This is a Phase I, randomized, double-blinded, placebo-controlled single ascending dose, sequential-group study to evaluate the safety, tolerability, and PK of single ascending doses of L608 inhalation in healthy volunteers.
L608 inhalation Solution (L608) is developed by Pharmosa Biopharm Inc. (PBI) as a new liposomal Iloprost formulation for inhalation use in the treatment of patients with PAH (WHO Group 1). As a liposomal formulation of iloprost, L608 is intended to reduce the dosing frequency, as well as provide sustained and selective release along with achieving therapeutically relevant iloprost level. Meanwhile, L608 is expected to mitigate burst release related local irritation and systemic side effects (e.g., hypotension due to plasma peak) in clinical practice. This Phase I, randomized, double-blinded, placebo-controlled study will be conducted in healthy volunteers in Australia to evaluate the safety, tolerability, and pharmacokinetic of L608. The dose escalation design is applied in this study. The sentinel dosing design will be applied for all cohorts.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
64
subjects will be randomized at a ratio of 1:1 (for Sentinel dosing) followed by 5:1 for rest of the cohort to receive the assigned dose of L608 or placebo
subjects will be randomized at a ratio of 1:1 (for Sentinel dosing) followed by 5:1 for rest of the cohort to receive the assigned dose of L608 or placebo
CMAX Clinical Research Pty Ltd
Adelaide, South Australia, Australia
The incidence of dose limiting toxicity (DLT)
The percentage of subjects with dose limiting toxicity (DLT) within 14 days after dosing
Time frame: Baseline to Day 14
The incidence of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
The percentage of subjects with treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.
Time frame: Baseline to Day 21
Frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs)
The frequency and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) within 21 days after dosing.
Time frame: Baseline to Day 21
AUC0-t
Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration
Time frame: Baseline to 24 hours
AUC0-∞
Area under the plasma concentration-time curve from time 0 to infinity
Time frame: Baseline to 24 hours
%AUCextrap
AUC extrapolated from the last measurable concentration to infinity as a percentage of total AUC
Time frame: Baseline to 24 hours
Cmax
Maximum observed plasma concentration
Time frame: Baseline to 24 hours
Tmax
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Time to reach the maximum observed plasma concentration
Time frame: Baseline to 24 hours
T1/2
Apparent plasma terminal elimination half-life
Time frame: Baseline to 24 hours
CL/F
Apparent total plasma clearance
Time frame: Baseline to 24 hours
Vz/F
Apparent volume of distribution during the terminal phase
Time frame: Baseline to 24 hours
kel
Terminal elimination rate constant
Time frame: Baseline to 24 hours