A Phase 1 interventional study of 5 mg/N6022 and Placebo in Healthy, sponsored by Nivalis Therapeutics, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-01-19.
Sponsored by Nivalis Therapeutics, Inc. (part of Vertex Pharmaceuticals Incorporated) · Phase 1, Interventional, and Treatment
This Phase 1 study will evaluate multiple doses across a range that has been found to be effective in mouse models of asthma and safe in one Phase 1 clinical trial. It is intended to provide evidence of the tolerability of multiple doses as well as provide information on the Pharmacokinetic (PK) and metabolism of N6022 in humans.
This is a double-blind, randomized, placebo-controlled, multiple ascending dose study, in at least three ascending cohorts. Twenty-four subjects will be enrolled initially in the first three cohorts, with up to 40 subjects to be enrolled overall if additional cohorts are required to reach the maximum tolerated dose (MTD). The cohorts will be enrolled in two groups of 4 each with approximately 7 days between groups to conduct safety monitoring committee review for approval to proceed to the second group in the cohort. Eight subjects will be enrolled per cohort, randomized 3:1 to N6022: placebo. Each subject will undergo screening (Day -28 to Day -2) and, if eligible, they will be instructed to begin a low-nitrate diet on Day -4. Subjects will return to the clinical site on Day -1, and eligibility will be reconfirmed. Eligible subjects will receive a dose of investigational medicinal product ([IMP], N6022 or placebo) by intravenous (IV) infusion on study Days 1 through 7 and will be followed for safety, PK, and PD until discharge on the morning of Day 8. Subjects will return to the clinic for a follow-up visit on Day 15 (± 1 day) and will be contacted via telephone on Day 28 (± 1 day) for the end-of-study safety follow-up visit. Participation of an individual subject may last approximately 56 days from the time of screening until the end-of-study follow-up visit.
A Safety Monitoring Committee (SMC) will review the safety data in each cohort after the Day 15 Follow-up visit, before proceeding to the next ascending dose cohort, modifying the dose, repeating a dose, or stopping the study according to the stopping rules outlined in the protocol.
Nivalis Therapeutics, Inc. is the lead sponsor of 11 studies on the registry; none are open to participants now.
First submitted before Nivalis Therapeutics, Inc. became part of Vertex Pharmaceuticals Incorporated.
Counted across the registry records on this site, refreshed daily.
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Exclusion Criteria:
Injectable formulation, given at doses per cohort of 5 mg given QD each day over 7 days.
Drug: 5 mg/N6022
Injectable formulation normal saline
Drug: Placebo
Injectable formulation, given at doses of 10 mg given QD each day over 7 days.
Drug: 10mg/N6022
Injectable formulation, given at doses per cohort of 20 mg given QD each day over 7 days.
Drug: 20mg/N6022
Drug page: N6022
Intravenous formulation, given at doses of 5 mg once each day over 7 days.
Also known as: N6022, GSNOR Inhibitor
Same administration procedures as active
Also known as: Normal Saline
Drug page: N6022
Intravenous formulation given at doses of 10 mg once each day over 7 days.
Also known as: N6022, GSNOR Inhibitor
Drug page: N6022
Intravenous formulation given at doses of 20 mg once each day over 7 days.
Also known as: N6022, GSNOR Inhibitor
Safety of Escalating Multiple Doses of N6022 in Healthy Subjects
Safety variables (adverse events, vital signs, physical examination, telemetry, 12-lead ECG, infusion site reactions, O2 saturation, and clinical laboratory assessments)
Time frame: Over 7 days
Pharmacokinetics of N6022
N6022 AUC0-tau measurements from Day 1
Time frame: Day 1, 24 hours
Pharmacokinetics of N6022 Over 7 Days
Analysis of N6022 AUC0-tau values from Study Day 7
Time frame: Day 7, 24 hours
Pharmacokinetics of N6022 on Study Day 1
Analysis of N6022 Cmax values on Study Day 1
Time frame: Day 1, 24 hours
Pharmacokinetics of N6022 Cmax Values on Study Day 7
Pharmacokinetic Analysis of N6022 Cmax values on Study Day 7
Time frame: Day 7, 24 hours
Recruitment occurred between 06April2011 and 09August2011. This study was done at a single Phase 1 site.
| Milestone | 5 mg/N6022 | Placebo | 10 mg/N6022 | 20 mg/N6022 |
|---|---|---|---|---|
| Started | 7 | 6 | 6 | 6 |
| Completed | 6 | 6 | 6 | 5 |
| Not completed | 1 | 0 | 0 | 1 |
| Withdrew: Adverse event | 1 | 0 | 0 | 1 |
Safety variables (adverse events, vital signs, physical examination, telemetry, 12-lead ECG, infusion site reactions, O2 saturation, and clinical laboratory assessments)
| participants | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Number of subjects on study | 7 | 6 | 6 | 6 |
| Early Termination | 1 | 0 | 1 | 0 |
| Treatment related AE | 0 | 0 | 1 | 0 |
N6022 AUC0-tau measurements from Day 1
| h*ng/mL | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Pharmacokinetics of N6022 | 138 ± 13.0 | 334 ± 21.1 | 669 ± 16.9 | 0 ± 0 |
Analysis of N6022 AUC0-tau values from Study Day 7
| h*ng/mL | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Pharmacokinetics of N6022 Over 7 Days | 149 ± 24.6 | 367 ± 14.2 | 811 ± 11.3 | 0 ± 0 |
Analysis of N6022 Cmax values on Study Day 1
| ng/mL | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Pharmacokinetics of N6022 on Study Day 1 | 465 ± 69.8 | 1270 ± 95.6 | 1400 ± 86.2 | 0 ± 0 |
Pharmacokinetic Analysis of N6022 Cmax values on Study Day 7
| ng/mL | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Pharmacokinetics of N6022 Cmax Values on Study Day 7 | 287 ± 89.8 | 1110 ± 34.1 | 2320 ± 13.5 | 0 ± 0 |
Collected over 7 Days. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 | — | 0/7 (0%) | 7/7 (100%) |
| Cohort 2 | — | 0/6 (0%) | 2/6 (33.3%) |
| Cohort 3 | — | 0/6 (0%) | 4/6 (66.7%) |
| Placebo | — | 0/6 (0%) | 5/6 (83.3%) |
| Event | Cohort 1 | Cohort 2 | Cohort 3 | Placebo |
|---|---|---|---|---|
| Contact DermatitisSkin and subcutaneous tissue disorders | 0/7 | 0/6 | 0/6 | 2/6 |
| Ventricular ArrythmiaCardiac disorders | 1/7 | 0/6 | 1/6 | 0/6 |
| DizzinessNervous system disorders | 1/7 | 0/6 | 1/6 | 0/6 |
| Vessel Puncture Site HematomaGeneral disorders | 0/7 | 1/6 | 0/6 | 0/6 |
| Upper Respiratory tract InfectionInfections and infestations | 0/7 | 1/6 | 0/6 | 0/6 |
| Traumatic HematomaInjury, poisoning and procedural complications | 0/7 | 1/6 | 0/6 | 0/6 |
| Abdominal DiscomfortGastrointestinal disorders | 0/7 | 0/6 | 1/6 | 0/6 |
| DiarrheaGastrointestinal disorders | 0/7 | 0/6 | 1/6 | 0/6 |
| NauseaGastrointestinal disorders | 0/7 | 0/6 | 1/6 | 0/6 |
| Blood Magnesium AbnormalInvestigations | 0/7 | 0/6 | 1/6 | 0/6 |
All randomized subjects who received any amount of IMP
| Age, Categorical(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Placebo | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 7 | 6 | 6 | 6 | 25 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
| Age, Continuous(years) | Cohort 1 | Cohort 2 | Cohort 3 | Placebo | Total |
|---|---|---|---|---|---|
| Median | 32 (25 to 39) | 31 (22 to 45) | 35 (22 to 45) | 35 (25 to 45) | 33 (22 to 45) |
| Sex: Female, Male(Participants) | Cohort 1 | Cohort 2 | Cohort 3 | Placebo | Total |
|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 | 0 |
| Male | 7 | 6 | 6 | 6 | 25 |
| Region of Enrollment(participants) | Cohort 1 | Cohort 2 | Cohort 3 | Placebo | Total |
|---|---|---|---|---|---|
| United States | 7 | 6 | 6 | 6 | 25 |
The record gives a start of Apr 2011, a primary completion of Aug 2011 and a completion of Aug 2011. It does not say whether these dates are actual or estimated.
Results were first posted in Jan 2015, 3 years 5 months after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.
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