Part 1, 2 and 3;To assess the safety and tolerability of single and multiple ascending doses of RO7017773 in healthy participants.To investigate the PK of RO7017773 in plasma and urine.To investigate the PD effects of RO7017773 treatment on specific…
ID
Source
Brief title
Condition
- Communication disorders and disturbances
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Part 1, 2 and 3;
Incidence and severity of AEs.
Changes in vital signs, physical findings, ECG parameters, and clinical
laboratory results during and following RO7017773 administration.
Change in suicide risk (using Columbia Suicide Severity Rating Scale).
Secondary outcome
All parts
PK parameters of RO7017773.
Change from baseline in spontaneous brain electrical activity by qEEG
part 2a
PK parameters of RO7017773 in fasted and in fed state.
Background summary
Autism spectrum disorder is a complex, heterogeneous neurodevelopmental
disorder characterized by impairments in social communication and interaction,
as well as repetitive behaviors and restricted interests (Diagnostic and
Statistical Manual of Mental Disorders [DSM 5]). The estimated prevalence of
ASD in the United States is 1 in 68 children (CDC, 2014), and it is estimated
that 1% of the world*s population have ASD (WHO, 2013). No approved
pharmacological treatment exists for the core social communication and social
interaction deficits and repetitive behavior of ASD, and this disorder
continues to be an area of high unmet medical need. Current treatments for
associated symptoms of ASD may include antipsychotics (risperidone and
aripiprazole) used for the treatment of irritability associated with ASD
symptoms. Multiple lines of evidence suggest that an imbalance between
excitatory/inhibitory neurotransmission in favor of excitation could arise from
dysfunction of the GABAergic signaling system (the main inhibitory
neurotransmitter system in the brain), early in development and is a central
characteristic of the neurobiology of autism, leading to some of the
impairments observed in individuals with ASD. GABAA alpha-5 receptors are
thought to play a major role in cognition since they are predominantly
expressed in the hippocampus in rodents and humans, which is important for
learning and memory processes. RO7017773 is a selective gamma-aminobutyric acid
type A (GABAA) alpha- 5 subunitcontaining receptor positive allosteric
modulator. RO7017773 is being developed for the treatment of the two core
domains of Autism spectrum disorder (ASD); social communication deficits and
repetitive behaviors. RO7017773 has the potential to normalize GABAergic
signaling in key brain regions implicated in ASD without the sideeffects of
non-specific GABA modulators (e.g. benzodiazepines).
Study objective
Part 1, 2 and 3;
To assess the safety and tolerability of single and multiple ascending doses of
RO7017773 in healthy participants.
To investigate the PK of RO7017773 in plasma and urine.
To investigate the PD effects of RO7017773 treatment on specific quantitative
electroencephalography (qEEG) parameters (not applicable for Part 2b).
Part 2a
To assess the effect of food on the PK of a single dose of RO7017773.
Study design
This study will be conducted in three parts in healthy participants.
Part 1 will be a randomized, Investigator/participant blind, adaptive, placebo
controlled SAD study to explore the safety, tolerability, PK and PD of single
doses of orally administered RO7017773 in the fasted state.
Part 2 will be split into two parts both following single doses of orally
administered RO7017773;
Part 2a will be a randomized, Investigator/participant blind, single-dose,
two-period (fasted,fed) fixed sequence study in healthy participants to explore
the effect of food on PK parameters.
Part 2b will be a randomized, open-label, single-dose study to assess the taste
of RO7017773.
Part 3 will be a randomized, Investigator/participant blind, adaptive MAD,
placebo-controlled study with the purpose of evaluating the safety,
tolerability, PK and PD of multiple doses of orally administered RO7017773.
Study burden and risks
This is the first study with RO7017773 in humans, designed to assess the
safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single
(Part 1) and multiple ascending doses (Part 3), food effect (Part 2a) and taste
(Part 2b) following oral administration of RO7017773 to healthy participants.
For this study, healthy male and female participants aged 18 to 55 (inclusive)
were chosen because of the absence of
potentially confounding disease processes, which will lead to a clearer and
more consistent assessment of drug disposition and biological activity. In
addition, healthy participants are unlikely to require concomitant medication
which could interfere with the study drug or its pharmacodynamic effects. The
study is adaptive in nature. Ascending doses are planned in order to establish
the safety and tolerability at low dose levels before proceeding to higher dose
levels. Dose levels may be adjusted (increased, decreased, or repeated) or
intermediate doses may
be used depending on the emerging safety, PK and Neurocart and EEG (up to
predicted Tmax) data at each dose level. To ensure participants' safety
additional monitoring/assessments have been implemented based on the findings
reported in pre-clinical studies. During the conduct of
the study, participants will be hospitalized at the clinical research unit for
the entire treatment duration and for at least 48 hours after the last dose.
Safety and tolerability will be monitored closely throughout the study.
Tolerability will be assessed by recording adverse events (e.g. change in
appetite and signs of hypoactivity and drowsiness), cognition assessments and
close observation of the participants.
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Basel 4070
CH
Listed location countries
Age
Inclusion criteria
1. Able and willing to provide written informed consent and to comply with the study protocol according to ICH and local regulations.
2. Participants 18 to 55 years of age inclusive, at the time of signing the informed consent.
3. Healthy, as judged by the Investigator. Healthy status will be defined as the absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination, vital signs, 12-lead ECG, hematology, blood chemistry, serology and urinalysis.;4. Body mass index (BMI) within the range 18 to 30 kg/m2 (inclusive).
5. Male and female participants
The contraception and abstinence requirements are intended to prevent exposure of an embryo to the study treatment. The reliability of sexual abstinence for male enrollment eligibility needs to be evaluated in relation to the duration of the clinical study and the preferred and usual lifestyle of the participant. Periodic abstinence and withdrawal are not acceptable methods of contraception.
e) Female Participants
A female participant is eligible to participate if she is not pregnant (see Appendix 5), not
breastfeeding, and the following condition applies:
* Women of non-childbearing potential (WONCBP), as defined in Appendix 5 who:
* Have a negative pregnancy test (blood) within the 21 days prior to the first study
drug administration.
f) Male Participants
During the treatment period and for at least 28 days after the last dose of study drug,
agreement to:
* Remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures such as a condom, with partners who are women of childbearing potential (WOCBP, as defined in Section 1 of Appendix 5), or pregnant female partners, to avoid exposing the embryo.
*Refrain from donating sperm 28 days.
Exclusion criteria
1. Any condition or disease detected during the medical interview/physical examination that would render the participant unsuitable for the study, place the participant at undue risk or interfere with the ability of the participant to complete the study, as determined by the Investigator.
2. History or evidence of any medical condition potentially altering the absorption, metabolism or elimination of drugs. This includes a surgical history of the gastrointestinal tract affecting gastric motility or altering the gastrointestinal tract.
3. History of any clinically significant gastrointestinal, renal, hepatic, bronchopulmonary, neurological, psychiatric, cardiovascular, endocrinological, hematological or allergic disease, metabolic disorder, hypofertility, cancer or cirrhosis.
4. Use of any psychoactive medication, or medications known to have effects on CNS or blood flow taken within 4 weeks prior to first dosing (or within 5 times the elimination half-life of the medication) prior to first dosing (whichever is longer).
5. History of convulsions (other than benign febrile convulsions of childhood) including epilepsy, or personal history of significant cerebral trauma or CNS infections (e.g., meningitis).
6. History or current significant ophthalmologic or neurologic condition that would adversely affect the eye movement assessments.
7. A history of clinically significant hypersensitivity (e.g., drugs, excipients) or allergic reactions.
8. Any major illness within one month before the screening examination or any febrile illness within one week prior to screening and up to first study drug administration.
9. Abnormal blood pressure, defined as confirmed (based on the average of >/=3 consecutive measurements) systolic blood pressure (SBP) greater than 140 or less than 90 mm Hg, and diastolic blood pressure (DBP) greater than 90 or less than 50 mm Hg.
10. Abnormal pulse rate, defined as confirmed (based on the average of >/=3 consecutive measurements) resting pulse rate greater than 100 or less than 40 bpm.
11. History or presence of clinically significant ECG abnormalities before study drug administration (e.g. PQ/PR interval >210 ms, QTcF > 450 ms (>470 ms females) or cardiovascular disease (e.g., cardiac insufficiency, coronary artery disease, cardiomyopathy, congestive heart failure, family history of congenital long QT syndrome, family history of sudden death).
12. Clinically significant abnormalities 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.
13.ALT and bilirubin > 1.5 X ULN (isolated bilirubin > 1.5 X ULN is acceptable if bilirubin is fractionated and direct bilirubin < 35%).
14. Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).;15. Participants who, in the Investigator's judgment, pose a suicidal or homicidal risk, or any participant with a history of suicidal or homicidal attempts.
16. Have used or intend to use over-the-counter or prescription medication including herbal medications within 30 days prior to dosing.
17. Participants likely to need concomitant medication during the study period (including for dental conditions).
18. Participation in an investigational drug or device study within 90 days prior to screening, as calculated from the day of follow-up from the previous study, or more than 4 times a year.
19. Positive test for drugs of abuse or alcohol.
20. For, female participants, a positive pregnancy test.
21. Show evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies.
22. Positive result on hepatitis B (HBV) or hepatitis C (HCV), presence of hepatitis B surface antigen (HBsAg) or positive hepatitis C antibody test result at screening or within 3 months prior to starting study treatment.
23. Dietary restrictions that would prohibit the consumption of standardized meals.
24. Consumption of any prohibited medications and food before study start and during the study.
25. Any suspicion or history of alcohol abuse and/or suspicion of regular consumption of drug of abuse or previous history of or treatment for a dependence disorder.
26. Sensitivity to any of the study treatments, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates the participation in the study.
27. Participants who regularly smoke more than 5 cigarettes daily or equivalent and unable or unwilling not to smoke during the in-house period.
28. Participants who have donated over 500 mL of blood or blood products or had significant blood loss within 3 months prior to screening.
29. Participants under judicial supervision, guardianship or curatorship.
30. Contraindications for MRI scans (including but not restricted to claustrophobia, pacemaker, artificial heart valves, cochlear implants, presence of foreign metal objects in head or body, intracranial vascular clips, etc.) or any brain/head abnormalities restricting MRI eligibility. Any sensorial impairment such as deafness and reduced visual acuity which cannot be corrected in the fMRI scanner.
31. Contraindication to TMS-EEG (including, but not restricted to, a history of epilepsy or febrile seizures, having metal objects in brain or skull, having a cochlear implant or implanted deep brain stimulator, abnormal sleeping pattern (e.g., working night shifts), resting motor threshold (rMT) of more than 83% of the maximum stimulator output as measured using TMS-EMG during screening.
32. Fulfillment of any of the MRI contraindications on the standard radiography screening questionnaire.
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 | EUCTR2017-002764-40-NL |
CCMO | NL63769.056.17 |