This is a Phase 1, double-blind, randomized, placebo- controlled, SAD and MAD study to assess safety, tolerability, PK, and PD of AJA001 in fasted healthy participants. Food effect will be evaluated in one cross-over SAD fed dose cohort.
The study is comprised of two parts, Part A (SAD) and Part B (MAD). Participants will be randomized (active or placebo) in each cohort of Parts A and B. Participants in Part A will receive a single dose of AJA001 or placebo on Day 1. Part A will include a fed-cohort (A-X) for one cohort where the participants will return to the clinical site on Day 14 to receive AJA001 or placebo. Participants in Part B will receive a split dose of AJA001 or placebo, where one dose will be administered as two equal doses taken twice daily, (BID; administered approximately every 12 hours \[± 30 minutes\]) for 6 consecutive days (Day 1-Day 6), and 1 morning dose on Day 7.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
64
Q-Pharm Pty Ltd
Brisbane, Queensland, Australia
Adverse Events
Incidence, severity and relationship of Adverse events (AEs)
Time frame: Up to 21 days
Serious Adverse Events
Incidence of Serious adverse events (SAEs)
Time frame: Up to 21 days
Adverse Events of Special Interest
Incidence of AEs of special interest (AESI), including abnormal clinically significant liver function test values (aspartate aminotransferase, alanine aminotransferase, total bilirubin and estimated glomerular filtration rate) due to major active pharmaceutical ingredient
Time frame: Up to 21 days
Changes from baseline in hematology
Number of participants with changes from baseline in hematocrit, hemoglobin, mean cell hemoglobin, mean cell hemoglobin concentration, mean cell volume, platelet count, red blood cell count, reticulocyte count, white blood cell count, and differential white blood cell count
Time frame: Up to 21 days
Changes from baseline in serum chemistry
Number of participants with changes from baseline in aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma glutamyl transferase, sodium, potassium, chloride, calcium, magnesium, phosphorus, glucose, serum urea, uric acid, total bilirubin, creatinine, total protein, albumin, total cholesterol, triglycerides, creatinine phosphokinase, and follicle-stimulating hormone
Time frame: Up to 21 days
Changes from baseline in urinalysis
Number of participants with changes from baseline in microscopic examination, specific gravity, pH, protein, glucose, ketones, blood, urobilinogen, bilirubin, nitrites, leucocytes, immunoassay for THC
Time frame: Up to 21 days
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Changes from baseline in blood pressure
Number of participants with changes from baseline in systolic and diastolic blood pressure in mm Hg
Time frame: Up to 21 days
Changes from baseline in heart rate
Number of participants with changes from baseline in pulse rate (beats/minute)
Time frame: Up to 21 days
Changes from baseline in respiratory rate
Number of participants with changes from baseline in respiratory rate (breaths/minute)
Time frame: Up to 21 days
Changes from baseline in body temperature
Number of participants with changes from baseline in body temperature (tympanic; °C)
Time frame: Up to 21 days
Changes from baseline in ECG recording of heart rate
Number of participants with changes in 12-lead electrocardiogram (ECG) recordings of heart rate in beats/minute
Time frame: Up to 21 days
Changes from baseline in ECG recording of PR interval
Number of participants with changes in 12-lead electrocardiogram (ECG) recordings of PR interval in msec
Time frame: Up to 21 days
Changes from baseline in ECG recording of RR interval
Number of participants with changes in 12-lead electrocardiogram (ECG) recordings of RR interval in msec
Time frame: Up to 21 days
Changes from baseline in ECG recording of QRS duration
Number of participants with changes in 12-lead electrocardiogram (ECG) recordings of QRS duration in msec
Time frame: Up to 21 days
Changes from baseline in ECG recording of QT interval
12-lead electrocardiogram (ECG) recordings of QT interval in msec
Time frame: Up to 21 days
Changes from baseline in ECG recording of QTcF
Number of participants with changes in 12-lead electrocardiogram (ECG) recordings of QTcF in msec
Time frame: Up to 21 days
Clinically significant physical examination findings
Number of participants with changes in the following parameters assessed during physical exams: general appearance, head, ears, eyes, nose, throat, neck (including thyroid), skin, cardiovascular system, respiratory system, gastrointestinal system, musculoskeletal system, lymph nodes and nervous system
Time frame: Up to 21 days
Changes in suicidal ideation and behavior
Number of participants with changes in Columbia Suicide Severity Rating Scale evaluation of suicidal ideation (yes/no), intensity of ideation (1-5 with 1 being the least severe and 5 being the most severe), and suicidal behavior (yes/no; if yes, include the number of attempts)
Time frame: Up to 21 days
Use of concomitant medications
All medications taken after the first dose of the study drug and through the EOS visit will be considered a concomitant medication
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohorts A and B: Cmin
Minimum observed plasma concentration (Cmin)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohorts A and B: Cmax
Maximum observed plasma concentration (Cmax)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohorts A and B: Tmax
Time of maximum serum concentration (Tmax)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort A: AUC0-last
Area under the plasma concentration-time curve from time zero to the last quantifiable time point (AUC0-last)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort A: AUC0-inf
Area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC0-inf) \[including percent of area under the curve obtained by extrapolation (AUCExtrap)\]
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohorts A and B: lz
Terminal rate constant (lz)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohorts A and B: t1/2
Half-life (t1/2)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort A: Cl/F
Apparent clearance (Cl/F)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort A: Vz/F
Apparent volume of distribution (Vz/F)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort A: CTlast
Concentration at last time point (CTlast)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: AUC0-tau
Area under the concentration-time curve from time zero to the end of the dosing interval (tau) at steady state (AUC0-tau)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: Vd/F,ss
Apparent volume of distribution at steady state (Vd/F,ss)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: Cl/F,ss
Apparent clearance at steady state (Cl/F,ss)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: Aer
Cumulative amount excrete renally (Aer)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: fe%
Fraction of unchanged drug excreted (fe%)
Time frame: Up to 21 days
Pharmacokinetics for primary cannabinoids and metabolites in Cohort B: CLr [Ae0-t/AUC0-t]
Renal clearance (CLr \[Ae0-t/AUC0-t\])
Time frame: Up to 21 days
Change from baseline in subjective pharmacodynamic effects
Assessed using the Drug Effects Questionnaire, a validated instrument commonly used in psychoactive drug research consisting of 20 items that are each rated using a unipolar 100 mm visual analog scale, with anchors of "not at all" on one end and "extremely" on the other. Participants are instructed to rate how they were feeling "right now" on six items related to the investigational study product: feeling the effect, liking any of the effects, disliking any of the effects, feeling any good effects, feeling any bad effects and likelihood of taking the study product again. Additionally, participants rate how much they are experiencing the following 14 adjectives: "sick," "heart racing," "anxious," "relaxed," "paranoid," "tired/drowsy," "alert," "irritable," "energetic," "restless," "hungry," "dazed," "distracted" and "euphoric/happy."
Time frame: Up to 21 days