This is a Phase 1b/2a open-label, dose escalation 3 part-study, 28-day, 90-day or 180 day repeat dose study of YCT-529 in healthy males who have decided to have a vasectomy and are waiting for the procedure and for men who have decided not to father children in the future. The study is aimed at evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics and to assess sexual function and mood.
This is a Phase 1b/2a, open label, 28-day, 90-day or 180-day repeat-dose escalation study of YCT-529 in healthy men to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics, and to assess sexual function and mood. The study consists of 3 parts: a 28-day Phase 1b part (Part 1), a 90-day Phase 2a part (Part 2) and a 180-day Phase 2a part (Part 3). All participants will receive YCT-529. In Part 1, 4 dosing cohorts and one optional 5th cohort with 4 participants each will be evaluated. In Part 2, up to 5 dosing cohorts and 2 optional cohorts with 4 participants each will be evaluated. Dose levels will be selected based on doses that were deemed safe and well tolerated upon 28-day administration in Part 1 and any previous Part 2 cohorts. Participants in Parts 1 and 2 may be replaced automatically if prior to any dosing. If a participant is required to be replaced post-dose, the replacement may beapproved at the discretion of Sponsor and PI with the objective of available data in at least 3 evaluable participants per cohort. In Part 3, 3 dosing cohorts and one optional 4th cohort with 10 participants each will receive doses within the range of doses that were deemed safe and well tolerated in Part 2. Participants who discontinue early may be replaced.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
88
In Part 1, 4 dosing cohorts and one optional 5th cohort with 4 participants each will be evaluated. In Part 2, up to 5 dosing cohorts and 2 optional cohorts with 4 participants each will be evaluated. Dose levels will be selected based on doses that were deemed safe and well tolerated upon 28-day administration in Part 1 and any previous Part 2 cohorts. In Part 3, 3 dosing cohorts and one optional 4th cohort with 10 participants each will receive doses within the range of doses that were deemed safe and well tolerated in Part 2.
New Zealand Clinical Research (NZCR)
Grafton, Auckland, New Zealand
RECRUITINGThe incidence and nature of any adverse events, dose-limiting adverse events and serious adverse adverse events.
Assessment of the number and type of adverse events, dose-limiting adverse events and serious adverse events following dosing.
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Vital signs assessment (heart rate)
Changes from pre-dose values (beats per minute)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Vital signs assessment (blood pressure)
Changes from pre-dose values (mm hg)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Vital signs assessment (oral temperature)
Changes from pre-dose values (temperature in celsius degrees)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
12-lead ECG assessment (heart rate)
Changes from pre-dose values (beats per minute)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
12-lead ECG assessment (QT interval)
Changes from pre-dose values for QT internal length (msec)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
12-lead ECG assessment (QTcF Interval)
Changes from pre-dose values for QTcF interval length (msec)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
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12-lead ECG assessment (PR Interval)
Changes from pre-dose values for PR interval length (msec)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
12-lead ECG assessment (QRS Duration)
Changes from pre-dose values for QRS duration (msec)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Hemoglobin Blood Sample Test
Change from pre-dose value for hemoglobin (gm/dl)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Hematocrit Blood Sample Test
Change from pre-dose value for hematocrit (%)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Packed Cell Volume Blood Sample Test
Change from pre-dose value for packed cell volume (%)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Red Blood Cell Sample Test
Change from pre-dose value for red blood cells (g/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Mean Corpuscular Volume Blood Sample Test
Change from pre-dose value for mean corpuscular volume (fL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Mean Corpuscular Hemoglobin Blood Sample Test
Change from pre-dose value for mean corpuscular hemoglobin (MCH)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Mean Corpuscular Hemoglobin Concentration Blood Sample Test
Change from pre-dose value for mean corpuscular hemoglobin concentration (g/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Platelet Count Blood Sample Test
Change from pre-dose value for platelets (microL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- White Blood Cell Sample Test
Change from pre-dose value for White blood cells (cells/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Neutrophil Blood Sample Test
Change from pre-dose value for Neutrophils (cells/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Lymphocyte Blood Sample Test
Change from pre-dose value for Lymphocytes (cells/mcL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Monocyte Blood Sample Test
Change from pre-dose value for Monocytes (cells/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Eosinophil Blood Sample Test
Change from pre-dose value for Eosinophils (%)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Basophil Blood Sample Test
Change from pre-dose value for Basophils (%)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Coagulation Blood Sample Test
Changes from pre-dose value for Prothrombin time (seconds)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Activated Partial Thromboplastin Time Blood Sample Test
Changes from pre-dose values for Activated partial thromboplastin time (seconds)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Fibrinogen Blood Sample Test
Changes from pre-dose value for Fibrinogen (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Sodium Blood Sample Tests
Changes from pre-dose value for Sodium (mEq/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Chloride Blood Sample Test
Changes from pre-dose value for Chloride (mmol/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Potassium Blood Sample Test
Changes from pre-dose value for Potassium (mEq/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Bicarbonate Blood Sample Test
Changes from pre-dose value for Bicarbonate (mEq/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Urea Blood Sample Test
Changes from pre-dose value for Urea mmol/L
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Creatinine Blood Sample Test
Changes from pre-dose value for Creatinine (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Bilirubin (total) Blood Sample Test
Changes from pre-dose value for Bilirubin (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Bilirubin (direct) Blood Sample Test
Changes from pre-dose value for Bilirubin, direct only if total bilirubin is elevated (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Alkaline Phosphatase Blood Sample Test
Changes from pre-dose value for Alkaline Phosphatase (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Aspartate aminotransferase Blood Sample Test
Changes from pre-dose value for Aspartate aminotransferase (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Alanine aminotransferase Blood Sample Test
Changes from pre-dose value for Alanine aminotransferase (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Lactate dehydrogenase Blood Sample Test
Changes from pre-dose value for Lactate dehydrogenase (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment -Creatinine Kinase Blood Sample Test
Changes from pre-dose value for Creatine kinase for (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Gamma glutamyl transferase Blood Sample Test
Changes from pre-dose value for Gamma glutamyl transferase (U/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Troponin Blood Sample Test
Changes from pre-dose value for Troponin (ng/mL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Total Protein Blood Sample Test
Changes from pre-dose value for Total Protein (g/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Albumin Blood Sample Test
Changes from pre-dose value for Albumin (g/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Calcium Blood Sample Test
Changes from pre-dose value for Calcium (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Fasting Glucose Blood Sample Test
Changes from pre-dose value for Fasting Glucose (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Non Fasting Glucose Blood Sample Test
Changes from pre-dose value for Non Fasting Glucose (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Fasting Triglycerides Blood Sample Test
Changes from pre-dose value for Fasting Triglycerides (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment - Total Fasting Cholesterol Blood Sample Test
Changes from pre-dose value for Total Fasting Cholesterol) (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment-Bilirubin Urine Sample Test
Changes from pre-dose values for Bilirubin (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment-Urobilinogen Urine Sample Test
Changes from pre-dose value for Urobilinogen (mmol/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Ketones Urine Sample Test
Changes from pre-dose value for Ketones (mmol/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Glucose Urine Sample Test
Changes from pre-dose value for Glucose (mmol/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Protein Urine Sample Test
Changes from pre-dose values for Protein (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Blood Urine Sample Test
Changes from pre-dose value for Blood (RBC/HPF)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Nitrites Urine Sample Test
Changes from pre-dose value for Nitrites (mg/dL)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- pH Urine Sample Test
Changes from pre-dose value for pH (pH value)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Specific Gravity Urine Sample Test
Changes from pre-dose value for Specific Gravity (USG)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- Leukocytes Urine Sample Test
Changes from pre-dose value for Leukocytes (leukocytes per microscopic field)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Clinical laboratory assessment- High Sensitivity C- Reactive Protein
Changes from pre-dose value for High Sensitivity C- Reactive Protein (mg/L)
Time frame: For Part 1, from baseline to Day 280 and only in Part 2 from baseline to Day 360.
Plasma PK Parameter of YCT-529 (Area under the curve to Infinity [AUCinf])
Plasma PK Parameter as measured by area under the curve from time 0 extrapolated to infinity \[AUCinf\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Area under the curve to the last measured concentration [AUC0-t])
Plasma PK Parameter as measured by area under the curve from time 0 to the last measured concentration \[AUC0-t\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Area under the curve to 24 hours [AUC0-24])
Plasma PK Parameter as measured by area under the curve from time 0 to 24 hours \[AUC0-24\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Time to maximum concentration [Tmax])
Plasma PK Parameter as measured by time to maximum concentration \[Tmax\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Terminal elimination half life [T1/2])
Plasma PK Parameter as measured by terminal elimination half life \[T1/2\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Lag time [Tlag])
Plasma PK Parameter as measured by lag time \[Tlag\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (Volume of distribution [Vz/F])
Plasma PK Parameter as measured by apparent volume of distribution \[Vz/F\]
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (oral clearance [CL/F])
Plasma PK Parameter as measured by oral clearance \[CL/F\] of YCT-529
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Plasma PK Parameter of YCT-529 (maximum concentration [Cmax])
Plasma PK Parameter as measured by maximum concentration \[Cmax\]) of YCT-529
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Pharmacodynamic parameter of YCT-529, including follicle-stimulating hormone
Changes from pre-dose values of follicle-stimulating hormone
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Pharmacodynamic parameter of YCT-529, including luteinizing hormone
Changes from pre-dose values of luteinizing hormone
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Pharmacodynamic parameter of YCT-529, including estradiol
Changes from pre-dose values of luteinizing hormone
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Pharmacodynamic parameter of YCT-529, including testosterone
Changes from pre-dose values of testosterone
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.
Changes in YCT-529 concentrations in semen
Changes in YCT-529 as measured by changes in serum concentrations in semen
Time frame: Pre-dose to 28 days post last dose in Part 1, and from pre-dose to 30 days post last dose in Parts 2 and 3.