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Phase 1 Completed N=24 Randomized Double-blind Treatment

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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