A Phase 1 interventional study of BEN8744 and Matching Placebo in Healthy Volunteer Study, sponsored by BenevolentAI Bio. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-07.
Sponsored by BenevolentAI Bio · Phase 1, Interventional, and Treatment
BEN8744 is an experimental new medicine for treating inflammatory bowel diseases such as Ulcerative Colitis.
The study will test single and repeated oral doses of BEN8744 or placebo. BEN8744 is a first in human study, so will start with a small dose and the dose will be increased as the study progresses. The goal is to find out its side effects and blood levels when taken by mouth and whether food affects the blood levels.
This is a 3-part study (Parts A, B and C) in up to 108 healthy people, aged 18-65.
Part A, will include up to 64 participants, single doses of BEN8744 or placebo. They'll take about 2 weeks to finish the study, stay on the ward for 4 nights and 5 days in a row and make 2 outpatient visits.
Part B, will include up to 12 participants, single doses of BEN8744 with and without food. They'll take up to 3 weeks to finish the study, stay on the ward for 4 nights and 5 days in a row on 2 occasions, and make 2 outpatient visits.
Part C will include up to 32 participants repeat doses of the BEN8744 or placebo for 14 days. They'll take about 4 weeks to complete the study, stay on the ward for 17 nights and 18 days in a row and make 2 outpatient visits.
This first time in human, study will investigate the safety, tolerability, pharmacokinetics (PK) of BEN8744 after single and multiple ascending oral doses in healthy subjects, in both the fed and fasted state. The results of this study will be used to select doses for subsequent studies in patients. This is an exploratory study in healthy volunteers, with no anticipated therapeutic benefit to the participants; involvement of patients, service users or members of the public in the design of the trial is not appropriate.
Primary objectives Part A: To assess the safety and tolerability of single ascending oral doses of BEN8744 in healthy subjects Part B: To characterise the effect of food on the pharmacokinetic profile of at least 1 dose of BEN8744 Part C: To assess the safety and tolerability of multiple ascending oral doses of BEN8744 in healthy subjects
Secondary objectives Part A: To assess the PK profile of BEN8744 after single oral doses in healthy subjects Part B: To assess the safety and tolerability of a single dose of BEN8744 following high-fat food intake relative to fasting conditions in healthy subjects Part C: To assess the PK profile of BEN8744 after repeated oral doses in healthy subjects
Exploratory objective
Part B (and optional in Part C):
To measure BEN8744 in urine and determine renal clearance in healthy subjects. Exploratory characterisation of BEN8744 and its metabolites in plasma, urine, and faeces.
For part A
A1- 2mg A2- 6mg A3- 20mg A4- 60mg A5- 100mg A6 (optional) - 120mg
For Part B
For Part C:
Exclusion Criteria:
Part A Dose 1 Single dose of 2 mg BEN8744
Drug: BEN8744
Part A Dose 2 Single dose of 6 mg BEN8744
Drug: BEN8744
Part A Dose 3 Single dose of 20 mg BEN8744
Drug: BEN8744
Part A Dose 4 Single dose of 60 mg BEN8744
Drug: BEN8744
Part A Dose 5 Single dose of 100 mg BEN8744
Drug: BEN8744
Part A Dose 6 Single dose of 120 mg BEN8744
Drug: BEN8744
Part A placebo Single dose of placebo
Drug: Matching Placebo
Part B Dose 1 Fed Single dose of BEN8744 after high-fat meal (Dose 30mg QD)
Drug: BEN8744
Part B Dose 1 Fasted Single dose of BEN8744 after 10 hours fasting (Dose 30mg QD)
Drug: BEN8744
Part B Dose 2 Fed Single dose of BEN8744 after high-fat meal (Dose 50mg QD)
Drug: BEN8744
Part B Dose 2 Fasted Single dose of BEN8744 after 10 hours fasting (Dose 50mg QD)
Drug: BEN8744
Part C Dose 1 14 daily doses of BEN8744 (Dose 30mg BID)
Drug: BEN8744
Part C Dose 2 14 daily doses of BEN8744 (Dose 50mg BID)
Drug: BEN8744
Part C placebo 14 daily doses of placebo
Drug: Matching Placebo
Formulated powder in capsule for oral administration. Supplied as filled Size 0 Swedish Orange capsule. Doses: 2mg, 10mg and 40mg.
Formulated powder in capsule for oral administration. Supplied as filled Size 0 Swedish Orange capsule. Doses: 2mg, 10mg and 40mg.
Change From Baseline in Observer's Assessment of Alertness/Sedation Scale (OAAS/S) (Part A)
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 72 hours postdose
Change From Baseline in Visual Analogue Scale (VAS) (Part A)
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 72 hours postdose
Cmax (PK Part B)
Maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
Tmax (PK Part B)
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
AUC24 (PK Part B)
Area under the plasma concentration-time curve from time 0 to 24 hours postdose. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, and 24 hours postdose in each of the 2 treatment periods (fasted and fed)
AUC72 (PK Part B)
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
AUClast (PK Part B)
Area under the plasma concentration-time curve from time zero to time of last measurable concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
AUCinf (PK Part B)
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
t1⁄2 (PK Part B)
Terminal half-life. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
Terminal Rate Constant (PK Part B)
Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
CL/F (PK Part B)
Systemic clearance relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
VZ/F (PK Part B)
Apparent volume of distribution relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
%AUCextrap (PK Part B)
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations collected at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose in each of the 2 treatment periods (fasted and fed)
Change From Baseline in Observer's Assessment of Alertness/Sedation Scale (OAAS/S) (Part C)
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 48 hours postdose
Change From Baseline in Visual Analogue Scale (VAS) (Part C)
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 48 hours postdose
Columbia-Suicide Severity Rating Scale (C-SSRS) (Part C)
The C-SSRS is a questionnaire completed by the Investigator, who asks yes/no questions of the participant It I used to categorise risk levels based on the responses.
Time frame: Completed during screening and on Days 17 and 24
Cmax (PK Part A)
Maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
Tmax (PK Part A)
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
AUC24 (PK Part A)
Area under the plasma concentration-time curve from time 0 to 24 hours postdose. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24 hours postdose
AUC72 (PK Part A)
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
AUClast (PK Part A)
Area under the plasma concentration-time curve from time 0 to time of last measurable concentration. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
AUCinf (PK Part A)
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
%AUCextrap (PK Part A)
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
t1⁄2 (PK Part A)
Terminal half-life. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
Terminal Rate Constant (PK Part A)
Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
CL/F (PK Part A)
Systemic clearance relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
VZ/F (PK Part A)
Apparent volume of distribution relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
Time frame: Plasma concentrations measured predose on Day 1 and 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, and 72 hours postdose
Change From Baseline in Observer's Assessment of Alertness/Sedation Scale (OAAS/S) (Part B)
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 72 hours postdose
Change From Baseline in Visual Analogue Scale (VAS) (Part B)
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
Time frame: From Baseline (predose on Day 1) through 72 hours postdose
Cmax (PK Part C)
Maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
Tmax (PK Part C)
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
Ctrough (PK Part C)
Trough plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
AUCtau (PK Part C)
Area under the concentration-time curve across a dosing interval. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
AUClast (PK Part C)
Area under the concentration-time curve from time 0 to the last measurable timepoint. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
AUC72 (PK Part C)
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations measured at the time points below.
Time frame: At 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14
t1⁄2 (PK Part C)
Terminal half-life. Maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
AUCinf (PK Part C)
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
%AUCextrap (PK Part C)
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
Terminal Rate Constant (PK Part C)
Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
CLSS/F (PK Part C)
Systemic clearance relative to bioavailability at steady state (Day 14). Calculated from plasma concentrations measured at the time points below.
Time frame: Plasma concentrations measured at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14
VZ/F (PK Part C)
Apparent volume of distribution relative to absolute bioavailability (Day 14). Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
Rac(AUCtau) (PK Part C)
Area under the concentration-time curve over the dosing interval on Day 14/area under the concentration-time curve over the dosing interval on Day 1 in AM. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
Rac(Cmax) (PK Part C)
Maximum observed plasma concentration on Day 14/maximum observed plasma concentration on Day 1 in AM. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
SR(AUC) (PK Part C)
Area under the concentration-time curve across a dosing interval on Day 14/area under the concentration-time curve from time 0 to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
Time frame: Plasma concentrations measured from predose on Day 1 through 72 hours after Day 14 dose (see specific time points above)
| Milestone | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B Dose 1 | Part B Dose 2 | Part C Placebo | Part C Dose 1 | Part C Dose 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 12 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 4 | 6 | 6 |
| Completed | 12 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 4 | 4 | 6 | 6 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Out-of-range blood tests | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
| score on a scale (change) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|---|
| Composite score (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (72 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (72 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
| mm on a 100-mm line (change) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|---|
| Score (0.25 hour) | 1.8 ± 4.59 | -3.0 ± 7.29 | 0.5 ± 4.32 | 3.7 ± 7.37 | -1.2 ± 1.94 | -5.8 ± 7.73 | -5.5 ± 19.42 |
| Score (0.5 hour) | 0.3 ± 5.80 | 0.5 ± 12.76 | 3.8 ± 17.29 | 2.7 ± 13.98 | 1.0 ± 3.79 | -2.8 ± 9.52 | -3.3 ± 35.30 |
| Score (1 hour) | 1.9 ± 4.64 | -8.2 ± 13.06 | 14.8 ± 30.64 | 6.3 ± 12.86 | 1.8 ± 7.14 | -2.0 ± 7.38 | -2.0 ± 37.83 |
| Score (2 hours) | 6.7 ± 12.03 | -9.3 ± 12.69 | 6.2 ± 8.33 | 2.0 ± 12.93 | 1.3 ± 5.85 | 0.7 ± 8.52 | 4.0 ± 38.76 |
| Score (3 hours) | 3.5 ± 9.11 | -10.3 ± 22.00 | 3.7 ± 6.59 | 4.3 ± 17.20 | -1.2 ± 6.62 | 3.3 ± 7.66 | -4.7 ± 30.69 |
| Score (4 hours) | 1.2 ± 11.44 | -11.2 ± 14.33 | 3.7 ± 8.52 | 1.2 ± 14.66 | -2.3 ± 4.50 | 6.8 ± 10.46 | 5.0 ± 28.87 |
| Score (6 hours) | 1.8 ± 7.00 | -14.3 ± 15.91 | 3.5 ± 7.23 | 4.3 ± 27.98 | 7.0 ± 19.83 | 1.5 ± 17.03 | -2.2 ± 34.74 |
| Score (8 hours) | 2.1 ± 9.58 | 3.7 ± 30.06 | 0.0 ± 2.37 | 7.3 ± 24.36 | -2.2 ± 7.68 | 8.0 ± 17.20 | -7.8 ± 28.53 |
| Score (24 hours) | -0.4 ± 10.32 | -5.7 ± 10.95 | -1.0 ± 6.54 | -3.3 ± 9.83 | 0.5 ± 8.48 | -2.7 ± 10.86 | -11.5 ± 31.86 |
| Score (48 hours) | -2.5 ± 9.99 | -10.3 ± 11.67 | -2.5 ± 5.47 | -4.0 ± 10.30 | -2.0 ± 8.69 | -6.5 ± 13.43 | -2.8 ± 32.46 |
| Score (72 hours) | -4.1 ± 10.30 | -15.7 ± 16.17 | -2.3 ± 5.54 | -4.5 ± 9.59 | -3.7 ± 7.00 | -9.3 ± 15.21 | -6.5 ± 33.41 |
Maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
| ng/mL | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| Cmax (PK Part B) | 76.7 ± 41.4 | 88.8 ± 33.2 | 265 ± 50.0 | 173 ± 56.3 |
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
| Hours | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| Tmax (PK Part B) | 1.08 (1.00 to 3.00) | 2.02 (1.00 to 3.00) | 1.00 (0.500 to 2.03) | 3.00 (2.02 to 4.00) |
Area under the plasma concentration-time curve from time 0 to 24 hours postdose. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| AUC24 (PK Part B) | 227 ± 25.0 | 332 ± 25.2 | 721 ± 47.9 | 666 ± 54.3 |
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| AUC72 (PK Part B) | 229 ± 24.3 | 335 ± 26.0 | 723 ± 48.4 | 669 ± 54.9 |
Area under the plasma concentration-time curve from time zero to time of last measurable concentration. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| AUClast (PK Part B) | 226 ± 24.8 | 332 ± 25.7 | 721 ± 48.5 | 667 ± 54.9 |
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| AUCinf (PK Part B) | 228 ± 24.4 | 335 ± 26.1 | 723 ± 48.5 | 669 ± 55.0 |
Terminal half-life. Calculated from plasma concentrations at time points below.
| Hours | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| t1⁄2 (PK Part B) | 4.12 ± 2.26 | 4.83 ± 3.67 | 4.23 ± 5.14 | 3.83 ± 4.69 |
Calculated from plasma concentrations at time points below.
| /hour | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| Terminal Rate Constant (PK Part B) | 0.210 ± 0.0956 | 0.217 ± 0.132 | 0.300 ± 0.144 | 0.340 ± 0.173 |
Systemic clearance relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
| L/hour | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| CL/F (PK Part B) | 135 ± 33.7 | 92.0 ± 22.7 | 75.1 ± 34.3 | 82.3 ± 36.4 |
Apparent volume of distribution relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
| L | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| VZ/F (PK Part B) | 846 ± 582 | 550 ± 268 | 327 ± 218 | 310 ± 186 |
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations collected at time points below.
| Percentage of AUC | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| %AUCextrap (PK Part B) | 0.991 ± 70.2 | 0.638 ± 73.1 | 0.156 ± 129.4 | 0.198 ± 78.0 |
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
| score on a scale (change) | Part C Placebo | Part C Dose 1 | Part C Dose 2 |
|---|---|---|---|
| Composite score (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 |
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
| mm on a 100-mm line (change) | Part C Placebo | Part C Dose 1 | Part C Dose 2 |
|---|---|---|---|
| Score (0.25 hour) | 1.0 ± 3.56 | 2.2 ± 13.33 | -0.3 ± 5.96 |
| Score (0.5 hour) | 2.5 ± 9.29 | 2.7 ± 14.02 | 1.8 ± 6.11 |
| Score (1 hour) | 27.3 ± 24.73 | 15.8 ± 31.91 | 4.0 ± 15.66 |
| Score (2 hours) | 18.8 ± 24.43 | 13.0 ± 26.48 | 7.2 ± 17.85 |
| Score (3 hours) | 18.0 ± 32.14 | 11.0 ± 30.33 | 7.3 ± 16.82 |
| Score (4 hours) | 15.3 ± 27.04 | 8.2 ± 21.03 | 1.5 ± 9.27 |
| Score (6 hours) | 7.3 ± 22.53 | 5.3 ± 18.68 | 6.3 ± 16.43 |
| Score (8 hours) | 1.0 ± 9.63 | 7.3 ± 18.55 | -2.5 ± 8.07 |
| Score (24 hours) | 25.8 ± 25.91 | 12.2 ± 18.36 | 7.2 ± 24.68 |
| Score (48 hours) | 8.0 ± 6.98 | 3.2 ± 11.96 | 2.0 ± 11.37 |
The C-SSRS is a questionnaire completed by the Investigator, who asks yes/no questions of the participant It I used to categorise risk levels based on the responses.
| Participants | Part C Placebo | Part C Dose 1 | Part C Dose 2 |
|---|---|---|---|
| No or low risk - Day 17 | 4 | 6 | 6 |
| No or low risk - Day 24 | 4 | 6 | 6 |
Maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
| ng/mL | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| Cmax (PK Part A) | 1.10 ± 73.9 | 4.20 ± 77.2 | 43.7 ± 40.8 | 297 ± 74.1 | 548 ± 33.1 | 695 ± 54.8 |
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations at time points below.
| Hours | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| Tmax (PK Part A) | 2.00 (1.98 to 2.05) | 1.50 (0.517 to 3.00) | 2.03 (1.03 to 3.03) | 1.00 (1.00 to 2.00) | 2.00 (1.00 to 3.00) | 1.00 (1.00 to 3.00) |
Area under the plasma concentration-time curve from time 0 to 24 hours postdose. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| AUC24 (PK Part A) | NA ± NA | 13.8 ± 54.1 | 154 ± 42.2 | 901 ± 62.9 | 1781 ± 40.6 | 1949 ± 45.1 |
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| AUC72 (PK Part A) | NA ± NA | 13.9 ± 54.2 | 155 ± 42.4 | 904 ± 63.3 | 1788 ± 41.1 | 1959 ± 44.8 |
Area under the plasma concentration-time curve from time 0 to time of last measurable concentration. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| AUClast (PK Part A) | 2.56 ± 76.1 | 12.9 ± 59.8 | 153 ± 42.8 | 902 ± 63.3 | 1786 ± 41.1 | 1955 ± 45.0 |
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations at time points below.
| ng.hour/mL | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| AUCinf (PK Part A) | NA ± NA | 13.8 ± 53.9 | 155 ± 42.4 | 904 ± 63.3 | 1788 ± 41.2 | 1959 ± 44.8 |
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations at time points below.
| Percentage of AUC | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| %AUCextrap (PK Part A) | 6.62 ± NA | 4.95 ± 76.2 | 0.910 ± 69.8 | 0.202 ± 126.7 | 0.0796 ± 125.8 | 0.108 ± 236.0 |
Terminal half-life. Calculated from plasma concentrations at time points below.
| Hours | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| t1⁄2 (PK Part A) | NA ± NA | 1.89 ± 0.709 | 3.50 ± 0.983 | 4.51 ± 3.41 | 5.57 ± 5.95 | 7.12 ± 4.48 |
Calculated from plasma concentrations at time points below.
| /Hour | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| Terminal Rate Constant (PK Part A) | NA ± NA | 0.419 ± 0.172 | 0.214 ± 0.0702 | 0.216 ± 0.107 | 0.221 ± 0.127 | 0.143 ± 0.100 |
Systemic clearance relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
| L/hour | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| CL/F (PK Part A) | NA ± NA | 489 ± 287 | 139 ± 65.5 | 75.0 ± 36.2 | 59.4 ± 21.3 | 66.4 ± 31.2 |
Apparent volume of distribution relative to absolute bioavailability. Calculated from plasma concentrations at time points below.
| L | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 |
|---|---|---|---|---|---|---|
| VZ/F (PK Part A) | NA ± NA | 1268 ± 747 | 666 ± 241 | 384 ± 147 | 374 ± 227 | 720 ± 549 |
The investigator/designee scored the participant's level of alertness on a scale of 0 (absence of response to stimulus) to 5 (readily responsive to the subject's name in a normal tone) in each of 4 components (responsiveness, speech, facial expression, eyes). The composite score corresponds to the lowest score for any component. The sum is the sum of the 4 component scores, ranging from 9 to 20. Positive change in composite score or sum is a better outcome; negative change is a worse outcome.
| score on a scale (change) | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| Composite score (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Composite score (72 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.25 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (0.5 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (1 hour) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (2 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (3 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (4 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (6 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (8 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (24 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (48 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
| Sum (72 hours) | 0 ± 0 | 0 ± 0 | 0 ± 0 | 0 ± 0 |
The participant graded level of alertness by placing a mark on a linear scale from 0 (very alert) to 100 (very drowsy). Negative change is a better outcome; positive change is a worse outcome.
| mm on a 100-mm line (change) | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed |
|---|---|---|---|---|
| Score (0.25 hour) | -0.7 ± 2.73 | 1.7 ± 6.80 | -3.0 ± 4.30 | -1.6 ± 1.34 |
| Score (0.5 hour) | 2.3 ± 3.78 | 8.0 ± 12.79 | 3.0 ± 14.61 | -0.2 ± 2.86 |
| Score (1 hour) | 1.0 ± 4.10 | 6.2 ± 12.09 | 16.4 ± 36.22 | 2.8 ± 12.56 |
| Score (2 hours) | 6.0 ± 10.94 | 6.7 ± 14.08 | 14.4 ± 30.07 | 9.6 ± 25.44 |
| Score (3 hours) | 4.7 ± 6.92 | 5.0 ± 17.81 | -2.2 ± 14.58 | -2.0 ± 3.39 |
| Score (4 hours) | 8.3 ± 16.54 | 8.3 ± 10.89 | 2.2 ± 18.53 | 8.6 ± 16.06 |
| Score (6 hours) | 15.7 ± 17.51 | 7.0 ± 19.29 | 10.0 ± 32.61 | 1.8 ± 7.98 |
| Score (8 hours) | 7.5 ± 14.87 | 9.8 ± 15.84 | 1.2 ± 5.31 | 0.2 ± 3.42 |
| Score (24 hours) | 8.5 ± 12.18 | 7.7 ± 11.89 | -6.0 ± 11.58 | 6.8 ± 13.14 |
| Score (48 hours) | 9.5 ± 10.84 | 3.5 ± 9.27 | -5.0 ± 14.21 | 3.6 ± 13.28 |
| Score (72 hours) | -1.8 ± 8.33 | 2.3 ± 9.46 | -6.0 ± 10.22 | -3.0 ± 3.32 |
Maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ng/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| AM Day 1 | 77.9 ± 56.0 | 198 ± 47.8 |
| PM Day 1 | 49.5 ± 89.2 | 138 ± 47.8 |
| AM Day 14 | 85.4 ± 50.0 | 241 ± 49.9 |
Time to reach maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| Hours | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| AM Day 1 | 2.00 (0.500 to 2.00) | 1.51 (1.00 to 2.00) |
| PM Day 1 | 3.03 (1.00 to 7.95) | 3.00 (2.00 to 4.00) |
| AM Day 14 | 2.08 (1.00 to 3.02) | 2.00 (1.00 to 3.00) |
Trough plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ng/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day 1, 12 hours | 0.684 (0.385 to 1.22) | 1.65 (0.865 to 3.16) |
| Day 2 | 1.81 (0.875 to 3.75) | 3.57 (1.70 to 7.53) |
| Day 3 | 2.97 (1.22 to 7.23) | 4.68 (1.78 to 12.3) |
| Day 5 | 2.39 (0.978 to 5.83) | 6.47 (2.61 to 16.1) |
| Day 7 | 2.73 (1.43 to 5.21) | 7.09 (3.07 to 16.4) |
| Day 9 | 2.87 (0.907 to 9.09) | 6.97 (3.63 to 13.4) |
| Day 11 | 1.95 (0.647 to 5.90) | 4.27 (2.03 to 9.01) |
| Day 13 | 3.41 (1.46 to 7.98) | 4.72 (2.18 to 10.2) |
| Day 14 | 3.24 (1.35 to 7.78) | 6.28 (3.34 to 11.8) |
| Day 14, 12 hours | 2.19 (1.14 to 4.21) | 4.93 (2.26 to 10.8) |
Area under the concentration-time curve across a dosing interval. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ng.hour/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| AM Day 1 | 210 ± 48.3 | 521 ± 59.2 |
| PM Day 1 | 231 ± 92.5 | 540 ± 53.9 |
| AM Day 14 | 254 ± 68.9 | 792 ± 59.0 |
Area under the concentration-time curve from time 0 to the last measurable timepoint. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ng.hour/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day1 | 410 ± 59.0 | 1034 ± 47.5 |
| Day 14 | 270 ± 67.8 | 831 ± 59.3 |
Area under the plasma concentration-time curve from time 0 to 72 hours postdose. Calculated from plasma concentrations measured at the time points below.
| ng.hour/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| AUC72 (PK Part C) | 273 ± 66.9 | 837 ± 58.9 |
Terminal half-life. Maximum (peak) plasma concentration. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| Hours | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day 1 | 1.68 ± 0.317 | 1.63 ± 0.177 |
| Day 14 | 5.89 ± 2.82 | 9.87 ± 7.35 |
Area under the plasma concentration-time curve from time 0 to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ng.hour/mL | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day 1 | 449 ± 72.3 | 1149 ± 52.8 |
| Day 14 | 273 ± 66.9 | 839 ± 58.9 |
Percentage of AUCinf extrapolated from time of last measurable concentration to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| Percentage of AUC | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day 1 | 1.36 ± 219.5 | 0.832 ± 93.4 |
| Day 14 | 1.14 ± 85.3 | 0.921 ± 63.6 |
Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| /Hour | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Day 1 | 0.424 ± 0.0848 | 0.428 ± 0.0428 |
| Day 14 | 0.169 ± 0.148 | 0.123 ± 0.0955 |
Systemic clearance relative to bioavailability at steady state (Day 14). Calculated from plasma concentrations measured at the time points below.
| L/hour | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| CLSS/F (PK Part C) | 139 ± 87.1 | 70.2 ± 31.5 |
Apparent volume of distribution relative to absolute bioavailability (Day 14). Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| L | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| VZ/F (PK Part C) | 1221 ± 823 | 977 ± 874 |
Area under the concentration-time curve over the dosing interval on Day 14/area under the concentration-time curve over the dosing interval on Day 1 in AM. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ratio | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Rac(AUCtau) (PK Part C) | 1.33 ± 0.679 | 1.65 ± 0.840 |
Maximum observed plasma concentration on Day 14/maximum observed plasma concentration on Day 1 in AM. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ratio | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| Rac(Cmax) (PK Part C) | 1.22 ± 0.673 | 1.29 ± 0.559 |
Area under the concentration-time curve across a dosing interval on Day 14/area under the concentration-time curve from time 0 to infinity. Calculated from plasma concentrations measured before the morning dose and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20 and 24 hours after the morning dose on Day 1; before the morning dose on Days 3, 5, 7, 9, 11, and 13; and at 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 12.5, 13, 14, 15, 16, 20, 24, 36, 48, and 72 hours after the morning dose on Day 14.
| ratio | Part C Dose 1 | Part C Dose 2 |
|---|---|---|
| SR(AUC) (PK Part C) | 0.556 ± 0.275 | 0.733 ± 0.158 |
Collected over From the signing of the informed consent form through 10 days after the last dose (Day 11 in Parts A and B, Day 24 in Part C). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part A Placebo | 0/12 (0%) | 0/12 (0%) | 0/12 (0%) |
| Part A Dose 1 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part A Dose 2 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part A Dose 3 | 0/6 (0%) | 0/6 (0%) | 4/6 (66.7%) |
| Part A Dose 4 | 0/6 (0%) | 0/6 (0%) | 2/6 (33.3%) |
| Part A Dose 5 | 0/6 (0%) | 0/6 (0%) | 2/6 (33.3%) |
| Part A Dose 6 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part B Dose 1 Fasted | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part B Dose 1 Fed | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part B Dose 2 Fasted | 0/5 (0%) | 0/5 (0%) | 0/5 (0%) |
| Part B Dose 2 Fed | 0/5 (0%) | 0/5 (0%) | 2/5 (40%) |
| Part C Placebo | 0/4 (0%) | 0/4 (0%) | 3/4 (75%) |
| Part C Dose 1 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part C Dose 2 | 0/6 (0%) | 0/6 (0%) | 2/6 (33.3%) |
| Event | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B Dose 1 Fasted | Part B Dose 1 Fed | Part B Dose 2 Fasted | Part B Dose 2 Fed | Part C Placebo | Part C Dose 1 | Part C Dose 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MyalgiaMusculoskeletal and connective tissue disorders | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 1/4 | 0/6 | 0/6 |
| SomnolenceNervous system disorders | 0/12 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 1/6 | 0/5 | 0/5 | 1/4 | 0/6 | 0/6 |
| Eczema asteatoticSkin and subcutaneous tissue disorders | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 1/4 | 0/6 | 0/6 |
| Hepatic enzymes increasedInvestigations | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/4 | 0/6 | 0/6 |
| Back painMusculoskeletal and connective tissue disorders | 0/12 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/5 | 1/5 | 0/4 | 0/6 | 0/6 |
| DiarrhoeaGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/4 | 0/6 | 0/6 |
| Gastrooesophageal refluxGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/4 | 0/6 | 0/6 |
| ToothacheGastrointestinal disorders | 0/12 | 0/6 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 1/6 | 0/6 | 0/5 | 0/5 | 0/4 | 0/6 | 0/6 |
| FatigueGeneral disorders | 0/12 | 0/6 | 0/6 | 1/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/4 | 0/6 | 0/6 |
| ContusionInjury, poisoning and procedural complications | 0/12 | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/5 | 0/5 | 0/4 | 0/6 | 0/6 |
| Age, Continuous(years) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B (Both Groups) | Part C Placebo | Part C Dose 1 | Part C Dose 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 37.3 ± 14.83 | 39.0 ± 8.44 | 27.8 ± 4.49 | 32.7 ± 12.77 | 34.3 ± 4.13 | 43.0 ± 13.08 | 31.0 ± 9.08 | 41.9 ± 14.30 | 38.5 ± 9.47 | 38.3 ± 12.75 | 31.5 ± 5.89 | 35.9 ± 4.82 |
| Sex: Female, Male(Participants) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B (Both Groups) | Part C Placebo | Part C Dose 1 | Part C Dose 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 6 | 3 | 0 | 2 | 1 | 1 | 2 | 4 | 0 | 1 | 2 | 22 |
| Male | 6 | 3 | 6 | 4 | 5 | 5 | 4 | 8 | 4 | 5 | 4 | 54 |
| Ethnicity (NIH/OMB)(Participants) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B (Both Groups) | Part C Placebo | Part C Dose 1 | Part C Dose 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 4 |
| Not Hispanic or Latino | 11 | 6 | 5 | 6 | 5 | 6 | 6 | 12 | 3 | 6 | 6 | 72 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B (Both Groups) | Part C Placebo | Part C Dose 1 | Part C Dose 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 1 | 0 | 1 | 1 | 2 | 4 | 0 | 1 | 1 | 12 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 2 | 1 | 3 | 2 | 0 | 2 | 2 | 0 | 1 | 0 | 1 | 14 |
| White | 7 | 4 | 2 | 4 | 4 | 3 | 2 | 6 | 2 | 5 | 3 | 42 |
| More than one race | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 5 |
| Unknown or Not Reported | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 3 |
| Region of Enrollment(participants) | Part A Placebo | Part A Dose 1 | Part A Dose 2 | Part A Dose 3 | Part A Dose 4 | Part A Dose 5 | Part A Dose 6 | Part B (Both Groups) | Part C Placebo | Part C Dose 1 | Part C Dose 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| United Kingdom | 12 | 6 | 6 | 6 | 6 | 6 | 6 | 12 | 4 | 6 | 6 | 76 |
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