Primary Objective- To demonstrate dose proportionality between 1 mg and 5 mg of PedPRM (Neurim Pharmaceuticals Ltd.) following a single oral dose in healthy male and female volunteers (treatment A and C), under fed conditions.Secondary Objectives-…
ID
Source
Brief title
Condition
- Sleep disorders and disturbances
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Safety and tolerability endpoints
* Adverse events which will be summarized by treatment, and will be categorized
in subsets of all treatment-emergent AEs, and of all treatment-related AEs.
* Clinical laboratory and vital signs which will be summarized by treatment and
change from baseline.
Pharmacokinetic Endpoints
A 24-hour individual baseline profile of plasma and saliva melatonin
concentrations will be measured. PK parameters of PedPRM or Circadin® will be
calculated after endogenous level subtraction.
Primary endpoints are the following pharmacokinetic (PK) parameters:
* AUC0-* PedPRM.
* Cmax PedPRM.
Secondary outcome
Secondary PK endpoints include:
* AUC0-* Circadin® and Cmax Circadin®.
* Other pharmacokinetic parameters derived from serum samples
including AUC0-t, tmax, kel, t1/2, clearance (CL/F), and Vd/F.
* Pharmacokinetic parameters derived from saliva samples (e.g. AUC0-
*, AUC0-t, Cmax and tmax).
Background summary
Circadin®, prolonged-release melatonin (2 mg), is a melatonin receptor agonist
and is registered for treatment of primary insomnia in many countries globally.
Children with neurodevelopmental disorders have difficulties swallowing normal
tablets like Circadin®. Moreover, crushing the Circadin® tablets would make
them act as an immediate release formulation, losing their prolonged release
profile which results in sleep maintenance effects. Neurim Pharmaceuticals Ltd.
developed an age appropriate formulation (PedPRM, 1 and 5 mg minitablets) that
would be suitable for children that have difficulties in swallowing, that would
maintain the prolonged release profile and would allow titration of the dose,
if required.
Study objective
Primary Objective
- To demonstrate dose proportionality between 1 mg and 5 mg of PedPRM (Neurim
Pharmaceuticals Ltd.) following a single oral dose in healthy male and female
volunteers (treatment A and C), under fed conditions.
Secondary Objectives
- To assess the correlation between saliva and plasma concentrations following
a single dose of 1 mg PedPRM (treatment A).
- To investigate a potential food effect on the bioavailability following a
single dose of 5 mg PedPRM (treatment C and D).
- To assess pharmacokinetic comparability between Circadin® and PedPRM
treatment (treatment A, B and C).
Study design
This is a single dose, randomized, four-way cross-over, bioavailability and
food interaction study of PedPRM (Neurim Pharmaceuticals Ltd.) and Circadin®
tablets in healthy male and female volunteers. Subjects who meet the entry
criteria will be randomly assigned to one of the following four treatment
sequences:
Sequence 1 A B C D
Sequence 2 C A D B
Sequence 3 B D A C
Sequence 4 D C B A
Treatment A: A single dose of 1 mg PedPRM, administered to the subjects in a
fed condition.
Treatment B: A single dose of 2 mg Circadin®, administered to the subjects in a
fed condition.
Treatment C: A single dose of 5 mg PedPRM, administered to the subjects in a
fed condition.
Treatment D: A single dose of 5 mg PedPRM, administered to the subjects in a
fasted condition.
Prior to the start of the first treatment period, baseline melatonin plasma
levels will be measured for each subject during a period of 24 hours. After
each dose administration, safety and pharmacokinetic data will be collected and
reviewed up to approximately 24 hours post-dose.
Intervention
Investigational drug:
1 mg PedPRM (Neurim Pharmaceuticals Ltd., tablet), administered to the subjects
in a fed state.
5 mg PedPRM (Neurim Pharmaceuticals Ltd., tablet), administered to the subjects
in a fed and fasted state.
Comparative drug:
2 mg Circadin® (tablet), administered to the subjects in a fed state.
Study burden and risks
Adverse reactions related to the use of Circadin® that have been reported
occasionally (0.1 * 1%) include nervosity, feeling restless, insomnia, having
nightmares and dizziness. All adverse events are considered well-manageable
particularly when the study is performed in a dedicated research unit. Moreover
the safety of PedPRM in the clinical study is comparable to that of Circadin®
in adults.
The subjects will be screened thoroughly prior to study enrolment. In addition,
subjects will also be monitored closely during the conduct of the study to
minimize the risks.
Habarzel St 27
Tel-Aviv 69710
IL
Habarzel St 27
Tel-Aviv 69710
IL
Listed location countries
Age
Inclusion criteria
1. Signed informed consent prior to any study-mandated procedure.
2. Healthy male or female subjects, 18 to 55 years of age, inclusive at screening.
3. Body mass index (BMI) between 18 and 30 kg/m2, inclusive at screening.
4. All women of child bearing potential must practice effective contraception during the study and be willing and able to continue contraception for at least 90 days after the final administration of study treatment. All males must practice effective contraception and abstain from sperm donation during the study and be willing and able to continue contraception and abstention from sperm donation for at least 90 days after the final administration of study treatment.
5. Has the ability to communicate well with the investigator in the Dutch language and willing to comply with the study restrictions.
Exclusion criteria
1. A history of gastrointestinal disorder likely to influence drug absorption
2. Evidence of renal, hepatic, cardiovascular or metabolic dysfunction or any active or chronic disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would pose an unacceptable risk to the subject in the opinion of the investigator (following a detailed medical history, physical examination, vital signs (systolic and diastolic blood pressure, pulse rate, body temperature) and12-lead electrocardiogram (ECG)). Minor deviations from the normal range may be accepted, if judged by the investigator to have no clinical relevance.
3. Clinically significant abnormalities, as judged by the investigator, in laboratory test results (including hepatic and renal panels, complete blood count, chemistry panel and urinalysis). In the case of uncertain or questionable results, tests performed during screening may be repeated before randomization to confirm eligibility or judged to be clinically irrelevant for healthy subjects.
4. Positive Hepatitis B surface antigen (HBsAg), Hepatitis C antibody (HCV Ab), or human immunodeficiency virus antibody (HIV Ab) at screening.
5. Use of melatonin (Circadin®, food supplement, pharmacy preparation) within 4 weeks before first dose administration.
6. Use of any medications (prescription or over-the-counter [OTC]), within 14 days of dose administration, or less than 5 half-lives (whichever is longer). An exception is paracetamol (up to 2 g/day). Other exceptions will only be made if the rationale is clearly documented by the investigator.
7. Use of any vitamin, mineral, herbal, and dietary supplements within 7 days of dose administration, or less than 5 half-lives (whichever is longer). Exceptions will only be made if the rationale is clearly documented by the investigator
8. Current or previous clinically relevant neurological disorders or neurosurgery.
9. Current or previous clinically relevant history of psychiatric disorders or sleep-wake disorders.
10. Current or previous clinically relevant history of drug or alcohol abuse.
11. Current or previous clinically relevant history of chronic headache or migraine.
12. A history of drug or food allergies or other clinically significant allergies (e.g. asthma, hay fever, neurodermatitis).
13. A history of hypersensitivity and/or idiosyncrasy to any of the test compounds or excipients employed in this study.
14. Participation in an investigational drug or device study within 3 months prior to dose administration or more than 4 times a year.
15. Night-shift worker or subjects with a significantly shifted diurnal activity pattern.
16. Subjects who have traveled across 3 different time zones within 1 week prior to screening or baseline.
17. Following a diet, e.g. kosher, halal, vegetarian, vegan or medically prescribed diet.
18. Positive test for drugs of abuse or alcohol at screening or pre-dose.
19. Smoker of more than 5 cigarettes per day within one month prior to screening or who use tobacco products equivalent to more than 5 cigarettes per day.
20. Excessive consumption of xanthine-containing products (more than eight cups of coffee or equivalent per day).
21. Loss or donation of blood over 500 mL within three months prior to screening.
22. If a woman: pregnant, breast-feeding, or planning to become pregnant during the study.
23. Any known factor, condition, or disease that might interfere with treatment compliance, study conduct or interpretation of the results such as drug or alcohol dependence or psychiatric disease in the opinion of 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 | EUCTR2017-003815-20-NL |
CCMO | NL63414.056.17 |