The purpose of this study is to confirm binding of MIJ821 to the NR2B-containing NMDA receptors in the human brain and assess the PC-RO relationship over time using positron emission tomography (PET).
This is a Phase I, open-label, adaptive design study in healthy male participants using PET imaging with the radioligand \[11C\]Me-NB1 to measure occupancy of the NR2B-containing NMDA receptors by MIJ821. This exploratory study will be performed at a single clinical site and a separate PET imaging site. Up to 10 participants will be enrolled into 5 sequential cohorts. Each participant will receive a single dose of MIJ821 as an i.v. infusion. As part of the adaptive design, the dose of MIJ821 will be changed across cohorts to achieve the primary study objective in the smallest possible number of participants. After confirming eligibility during screening, each participant will undergo a baseline PET scan. Each participant will receive a single dose of i.v. MIJ821 during the treatment period, followed by up to two post dose PET scans. Post dose safety assessments will be performed up to End of Study visit which will happen once between Day 9 and Day 15.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
10
MIJ821 will be administered as an i.v. infusion
Novartis Investigative Site
Watford Road Harrow, United Kingdom
Human Brain Receptor Occupancy and Plasma Concentration of MIJ821
To evaluate the relationship between plasma concentration of MIJ821 and brain receptor occupancy by MIJ821 in healthy participants, by using positron emission tomography (PET) with \[11C\]Me-NB1
Time frame: Baseline PET Scan up to 15 days post dose
Binding parameters of [11C]-MeNB1
To characterize the binding properties of \[11C\]-Me-NB1 in the human brain
Time frame: Baseline PET scan up to 15 days post dose
Percentage change in PET imaging outcome measures after treatment with MIJ821 compared to baseline and plasma concentration of MIJ821
To evaluate the relationship between displacement of central (brain) radioligand binding and systemic (plasma) concentration of MIJ821
Time frame: Baseline PET scan up to 36 hours post dose
Tmax will be calculated as a PK parameter of MIJ821 in plasma.
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time frame: PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
AUC will be calculated as a PK parameter of MIJ821 in plasma
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time frame: PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
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Cmax will be calculated as a PK parameter of MIJ821 in plasma
To assess the systemic pharmacokinetics (PK) of MIJ821 after a single intravenous (i.v.) dose in healthy participants
Time frame: PK samples are collected at the end of i.v. infusion (Day 1) and at the beginning and end of each PET scan. Each cohort has 5 samples collected at various timepoints (dependent on time of PET scans) from i.v. infusion up to 5 days.
Number of adverse events and serious adverse events.
The occurrence of adverse events must be sought by non-directive questioning of the participant at each visit during the study. Adverse events also may be detected when they are volunteered by the participant during or between visits or through physical examination findings, laboratory test findings, or other assessments (e.g., CADSS and C-SSRS).
Time frame: Baseline up to Day 15, plus 30 days