Primary Objectives(1) investigate the safety and tolerability of JNJ-54175446 after multiple consecutive dose administrations;(2) investigate the plasma pharmacokinetics of JNJ-54175446 following multiple dose administration in healthy male subjects…
ID
Source
Brief title
Condition
- Mood disorders and disturbances NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
PK
PD
Safety
Tolerability
Secondary outcome
ex vivo-stimulated cytokine production
P2X7 receptor polymorphism
Background summary
JNJ-54175446 is a brain penetrant P2X7 receptor antagonist being developed by
JNJ for the treatment of mood disorders. One of the hallmark features of P2X7
activation is release of the pro-inflammatory cytokine IL-1B. Enhancement of
central IL-1B release results in animal behaviors akin to clinical depression:
increases in IL-1B signaling results in depressive behavior in animal
models.Increased plasma and central levels (CSF) of IL-1B have been reported in
subjects with mood disorders.
Study objective
Primary Objectives
(1) investigate the safety and tolerability of JNJ-54175446 after multiple
consecutive dose administrations;
(2) investigate the plasma pharmacokinetics of JNJ-54175446 following multiple
dose administration in healthy male subjects.
Secondary objectives
(1) explore the PD effects of JNJ-54175446 at steady state using an amphetamine
challenge model in comparison to placebo and minocycline;
(2) explore the PD dose-effect relationship of JNJ-54175446 following multiple
dose administrations;
(3) characterize the effect of JNJ-54175446 on ex vivo-stimulated cytokine
production [in relation to P2X7 receptor genotype]
Exploratory Objectives
(1) investigate the effect of P2X7 receptor polymorphisms on JNJ-54175446
pharmacodynamics, safety, and tolerability;
(2) describe the effect of JNJ-54175446 on a series of peripheral biomarkers
with potential relevance for the subpopulations of mood disorders;
(3) obtain biomarker data on healthy subjects to facilitate hypothesis
generation for diagnosis, subtyping, and response prediction in mood disorder
patients;
(4) evaluate the effects of JNJ-54175446 on cognitive functions in healthy
subjects to facilitate hypothesis generation in major depressive disorder (MDD)
patients.
Study design
This will be a randomized, placebo-and comparator controlled, double-blind,
multiple dose study with JNJ-54175446 in healthy male subjects. Maximally 8
cohorts of healthy male subjects (n=10/cohort for Cohorts 1 to 6 and n=8/cohort
for Cohorts 7 and 8) will be included in this study. Subjects enrolled in
Cohort 1 to 6, will be randomly assigned to receive JNJ-54175446 (n=6),
minocycline (n=2) or placebo (n=2). Subjects enrolled in Cohort 7 and 8 will be
randomly assigned to receive JNJ-54175446 (n=6) or placebo (n=2).
Approximately, 76 healthy male subjects will be enrolled in this study.
For each subject, the study will consist of a screening examination (28 to 6
days prior to dose administration), a baseline 20 mg d-amphetamine (AMPH)
challenge at least 5 days before first dose administration, a double-blind
treatment period (18 days; 11 days of dosing with JNJ-54175446, minocycline or
placebo; AMPH/AMPH placebo challenge sequence on Day 7 and Day 10), and a
follow-up examination between 14 and 21 days after last dose administration.
The maximal study duration for an individual subject will not exceed 9 weeks.
Intervention
Participants will receive JNJ-54175446/placebo (7 of 10 subjects) once a day
for 11 consecutive days, or Minocycline/placebo (3 of 10 subject) twice a day
for 11 consecutive days. On Day -5 subjects will receive dexamphetamine, and on
day 7 & 11 dexamphetamine or placebo.
Study burden and risks
There is no health benefit for participants. Risk is considered minimal. Burden
consists of time investment and life style restricitions.
Turnhoutseweg 30
Beerse 2340
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Turnhoutseweg 30
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Listed location countries
Age
Inclusion criteria
1. Healthy male subjects between 18 and 55 years of age, inclusive.
2. A body mass index (BMI) between 18 and 32 kg/m2, inclusive
3. Healthy on the basis of physical examination, medical history, vital signs, and 12-lead ECG [incl. QTcF <= 450ms (triplicate ECG)] performed at screening and admission to the clinical unit. Minor abnormalities in ECG, which are not considered to be of clinical significance by the investigator, are acceptable.
4. Healthy on the basis of clinical laboratory tests performed at screening.
5. A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control. Subjects must also not donate sperm during the study and for 3 months after receiving the last dose of study drug.
6. Agree to reside in the clinical unit for minimally 15 days during the double blind treatment period.
7. Subjects must be willing to adhere to the prohibitions and restrictions specified in the protocol.
8. Each included subject must have signed an informed consent form (ICF)
Exclusion criteria
1. A history of or current liver or renal insufficiency; significant cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, or metabolic disturbances, any inflammatory illness or any other illness that the Investigator considers should exclude the subject.
2. A clinically significant (history of) psychiatric illnesses or (history of) psychotic symptoms
3. A family history of relevant psychiatric disorders (first degree) and/or psychotic disorders (first and second degree)
4. A liver function test (including ALT, AST, GGT, ALP and bilirubin) at screening exceeding the ULN.
5. A history of hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or other clinically active liver disease, or tests positive for HBsAg or anti-HCV at Screening.
6. A history of human immunodeficiency virus (HIV) antibody positive, or tests positive for HIV at Screening.
7. A PT and/or an aPTT exceeding the ULN.
8 An International Normalized Ratio (INR; [prothrombintest / prothrombincontrol]ISI) >2.
9. A history of malignancy within 5 years before screening (with certain exceptions)
10. A history of drug or alcohol use disorder (mild or greater) according to DSM criteria within 5 years before Screening. Or a positive test result(s) for alcohol and/or drugs of abuse (including: opiates (including methadone), cocaine, amphetamines (screening only) and methamphetamines (screening only), MDMA (screening only), cannabinoids, and benzodiazepines) at screening or admission to the clinical unit.
11. Drinks, on average, more than 8 cups of tea/coffee/cocoa/cola/caffeinated beverages (e.g., energy drink) per day.
12. A clinically significant acute illness within 7 days prior to study drug administration.
13. Smokes cigarettes (or equivalent) and/or has used nicotine based products within 3 months prior to study drug administration.
14. A man who plans to father a child while enrolled in this study or within 90 days after the last dose of study drug.
15. A history of clinically significant drug and/or food allergies.
16. Known allergies, hypersensitivity, or intolerance to JNJ-54175446, AMPH or minocycline or one of their excipients.
17. Contraindications to the use of minocycline or AMPH.
18. Taken any disallowed therapies (protocol Section 8)
19. Received an investigational drug (including vaccines) or used an IMD within 90 days before the planned start of study.
20. Had major surgery, (e.g., requiring general anesthesia) within 8 weeks before screening, or will have within 4 weeks after the last dose.
21. Donated one or more units (approximately 450 mL) of blood or acute loss of an equivalent amount of blood within 90 days prior to study drug administration
22. Any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (e.g., compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments.
23. Psychological and/or emotional problems, which would render the informed consent invalid, or limit the ability of the subject to comply with the study requirements.
24. Vulnerable subjects (e.g., a person kept in detention or a person under guardianship).
25. Unable to read and understand the consent forms, complete study-related procedures, and/or communicate with the study staff.
26. An employee of the investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the investigator.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR201500130055-NL |
CCMO | NL54446.056.15 |