A phase I, single-dose, double-blind, randomised, dose escalation study to assess the safety, tolerability and pharmacokinetics of NNZ-2566 when administered as a 10-minute infusion

ISRCTN ISRCTN67656669
DOI https://doi.org/10.1186/ISRCTN67656669
Secondary identifying numbers Neu-2566-HV-001
Submission date
10/05/2006
Registration date
24/05/2006
Last edited
20/09/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Minh Pham
Scientific

Center for Clinical Studies
Level 5 Burnet Tower
Amrep Precinct
89 Commercial Road
Melbourne
3004
Australia

Phone +61 (0)3 9207 1930
Email m.pham@nucleusnetwork.com.au

Study information

Study designPlacebo-controlled, double-blind, randomised, single-dose, dose escalation, phase I study in healthy volunteers
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesBased on pre-clinical studies, NNZ-2566 is shown to have the potential to prevent the neurological damage that can occur as a result of the traumatic brain injury. Objectives of this study are:
1. To determine the safety and tolerability of a single intravenous dose of NNZ 2566 in healthy volunteers when administered as a 10-minute infusion
2. To determine the single dose pharmacokinetics of NNZ-2566 after a 10-minute infusion
Ethics approval(s)Ethics approval received from the Alfred Ethics Committee on the 13th February 2006 (ref: 7/06).
Health condition(s) or problem(s) studiedTraumatic brain injury
InterventionSubjects will undergo screening to confirm eligibility. Subsequently, subjects will be admitted to the clinical facility for administration of either placebo or the active drug in a 2:5 fashion in each of the five cohorts. This in-house stay will involve collection of blood samples for pharmacokinetic (PK) analysis. Subjects will stay for a minimum of 24 hours after initial dosing. A dose-escalation schema has been chosen to maximise safety for participants based on preclinical toxicology studies. The pre-defined dose levels are: 0.1 mg/kg, 1.0 mg/kg, 10.0 mg/kg, 20.0 mg/kg, 30.0 mg/kg. The dosing scheme will consist of a single fixed-dose intravenous infusion of NNZ-2566 over 10 minutes. Dose escalation is subject to the Data Safety Monitoring Committee's (DSMC's) recommendation. A review time period of two to three weeks from end of dosing of each cohort is estimated to enable PK analysis prior to starting the next cohort. The study design precludes intra-subject dose-escalation.

Subjects will then return to the unit on day 7 for an exit evaluation, which will include collection of additional blood samples for safety laboratory testing and safety monitoring.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase I
Drug / device / biological / vaccine name(s)NNZ-2566
Primary outcome measureTo determine the safety and tolerability of a single intravenous dose of NNZ 2566 when administered as a 10-minute infusion.
Secondary outcome measuresTo determine the single dose pharmacokinetics of NNZ 2566 after a 10-minute infusion.
Overall study start date15/05/2006
Completion date15/10/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexMale
Target number of participants35 males
Key inclusion criteria1. Aged between 18 years and 50 years (inclusive)
2. Male only: males must also agree to use adequate contraceptive precautions (unless the subject is surgically sterilised) for the duration of the study and for at least 30 days thereafter
3. Body mass index (BMI) of 18 to 30 kg/m^2
4. Healthy - this will be determined by a medical history with particular attention to:
4.1. A drug history identifying any known drug allergies and the presence of drug abuse
4.2. Any chronic use of medication
4.3. A thorough review of body systems. This will also be determined by having no clinically significant abnormal findings on physical examination, which includes an electrocardiogram (ECG), which in the opinion of the investigator would jeopardise the safety of the subject or impact on the validity of the study results
5. Volunteers with adequate venous access in their left and right arm to allow collection of blood samples and drug administration
6. Fluency in the English language
7. Have voluntarily given written informed consent to participate in this study
Key exclusion criteria1. History of allergy and/or hypersensitivity to any of the stated ingredients of the formulations (including lactose intolerance). A known hypersensitivity to lidocaine or any surgical dressing which may be used in the study procedures.
2. Medical conditions:
2.1. History of clinically significant gastrointestinal, hepatic, renal, cardiovascular, dermatological, immunological, respiratory, endocrine, oncological, neurological, metabolic, psychiatric disease or haematological disorders
2.2. Any history of asthma during the last 10 years
2.3. A creatinine clearance of less than 75 ml/min calculated using Cockroft and Gault Formula
2.4. Any predisposing condition that might interfere with the absorption, distribution, metabolism, and/or excretion of drugs
2.5. History of abnormal bleeding tendencies or thrombophlebitis unrelated to venepuncture or intravenous cannulation
2.6. History of hepatitis B, a positive test for hepatitis B surface antigen, a history of hepatitis C, a positive test for hepatitis C antibody, a history of human immunodeficiency virus (HIV) infection or demonstration of HIV antibodies
3. Any evidence of organ dysfunction, or any clinically significant clinical laboratory value which, in the opinion of the investigator would jeopardise the safety of the subject or impact on the validity of the study results, including a liver function test (LFT) greater than 1.5 x upper limit of normal (ULN)
4. Those who may have difficulty abstaining from alcohol during the 48 hours prior to dose administration and until completion of blood sampling on day 7
5. History of, or current evidence of, abuse of alcohol or any drug substance, licit or illicit, or positive urine drug screen for drugs of abuse
6. Medication:
6.1. Difficulty in abstaining from any prescription medications for 14 days prior to dose administration and for the duration of the study
6.2. Difficulty in abstaining from over-the-counter (OTC) medications or herbal supplements for 14 days prior to dose administration and for the duration of the study, (with the exception of occasional analgesia, vitamin and other nutrient supplement use, at the discretion of the investigator)
7. Difficulty in abstaining from food and/or beverages that contain caffeine or other xanthines (e.g., coffee, tea, cola and chocolate) during the 24 hours prior to dose administration and whilst confined at the clinical facility
8. History of any psychiatric illness which may impair the ability to provide written informed consent
9. Poor compliers or those unlikely to attend
10. Receipt of any drug as part of a research study within 30 days of initial dose administration in this study
11. Standard blood donation (usually 550 ml) within the 12-week period before dose administration
12. Unusual dietary habits, including vegetarian diets and excessive or unusual vitamin intakes
13. Vaccination or immunisation within 30 days of initial dose administration
Date of first enrolment15/05/2006
Date of final enrolment15/10/2006

Locations

Countries of recruitment

  • Australia
  • New Zealand

Study participating centre

Center for Clinical Studies
Melbourne
3004
Australia

Sponsor information

Neuren Pharmaceuticals (New Zealand)
Industry

Level 3
2-6 Park Avenue
Grafton
Auckland
1031
New Zealand

Phone +64 (0)9 367 7167
Email mscott@neurenpharma.com
Website http://www.neurenpharma.com
ROR logo "ROR" https://ror.org/0503fq502

Funders

Funder type

Industry

Technology New Zealand (TechNZ) (New Zealand) - grant

No information available

Foundation for Research Science and Technology (FoRST) (New Zealand) - grant (grant ref: NRNZ0301, NRNZ0402, NRNZ0502)

No information available

Neuren Pharmaceuticals Limited (New Zealand) - internally funded

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan