Phase 1
Completed N=24
Safety, Tolerability and PK of Multiple-ascending Doses of Emodepside
Source: ClinicalTrials.gov NCT03383614 ↗Enrolled (actual)
24
Serious AEs
4.2%
Results posted
Apr 2020
Primary outcomePrimary: Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Adverse Events — 5; 6; 6; 4 Participants
Summary
The study evaluates safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of emodepside, after administration as a Liquid Service Formulation (LSF), over 10 days, in healthy male caucasian subjects.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Adverse Events |
5; 6; 6; 4; 5; 6 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Adverse Event Severity |
2; 3; 4; 3; 2; 3 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Vital Signs Findings |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With 12-lead Electrocardiogram Findings |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Clinical Laboratory Tests Findings |
0; 0; 1; 0; 0; 0 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Ophthalmology Assessment Findings |
3; 0; 3; 1; 1; 0 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Physical Examination Findings |
2; 1; 2; 0; 2; 1 | — |
| PRIMARY Safety and Tolerability of Emodepside After Multiple Doses as Measured by Number of Participants With Neurological Examination Findings |
2; 1; 1; 1; 1; 1 | — |
| SECONDARY Geometric Mean Emodepside Plasma Pharmacokinetic Concentration-Time Data During the Repeated Dosing Period |
8.77; 15.78; 45.94; 15.24; 28.80; 64.62 | — |
| SECONDARY The AUClast of Emodepside in Plasma |
19359; 40655; 59554 | — |
| SECONDARY The AUClast/D of Emodepside in Plasma |
3872; 4065; 5955 | — |
| SECONDARY The AUClast,Norm of Emodepside in Plasma |
53.9; 52.9; 79.1 | — |
| SECONDARY The AUC12 of Emodepside in Plasma |
742; 2810 | — |
| SECONDARY The AUC12/D of Emodepside in Plasma |
74.2; 281 | — |
| SECONDARY The AUC12,Norm of Emodepside in Plasma |
0.985; 3.73 | — |
| SECONDARY The AUC24 of Emodepside in Plasma |
574; 1135; 1428; 1689; 3487; 4897 | — |
| SECONDARY The AUC24/D of Emodepside in Plasma |
115; 113; 71.4; 338; 349; 490 | — |
| SECONDARY The AUC24,Norm of Emodepside in Plasma |
1.60; 1.48; 0.948; 4.70; 4.54; 6.50 | — |
| SECONDARY The Cmax of Emodepside in Plasma |
93.8; 186; 160; 149; 287; 349 | — |
| SECONDARY The Cmax/D of Emodepside in Plasma |
18.8; 18.6; 16.0; 29.9; 28.7; 34.9 | — |
| SECONDARY The Cmax,Norm of Emodepside in Plasma |
0.261; 0.242; 0.212; 0.416; 0.374; 0.464 | — |
| SECONDARY The Ctrough of Emodepside in Plasma |
49.7; 97.1; 185 | — |
| SECONDARY The Tmax of Emodepside in Plasma |
1.00; 1.25; 1.00; 1.00; 1.25; 1.50 | — |
| SECONDARY The t1/2 of Emodepside in Plasma |
419; 450; 508 | — |
| SECONDARY The t1/2,(0-24) of Emodepside in Plasma |
26.9; 18.4; 33.2 | — |
| SECONDARY The λz of Emodepside in Plasma |
0.00166; 0.00154; 0.00137 | — |
| SECONDARY The CLss/F of Emodepside in Plasma |
2.96; 2.87; 3.56 | — |
| SECONDARY The Vz/F of Emodepside in Plasma |
1788; 1861; 2607 | — |
| SECONDARY The MRTlast of Emodepside in Plasma |
7.28; 7.00; 10.8 | — |
| SECONDARY The Rac(AUC12) of Emodepside in Plasma |
3.83 | — |
| SECONDARY The Rac(AUC24) of Emodepside in Plasma |
2.97; 3.09; 3.47 | — |
| SECONDARY The Rac(Cmax) of Emodepside in Plasma |
1.61; 1.58; 2.21 | — |
| SECONDARY Mean Glucose Concentration at Day -1 |
4.72; 4.68; 4.80; 4.77; 4.90; 4.85 | — |
| SECONDARY Mean Glucose Concentration at Day 0 |
4.96; 4.85; 4.85; 4.85; 5.07; 5.57 | — |
| SECONDARY Mean Glucose Concentration at Day 9 |
4.52; 4.95; 4.97; 4.67; 5.10; 5.98 | — |
| SECONDARY Mean Glucose Concentration at Day 30 |
4.83; 5.23; 4.97; 4.53 | — |
| SECONDARY Mean Insulin Concentration at Day -1 |
29.0; 25.8; 33.2; 32.3; 25.8; 26.2 | — |
| SECONDARY Mean Insulin Concentration at Day 0 |
27.8; 29.3; 32.2; 30.5; 25.0; 23.2 | — |
| SECONDARY Mean Insulin Concentration at Day 9 |
31.5; 32.7; 29.2; 31.3; 29.2; 24.4 | — |
| SECONDARY Mean Insulin Concentration at Day 30 |
29.2; 60.3; 24.3; 29.2 | — |
| SECONDARY Mean Serum Glucose Concentration at Day -2 |
4.72; 4.92; 4.97; 4.78; 8.78; 7.03 | — |
| SECONDARY Mean Serum Glucose Concentration at Day 1 |
5.07; 4.88; 4.87; 4.97; 10.10; 12.37 | — |
| SECONDARY Mean Serum Glucose Concentration at Day 8 |
4.87; 5.10; 4.90; 4.83; 10.02; 11.75 | — |
| SECONDARY Mean Serum Glucose Concentration at Day 120 |
4.93; 8.12; 6.08; 4.26 | — |
| SECONDARY Mean Serum Insulin Concentration at Day -2 |
24.5; 25.7; 27.0; 29.0; 334.8; 305.3 | — |
| SECONDARY Mean Serum Insulin Concentration at Day 1 |
36.7; 41.2; 30.3; 35.2; 312.2; 288.8 | — |
| SECONDARY Mean Serum Insulin Concentration at Day 8 |
32.5; 39.3; 34.5; 33.8; 302.5; 286.8 | — |
| SECONDARY Mean Serum Insulin Concentration at Day 120 |
28.0; 417.8; 152.8; 18.8 | — |
Eligibility Criteria
Inclusion Criteria
- Male, Caucasian volunteers, deemed healthy based on a clinical history, physical examination, ECG, vital signs, and laboratory tests of blood and urine.
- 18 to 45 years of age.
- Normal body weight (BMI; Quetelet index) in the range 18 to 30.1 kg/m2 at screening.
- Blood pressure and heart rate in the supine position prior to randomisation must be within the ranges 90-140 mm Hg systolic, 60-90 mm Hg diastolic; heart rate 45-100 beats/min.
- Sufficient intelligence to understand the nature of the trial and any hazards of participating in it. Ability to communicate satisfactorily with the Investigator and to participate in, and comply with the requirements of, the entire trial.
- Willingness to give written consent to participate, after reading the information and consent form, and after having the opportunity to discuss the trial with the Investigator or his delegate.
- Willingness to give written consent to have data entered into the Overvolunteering Prevention System.
- Willingness to agree to the contraceptive requirements of the study from the first dose until 120 days after the last dose of study medication.
Exclusion Criteria
- Administration of a licensed or unlicensed medicinal product as part of another clinical trial within the 3 months before, or within 5 half-lives of, their first dose of study medication, whichever is longer, or is currently in the follow-up period for any clinical trial.
- Clinically relevant abnormal medical history, concurrent medical condition, acute or chronic illness or history of chronic illness (such as diabetes mellitus or other abnormalities of glucose homeostasis) sufficient to invalidate the subject's participation in the trial or make it unnecessarily hazardous.
- Past surgery (e.g., stomach bypass) or medical condition that might affect absorption of study drug taken orally.
- Presence of abnormal physical findings, ECG, or laboratory values at the pre-trial screening assessment that could interfere with the objectives of the trial or the safety of the subject.
- Loss of more than 400 mL of blood within 3 months before admission.
- Clinically relevant history of vital organ disease or other disease of an organ or the central nervous system.
- Current or previous medical or psychiatric disorder, condition or history of such (e.g., seizures) that, in the opinion of the Investigator or the Sponsor, would increase the risk associated with study participation, or impair the subject's ability to participate or complete this study.
- Positive test for hepatitis B, hepatitis C or HIV.
- Febrile illness within 1 week before the first dose of study medication.
- History of severe allergy, non-allergic drug reactions, severe adverse reaction to any drug, or multiple drug allergies.
- Subjects with hypersensitivity to any ingredient of the study medication, including the active ingredient, emodepside.
- Presence or history of drug or alcohol abuse in the last 10 years, or intake of more than 21 units of alcohol weekly.
- Regular daily consumption of more than one liter of xanthine-containing beverages.
- Regular daily consumption of more than 5 cigarettes daily, or use more than 3 grams (1/8 ounce) of tobacco.
- Use of a prescription medicine during the 28 days before the first dose of study medication or use of an over-the-counter medicine (with exception of acetaminophen [paracetamol]), during the 7 days before the first dose of study medication.
- Use of dietary supplements or herbal remedies (such as St John's Wort) that are known to be inducers or inhibitors of CYP3A4, or other co-medications known to be relevant substrates of CYP3A4, during the 28 days before the first dose of study medication (see list in the Study Procedures Manual).
- Use of dietary supplements or herbal remedies (such as St John's Wort) that are known to be strong inhibitors of P-gp, or other co-medications known to be relevant substrates of P-gp, during the 28
Data sourced from ClinicalTrials.gov (NCT03383614). 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. Informational only — not medical advice.