The goal of this clinical trial is to evaluate the safety, tolerability, and pharmacokinetics of BRII-297 in healthy adult subjects. The main aim of the study is to evaluate the safety and tolerability after single dose intramuscular administration of BRII-297. The study also aims at characterizing the PK profiles of BRII-297 and brexanolone after single dose intramuscular administration. Participants will be enrolled in 6 cohorts (3 planned and 3 optional) with 6 participants per cohort \[(4 active: 2 placebo) - Cohorts 1 \& 2\] and 10 participants per cohort \[(8 active: 2 placebo) - Cohorts 3 to 6\]. Randomization for each cohort will be a two-step process. Sentinel subjects for each cohort will include 2 female subjects randomized 1:1 to BRII-297 or placebo who will be observed for at least 24 hours to ensure no significant safety events before administering study drug to the remaining non-sentinel subjects. The estimated total duration for each subject is up to 43 days, including screening period (28 days), dosing period (1 day), and post-dose follow-up period (14 days). IM injections will be administered in the gluteal muscle. Each participant in all cohorts will begin their inpatient stay at the clinical investigational site on Day -1 and remain as an inpatient at the site for sample collection and assessments for 15 days post dose (Day 15). Participants will be released at the end of the inpatient period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
41
CMAX
Adelaide, South Australia, Australia
Number of participants with adverse events receiving BRII-297 compared to placebo
To assess the safety and tolerability of a single infusion of BRII-297 as assessed by frequency of drug related adverse events, graded by severity.
Time frame: Time Frame: Day 0 - Day 15
Number of participants with abnormal clinical vital signs
Vital signs include pulse rate, blood pressure, respiratory rate and tympanic temperature
Time frame: Time Frame: Day 0 - Day 15
Number of participants with abnormal clinically significant 12-lead electrocardiogram (ECG) readings
Time frame: Time Frame: Day 0 - Day 15
Number of participants with abnormal clinically significant clinical laboratory results
Clinical laboratory tests include hematology, clinical chemistry, and liver function tests.
Time frame: Time Frame: Day 0 - Day 15
Number of participants with abnormal S-STS - Sheehan Suicidality Tracking Scale (self-report) results
Each question is rated from 0 to 4, with the highest score the worse outcome.
Time frame: Time Frame: Day 1 - Day 15
Number of participants with abnormal SSS - Stanford Sleepiness Scale (self-report) results
The SSS (self-report) is a subjective measure of sleepiness, The minimum value is 1 (active) and the maximum value is 7 (nearly asleep).
Time frame: Time Frame: Day 1 - Day 15
PK of BRII-279 and brexanolone: Maximum observed plasma drug concentration Cmax
The Cmax PK parameter calculated based on the observed plasma drug concentration versus time curve
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Time to maximum observed plasma drug concentration (Tmax)
The PK parameter calculated will be Time to maximum observed plasma drug concentration (Tmax).
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Area under the curve from time 0 to last measurable concentration (AUClast)
The PK parameters calculated will be Area under the plasma drug concentration-time curve from time 0 to last measurable concentration (AUClast).
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Area under the curve from time 0 to infinity (AUC0-inf)
The PK parameters calculated will be Area under the curve from time 0 to infinity (AUC0-inf).
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Terminal elimination half-life (T ½)
The PK parameter of Terminal elimination half-life (T ½) is calculated based on the plasma drug concentration-time curve
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Apparent clearance after extravascular administration (CL/F)
Time frame: Time Frame: Day 0 - Day 15
PK of BRII-279 and brexanolone: Apparent volume of distribution (Vz/F)
Time frame: Time Frame: Day 0 - Day 15
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