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Phase 1 N=31 Randomized Quadruple-blind Treatment

Placebo-Corrected Effects of Therapeutic Dose (100 mg) and Supratherapeutic Dose (300 mg) of ITF2357 (Givinostat) and Moxifloxacin on QT/QTC Interval

Duchenne and Becker Muscular Dystrophy · Polycytemia Vera

Enrolled (actual)
31
Serious AEs
0.0%
Results posted
Jan 2024
Primary outcome: Primary: Placebo-corrected Change From Baseline in Fridericia's Corrected QT Interval (QTcF) — 1.0; 0.5; 10.2; 0.3 Milliseconds (msec)

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
ITF2357 10 mg/mL (Drug); Placebo (Drug); Moxifloxacin Hydrochloride (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Italfarmaco
Primary completion
Jun 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Placebo-corrected Change From Baseline in Fridericia's Corrected QT Interval (QTcF)
1.0; 0.5; 10.2; 0.3; 0.8; 13.1
SECONDARY
Change From Baseline in QTcF Interval
-0.7; -1.3; 8.5; -1.8; -0.3; 0.2
SECONDARY
Change From Baseline in PR Interval
0.0; -0.7; 0.1; 0.2; 0.4; 0.7
SECONDARY
Change From Baseline in QRS Interval
-0.1; 0.1; 0.2; 0.2; 0.2; 0.1
SECONDARY
Change From Baseline in Heart Rate (HR) Interval
0.6; 1.1; 1.3; 0.5; 1.2; 2.8
SECONDARY
Placebo-corrected Change From Baseline in PR Interval
-0.2; -0.9; -0.1; -1.9; -1.6; -2.6
SECONDARY
Placebo-corrected Change From Baseline in QRS Interval
-0.2; 0.0; 0.1; 0.1; 0.1; 0.4
SECONDARY
Placebo-corrected Change From Baseline in HR Interval
0.1; 0.6; 0.8; 0.1; 1.6; 1.2
SECONDARY
Number of Participants With Changes in Categorical Outliers for QTcF, PR, and QRS Intervals in the ECG and HR
0; 1; 2; 0; 0; 0
SECONDARY
Number of Participants With Treatment-Emergent Changes of T-Wave Morphology and U Wave Presence
0; 0; 0; 0; 0; 0
SECONDARY
Plasma Pharmacokinetic (PK): Area Under the Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of ITF2357 and Its Metabolites
596.10; 2313.44; 363.55; 1296.22; 2672.92; 9599.11
SECONDARY
Plasma PK: Area Under the Concentration-Time Curve From Time Zero to the Last Measurable Concentration (AUC0-t) of Moxifloxacin
27077.52
SECONDARY
Plasma PK: Area Under the Concentration-Time Curve From Time Zero to 12 Hours (AUC0-12) of ITF2357 and Its Metabolites
480.70; 1893.60; 178.10; 607.16; 1680.76; 6018.02
SECONDARY
Plasma PK: Area Under the Concentration-Time Curve From Time Zero to 12 Hours (AUC0-12) of Moxifloxacin
13625.09
SECONDARY
Plasma PK: Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of ITF2357 and Its Metabolites
626.57; 2383.27; 475.82; 1555.70; 3246.97; 11373.93
SECONDARY
Plasma PK: Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC0-inf) of Moxifloxacin
28327.15
SECONDARY
Plasma PK: Percentage of Residual Area for ITF2357 and Its Metabolites
2.63; 0.95; 8.49; 3.72; 3.45; 1.70
SECONDARY
Plasma PK: Percentage of Residual Area for Moxifloxacin
2.81
SECONDARY
Plasma PK: Maximum Observed Plasma Concentration (Cmax) of ITF2357 and Its Metabolites
102.84; 409.65; 24.39; 81.59; 258.64; 820.75
SECONDARY
Plasma PK: Maximum Observed Plasma Concentration (Cmax) of Moxifloxacin
1789.49
SECONDARY
Plasma PK: Time of Observed Cmax (Tmax) of ITF2357 and Its Metabolites
2.139; 2.158; 5.098; 5.634; 3.610; 4.094
SECONDARY
Plasma PK: Time of Observed Cmax (Tmax) of Moxifloxacin
2.327
SECONDARY
Plasma PK: Elimination Rate Constant (Kel) of ITF2357 and Its Metabolites
0.0923; 0.0652; 0.0570; 0.0549; 0.0585; 0.0667
SECONDARY
Plasma PK: Elimination Rate Constant (Kel) of Moxifloxacin
0.0493
SECONDARY
Plasma PK: Elimination Half-life (T½ el) of ITF2357 and Its Metabolites
7.25; 11.19; 12.63; 12.49; 12.31; 10.71
SECONDARY
Plasma PK: Elimination Half-life (T½ el) of Moxifloxacin
13.97
SECONDARY
Plasma PK: Apparent Total Body Clearance (CL/F) of ITF2357 and Its Metabolites
167.12; 131.11; 296.86; 251.84; 43.11; 36.69
SECONDARY
Plasma PK: Apparent Total Body Clearance (CL/F) of Moxifloxacin
14.49
SECONDARY
Plasma PK: Apparent Volume of Distribution (Vd/F) of ITF2357 and Its Metabolites
1897.03; 2125.49; 5094.92; 5027.46; 795.34; 576.42
SECONDARY
Plasma PK: Apparent Volume of Distribution (Vd/F) of Moxifloxacin
303.02
SECONDARY
Urine PK: Cumulative Urinary Excretion From Time Zero to Time t (Ae0-t) for ITF2357 and Its Metabolites
1304747.81; 4284095.88; 1526630.97; 4634585.90; 330005.73; 1051751.97
SECONDARY
Urine PK: Maximum Rate of Urinary Excretion (Rmax) for ITF2357 and Its Metabolites
304920.74; 1224735.12; 155698.10; 536094.03; 51562.37; 182276.01
SECONDARY
Urine PK: Time of Rmax (TRmax) for ITF2357 and Its Metabolites
1.84; 1.49; 4.40; 1.49; 1.84; 1.49
SECONDARY
Urine PK: Renal Clearance (Clr) for ITF2357 and Its Metabolites
2127.55; 1859.30; 3856.29; 3403.49; 103.35; 96.02
SECONDARY
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
5; 15; 4; 6; 0; 0
SECONDARY
Number of Treatment-Related TEAEs
6; 20; 6; 4
SECONDARY
Number of TEAEs Based on Severity
6; 21; 8; 6; 0; 4
SECONDARY
Number of Participants With Clinically Significant Changes in Vital Signs
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes in Clinical Laboratory Parameters
0; 2; 0; 0
SECONDARY
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Findings
0; 0; 0; 0

Summary

The study will evaluate the effect of a therapeutic dose and a supratherapeutic dose of ITF2357 on the QT/QTc interval.

Eligibility Criteria

Inclusion Criteria

  • Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening), greater than or equal to (>=) 18 and less than or equal to ( ) 18.5 and less than ( =55 kilograms (kg) and =60 kg and 210 millisecond (msec); QRS (QRS complex) >120 msec; QTcF >450 msec; any abnormality of cardiac rhythm other than sinus arrhythmia; abnormality of T-wave morphology that will impair the ability to measure the QT interval reliably. The averaged value of three ECGs 5 minutes apart from each other will be used; evaluations have to be used for the evaluation of the QTc interval requested by this exclusion criteria.
  • Participants with history of sustained and non-sustained cardiac arrhythmias (ECG demonstrated), participants with a family history of sudden cardiac death and participants with a history of additional risk factors for TdP, heart failure, hypokalemia, LQTS).
  • Any of the following abnormal laboratory test values at screening or at baseline (Day -1) of Period 1:
  • Platelet count <125*10^9 per liter (/L)
  • Absolute neutrophil count <1.2*10^9/L
  • Participants who have cardiovascular condition such as, but not limited to unstable ischemic heart disease, New York Heart Association (NYHA) Class III/IV left ventricular failure, acute ischemic heart disease in the last year prior to study screening, which may impact the safety of the participant or the evaluation of the result of the study according to the Investigator's judgment; cardiovascular conditions should be discarded based on the results obtained on the ECG, medical examination and routine lab test.
  • Positive urine drug screen, alcohol breath test or urine cotinine test at screening or at baseline (Day -1).
  • History of anaphylaxis reaction or clinically significant drug hypersensitivity reaction (e.g., angioedema, Stevens-Johnson syndrome, Acute Generalized Exanthematous Pustulosis, Drug-induced hypersensitivity syndrome, Drug-induced neutropenia).
  • History of allergic reactions to ITF2357, histone deacetylases (HDAC) inhibitors, or other related drugs, moxifloxacin, other quinolones, or to any excipient in the formulation.
  • Positive pregnancy test at screening or at baseline (Day -1).
  • Participants with a sorbitol intolerance or sorbitol malabsorption or have fructose intolerance.
  • Current or recent (within 3 months of study drug administration) clinically significant gastrointestinal disease that can interfere with drug absorption.
  • Gastrointestinal surgery that interferes with physiological absorption and motility (i.e., gastric bypass, duodenectomy) or gastric bands.
  • History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 milliliter [mL] of wine, 360 mL of beer, or 45 mL of 40 percent [%] alcohol]).
  • History of significant drug abuse within 1 year prior to screening or use of soft drugs (such as marijuana) within 3 months prior to the screening visit or hard drugs (such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives) within 1 year prior to screening.
  • Use of ITF2357 for a medical condition or in the context of another clinical trial within a period of 30 days prior to the first dosing.
  • Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the first dosing, administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing, or concomitant participation in an investigational study involving no drug or device administration.
  • Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the pharmacokinetic profile of the stud
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04821063). 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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