This is a phase 1, randomized, double-blind, placebo-controlled study investigating the safety, tolerability, pharmacokinetics, and pharmacodynamics of single ascending doses (SAD) and multiple ascending doses (MAD) of VNA-318 in healthy male subjects.
The First-in-Human phase I, single center study investigating VNA-318, administered orally, will consist of 2 parts: * Part 1 SAD, conducted in 5 to 8 cohorts of 8 healthy male subjects per dose level, including one optional exploratory cohort with cerebrospinal fluid (CSF) sampling * Part 2 MAD, conducted in 3 to 4 cohorts of 12 healthy male subjects per dose level Subjects will be included in either Part 1 or 2. A Study Safety Committee is involved and will make recommendations on the study advancement, i.e. the dose for the next planned cohort. The doses of the MAD part will be selected by this Study Safety Committee and will be based upon safety and tolerability assessments, the observed PK and, if available and applicable, PD data from SAD.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
92
Part 1 will consist of administration of VNA-318 at the doses of 5 mg to 180 mg in 5 to 8 successive cohorts. Part 2 will consist of administration of VNA-318 in 3 to 4 successive cohorts. The doses will be selected based on safety and tolerability assessments, as well as PK and, if applicable, PD data from SAD. Once PK suggests that the therapeutic dose has been reached in the SAD part, the SAD and MAD parts of the study could be run in parallel.
Part 1 (SAD) will consist of administration of matching placebo at the doses of 5 mg to 180 mg in 5 to 8 successive cohorts. Part 2 (MAD) will consist of administration of matching placebo in 3 to 4 successive cohorts. The doses will be selected based on safety and tolerability assessments, as well as PK and, if applicable, PD data from SAD.
Biotrial
Rennes, France
Safety and tolerability of single dose
• Percentage of subjects who experienced at least one treatment-emergent adverse event (TEAE) by seriousness, intensity, and relatedness from baseline through follow-up,
Time frame: From Day 1 to Day 7
Safety and tolerability of single dose
• Percentage of subjects who discontinued due to a TEAE,
Time frame: From Day 1 to Day 7
Safety and tolerability of single dose
• Percentage of subjects who met the abnormal criteria for safety laboratory tests at least once post-dose,
Time frame: From Day 1 to Day 7
Safety and tolerability of single dose
• Percentage of subjects who met the abnormal criteria for vital signs (blood pressure, pulse rate, and body temperature) measurement at least once post-dose,
Time frame: From Day 1 to Day 7
Safety and tolerability of single dose
• Percentage of subjects who meet the abnormal criteria for safety electrocardiogram (ECG) parameters at least once post-dose.
Time frame: From Day 1 to Day 7
Safety and tolerability of multiple dose
• Percentage of subjects who experienced at least one treatment-emergent adverse event (TEAE) by seriousness, intensity, and relatedness from baseline through follow-up,
Time frame: From Day 1 to Day 19
Safety and tolerability of multiple dose
• Percentage of subjects who discontinued due to a TEAE,
Time frame: From Day 1 to Day 19
Safety and tolerability of multiple dose
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• Percentage of subjects who met the abnormal criteria for safety laboratory tests at least once post-dose,
Time frame: From Day 1 to Day 19
Safety and tolerability of multiple dose
• Percentage of subjects who met the abnormal criteria for vital signs (blood pressure, pulse rate, and body temperature) measurement at least once post-dose,
Time frame: From Day 1 to Day 19
Safety and tolerability of multiple dose
• Percentage of subjects who meet the abnormal criteria for safety electrocardiogram (ECG) parameters at least once post-dose.
Time frame: From Day 1 to Day 19
SAD - Cmax
Maximum observed plasma concentration (Cmax)
Time frame: Day 1
SAD tmax
Time to reach maximum observed plasma concentration (tmax)
Time frame: Day 1
SAD Clast
Last observed quantifiable concentration (Clast)
Time frame: Day 1
SAD Tlast
Time to reach last observed quantifiable concentration (Tlast)
Time frame: Day 1
SAD AUC0-inf
Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf)
Time frame: Day 1
SAD AUC0-t
Area under the plasma concentration-time curve from time zero to time t (AUC0-t)
Time frame: Day 1
SAD ke
Apparent terminal elimination rate constant (ke)
Time frame: Day 1
SAD t½
Terminal elimination half-life (t½)
Time frame: Day 1
SAD CL/F
Total body clearance (CL/F)
Time frame: Day 1
SAD Vz/F
Volume of distribution (Vz/F)
Time frame: Day 1
MAD Cmax
Maximum observed plasma concentration (Cmax)
Time frame: Day 1 and Day 12
MAD tmax
Time to reach maximum observed plasma concentration (tmax)
Time frame: Day 1 and Day 12
MAD Ctrough
Trough concentration at the end of the dosing interval (Ctrough)
Time frame: Day 1 and Day 12
MAD AUC0-24h
Area under the plasma concentration-time curve from time zero to 24h (AUC0-24h)
Time frame: Day 1 and Day 12
MAD AUC0-inf
Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf)
Time frame: Day 1 and Day 12
MAD ke
Terminal elimination constant rate (ke)
Time frame: Day 1 and Day 12
MAD t½
Terminal elimination half-life (t½)
Time frame: Day 1 and Day 12
MAD CL/F
Total body clearance (CL/F)
Time frame: Day 1 and Day 12
Characterize MAD PK profiles of VNA-318
Volume of distribution (Vz/F)
Time frame: Day 1 and Day 12
MAD Vss
Apparent volume of distribution at steady-state (Vss)
Time frame: Day 12
MAD accumulation ratio
Accumulation ratio calculated from Cmax at steady state and Cmax after first dosing (Rac(Cmax)) as well as from AUC (Rac(AUC(0-24h))
Time frame: Day 12