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Phase 1 N=25 Randomized Quadruple-blind Treatment

A Study to Evaluate the Safety of Fenretinide in Healthy Volunteers

Safety and Tolerability

Enrolled (actual)
25
Serious AEs
0.0%
Results posted
Jan 2025
Primary outcome: Primary: Number and % of Subjects Experiencing Adverse Events Following a Single Oral Dose of Fenretinide Under Fasted Conditions — 1; 2; 3; 2 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Fenretinide (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Island Pharmaceuticals
Primary completion
Feb 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number and % of Subjects Experiencing Adverse Events Following a Single Oral Dose of Fenretinide Under Fasted Conditions
1; 2; 3; 2
PRIMARY
Number and % of Subjects Experiencing Serious Adverse Events Following a Single Oral Dose of Fenretinide Under Fasted Conditions
0; 0; 0; 0
PRIMARY
Number and % of Subjects Experiencing Adverse Events Following a Single Oral Dose of Fenretinide Under Fed Conditions
0; 0; 0; 0
PRIMARY
Number and % of Subjects Experiencing Serious Adverse Events Following a Single Oral Dose of Fenretinide Under Fed Conditions
0; 0; 0; 0
SECONDARY
Assess the CMax - Observed Maximum Plasma Concentration Following a Single Oral Dose of Fenretinide
195.8; 524.8; 624.2; 1455
SECONDARY
Assess the TMax - Time to Reach Maximum Concentration Curve Following a Single Oral Dose of Fenretinide in the Fasted and Fed State
5.895; 5.15; 5.015; 5.98
SECONDARY
Assess the AUC-∞ Area Under the Concentration Curve From Zero to Infinite Time Following a Single Oral Dose of Fenretinide in the Fasted and Fed State
3479; 8209; 9621; 25800
SECONDARY
Assess the AUC(Last) - Area Under the Curve up to the Last Quantifiable Timepoint After a Single Oral Dose of Fenretinide in the Fasted and Fed State
3212; 7894; 9089; 24460
SECONDARY
Assess the Half Life of a Single Oral Dose of Fenretinide in the Fasted and Fed State
22.41; 28.21; 26.67; 27.77

Summary

The goal of this clinical trial was to learn about a single dose of fenretinide in healthy volunteers, in both a fasted and fed state. The main questions to answer were: * How well is a single dose of fenretinide tolerated? AND * How is a single dose of fenretinide metabolized in healthy volunteers? Participants will be asked to: * Remain confined in a clinical research unit for 5 days after dosing. * Provide blood samples for intense PK sampling and safety labs. * Fast for 10 hours prior to administration of study drug (fasted cohorts). * Consume a high fat meal prior to administration of study drug (fed cohort). * Return to the clinic for a single follow-up visit for safety assessments. The study will compare active fenretinide to placebo to see if fenretinide is more or less tolerable than placebo.

Eligibility Criteria

Inclusion Criteria

  • Healthy male or female volunteers not of childbearing potential, who are 18 years to 65 years of age (inclusive) at the time of signing the informed consent form (ICF).
  • Females not of childbearing potential, as defined in the following criteria:
  • History of hysterectomy.
  • Post-menopausal.

i. Natural post-menopausal females with at least 12 months from natural spontaneous amenorrhea and a serum follicle-stimulating hormone (FSH) concentration ≥ 40 IU/L.

ii. Post-surgical females must have undergone bilateral oophorectomy at least 6 weeks prior to study.

  • Male subjects with female partners of childbearing potential must agree to practice abstinence or use a combination of 2 of the following acceptable birth control methods during the study and for at least 90 days after dosing:
  • Partners have an intrauterine device (IUD) without hormones in place for at least 3 months.
  • Barrier method (condom or diaphragm) for at least 14 days prior to screening and 90 days after dosing with study drug.
  • Partners using stable hormonal contraceptive for at least 3 months prior to screening and for 90 days after dosing with study drug.
  • History of vasectomy at least 3 months prior to signing the ICF.
  • Must be able to understand and provide signed informed consent for study participation.
  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Body mass index (BMI) 18.0 to 32.0 kg/m2 (inclusive), and a body weight ≥ 50 kg.
  • Normal renal function, defined as estimated glomerular filtration rate (eGFR) ≥ 70 mL/min/1.73 m2 at screening and Day -1.
  • Clinical laboratory values should be within the laboratory's stated normal range. If not within this range, they must be without clinical significance, as determined by the Investigator.
  • No history of clinically relevant medical disorders, as determined by the Investigator.

Exclusion Criteria

  • Known or suspected pregnancy (confirmed via a positive serum human chorionic gonadotropin [hCG] pregnancy test at screening), planned pregnancy during the study period, nursing, or lactation.
  • Women of childbearing potential or men who intend to father a child or donate sperm during the study period and for 3 months after study drug administration.
  • Known allergy to fenretinide or any of the components of ISLA101.
  • Evidence or history of clinically significant medical conditions, such as hematological, renal, endocrine (e.g., polycystic ovarian syndrome or other anovulatory states), immunologic, pulmonary, metabolic, gastrointestinal (e.g., Crohn's disease, acute or chronic pancreatitis, and others) and surgery (except for simple appendectomy or repair of a hernia), which all can influence the absorption of study drug; cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing), or any other illness that the Investigator considers exclusionary or that could interfere with the interpretation of the study results.
  • History of severe infectious disease or recurrent infections.
  • Aspartate transaminase (AST), alanine aminotransferase (ALT), or total bilirubin above the 1.5 x upper limit of normal (ULN) at screening and Day -1.
  • Clinically significant electrocardiogram (ECG) abnormalities or vital sign abnormalities at screening and Day -1, long QT syndrome, or a history of cardiac disease.
  • Abnormal diet that may affect absorption, distribution, metabolism, or excretion of drugs, for example, lacking standard nutrients (e.g, cleansing diet 2 weeks before or during the study).
  • Positive result for hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) at screening.
  • History of positive test for tuberculosis (TB) at screening.
  • A subject who has donated 1 unit of blood of over 500 mL within 56 days prior to the study drug administration, or donated plasma
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT06181760). 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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