Primary ObjectivesTo evaluate the safety and tolerability of AP30663 in healthy males at doses up to 12mg/kgExploratory ObjectiveTo evaluate the effect of AP30663 on electrocardiographical parameters.
ID
Source
Brief title
Condition
- Cardiac arrhythmias
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
• Occurrence of all treatment-related AEs.
• Changes in vital signs, temperature, laboratory safety data and ECGs between
pre-first infusion and each post-infusion time point.
• Changes in tremorography data.
• Changes in physical examination findings.
• Administration site reactions.
Secondary outcome
• Maximum Cmax for each cohort.
• Maximum free Cmax for each cohort.
• Time to maximum observed plasma concentration (tmax) for each cohort.
• AUC for each dosing group (AUC from time zero to infinity [AUCinf], AUC from
time zero to time of last measurable concentration [AUClast], AUC from time t
to infinity as a percentage of total AUC [AUC%extrapolated]) for each cohort.
• Clearance (CL), volume of distribution during terminal phase (Vz) and volume
of distribution at steady state (Vss) and half-life (t*) for each cohort.
Background summary
Atrial fibrillation (AF) can be an invalidating arrhythmia, with frequent
recurrences requiring pharmacological or electrical cardioversion. Current
medical maintenance or ablative procedures are hampered by not infrequent
therapy failures. Additionally, pharmacological cardioversion with currently
available treatment options is unsuccessful in many patients, predominantly
patients with persistent AF.
AP30663 is a first in class compound targeted at cardioversion of both
paroxysmal and persistent AF. The compound inhibits the small conductance Ca2+
activated K+ channels (SK channels). These channels are associated with a
prolongation of the effective refractory period (ERP) of atrial myocardial
cells both in vitro and in vivo. In 2018, the first-in-man study (CHDR1706) was
completed in healthy volunteers, in which AP30663 was safe and tolerable at
doses up to 6 mg/kg. There is reason to assume that increasing the exposure can
increase the intended cardiac pharmacodynamic effects and that a higher dose is
needed to reach optimal clinical efficacy. The present study is aimed at
evaluating the safety and tolerability of AP30663 at doses up to 12 mg/kg.
Study objective
Primary Objectives
To evaluate the safety and tolerability of AP30663 in healthy males at doses up
to 12mg/kg
Exploratory Objective
To evaluate the effect of AP30663 on electrocardiographical parameters.
Study design
Randomized, double-blind, placebo-controlled single dose study. An interim
report will be generated after each cohort and reviewed during the dose
escalation meeting.
Intervention
AP30663
Study burden and risks
Healthy volunteers in this study are not expected to benefit from treatment
with AP30663.
The clinical experience with AP30663 is currently limited after completion of
the First into man study and 31 patients in the proof of concept study. In
terms of risks, systemic adverse events were not observed except for one case
of myalgia. Therefore, the risk is considered appropriate for participating
subjects.
Ole Maaløes Vej 3
Copenhagen DK-2200
DK
Ole Maaløes Vej 3
Copenhagen DK-2200
DK
Listed location countries
Age
Inclusion criteria
1. Signed informed consent prior to any study-mandated procedure
2. Healthy male subjects, 18 to 45 years of age, inclusive.
3. Healthy volunteer part only: Body mass index (BMI) between 18 and 30 kg/m2,
inclusive and a body weight between 50 and 100 kg, inclusive at screening.
4. All male volunteers must practice effective contraception during the study
and be willing and able to continue contraception for at least 90 days after
their last dose 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. Evidence (following a detailed medical history, physical examination, vital
signs, 12-lead ECG and clinical laboratory parameters) of any active or chronic
disease or condition that could interfere with, or for which the treatment
might interfere with, the conduct of the study, or that would pose an
unacceptable risk to the subject in the opinion of the investigator.
2. Clinically significant abnormalities, as judged by the investigator, in
laboratory test results (including hepatic and renal panels, complete blood
count, chemistry panel and urinalysis). Minor deviations of laboratory values
from the normal range may be accepted, if judged by the Investigator or
medically qualified designee as not clinically significant. 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.
3. Positive Hepatitis B surface antigen (HBsAg), Hepatitis B antibodies,
Hepatitis C antibody (HCV Ab), or human immunodeficiency virus antibody (HIV
Ab) at screening.
4. 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 at
screening.
5. Abnormal findings in the resting ECG at screening defined as:
- QTcF> 450 or < 300 msec
- Notable resting bradycardia (HR < 45 bpm)
- Notable resting tachycardia (HR > 100 bpm)
- Personal or family history of congenital long QT syndrome or sudden death;
- ECG with QRS and/or T wave judged to be unfavorable for a consistently
accurate QT measurement (e.g., neuromuscular artefact that cannot be readily
eliminated, arrhythmias, indistinct QRS onset, low amplitude T wave, merged T-
and U-waves, prominent U waves);
- Evidence of a sustained atrial or ventricular arrhythmia, either by anamnesis
or by Holter or telemetric observation.
- Pre-excitation (Wolff-Parkinson-White syndrome)
- PR interval >220 ms
6. Use of any medications (prescription or over-the-counter (OTC)), within 14
days of investigational product administration, or less than 5 half-lives
(whichever is longer). Exceptions are paracetamol (up to 4 g/day) and ibuprofen
(up to 1g/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 investigational product 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. Participation in an investigational product or device study within 3 months
prior to first dosing, or >4 studies in the year prior to study participation.
9. History of abuse of addictive substances (alcohol, illegal substances) or
use of more than 21 units alcohol per week within 3 months prior to screening,
drug abuse, or regular user of sedatives, hypnotics, tranquillizers, or any
other addictive agent.
10. Positive test for drugs of abuse at screening or pre-dose.
11. Alcohol will not be allowed from at least 24 hours before screening or
pre-dose.
12. Routine smoker or history of nicotine abuse (average of >5 cigarettes per
day for >3 months).
13. Excess in xanthine consumption (more than eight cups of coffee or
equivalent per day) or unwilling or unable to abstain from xanthine consumption
during the stay at CHDR.
14. Any confirmed significant allergic reactions (urticaria or anaphylaxis)
against any drug, or multiple drug allergies (non-active hay fever is
acceptable).
15. Loss or donation of blood over 500 mL within three months (males) prior to
screening or intention to donate blood or blood products during the study.
16. 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.
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
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2020-003116-27-NL |
CCMO | NL74429.056.20 |