A Phase 1, Randomized, Double-Blinded, Placebo-Controlled study to Evaluate the Safety, Tolerability,and Pharmacokinetics of Single and Multiple Ascending Doses of CBT101 given intranasally in Healthy Male Subjects.
The product developed by Ceres-Brain Therapeutics is a creatine-based drug called CBT101. CBT101 is a product designed to deliver creatine to brain cells. CBT101 will be administered into the nasal cavity via a nasal spray, enabling the product to reach the brain, and neurons in particular, rapidly. In the neurons, CBT101 will be converted into creatine. This product is indicated for adults and children suffering from creatine deficiency syndrome, or for neurological diseases where a supply of energy, in the form of creatine, would be useful. These include Creatine Transporter Deficiency (a rare genetic disease that affects children and manifests itself in autistic disorders, intellectual deficits, major communication and developmental disorders, particularly psychomotor disorders, and epileptic seizures) and Charcot's disease (a degenerative disease of neurons that unfortunately currently has no curative treatment).This study is divided into 2 parts and will include a total of 48 healthy male volunteers aged between 18 and 55. The primary objective is to evaluate the safety and tolerability of CBT101 after 14 days of repeated intranasal dosing at 3 ascending doses. The secondary objective is to determine the pharmacokinetic parameters (study of the fate of the drug in the body) of CBT101 or its metabolites. The first part is a Single Ascending Doses (SAD) composed of 3 cohorts at the following doses: 4.2 mg, 8.4 mg and 12.6 mg. The second part is a Multiple Ascending Doses (MAD), comprising 3 cohorts at the following doses: 4.2 mg, 8.4 mg and 12.6 mg. There will be 8 participants per cohort, of whom 6 will receive CBT101 and 2 will receive placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
48
Part 1 (SAD): at the morning * Cohort 1: 1 puff in each nostril (total 2 puffs), total 4.2 mg * Cohort 2: 2 puffs in each nostril (total 4 puffs), total 8.4 mg * Cohort 3: 3 puffs in each nostril (total 6 puffs), total 12.6 mg Part 2 (MAD): * Cohort 4: 1 puff per nostril/day (total 2 puffs/day), total 4.2 mg/day (morning) * Cohort 5: 2 puffs per nostril/day (total 4 puffs/day), total 8.4 mg/day (morning and evening) * Cohort 6: 3 puffs per nostril/day (total 6 puffs/day), total 12.6 mg/day (morning, midday and evening)
Part 1 (SAD): at the morning * Cohort 1: 1 puff in each nostril (total 2 puffs), total 4.2 mg * Cohort 2: 2 puffs in each nostril (total 4 puffs), total 8.4 mg * Cohort 3: 3 puffs in each nostril (total 6 puffs), total 12.6 mg Part 2 (MAD): * Cohort 4: 1 puff per nostril/day (total 2 puffs/day), total 4.2 mg/day (morning) * Cohort 5: 2 puffs per nostril/day (total 4 puffs/day), total 8.4 mg/day (morning and evening) * Cohort 6: 3 puffs per nostril/day (total 6 puffs/day), total 12.6 mg/day (morning, midday and evening)
Eurofins Optimed
Gières, France
Part 1 : Safety and tolerability assessment:
\- Adverse events /treatment-emergent adverse events (TEAEs)
Time frame: From screening to the last visit (4weeks)
Part 2 : Safety and tolerability assessment
\- Adverse events /treatment-emergent adverse events (TEAEs);
Time frame: From screening to the last visit (6 weeks)
Part 1 : Safety and tolerability assessment:
Change in nasal examination, including anterior rhinoscopy over the study
Time frame: From screening to the last visit (4weeks)
Part 1 : Safety and tolerability assessment:
\- Change in physical examination and body weight over the study course as compared to baseline;weight and height will be combined to report BMI in kg/m\^2
Time frame: From screening to the last visit (4weeks)
Part 1 : Safety and tolerability assessment:
\- Change in clinical laboratory evaluations (including hematology, biochemistry, , urinalysis) over the study course as compared to baseline;
Time frame: From screening to the last visit (4weeks)
Part 1 : Safety and tolerability assessment:
\- Change in vital signs assessment over the study course as compared to baseline;
Time frame: From screening to the last visit (4weeks)
Part 1 : Safety and tolerability assessment:
\- Change in 12-lead ECG, over the study course as compared to baseline : QRS, PR and QTcf.
Time frame: From screening to the last visit (4weeks)
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Part 2 : Safety and tolerability assessment
\- Change in nasal examination, including rhinoscopy over the study course as compared to baseline;
Time frame: From screening to the last visit (6 weeks)
Part 2 : Safety and tolerability assessment
\- Change in physical examination and body weight over the study course as compared to baseline;weight and height will be combined to report BMI in kg/m\^2
Time frame: From screening to the last visit (6 weeks)
Part 2 : Safety and tolerability assessment
\- Change in clinical laboratory evaluations (including hematology, biochemistry, , urinalysis) over the study course as compared to baseline;
Time frame: From screening to the last visit (6 weeks)
Part 2 : Safety and tolerability assessment
\- Change in vital signs assessment over the study course as compared to baseline;
Time frame: From screening to the last visit (6 weeks)
Part 2 : Safety and tolerability assessment
\- Change in 12-lead ECG, over the study course as compared to baseline : PR, QRS and QTcf
Time frame: From screening to the last visit (6 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- Cmax: Maximum observed plasma concentration
Time frame: From screening to the day 2 (3 weeks)
Part 1 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- Cmax: Maximum observed plasma concentration;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- Tmax: Time to maximum observed plasma concentration;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- AUC0-t: Area under the concentration-time curve from baseline to last measurable concentration;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- t1/2: Terminal elimination half-life;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- CL: Clearance;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- Vd: Apparent volume of distribution in the terminal phase;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : Plasma pharmacokinetics assessment of CBT101
\- AUC0-∞: Area under the plasma concentration-time Curve with extrapolation to infinity
Time frame: From screening to the day 2 (3 weeks)
Part 1 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- Tmax: Time to maximum observed plasma concentration;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- AUC0-t: Area under the concentration-time curve from baseline to last
Time frame: From screening to the day 2 (3 weeks)
Part 1 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- t1/2: Terminal elimination half-life;
Time frame: From screening to the day 2 (3 weeks)
Part 1 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- AUC0-∞: Area under the plasma concentration-time Curve with extrapolation to infinity.
Time frame: From screening to the day 2 (3 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- Cmax: Maximum observed plasma concentration;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- Tmax: Time to maximum observed plasma concentration;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- AUC0-t: Area under the concentration-time curve from baseline to last
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- t1/2: Terminal elimination half-life;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- CL: Clearance;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- Vd: Apparent volume of distribution in the terminal phase;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : Plasma pharmacokinetics assessment of CBT101
\- AUC0-∞: Area under the plasma concentration-time Curve with extrapolation to infinity.
Time frame: From screening to the day 15 (5 weeks)
Part 2 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- Cmax: Maximum observed plasma concentration;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- Tmax: Time to maximum observed plasma concentration;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- AUC0-t: Area under the concentration-time curve from baseline to last measurable concentration;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- t1/2: Terminal elimination half-life;
Time frame: From screening to the day 15 (5 weeks)
Part 2 : The metabolites 1-dodecanol will be determined and several PK parameters will be calculated.
\- AUC0-∞: Area under the plasma concentration-time Curve with extrapolation to infinity.
Time frame: From screening to the day 15 (5 weeks)