)Tau
Molar metabolic ratio of AUC calculated as (AUC \[metabolite\] × molecular weight of parent)/(AUC \[parent\] × molecular weight of metabolite). To evaluate MR AUC as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
MR for Area Under the Plasma Concentration-time Curve (AUC)0-inf
Molar metabolic ratio of AUC calculated as (AUC \[metabolite\] × molecular weight of parent)/(AUC \[parent\] × molecular weight of metabolite) 0-inf. To evaluate MR AUC 0-inf as PK variables of TCK-276 and its metabolite in patients with RA after multiple ascending dose (MAD) administration
Time frame: Day 1 and Day 7
Ae 0-24: Amount of Study Drug Excreted Unchanged in the Urine (Days 1 and 7)
Ae 0-24: Amount of study drug excreted unchanged in the urine (Days 1 and 7) over 24 hours
Time frame: Day 1 and Day 7
Fe 0-24: Percentage of Study Drug Excreted Unchanged in the Urine (Days 1 and 7)
Fe 0-24: Percentage of study drug excreted unchanged in the urine (Days 1 and 7) over 24 hours
Time frame: Day 1 and Day 7
Clearance Renal (CLr): Renal Clearance (Days 1 and 7)
CLr: Renal clearance Day 1 and Day 7 (24 hours)
Time frame: Day 1 and Day 7
Ae 0-72: Amount of Study Drug Excreted Unchanged in the Urine (Day 7)
Ae 0-72: Amount of study drug excreted unchanged in the urine (Day 7) over a 72 hour period
Time frame: Day 7 0-72 hours
Fe 0-72: Percentage of Study Drug Excreted Unchanged in the Urine
Fe 0-72: Percentage of study drug excreted unchanged in the urine on Day 7 (72 hours)
Time frame: Day 7 0-72 hours