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Phase 1 Completed N=25 Randomized Treatment

A Study to Assess the Relative Bioavailability of 3 Different Formulations Under Fasted and Fed Condition

Source: ClinicalTrials.gov NCT04024501 ↗
Enrolled (actual)
25
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcomePrimary: Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC) — 171.3; 167.5; 87.14; 149.0 ng*h/mL

Summary

This study is intended to assess the relative bioavailability between the (extended-release) ER8 capsule formulation (the formulation that is currently used for verinurad development) given under fasted conditions and 2 new capsule formulations of verinurad (A-capsule and B-capsule) given under fed or fasted conditions. All three capsules target an 8-hour release profile (extended-release). The highest dose (12 mg) currently tested in participants will be tested in this study. The study is designed to provide information to optimize the verinurad part of a fixed dose combination capsule to be used in future development.

Outcome Measures

OutcomeResultp-value
PRIMARY
Area Under Plasma Concentration-time Curve From Zero to Infinity (AUC)
171.3; 167.5; 87.14; 149.0; 150.2
PRIMARY
AUC From Time 0 to the Last Quantifiable Concentration (AUC0-t) for the Analysis of PK Parameter
166.8; 167.5; 67.04; 128.5; 139.6
PRIMARY
Maximum Observed Plasma Concentration (Cmax) for the Analysis of PK Parameter
25.51; 31.88; 8.243; 23.39; 17.02
SECONDARY
AUC From Time 0 to 24 Hours Post Dose (AUC0-24) for the Analysis of PK Parameter
132.6; 138.5; 54.85; 102.9; 110.6
SECONDARY
Time to Reach Maximum Observed Plasma Concentration (Tmax) for the Analysis of PK Parameter
4.98; 4.98; 5.00; 4.00; 7.98
SECONDARY
Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz) for the Analysis of PK Parameter
14.02; 13.61; 13.42; 14.36; 12.40
SECONDARY
Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F) for the Analysis of PK Parameter
77.86; 75.43; 160.5; 86.26; 87.10
SECONDARY
Mean Residence Time of the Unchanged Drug in the Systemic Circulation From Zero to Infinity (MRT) for the Analysis of PK Parameter
16.98; 15.52; 17.43; 16.61; 18.28
SECONDARY
Time of Last Quantifiable Plasma Concentration (Tlast) for the Analysis of PK Parameter
71.65; 48.47; 47.97; 48.03; 48.03
SECONDARY
Volume of Distribution at Steady State (Intravenous Dosing) (Vss/F) for the Analysis of PK Parameter
1275; 1190; 2756; 1472; 1645
SECONDARY
Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration (Vz/F) for the Analysis of PK Parameter
1529; 1490; 3120; 1810; 1719
SECONDARY
Number of Participants With Adverse Events (AEs)
5; 6; 2; 4; 3; 2

Eligibility Criteria

Inclusion Criteria

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male and female participants aged 18 to 50 years with suitable veins for cannulation or repeated venepuncture.
  • Have a body mass index (BMI) between 18 and 30 kg/m2 and weigh at least 50 kg and no more than 100 kg.
  • Females must have a negative pregnancy test at screening and on admission to the unit and must be:

(1) not pregnant or currently lactating or breastfeeding. (2) of non-childbearing potential, confirmed at screening by fulfilling one of the following criteria: (i) postmenopausal defined as amenorrhoea for at least 12 months or more following cessation of all exogenous hormonal treatments and FSH levels in the postmenopausal range (FSH levels > 40 IU/mL).

(ii) documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation.

(3) OR if of childbearing potential must be willing to use an acceptable method of contraception to avoid pregnancy for the entire study period.

Exclusion Criteria

  • History of gout or any clinically significant disease or disorder which, in the opinion of the Principal Investigator (PI), may either put the volunteer at risk because of participation in the study, or influence the results or the volunteer's ability to participate in the study.
  • Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of verinurad.
  • History or presence of gastrointestinal (GI), hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically important abnormalities in clinical chemistry, haematology or urinalysis results as judged by the Investigator at screening and first admission, including: (1) Alanine aminotransferase (ALT) > 1.5 x upper limit of normal (ULN), (2) Aspartate aminotransferase (AST) > 1.5 x ULN, (3) Bilirubin (total) > 1.5 x ULN, (4) Gamma glutamyl transpeptidase (GGT) > 1.5 x ULN. (5) If any of these tests are out-of-range, the tests can be repeated once.
  • Any clinically significant abnormal findings in vital signs at the Screening Visit and/or admission to the Clinical Unit, including, but not limited to, any of the following:

(1) Heart rate (resting, supine) 85 bpm, (2) Systolic BP 140 mmHg and/or diastolic BP 90 mmHg sustained for > 10 min while resting in a supine position.

  • Any clinically significant abnormalities on 12-lead Electrocardiogram (ECG) at the Screening Visit, including, but not limited to any of the following:
  • ECG interval measured from the onset of the QRS complex to the end of the T wave (QT) interval corrected for heart rate using Fridericia's formula (QTcF) > 450 ms or 240 ms); intermittent second or third degree atrioventricular (AV) block, or AV dissociation,
  • Complete bundle branch block and/or QRS duration > 120 ms. 7. Any positive result at the Screening Visit for serum hepatitis B surface antigen or antiHBc antibody, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.
  • Suspicion or known Gilbert's and/or Lesch-Nyhan syndrome. 9. Known or suspected history of alcohol or drug abuse or excessive intake of alcohol as judged by the PI. Excessive intake of alcohol defined as the regular consumption of more than 24 g of alcohol per day for men or 12 g of alcohol per day for women.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing in the US) within 30 days or at least 5 half-lives (whichever is longer) of the first administration of verinurad in this study.
  • Participants who have previously received verinurad. 12. Plasma donation within 1 month of screening or any blood donation/loss of more than 500 mL during the 3 months prior to the Screening Visit.
  • Participants who are pregnant, lactating or planning to becom
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04024501). 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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