Phase 1
N=6
Mass Balance Recovery, Metabolite Profile and Metabolite Identification of [14C]-MD1003 in Healthy Male Subjects
Healthy Volunteers
Bottom Line
View on ClinicalTrials.gov: NCT04223232 ↗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
| Outcome | Result | p-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
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.