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Phase 1 N=6 Health Services Research

Mass Balance Recovery, Metabolite Profile and Metabolite Identification of [14C]-MD1003 in Healthy Male Subjects

Healthy Volunteers

Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Nov 2020
Primary outcome: Primary: Mass Balance Recovery of Total Radioactivity: CumAe (Urine) — 70.9 mg equiv

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
[14C]-MD1003 (Drug)
Age
Adult, Older Adult · 30+ yrs
Sex
Male
Sponsor
MedDay Pharmaceuticals SA
Primary completion
Jan 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Mass Balance Recovery of Total Radioactivity: CumAe (Urine)
70.9
PRIMARY
Mass Balance Recovery of Total Radioactivity: Cum%Ae (Urine)
70.786
PRIMARY
Mass Balance Recovery of Total Radioactivity: CumAe (Faeces)
16.0
PRIMARY
Mass Balance Recovery of Total Radioactivity: Cum%Ae (Faeces)
16.009
PRIMARY
Mass Balance Recovery of Total Radioactivity: CumAe(Total)
86.9
PRIMARY
Mass Balance Recovery of Total Radioactivity: Cum%Ae (Total)
86.795
SECONDARY
Time Prior to the First Measurable Concentration (Tlag) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
0.083; 0.753; 0.753; 0.000
SECONDARY
Time of Maximum Plasma Concentration (Tmax) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
2.086; 4.011; 2.667; 2.667
SECONDARY
Maximum Plasma Concentration (Cmax) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
387; 45.5; 14.5; 501
SECONDARY
Area Under Plasma Concentration Curve From 0 Time to Last Measurable Concentration (AUC(0-last)) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
3350; 514; 74.3; 2690
SECONDARY
Area Under Plasma Concentration Curve From 0 Time Extrapolated to Infinity (AUC(0-inf)) for MD1003 and Total Radioactivity
3650; 2850
SECONDARY
Percentage of AUC(0-extrap) Extrapolated Beyond the Last Measurable Concentration for MD1003 and Total Radioactivity
8.405; 15.171
SECONDARY
Area Under Plasma Concentration Curve From 0 Time to Last Measurable Concentration (AUC(0-12)) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
1760; 279; 90.1; 2680
SECONDARY
Lambda-z for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
0.02302; 0.02251; 0.11829; 0.20071
SECONDARY
Plasma Clearance (CL/F) for MD1003
465
SECONDARY
Plasma Clearance (Vz/F) for MD1003
1230
SECONDARY
Elimination Half Life (t1/2) for MD1003, Bisnorbiotin, Biotin Sulfoxide and Total Radioactivity
30.625; 33.176; 10.010; 4.502
SECONDARY
MPR Cmax for Bisnorbiotin and Biotin Sulfoxide
0.1327; 0.0349
SECONDARY
MPR AUC(0-inf) for Bisnorbiotin and Biotin Sulfoxide
0.1731; 0.0204
SECONDARY
Whole Blood: Plasma Concentration Ratios of Total Radioactivity
1.298; 0.931; 1.365; 1.708
SECONDARY
Number of Subjects With Adverse Events (AEs)
2
SECONDARY
Number of Subjects With Adverse Drug Reactions as Assessed by Investigator
SECONDARY
Change From Baseline in Systolic Blood Pressure in mmHg
0.7; -3.5; -1.0; -2.8; 0.5
SECONDARY
Change From Baseline in Diastolic Blood Pressure in mmHg
3.2; 2.5; 2.0; -0.5; 4.7
SECONDARY
Change From Baseline in Heart Rate in Beats Per Minute
-3.7; -4.0; -2.5; -2.0; 3.3
SECONDARY
Change From Baseline in ECG (Electrocardiogram) QTcF Interval in Milliseconds
2.2; 2.7; 1.0; 1.0

Summary

This single-center, open-label, non randomized Phase I study is being conducted to investigate the pharmacokinetics, mass balance and metabolite profiling and identification after a single oral dose of 100mg of [14C]-MD1003 in 6 healthy males subjects. The radioactivity will be followed in the blood, urine and faeces to study MD1003 metabolism.

Eligibility Criteria

Inclusion Criteria

  • Healthy males
  • Age 30 to 65 years of age at the time of signing informed consent
  • Body mass index (BMI) of 18.0 to 30.0 kg/m2 as measured at screening
  • Must be willing and able to communicate and participate in the whole study
  • Must have regular bowel movements (ie average stool production of ≥1 and ≤3 stools per day)
  • Must provide written informed consent
  • Must agree to adhere to the contraception requirements of the protocol

Exclusion Criteria

  • Subjects who have received any IMP in a clinical research study within the 90 days prior to Day 1
  • Subjects who are study site employees, or immediate family members of a study site or sponsor employee
  • Subjects who have previously been enrolled in this study
  • History of any drug or alcohol abuse in the past 2 years
  • Regular alcohol consumption in males >21 units per week (1 unit = ½ pint beer, or a 25 mL shot of 40% spirit, 1.5 to 2 Units = 125 mL glass of wine, depending on type)
  • A confirmed positive alcohol breath test at screening or admission
  • Current smokers and those who have smoked within the last 12 months. A confirmed breath carbon monoxide reading of greater than 10 ppm at screening or admission
  • Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months
  • Subjects with pregnant or lactating partners
  • Radiation exposure, including that from the present study, excluding background radiation but including diagnostic X-rays and other medical exposures, exceeding 5 mSv in the last 12 months or 10 mSv in the last 5 years. No occupationally exposed worker, as defined in the Ionising Radiation Regulations 2017, shall participate in the study
  • Subjects who do not have suitable veins for multiple venepunctures/cannulation as assessed by the investigator or delegate at screening
  • Clinically significant abnormal clinical chemistry, haematology or urinalysis as judged by the investigator. Subjects with Gilbert's Syndrome are allowed
  • Confirmed positive drugs of abuse test result (drugs of abuse tests are listed in the protocol)
  • Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) results
  • Evidence of renal impairment at screening, as indicated by an estimated creatinine clearance of <80 mL/min using the Cockcroft-Gault equation
  • History of clinically significant cardiovascular, renal, hepatic, chronic respiratory or gastrointestinal disease, neurological or psychiatric disorder, as judged by the investigator
  • Serious adverse reaction or serious hypersensitivity to any drug or the formulation excipients
  • Presence or history of clinically significant allergy requiring treatment, as judged by the investigator. Hay fever is allowed unless it is active
  • Donation or loss of greater than 400 mL of blood within the previous 3 months
  • Subjects who are taking, or have taken, any prescribed or over-the-counter drug (other than 4 g of paracetamol per day), herbal remedies, vitamin B5 or dietary supplements containing lipoic acid in the 14 days before IMP administration. Exceptions may apply on a case by case basis, if considered not to interfere with the objectives of the study, as determined by the PI
  • Subjects who have had any intake of biotin (including as a nutritional supplement) in the 14 days before IMP administration
  • Failure to satisfy the investigator of fitness to participate for any other reason
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04223232). 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.

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