The purpose of this Phase 1 study is to evaluate the pharmacokinetics (PK) and safety of a single dose of CSTI-500 10 mg in subjects with Prader-Willi syndrome (PWS) between 13 and 50 years of age with a genetically confirmed diagnosis of PWS.
This is an open-label, single center, Phase 1 study to evaluate the PK and safety of a 10 mg single oral dose of CSTI-500, a triple monoamine reuptake inhibitor (TRI), in patients with genetically confirmed PWS. The study will consist of a Screening Period of up to 1-3 days prior to the Baseline Visit (Visit 2). In addition to the Screening Visit (Visit 1), eligible subjects will attend five in-clinic site visits for PK blood draws and safety assessments over a 6-day period. At Visit 2 all subjects will receive one single oral dose of CSTI-500 10 mg. Approximately 14 patients aged 13 to 50 years who meet all eligibility criteria will receive one single dose of CSTI-500.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
10
Single 10 mg capsule
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Maximum Observed Plasma Concentration (Cmax)
Maximum observed plasma concentration following drug administration determined directly from the concentration-time profile.
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose
AUC0-72
Area under the plasma-drug concentration-time curve from pre-dose (time 0) to 72 hours after drug administration
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, and 72 hours post-dose
AUC0-inf
Area under the plasma-drug concentration-time curve from pre-dose (time 0) extrapolated to infinite time
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose
CSTI-500 plasma concentration
Time frame: 1 hour post-dose
CSTI-500 plasma concentration
Time frame: 2 hour post-dose
CSTI-500 plasma concentration
Time frame: 4 hour post-dose
CSTI-500 plasma concentration
Time frame: 8 hour post-dose
CSTI-500 plasma concentration
Time frame: 12 hour post-dose
CSTI-500 plasma concentration
Time frame: 24 hour post-dose
CSTI-500 plasma concentration
Time frame: 48 hour post-dose
CSTI-500 plasma concentration
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Time frame: 72 hour post-dose
CSTI-500 plasma concentration
Time frame: 144 hour post-dose
Incidence of treatment-emergent adverse events (TEAEs)
Number of participants with TEAEs, defined as an adverse event (AE) that is new or worsened in severity after the dose of study drug. AEs will be coded using the Medical Dictionary for Regulatory Activities (MedDRA) and will be summarized by system organ class, preferred term, and treatment.
Time frame: From pre-dose to 15 days post-dose
Incidence of clinically significant findings in physical examinations
Time frame: Screening to 12, 24, 48, 72, and 144 hours post-dose
Incidence of clinically significant findings in vital signs
Participants will be assessed for any clinically significant changes in vital parameters (blood pressure, heart rate in supine and standing position, respiratory rate, and body temperature). This also includes evaluation of postural orthostatic tachycardic syndrome.
Time frame: Screening and pre-dose to 1, 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose
Incidence of clinically significant findings in laboratory values
Laboratory evaluations include hematology, thyroid function, and chemistry blood and urine laboratory tests.
Time frame: Screening to 24, 48, 72, and 144 hours post-dose
Incidence of clinically significant findings in 12-lead electrocardiograms (ECGs)
Time frame: Screening and pre-dose to 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose
Comparison of CSTI-500 Cmax values obtained from venous blood draws with values obtained from finger prick samples in PWS subjects
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose
Comparison of CSTI-500 AUC0-72 values obtained from venous blood draws with values obtained from finger prick samples in PWS subjects
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, and 72 hours post-dose
Comparison of CSTI-500 AUC0-inf values obtained from venous blood draws with values obtained from finger prick samples in PWS subjects
Time frame: Pre-dose to 1, 2, 4, 8, 12, 24, 48, 72, and 144 hours post-dose