Part 1 Single Ascending Dose (SAD)- To evaluate the safety and tolerability of a single oral dose of prodrug, ABX-002, in healthy adult subjectsPart 2 Multiple Ascending Dose (MAD)-To evaluate the safety and tolerability of once daily oral doses of…
ID
Source
Brief title
Condition
- Neurological disorders congenital
- Demyelinating disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Incidence of treatment-emergent AEs, serious adverse events, and suspected,
unexpected serious adverse reaction
Secondary outcome
- PK (plasma, urine, CSF)
- PD
- electrocardiograpy effects based on **QTcF
Background summary
Adrenoleukodystropy (ALD) is caused by an X-linked inactivating mutation in the
ABCD1 gene, encoding for the ALD protein, which is responsible for degradation
of very long chain fatty acids (VLCFAs). AMN is the most common phenotype and
is characterized by tissue damage in the brain, spinal cord, and in the
adrenal, testes, and peripheral nerves due to VLCFA accumulation. Currently,
there are no FDA and EMA approved therapies to treat AMN.
ABX-002 is an orally administered prodrug that is hydrolyzed by the
intracellular enzyme FAAH, thereby releasing the active metabolite LL-340001.
LL-340001 is a TR*-selective thyromimetic structurally related to the thyroid
hormone T3. Based on preclinical studies, LL-340001 might provide therapeutic
benefit in AMN by enhancing the expression of ABCD2 (sharing redundancy with
ABCD1) and in turn reduced VLCFA levels, thereby correcting the fundamental
biochemical abnormality in AMN. In addition, thyroid hormone enhances
remyelination by stimulating the differentiation and maturation of
oligodendrocyte precursor cells into myelin-producing oligodendrocytes
(Fernandez 2004). The TR*-selective agonists have been shown to promote
remyelination in nonclinical models, suggesting the potential for ABX-002 to
ameliorate these damaging effects seen in progressive AMN disease (Hartley
2019).
Study objective
Part 1 Single Ascending Dose (SAD)
- To evaluate the safety and tolerability of a single oral dose of prodrug,
ABX-002, in healthy adult subjects
Part 2 Multiple Ascending Dose (MAD)
-To evaluate the safety and tolerability of once daily oral doses of ABX-002
administered for 14 days and/or 28 days in healthy adult subjects
Study design
This is a Phase 1a, first-in-human, randomized, double-blind,
placebo-controlled, SAD and MAD study of the safety, tolerability,
pharmacokinetics (PK), and pharmacodynamics (PD) of ABX-002 in healthy adult
subjects. This study is comprised of 2 parts, Part 1 SAD and Part 2 MAD.
Intervention
SAD: single dose of ABX-002 (oral solution or oral capsule) or placebo (oral
solution or capsule)
MAD: multiple doses of ABX-002 (oral solution or oral capsule) or placebo (oral
solution or capsule) for either 14 consecutive days or 28 consecutive days
Study burden and risks
As this is a FIH study, the study design and population of healthy subjects are
chosen to minimize confounding effects and maximize the opportunity to
determine the safety, tolerability, and PK of ABX-002.
9880 Campus Point Drive, Suite 370 9880
San Diego 92121
US
9880 Campus Point Drive, Suite 370 9880
San Diego 92121
US
Listed location countries
Age
Inclusion criteria
2. Male or female * 18 to * 55 years of age at the time of the Screening Visit.
7. In good health based on medical history, physical examination (including
neurological examination), vital sign measurements, and laboratory safety tests
obtained at Screening.
8. No clinically significant abnormality on the single ECG performed at
Screening and the triplicate ECG performed prior to the first administration of
study drug. Single ECG performed at Screening may be repeated once.
Exclusion criteria
3. Estimated creatinine clearance of * 90 mL/min based on the Chronic Kidney
Disease Epidemiology Collaboration (CKD-EPI) equation (Levey 2009).
6. History or evidence of any of the following: myocardial infarction; cardiac
valvulopathy; cardiac surgery revascularization (coronary artery bypass
grafting or percutaneous transluminal coronary angioplasty); unstable angina;
cerebrovascular accident, stroke, or transient ischemic attack; pacemaker;
atrial fibrillation, flutter, or nonsustained or sustained VT; pulmonary
arterial hypertension; sick sinus syndrome, second- or third-degree
atrioventricular (AV) block; uncontrolled hypertension; congestive heart
failure; personal or family history of sudden death or long QT syndrome;
unexplained syncope or syncope within the last 3 years regardless of etiology;
or history of hypokalemia.
8. Screening Holter monitor (24 hours) shows nonsustained VT, SVT lasting > 10
beats in a run or > 4 runs, atrial fibrillation, atrial flutter, or a pause > 4
seconds.
9. Mean pulse < 50 or > 100 bpm, mean systolic blood pressure >140 mm Hg, or
mean diastolic blood pressure > 90 mm Hg at Screening measured in duplicate
using a calibrated digital device. If the mean blood pressure exceeds the
limits above, an additional set of blood pressure measurements will be
obtained, and the subject may be included if pulse and BP parameters are within
the permitted boundaries.
11. Troponin T out of the normal laboratory range at time of the Screening
Visit.
18. Consumption of excessive amounts of caffeine, defined as > 4 servings of
coffee, tea, cola, or other caffeinated beverages per day (1 serving is
approximately 120 mg of caffeine). Refusal to abstain from caffeine-containing
foods or caffeinated beverages (eg, coffee, tea, cola, energy drinks) 24 hours
prior to Day -1 through discharge from the CRU after the final administration
of study drug.
19. Refusal to abstain from grapefruit-containing foods or beverages or Seville
orange-containing foods or beverages 14 days prior to Day -1 through the
Follow-Up Visit
20. Refusal to abstain from consumption of cruciferous vegetables (eg, kale,
broccoli, watercress, collard greens, kohlrabi, brussels sprouts, mustard
greens) or charbroiled meats (meat grilled over any heat source with black
marks) * 7 days prior to Day -1 through the Follow-Up Visit
25. Abnormal thyroid function tests (thyroid-stimulating hormone [TSH],
triiodothyronine, free thyroxine [FT4]) out of the normal laboratory value
ranges at the time of the Screening Visit.
26. Aspartate aminotransferase, alanine aminotransferase, or gamma-glutamyl
transferase > 1.5 times the upper limit of normal at the time of the Screening
Visit and at Day -1.
30. Personal history of epilepsy or familial history of epilepsy in a primary
relative (eg, sibling, parent, child) as documented by medical records or by
the history provided to the Investigator by the subject. Individuals with a
personal history of febrile seizures or seizures related to medication,
intoxication, or withdrawal.
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 | EUCTR2021-004139-10-NL |
CCMO | NL78983.056.21 |
OMON | NL-OMON20666 |