This first-in-human, randomized, double-blind, placebo-controlled Phase 1 study evaluates the safety, tolerability, and pharmacokinetics of single, split, and multiple oral doses of ZE74-0282 under fasted or fed conditions in healthy adult volunteers.
This is a double-blind, randomized, placebo-controlled, first-in-human Phase 1 study evaluating the safety, tolerability, and pharmacokinetics of ZE74-0282 in healthy adult volunteers. A total of up to 64 participants are planned: 48 participants in Part A and 16 participants in Part B. Each cohort will enroll 8 participants, with 6 randomized to ZE74-0282 and 2 randomized to matching placebo. Dose levels and cohort progression will be reviewed sequentially by the Safety Review Committee based on blinded safety and available pharmacokinetic data. Part A comprises Cohorts 1, 2, 2a, 3, 4, and 5. It evaluates single ascending doses and, where selected by the Safety Review Committee, split or twice-daily dosing on Day 1. Cohort 2a evaluates 75 mg twice daily, administered 12 hours (+/- 30 minutes) apart on Day 1, for a total daily dose of 150 mg. Dosing in each Part A cohort begins with 2 sentinel participants before dosing the remaining participants. Part A participants are confined from Day -1 through Day 4 and complete the end-of-study visit on Day 8 (+/- 1 day). Part B comprises Cohorts 6 and 7 and evaluates multiple ascending doses for 7 days. Cohort 6 receives 75 mg twice daily and Cohort 7 receives 150 mg twice daily. Doses are administered approximately 12 hours (+/- 30 minutes) apart on Days 1 through 6, with a morning dose only on Day 7, for a total of 13 doses. Part B participants are confined from Day -1 through Day 8, have a follow-up telephone call on Day 11, and complete the end-of-study visit on Day 18 (+/- 1 day).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
64
The participant will receive ZE74-0282-0001 or placebo
Scientia Clinical Research Ltd.
Randwick, New South Wales, Australia
RECRUITINGIncidence of AEs/SAEs
Number of participants with Adverse Events (AEs), serious Adverse Events (SAEs) (including withdrawals due to AEs)
Time frame: Baseline to Day 8
Change from Baseline in body weight
A measure of change from Baseline in body weight
Time frame: Baseline to Day 8
Change from Baseline in blood pressure
A measure of change from Baseline in blood pressure
Time frame: Baseline to Day 8
Change from Baseline in electrocardiogram (ECG) QT interval
A measure of change from Baseline in ECG QT interval
Time frame: Baseline to Day 8
Change from Baseline in haematology parameters
Change from baseline in Haematocrit, Haemoglobin, Mean corpuscular haemoglobin, Mean corpuscular haemoglobin concentration, Mean corpuscular volume, Mean platelet volume, Packed cell volume, Platelet count, Red blood cell count, Reticulocyte count, White blood cell count.
Time frame: Baseline to Day 8
Change from Baseline in pulse rate
A measure of change from Baseline in pulse rate
Time frame: Baseline to Day 8
Change from Baseline in respiratory rate
A measure of change from Baseline in respiratory rate
Time frame: Baseline to Day 8
Change from Baseline in temperature
A measure of change from Baseline in temperature
Time frame: Baseline to Day 8
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Change from Baseline in clinical chemistry parameters
Change from baseline in Albumin, Alkaline phosphatase, Alanine aminotransferase, Amylase, Anion gap, Aspartate aminotransferase, Bicarbonate, Calcium, Ionised calcium, Chloride, Conjugated (direct) bilirubin, Creatinine, Creatinine kinase.
Time frame: Baseline to Day 8
Change from baseline in coagulation parameters
Change from baseline in Activated partial thromboplastin time, Fibrinogen, International normalised ratio/ Prothrombin time
Time frame: Baseline to Day 8
Change from Baseline in urinalysis parameters
Change from baseline in Bilirubin, Blood, Glucose, Ketones, Leukocyte esterase, Nitrite, pH, Protein, Specific gravity, Urobilinogen.
Time frame: Baseline to Day 8
Maximum observed plasma concentration
To assess maximum observed plasma concentration
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Time to Cmax
To assess time to Cmax
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Area under the concentration-time curve from 0 to time of last quantifiable concentration
To assess area under the concentration-time curve from 0 to time of last quantifiable concentration
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Area under the concentration-time curve from 0 to 24 hours
To assess area under the concentration-time curve from 0 to 24 hours
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Area under the concentration-time curve from 0 to infinity
To assess area under the concentration-time curve from 0 to infinity
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Apparent terminal elimination half-life
To assess apparent terminal elimination half-life
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Terminal elimination rate constant
To assess terminal elimination rate constant
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Total apparent body clearance following oral administration
To assess total apparent body clearance following oral administration
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Apparent volume of distribution following oral administration
To assess apparent volume of distribution following oral administration
Time frame: PK samples will be collected from Day 1 to Day 4 and on Day 8
Trough plasma concentration (Ctrough) - Part B
Plasma concentration immediately before the next scheduled dose during multiple dosing.
Time frame: Predose on Day 1 through 264 hours after the Day 7 morning dose (Day 18).
Apparent steady-state clearance - Part B
Apparent clearance of ZE74-0282 at steady state following repeated oral administration.
Time frame: Predose on Day 1 through 264 hours after the Day 7 morning dose (Day 18).
Apparent steady-state volume of distribution (Vss/F) - Part B
Apparent volume of distribution of ZE74-0282 at steady state following repeated oral administration.
Time frame: Predose on Day 1 through 264 hours after the Day 7 morning dose (Day 18).
Accumulation ratio based on Cmax (RCmax) - Part B
Ratio of Cmax after repeated dosing to Cmax after the first dose.
Time frame: Predose on Day 1 through 264 hours after the Day 7 morning dose (Day 18).
Accumulation ratio based on AUC0-12 (RAUC) - Part B
Ratio of AUC0-12 after repeated dosing to AUC0-12 after the first dose.
Time frame: Predose on Day 1 through 264 hours after the Day 7 morning dose (Day 18).