The study is to evaluate the safety, tolerability, and PK characteristics following single administration of HS-10509 in healthy adults, and multiple administrations of HS-10509 in patients with schizophrenia. Participants will have HS-10509 tablets or placebo once in the single ascending dose (SAD) part or once daily for 28 days in the multiple ascending dose (MAD) part.
This is a first-in-human, randomized, double-blinded, and placebo-controlled study. In the single-ascending dose (SAD) part, subjects will receive HS-10509 tablets or placebo once. There are 5 predefined dose cohorts of 10 subjects each (including 8 for HS-10509 and 2 for placebo). SAD part of the study will assess the safety, tolerability, and PK characteristics of single ascending doses of HS-10509 to determine the dose range that is safe and well tolerated in healthy subjects. In the multiple ascending dose (MAD) part, patients with schizophrenia will receive HS-10509 or placebo once daily for continously 28 days. There are 3 predefined dose cohorts with 10 subjects each (including eight for HS-10509 and 2 for placebo). MAD of the study will assess the safety, tolerability, PK and primary efficacy of multiple ascending doses of HS-10509 in subjects with schizophrenia.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
80
In SAD, participants will be assigned to receive either HS-10509 or a matching placebo for a single administration. There are 5 predefined dose cohorts (each cohort including 8 for HS-10509 and 2 for placebo), initially starting at 10 mg for cohort 1. In MAD, participants will assigned to receive HS-10509 or a matching placebo once daily for 28 days. There will be 3 dose cohorts (each cohort including 8 for HS-10509 and 2 for placebo), and the dose for each cohort is to be determined.
In SAD, participants will be assigned to receive either HS-10509 or a matching placebo for a single administration. There are 5 predefined dose cohorts (each cohort including 8 for HS-10509 and 2 for placebo), initially starting at 10 mg for cohort 1. In MAD, participants will assigned to receive HS-10509 or a matching placebo once daily for 28 days. There will be 3 dose cohorts (each cohort including 8 for HS-10509 and 2 for placebo), and the dose for each cohort is to be determined.
The First Hospital of Jilin University
Changchun, Jilin, China
Incidence and severity of adverse events(AE) , serious AEs and AE leading to withdrawal from treatment.
An AE is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. A serious AE (SAE) is any untoward medical occurrence that at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; or is a congenital anomaly/birth defect.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 42
Changes from baseline in lab tests
Laboratory tests include blood routine, urine routine, blood biochemistry, coagulation function and serum prolactin, etc.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Changes from baseline in vital signs
Vital signs include blood pressure (BP), pulse rate, respiration and body temperature.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Change from baseline in body weight
Body weight was measured in kilograms (Kg).
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 29
Change from baseline in Electrocardiogram (ECG)
ECG parameters including heart rate, PR interval, RR interval and QTcF, etc.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35;
Change from Baseline in Columbia - Suicide Severity Rating Scale (C-SSRS)
C-SSRS is a scale capturing occurrence, severity, and frequency of suicide-related thoughts and behaviors, and has a binary response (yes/no). Suicidal Ideation: a "yes" answer to any one of 5 suicidal ideation questions: Wish to be Dead, Non-specific Active Suicidal Thoughts, Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act, Active Suicidal Ideation with Some Intent to Act, without Specific Plan, Active Suicidal Ideation with Specific Plan and Intent. Suicidal Behavior: a "yes" answer to any of 5 suicidal behavior questions: Preparatory Acts or Behavior, Aborted Attempt, Interrupted Attempt, Actual Attempt (non-fatal), Completed Suicide.
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Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Change from baseline in Abnormal Involuntary Movement Scale (AIMS)
AIMS is a rating scale measuring involuntary movements known as tardive dyskinesia, that sometimes develop as a side effect of long-term treatment with antipsychotic medications. The AIMS score was calculated as the sum of questions 1 through 7 of the AIMS instrument, which includes assessments of involuntary movements in the face, lips, jaw, tongue, upper and lower extremities, and neck/shoulders/hips. Each item is rated on a five-point scale of severity from 0-4 with 0 (none), 1 (minimal), 2 (mild), 3 (moderate), 4 (severe). Total scores range from 0 to 28.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Change from baseline in Barnes Akathisia Rating Scale (BARS)
BARS is a rating scale that is administered by physicians to assess the severity of drug-induced akathisia, which is a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion, as well as by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, and crossing and uncrossing the legs while sitting. The following subcategories are scored: objective akathisia, subjective awareness of restlessness and subjective distress related to restlessness and are rated on a 4-point scale from 0-3. In addition, the global clinical assessment of akathisia uses a 6-point scale ranging from 0-5. Total score ranges from 0 to 14 with a higher score indicating increased severity.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Change from baseline in Simpson-Angus Scale (SAS)
SAS is a 10-item testing instrument used to evaluate drug-related extrapyramidal syndromes. The following items are included in the SAS: gait, arm dropping, shoulder shaking, elbow rigidity, wrist rigidity, leg pendulousness, head dropping, glabella reflex, tremor, and salivation. Total score ranges from 0 to 40 with a higher score indicating increased severity.
Time frame: SAD: Baseline to Day 6; MAD: Baseline to Day 35
Cmax
Maximum plasma concentration
Time frame: SAD: up to Day3
Tmax
Time to Cmax
Time frame: SAD: up to Day3
AUC0-t
Area under the plasma concentration-time curve from time 0 to the last of measurable concentration
Time frame: SAD: up to Day3; MAD: up to Day 30
AUC0-∞
Area under the plasma concentration-time curve from 0 to infinity
Time frame: SAD: up to Day3; MAD: up to Day 30
λz
terminal rate constant
Time frame: SAD: up to Day3
t½
elimination half-life
Time frame: SAD: up to Day3; MAD: up to Day 30
CL/F
apparent plasma clearance
Time frame: SAD: up to Day3
Vd/F
apparent volume of distribution
Time frame: SAD: up to Day3
MRT
mean residence time
Time frame: SAD: up to Day3
Css, max
Maximum concentration at steady state
Time frame: MAD: up to Day 30
Css, min
Minimum concentration at steady state
Time frame: MAD: up to Day 30
Css, av
Average concentration at steady state
Time frame: MAD: up to Day 30
Tss, max
Time of the maximum concentration at steady state
Time frame: MAD: up to Day 30
AUCss
Area under the concentration-time curve at steady state
Time frame: MAD: up to Day 30
Change from Baseline in Positive and Negative Syndrome Scale (PANSS)
PANSS is a 30-item rating scale specifically developed to asses both the positive and negative symptom syndromes of patients with schizophrenia. PANSS is comprised of 30 items and 3 subscales (Positive, Negative, General Psychopathology). An anchored Likert scale from 1 - 7, where values of 2 and above indicate the presence of progressively more severe symptoms, is used to score each item. Individual items are then summed to determine scores for the 3 subscales, as well as a total score. PANSS Positive subscale score range: 7-49. PANSS Negative subscale score range: 7-49. PANSS General Psychopathology subscale score range: 16-112. PANSS total score range: 30-210. Higher PANSS total score means more severe outcome.
Time frame: MAD: Baseline to Day 35