This is a Phase 1, First-In-Human study evaluating the safety and tolerability of single and multiple ascending oral doses of IRL757 in healthy volunteers.
The trial is composed of two parts: Single Ascending Dose (SAD) part and Multiple Ascending Dose (MAD) part. The SAD part of the trial will be a parallel group design with one pre-defined starting dose and up to four tentative ascending dose levels of IRL757. Eligible and consenting participants will be included in one of five cohorts, with 8 participants in each cohort (ratio 1:3 placebo/IRL757). The MAD part of the trial will start after completion of the SAD part of the trial. Depending on the data from the SAD part, two or three dose levels will be evaluated in the MAD part of the trial. There will be 12 participants in each cohort (ratio 1:3 placebo/IRL757). At the screening visit, consenting subjects will be screened for eligibility according to study specific inclusion/exclusion criteria within 4 weeks before Investigational Medicinal Product (IMP) administration. If eligible, participants will be admitted to the phase 1 clinic for allocation and administration of the IMP: single dose in the SAD part of the trial or repeated dose (treatment administered repeatedly for 10 days) in the MAD part of the trial. Participants will receive IRL757 or placebo, as randomized. The treatment allocation will be double-blind, i.e. it will not be disclosed to the patients, the site staff or the Sponsor. A follow-up visit will be performed for all participants, 5-10 days after IMP administration. Safety assessments will be performed throughout the study: review and collection of adverse events, physical examination, suicidality ideation, electrocardiogram recording, vital signs, safety laboratory assessments. Blood and urine sampling will also be performed for determination of pharmacokinetic parameters.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
82
CTC Clinical Trial Consultants AB, Uppsala University Hospital
Uppsala, Sweden
Evaluation of frequency, seriousness and intensity of adverse events
Time frame: Until 5-10 days after IMP administration
Description of physical examination findings
Time frame: Until 5-10 days after IMP administration
Description of electrocardiogram findings
Time frame: Until 5-10 days after IMP administration
Description of vital signs findings
Time frame: Until 5-10 days after IMP administration
Description of safety laboratory measurements
Time frame: Until 5-10 days after IMP administration
Description of C-SSRS (Columbia Suicide Severity Rating Scale) findings
Time frame: Until 5-10 days after IMP administration
Determination of Maximum Plasma Concentration [Cmax] of IRL757 and its 3 main metabolites
Time frame: Until 48 hours post-dose
Determination of the AUC of IRL757 and its 3 main metabolites after single and multiple dose
Time frame: Until 48 hours post-dose
Determination of the time for maximum concentration [Tmax] of IRL757 and its 3 main metabolites
Time frame: Until 48 hours post-dose
Determination of the half-life [t1/2] of IRL757 and its 3 main metabolites
Time frame: Until 48 hours post-dose
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Determination of the renal clearance (CLr) of IRL757 and its 3 main metabolites
Time frame: Until 48 hours post-dose