Phase 1
N=88
Phase I, KM-819 in Healthy Subjects for Parkinson's Disease
Parkinson's Disease
Bottom Line
View on ClinicalTrials.gov: NCT03022799 ↗Enrolled (actual)
88
Serious AEs
1.1%
Results posted
Apr 2020
Primary outcome: Primary: Number of Participants With Adverse Events — 2; 2; 2; 1 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- KM-819 (Drug); Placebo (Drug)
- Age
- Adult · 19+ yrs
- Sex
- All
- Sponsor
- Kainos Medicine Inc.
- Primary completion
- Sep 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Adverse Events |
2; 2; 2; 1; 0; 2 | — |
| SECONDARY Cmax (Maximum Plasma Concentration Determined Directly From the Concentration-time Profile) |
244.1; 503.6; 1152; 1879; 2767; 1766 | — |
| SECONDARY Tmax (Time to Achieve Maximum Observed Plasma Concentration Determined Directly From the Concentration-time Profile) |
1.500; 1.000; 2.000; 2.008; 4.000; 2.000 | — |
| SECONDARY t½ (Apparent Terminal Elimination Half Life) |
1.786; 4.791; 9.159; 9.010; 8.527; 10.55 | — |
| SECONDARY Tlag (Lag Time) |
0.08333; 0; 0; 0.04167; 0; 0 | — |
| SECONDARY AUClast (Area Under the Plasma Concentration-time From Predose (Time 0) to the Last Quantifiable Concentration) |
597.5; 1726; 4479; 8210; 12770; 10880 | — |
| SECONDARY AUCinf (Area Under the Plasma Concentration-time Curve From Predose (Time 0) Extrapolated to Infinity) |
594.2; 1731; 4872; 7338; 12640; 10970 | — |
| SECONDARY %AUCex (Percentage of AUCinf That is Due to Extrapolation Beyond Tlast) |
1.664; 1.331; 1.338; 0.7787; 0.4833; 0.9795 | — |
| SECONDARY CL/F (Apparent Oral Clearance) |
16830; 17340; 20530; 27260; 31650; 18230 | — |
| SECONDARY Vz/F (Apparent Volume of Distribution) |
43370; 119800; 271200; 354300; 389300; 277500 | — |
| SECONDARY AUCtau (Area Under the Plasma Concentration-time Curve for a Dosing Interval) (Part B) |
1612; 3521; 8039; 22830; 17020 | — |
| SECONDARY Rac(AUC) (Observed Accumulation by AUC) (Part B) |
0.8926; 0.9727; 0.7568; 1.485; 0.9241 | — |
| SECONDARY Rac (Cmax) (Observed Accumulation by Cmax) (Part B) |
0.8173; 1.003; 0.6227; 1.117; 0.9122 | — |
| SECONDARY AUCtau_D (AUCtau Divided by Dose) (Part B) |
53.74; 35.21; 40.19; 57.08; 85.09 | — |
| SECONDARY Change From Baseline for Bond and Lader Visual Analogue Scale (VAS) |
-0.482; -4.315; 0.720; -3.610; -2.333; 3.093 | — |
| SECONDARY Korean Wechsler Adult Intelligence Scale-IV (K-WAIS-IV) |
6.2; -0.3; -3.8; 2.2; 4.8; 3.3 | — |
| SECONDARY Alpha Synuclein Oligomer in Plasma and CSF (Part B) |
49.9424; -252.5578; 0.6012; 18.2112; 34.8672; 20.3025 | — |
| SECONDARY Change From Baseline Total Tau in CSF (Part B) |
60.3043; 9.2313; -3.1593; 27.8648; 29.2961; 20.8198 | — |
| SECONDARY Change From Baseline Phospho-Tau in CSF (Part B) |
6.4132; 0.2072; 4.4672; 6.7032; 5.1606; 5.3123 | — |
| SECONDARY Ratio of CSF Concentration/Plasma Cmax (Part B) |
0.00067004; 0.00074179; 0.00048832; 0.00031749 | — |
Summary
This first in human, single-center, randomized, placebo-controlled, double blind, sequential group Phase 1 study in healthy subjects will be conducted to evaluate the safety, tolerability, PK, and PD following the escalation of single and multiple doses of KM-819.
The study will consist of 2 parts. In Part A, up to 5 cohorts of young adult male subjects, and 1 single dose cohort of elderly male or post menopausal female subjects will receive escalating single doses of KM-819. In Part B, up to 4 cohorts of healthy young adult male subjects and 1 multiple dose cohort of elderly male or post menopausal female subjects will receive escalating multiple doses of KM-819. Part B will be conducted after completion of all cohorts of young adult male subjects in Part A.
Dose escalation to the next level will be determined using safety, tolerability, and PK data of the previous cohort.
Part A, Single Ascending Dose (SAD) Up to 40 healthy young adult male subjects and 8 healthy elderly male or post menopausal female subjects will be enrolled and randomized to receive either KM-819 or placebo.
Each of the 5 dose escalation cohorts consists of 8 healthy young adult male subjects; 6 subjects will receive 10, 30, 100, 200, or 400 mg of KM-819 and 2 subjects will receive placebo. In each single dose cohort, dosing of subjects will be sentinel, i.e., 2 subjects will be dosed on the first day (1 subject will receive active treatment and 1 subject will receive placebo) and the remaining 6 subjects will be dosed at least 24 hours after the first 2 subjects.
Cohorts will be dosed sequentially with escalating doses. Eight elderly male or post-menopausal female subjects will be enrolled into an additional cohort; 6 subjects will receive 200 mg KM-819 and 2 subjects will receive placebo.
Part A consists of a Screening period of up to 28 days, and a 3 day Confinement period when subjects are hospitalized for study activities. Subjects are required to return for outpatient visits on Day 4, 7 and for the Follow up Visit on Day 14.
Part B, Multiple Ascending Dose (MAD) Up to 32 healthy young adult male subjects and 8 healthy elderly male or post menopausal female subjects will be enrolled and randomized to receive either KM-819 or placebo.
Each of the 4 dose escalation cohorts consists of 8 healthy young adult male subjects; 6 subjects will receive 30, 100, 200, or 400 mg of KM-819 once a day (QD) for 7 days and 2 subjects will receive placebo. Cohorts will be dosed sequentially with escalating doses.
Eight elderly male or post-menopausal female subjects will be enrolled into an additional cohort; 6 subjects will receive 200 mg KM-819 QD for 7 days and 2 subjects will receive placebo.
Eligibility Criteria
Inclusion Criteria
- Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written informed consent and privacy language as per national regulations must be obtained from the subject prior to any study-related procedures (including withdrawal of prohibited medication, if applicable).
- Male subject should be 19 to 45 years old (for young adult cohorts) or over 60 years old (for elderly cohorts).
- Subject has a body mass index (BMI) range of 18.5 to 30 kg/m2 inclusive at Screening.
- Male subject and his female spouse/partner who is of childbearing potential must be using highly effective contraception consisting of 2 forms of birth control (at least one of which must be a barrier method) starting at Screening and continuing throughout the study period and for 90 days after final study drug administration. Highly effective contraception is defined as:
- Established use of oral, injected, or implanted hormonal methods of contraception
- Placement of an intrauterine device or intrauterine system
- Barrier methods of contraception: condom with spermicidal foam, gel, film, cream, suppository or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam, gel, film, cream, or suppository
- Male subject must not donate sperm starting at Screening, throughout the study period and for at least 90 days after final study drug administration.
- Female subject must be over 60 years old and post-menopausal (defined as at least 1 year without any menses) prior to Screening.
- Subject agrees not to participate in another investigational study while on study treatment.
Exclusion Criteria
- Subject has a known or suspected hypersensitivity to KM-819, or any components of the formulation(s) used.
- Subject has previously participated in a clinical study with KM-819.
- Subject has any of the liver enzymes (aspartate aminotransferase [AST], alanine transaminase [ALT], alkaline phosphatase, γ glutamyl transferase) or total bilirubin (TBIL) above the ULN. If any liver enzyme is > 1 × ULN but 1.5 × ULN, it cannot be repeated and is exclusionary.
- Subject has any clinically significant history of allergic conditions (including drug allergies, asthma, eczema, or anaphylactic reactions, but excluding untreated, allergic rhinitis or rhino-conjunctivitis, or house dust mite allergy at time of dosing).
- Subject with a history of a suicide attempt or suicidal behavior. Any recent suicidal ideation (a level of 4 or 5) within the last 3 months, or having a positive C-SSRS at check-in (Day -1), or who is at significant risk to commit suicide, as judged by the Investigator using the C SSRS at Screening.
- Subject has/had febrile illness or symptomatic viral, bacterial (including upper respiratory infection) or fungal (non-cutaneous) infection within 1 week before site check-in.
- Subject has any clinically significant abnormality following the Investigator's review of the physical examination, ECG, and protocol-defined clinical laboratory tests at Screening or site check-in.
- Subject has a mean pulse 90 beats per minute (bpm); mean systolic blood pressure (SBP) > 140 mmHg; or mean diastolic blood pressure (DBP) > 90 mmHg (measurements taken in triplicate after subject has been resting in the supine position for 5 minutes; pulse will be measured automatically) at Screening or check-in. If the mean pulse, mean SBP, or mean DBP is out of the range specified above, 1 additional triplicate measurement may be taken at Screening and check-in.
- Subject has a mean QTcF interval of > 430 msec (for males) and > 450 msec (for females) at Screening or check-in. If the mean QTcF exceeds the limits above, 1 additional triplicate ECG can be taken. If this triplicate also gives an abnormal result, the subject should be excluded.
- Subject has a history of unexplained syncope, cardiac arrest, unexplained cardiac arrhythmias or torsade de pointes, structural heart disease, or a family history of Long QT Syndrome.
11.
Data sourced from ClinicalTrials.gov (NCT03022799). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.