The purpose of this first-in-human study is to generate the necessary safety, tolerability, and pharmacokinetics (PK) information that will support further clinical development of LXE408 for the treatment of patients with visceral leishmaniasis and potentially Chagas disease.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
88
LXE408 comes in film coated tablets and is taken orally.
LXE408 matching placebo comes in film coated tablets and is taken orally.
Iohexol is a nonionic, water-soluble radiographic contrast medium with a molecular weight of 821.14 and is administered to the participant via intravenous (IV) injection.
Vince and Associates PA and Vince and Associates Inc
Overland Park, Kansas, United States
Parts A & B: Number of participants with Adverse Events, physical exam findings, vital signs, ECG findings, safety laboratory assessments including chemistry, hematology, and urinalysis results
To assess the safety and tolerability of of single and multiple ascending oral doses of LXE408.
Time frame: Part A: Single Ascending Dose (SAD): 35 days; Part A: SAD (Food Effect): 63 days; Part B: Multiple Ascending Dose (MAD): 45 days
Pharmacokinetics (PK) of LXE408 and its metabolite MAN519: AUC (AUC0-24; AUCtau, AUClast, AUCinf as relevant) Parts A (SAD) & B (MAD)
AUC, Area under Curve, represents the total amount of a drug that is actively present in the body over a specific period.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
Pharmacokinetics of MAN519: Metabolite to parent ratio (MPTR) for AUC: MTPR_AUC
Metabolite-to-parent AUC ratio is the ratio of the overall exposure to a metabolite compared with the overall exposure to the parent drug.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
PK of LXE408 and its metabolite (MAN519) Parts A & B: Tmax
Tmax, Time to Maximum, refers to the time required for a drug to reach its maximum concentration in the body.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
PK of LXE408 and its metabolite (MAN519) Parts A & B: Cmax
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Cmax, the maximum plasma concentration, is the highest peak concentration of a drug observed in the body's systemic circulation.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
PK of LXE408 Parts A & B: CL/F
CL/F (Apparent Clearance) represents the efficiency of drug removal from the body following extravascular administration.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
PK of LXE408 Parts A & B: V/F
V/F represents the apparent volume of distribution for a drug administered through a non-intravenous route.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
PK of LXE408 Part A (excluding Cohort 3b, Food effect cohort): Ae
Ae stands for the cumulative amount of an unchanged drug excreted in the urine. It is a critical parameter used to measure how much of the active, unmetabolized medication is expelled from the body via the kidneys over a specific period of time.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A
PK of LXE408 Part A (excluding Cohort 3b, Food effect cohort): CLR
CLR stands for renal clearance. It is the volume of plasma completely cleared of a drug by the kidneys per unit of time. It represents the rate at which the kidneys filter, secrete, and excrete a specific medication into the urine.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A
PK of LXE408 and its metabolite (MAN519) Parts A & B: T1/2
T1/2 (half-life) is the time required for the concentration of a drug in the body or bloodstream to reduce by exactly 50%.
Time frame: up to 72 hours post-dose for plasma PK in Part A, 48 hours post-dose for urine PK in Part A and and Intensive PK samples for 24 hours post dose on Day 1 and 10 and trough samples from Day 2 to Day 9, in Part B
Plasma clearance of iohexol (measured glomerular filtration rate (mGFR) cohort) (Part B only)
To measure renal function (glomerular filtration rate (GFR)) after administration of LXE408.
Time frame: Day -1 (before LXE408 administration), Day 5 & Day 10 (Post LXE408 administration) at 0,0.5,1,2,3,4,6,8,10,12 hours (post- iohexol dose)