First in Human Study of CT-1500 in Healthy Participants

Study Overview
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Brief Summary
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This study is a single center, randomized, placebo-controlled, double-blind study of CT-1500 in healthy volunteers. The study will evaluate the safety, tolerability and pharmacokinetics of single ascending doses and multiple ascending doses of orally administered CT-1500 compared to placebo.

Detailed Description
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This study is a single center, randomized, placebo-controlled, double-blind study of CT-1500 in healthy volunteers. The study will evaluate the safety, tolerability and pharmacokinetics of single ascending doses and multiple ascending doses of orally administered CT-1500 compared to placebo. It is planned for 5 dose levels to be investigated in the single ascending dose (SAD) part (Part 1) of the study, between 5 mg to 120 mg. Three dose levels are proposed for investigation in the multiple ascending dose (MAD) part (Part 2) of the study.

Official Title
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First in Human Study in Healthy Subjects to Investigate the Safety, Tolerability and Pharmacokinetics of Single Ascending and Repeat Doses of CT-1500

Conditions
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Healthy

Intervention / Treatment
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* Drug: CT-1500
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Generally healthy with the exception of those medical conditions allowed per the study criteria Able to provide voluntary, written informed consent with comprehension of all aspects of the protocol, prior to any study procedures Body Mass Index (BMI) of 18.5 to 32 kg/m2 and weight >48 kg Systolic Blood Pressure (BP) of 90-140 mmHg, Diastolic BP of 40-90 mmHg and Heart Rate between 40 and 100 bpm Forced Expiratory Volume in one second (FEV1) > 85% predicted Clinical laboratory results at screening and Day -1 to be within normal limits unless deemed as not clinically significant by the investigator Willing to consume bovine containing products (investigational product capsules are bovine gelatin in origin); Agree not to donate blood or plasma products for at least 30 days after the end of study (EOS) visit Women of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test at Day -1, must not be breastfeeding, lactating or planning a pregnancy and must use an acceptable form of contraception during the treatment period and for 32 days after the last dose Male participants with a female partner of childbearing potential must agree to use an acceptable form of contraception during the treatment period and for 92 days after the last dose Exclusion Criteria: Significant current or historical disease, including intercurrent illness in the 4 weeks prior to screening Current or historical diagnosis of sleep disorders Hepatic disorders other than benign unconjugated hyperbilirubinaemia History of moderate or severe psychiatric illness History of severe allergy or anaphylaxis to any drug, food, toxin or other exposure Heavy caffeine drinker in the last 3 months. If subjects are willing to reduce their caffeine intake for 14 days prior to first dose and for the duration of the study, they can participate Hypersensitivity to CT-1500 or any of the inert excipients in the capsule formulation Positive hepatitis B surface antigen (HBsAg), positive hepatitis C antibody (HCV) or positive human immunodeficiency virus (HIV) test Treatment with an investigational drug within 30 days or less than 5 half-lives (whichever is longer) prior to screening Use of prescription medication within 14 days prior to investigational product administration until the end of study visit, with the exception of oral contraceptives. Use of over-the-counter medication and supplements for 7 days prior to investigation product administration until the end of study visit. Exceptions at the discretion of the investigator. Receipt of a Coronavirus disease 2019 (COVID-19) vaccine within 14 days prior to investigational product administration or a planned second dose of a COVID-19 vaccine during study participation Use of tobacco or nicotine-containing products in excess of 2 cigarettes per day within 1 month prior to screening Major surgery in the 6 months preceeding screening or planned surgery during the study Donated blood or blood products or had a substantial loss of blood with 3 months prior to screening A history of drug abuse or addiction A history of alcoholism or consumption of more than 3 alcoholic drinks per day or consumption of alcohol within 48 hours prior to first dose Unable to abstain from grapefruit-containing foods or beverages or Seville orange-containing foods or beverages from 48 hours prior to investigational product administration until completion of the confinement period; Unable to avoid heavy exercise (eg, marathon runners, weight-lifters) from 48 hours prior to investigational product administration until completion of the confinement period

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: Ascending Single Doses followed by Ascending Multiple Doses of Study Intervention
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CT-1500 Active (SAD)<br>6 out of 8 participants per cohort (up to 5 cohorts) will be randomized to receive a single oral dose of CT-1500 between 5 mg and 120 mg | Drug: CT-1500<br>* Hard Capsule<br>|
| Placebo Comparator: Placebo (SAD)<br>2 out of 8 participants per cohort (up to 5 cohorts) will be randomized to receive a single oral dose of matching placebo | Drug: Placebo<br>* Hard Capsule<br>|
| Experimental: CT-1500 Active (MAD)<br>6 out of 8 participants per cohort (up to 3 cohorts) will be randomized to receive 7 daily oral doses of CT-1500 between 5 and 45 mg | Drug: CT-1500<br>* Hard Capsule<br>|
| Placebo Comparator: Placebo (MAD)<br>2 out of 8 participants per cohort (up to 3 cohorts) will be randomized to receive 7 daily oral doses of matching placebo | Drug: Placebo<br>* Hard Capsule<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse Events (AEs) and Serious Adverse Events (SAEs) during the SAD part of the study | Incidence and severity of AEs and SAEs | Initiation of dosing through 7 days post dose | 
| Adverse Events and Serious Adverse Events during the MAD part of the study | Incidence and severity of AEs and SAEs | Initiation of dosing through 14 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Heart Rate (SAD) |  | Initiation of dosing through 7 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Heart Rate (MAD) |  | Initiation of dosing through 14 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Respiratory Rate (SAD) |  | Initiation of dosing through 7 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Respiratory Rate (MAD) |  | Initiation of dosing through 14 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Electrocardiogram Assessment (SAD) | Change in QT interval from baseline | Initiation of dosing through 7 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Electrocardiogram assessment (MAD) | Change in QT interval from baseline | Initiation of dosing through 14 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Spirometry assessment (SAD) | Change from baseline in Forced Expiratory Volume in 1 second (FEV1) | Initiation of dosing through 7 days post dose | 
| Tolerability of CT-1500 as defined by change from baseline in Spirometry assessment (MAD) | Change from baseline in Forced Expiratory Volume in 1 second (FEV1) | Initiation of dosing through 14 days post dose | 
| Change in Renal function from baseline (SAD) | Renal Function as assessed by change in estimated Glomerular Filtration Rate from baseline | Initiation of dosing through 24 hours post dose | 
| Change in Renal function from baseline (MAD) | Renal Function as assessed by change in estimated Glomerular Filtration Rate from baseline | Initiation of dosing on Day 1 through 24 hours and initiation of dosing on Day 7 through 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetic parameter: AUC-last (SAD) | Area under the plasma concentration time curve (AUC) from time zero until the last measurable concentration of CT-1500 is observed during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: AUC-last (SAD) | Area under the plasma concentration time curve from time zero until the last measurable concentration of metabolite CT-1517 is observed during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: AUC-last (SAD) | Area under the plasma concentration time curve from time zero until the last measurable concentration of metabolite CT-1518 is observed during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: AUC-last (MAD) | Area under the plasma concentration time curve from time zero until the last measurable concentration of CT-1500 is observed during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: AUC-last (MAD) | Area under the plasma concentration time curve from time zero until the last measurable concentration of metabolite CT-1517 is observed during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: AUC-last (MAD) | Area under the plasma concentration time curve from time zero until the last measurable concentration of metabolite CT-1518 is observed during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: AUC-inf (SAD) | Area under the plasma concentration time curve from time zero to infinity of CT-1500 is observed during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: AUC-inf (MAD) | Area under the plasma concentration time curve from time zero to infinity of CT-1500 is observed during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Cmax (SAD) | Maximal measured plasma concentration (Cmax) of CT-1500 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Cmax (SAD) | Maximal measured plasma concentration of metabolite CT-1517 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Cmax (SAD) | Maximal measured plasma concentration of metabolite CT-1518 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Cmax (MAD) | Maximal measured plasma concentration of CT-1500 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Cmax (MAD) | Maximal measured plasma concentration of metabolite CT-1517 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Cmax (MAD) | Maximal measured plasma concentration of metabolite CT-1518 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Tmax (SAD) | Time when Maximal measured plasma concentration is observed (Tmax) of CT-1500 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Tmax (SAD) | Time when Maximal measured plasma concentration is observed of metabolite CT-1517 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Tmax (SAD) | Time when Maximal measured plasma concentration is observed of metabolite CT-1518 during the SAD part of the study | Baseline (predose) through 48 hours post dose | 
| Pharmacokinetic parameter: Tmax (MAD) | Time when Maximal measured plasma concentration is observed of CT-1500 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Tmax (MAD) | Time when Maximal measured plasma concentration is observed of metabolite CT-1517 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours | 
| Pharmacokinetic parameter: Tmax (MAD) | Time when Maximal measured plasma concentration is observed of metabolite CT-1518 during the MAD part of the study | Baseline (predose) on Day 1 through 24 hours post dose and Baseline (predose) on Day 7 through 24 hours |