This is a single-center, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, PK characteristics, and food effect of single ascending oral doses of SYH2056 tablets in healthy participants. The study is planned to have two Parts: Part 1 \[the single ascending dose (SAD) study\] and Part 2 (the food effect study).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
72
SYH2056 tablets, 2mg/tablet or 8mg/tablet, \[WQQ1.1\]taken according to the dosage of arm1 to arm7 on day1 SYH2056 tablets, 8mg/tablet, taken according to the dosage of arm8 and arm9 on day1 or say5
Placebo Comparator, taken matching the dosage of arm1 to arm7 on day1
Adverse events assessments
Incidence, severity, seriousness, and relationship of treatment-emergent adverse events (TEAEs) will be assessed by CTCAE V5.0
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Changes in Systolic and Diastolic Blood Pressure Blood Pressure
Changes in systolic and diastolic blood pressure will be assessed during the study(Unit: mmHg)
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Changes in Pulse Rate
Changes in pulse rate will be assessed during the study(Unit: beats/min)
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Changes in Body Temperature
Changes in body temperature will be assessed during the study(Unit: °C)
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Incidence of Clinically Significant Abnormal Findings in Physical Examination
Clinically significant abnormalities identified by physical examination, including general condition, skin and mucous membranes, superficial lymph nodes, head, neck, thyroid, chest (including thorax, lungs, and heart), abdomen, spine/limbs, and nervous system examinations, will be assessed during the study. The results will be presented as the percentage of participants (%) with clinically significant abnormalities
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Clinically Significant Abnormal Findings in Hematology Tests
Clinically significant abnormalities identified by hematology tests, including complete blood count parameters, will be assessed during the study. The results will be presented as the percentage of participants(%) with clinically significant abnormalitiesClinically significant abnormalities identified by hematology tests, including complete blood count parameters, will be assessed during the study. The results will be presented as the percentage of participants(%) with clinically significant abnormalities
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Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Clinically Significant Abnormal Findings in Blood Biochemistry Tests
Clinically significant abnormalities identified by blood biochemistry tests, including liver function, renal function, and metabolic parameters, will be assessed during the study. The results will be presented as the percentage of participants(%) with clinically significant abnormalities
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Clinically Significant Abnormal Findings in Coagulation Tests
Clinically significant abnormalities identified by coagulation tests, including coagulation parameters, will be assessed during the study. The results will be presented as the percentage of participants(%) with clinically significant abnormalities
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Clinically Significant Abnormal Findings in Urinalysis
Clinically significant abnormalities identified by urinalysis, including urine parameters, will be assessed during the study. The results will be presented as the percentage of participants(%) with clinically significant abnormalities
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
12-lead electrocardiograms (ECGs)
Changes in 12-lead electrocardiogram parameters, including heart rate, PR interval, QRS interval, QT interval, and QTc interval, will be assessed
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Modified Observer's Assessment of Alertness/Sedation (MOAA/S) Score
Potential effects of SYH2056 on neuropsychiatric status will be assessed by the MOAA/S Score. The MOAA/S score ranges from 0 to 5, with higher scores indicating a higher level of alertness (less sedation) and lower scores indicating a deeper level of sedation.
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Columbia Suicide Severity Rating Scale (C-SSRS) Assessed
Potential effects of SYH2056 on neuropsychiatric status will be assessed by the C-SSRS. Suicidal ideation severity is rated from 0 to 5, with higher scores indicating greater severity of suicidal ideation.
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Clinician-Administered Dissociative States Scale (CADSS)
Hallucinogenic properties of SYH2065 will be assessed by the CADSS. The CADSS total score ranges from 0 to 92, with higher scores indicating greater severity of dissociative symptoms.
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
Brief Psychiatric Rating Scale (BPRS)
Hallucinogenic properties of SYH2065 will be assessed by the BPRS. The BPRS total score ranges from 18 to 126, with higher scores indicating greater severity of psychiatric symptoms.
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
the Physician Withdrawal Checklist 20 (PWC-20)
Subject's subjective liking of SYH2065 will be assessed by the PWC-20
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
The Drug Liking Visual Analogue Scale (VAS)
Subject's subjective liking of SYH2065 will be assessed by the VAS. The score ranges from 0 to 100, with higher scores indicating greater subjective liking of the drug.
Time frame: Up to Day11 for Part1 SAD study, up to Day15 for Part2 FE study
t1/2
Elimination Half-Life of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
Tmax
Time to Peak Concentration of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
Cmax
Maximum Plasma Concentration of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
AUC0-t
Area under the Drug Concentration-Time Curve from Time 0 to the Last Measurable Time Point of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
AUC0-inf
Area under the Drug Concentration-Time Curve from Time 0 to Infinity of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
CL/F
Apparent Volume of Distribution of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
Vz/F
Apparent Volume of Distribution of SYH2056
Time frame: Day1 to Day4 for Part1 SAD study, Day1 to Day8 for Part2 FE study
SYH2056 Metabolites
Identification of SYH2056 metabolites in plasma and urine, and to characterize its metabolic pathways
Time frame: Up to Day11 for Part1 SAD study