This is a double-blind, randomised, placebo-controlled trial designed to evaluate safety, tolerability, and pharmacokinetics (PK) after topical administration of single ascending doses of GZ21T in healthy volunteers.
Participants will receive a single topical application of GZ21T or placebo: Part A: * Cohort 1: 25.5 mg/cm2 GZ21T or placebo will be applied to 900 cm2 of the skin, corresponding to approximately 5% body surface area (BSA) and 23 g cream. * Cohort 2: 25.5 mg/cm2 GZ21T or placebo will be applied to 1350 cm2 of the skin, corresponding to approximately 7.5% BSA and 35 g cream. * Cohort 3: 25.5 mg/cm2 GZ21T or placebo will be applied to 1800 cm2 of the skin, corresponding to approximately 10% BSA and 46 g cream. * Cohort 4: 25.5 mg/cm2 GZ21T or placebo will be applied to the face, corresponding to approximately 3-3.5% BSA (540 - 630% cm2) and 16 g cream. Participants will come for 3 visits to the research clinic for screening, treatment, and follow-up. Sentinel dosing will be applied. All participants will be carefully monitored by clinical staff during and after IMP application and will remain at the research clinic for at least 24 hours after treatment (Day 2) for safety assessments, including safety laboratory testing, 12-lead ECG, vital signs, local tolerability, physical examination and AEs, and PK assessments. Part B: * Cohort 1: 13 mg/cm2 GZ21T will be applied to 900 cm2 of the skin, corresponding to approximately 5% body surface area (BSA) * Optional cohorts 2 and 3: A single dose of GZ21T decided based on the results from preceding cohorts will be applied to 900 cm2 of the skin corresponding to approximately 5% BSA. Participants will come for 3 visits to the research clinic and 1 telephone visit for screening, treatment, and follow-up. All participants will be carefully monitored by clinical staff during and after IMP application and will remain at the research clinic for 2 hours after treatment for local tolerability and AE evaluation. On Day 2 (Visit 3), approximately 24 hours post-dose, participants will visit the research clinic for follow-up of local tolerability and AEs. A remote telephone call will be performed on Day 7 (Visit 4) to follow-up on local tolerability and AEs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
41
GZ21T cream is intended to be studied as a potential treatment for patients with actinic keratoses and other dermatologic conditions which may be amendable to the study treatment.
CTC (Clinical Trial Consultants) AB
Uppsala, Sweden, Sweden
AE
Number of reported adverse events (AEs).
Time frame: Day 1 to Day 7
Number of Reported Skin Reactions
Local tolerability reactions, such as Erythema, swelling, pruritus, burning, blistering and urticaria, discolouration and dryness (Investigator's assessment 0-3 none/mild/moderate/severe).
Time frame: Day 1 to Day 7.
Number of Participants With Clinically Significant Changes in Vital Signs
Number of participants in Part A with clinically significant changes from baseline in vital signs (systolic, diastolic blood pressure and pulse)
Time frame: Day 1 to Day 7.
Number of Participants With Clinically Significant Changes in Electrocardiograms (ECGs)
Number of participants in Part A with clinically significant changes from baseline in ECG results (resting heart rate, PQ/PR, QRS, QT and QTcF).
Time frame: Day 1 to Day 7.
Number of Participants With Clinically Significant Abnormal Laboratory Test Results (Haematology, Clinical Chemistry, Coagulation)
Number of participants in Part A with clinically significant abnormal laboratory tests results (clinical chemistry, hematology and coagulation parameters).
Time frame: Day 1 to Day 7.
Number of Participants With Clinically Significant Changes in Physical Examination Findings.
Number of participants in Part A with clinically significant changes from baseline in physical examination findings.
Time frame: Day 1 to Day 7.
Amount of Cream Absorbed After Single Dose Applications.
Cream absorption measured on a 4-point scale: "1= not absorbed"; "2= somewhat absorbed"; "3= mostly absorbed"; "4= completely absorbed". This outcome was prespecified to be assessed only for Part B.
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Time frame: 0-2 hours after IMP administration
Plasma Concentrations
Plasma concentrations of GZ21T after single dose applications.
Time frame: Day 1 to Day 7.
PK Parameters- AUCinf
PK parameters after a single dose application (to be calculated if data permits): area under the plasma concentration curve from time 0 to infinity (AUCinf).
Time frame: Day 1 to Day 7.
PK Parameters - AUClast
PK parameters after a single dose application (to be calculated if data permits): AUC from time 0 to the last measurable concentration (AUClast).
Time frame: Day 1 to Day 7.
PK Parameters - Cmax
PK parameters after a single dose application (to be calculated if data permits): maximum plasma concentration (Cmax).
Time frame: Day 1 to Day 7.
PK Parameters - Tmax
PK parameters after a single dose application (to be calculated if data permits): time to Cmax (Tmax).
Time frame: Day 1 to Day 7.
PK Parameters - T½
PK parameters after a single dose application (to be calculated if data permits): terminal elimination half-life (T½).
Time frame: Day 1 to Day 7.