A Study to Assess the Safety and Tolerability of E2730 After Multiple Dose and the Food Effect After Single Dose in Healthy Participants

Study Overview
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Brief Summary
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The primary purpose of the study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of E2730 of multiple ascending oral doses in healthy adult participants and to assess the differences in PK, safety, and tolerability of E2730 between healthy Japanese and non-Japanese participants following multiple doses. This study will also determine the effect of food on PK of E2730.

Official Title
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A Randomized, Double-Blind, Placebo-Controlled, Multiple-Ascending Dose and Single Dose Food Effect Study to Assess the Safety, Tolerability, and Pharmacokinetics of E2730 in Healthy Subjects

Conditions
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Healthy Volunteers

Intervention / Treatment
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* Drug: E2730
* Drug: E2730-matched placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Non-smoking, healthy male or female, age greater than or equal to (>=) 18 years and <55 years old at the time of informed consent. To be considered non-smokers, Participants must have discontinued smoking for at least 4 weeks before dosing Japanese Participants must have been born in Japan of Japanese parents and Japanese grandparents, must have lived no more than 5 years outside of Japan, and must not have changed their life style or habits, including diet, while living outside of Japan Body mass index (BMI) >=18 and <30 kilograms per meter square (kg/m^2) at Screening Exclusion Criteria: Females who are breastfeeding or pregnant at Screening or Baseline (as documented by a positive beta-human chorionic gonadotropin [β-hCG] test). A separate baseline assessment is required if a negative screening pregnancy test was obtained more than 72 hours before the first dose of study drug Females of childbearing potential who: Within 28 days before study entry, did not use a highly effective method of contraception, which includes any of the following: Total abstinence (if it is their preferred and usual lifestyle) An intrauterine device or intrauterine hormone-releasing system (IUS) A contraceptive implant An oral contraceptive (Participant must have been on a stable dose of the same oral contraceptive product for at least 28 days before dosing and must agree to stay on the same dose of the oral contraceptive throughout the study and for 28 days after study drug discontinuation) Have a vasectomized partner with confirmed azoospermia Do not agree to use a highly effective method of contraception throughout the entire study period and for 28 days after study drug discontinuation Males who have not had a successful vasectomy (confirmed azoospermia) if their female partners meet the exclusion criteria above (that is, the female partners are of childbearing potential and are not willing to use a highly effective contraceptive method throughout the study period and for 5 times the half-life of the study drug plus 90 days after study drug discontinuation) Clinically significant illness that requires medical treatment within 8 weeks or a clinically significant infection that requires medical treatment within 4 weeks of dosing Evidence of disease that may influence the outcome of the study within 4 weeks before dosing; example, psychiatric disorders and disorders of the gastrointestinal tract, liver, kidney, respiratory system, endocrine system, hematological system, neurological system, or cardiovascular system, or participants who have a congenital abnormality in metabolism Any history of gastrointestinal surgery that may affect PK profiles of E2730, example, hepatectomy, nephrectomy, and digestive organ resection Any clinically abnormal symptom or organ impairment found by medical history, physical examinations, vital signs, ECG finding, or laboratory test results that require medical treatment at Screening A prolonged QT interval of the ECG/Corrected QT interval (QT/QTc) (QTcF greater than [>] 450 milliseconds [ms]) demonstrated by a repeated ECG at Screening or Baseline (based on average of triplicate ECGs). A history of risk factors for torsade de pointes (example, heart failure, hypokalemia, family history of long QT Syndrome) or the use of concomitant medications that prolonged the QT/QTc interval Persistent systolic BP >139 or <90 millimeter of mercury (mmHg) or diastolic BP >89 or <50 mmHg at Screening or Baseline Heart rate <45 beats/minute or >100 beats/minute at Screening or Baseline Any lifetime history of suicidal ideation or any lifetime history of suicidal behavior as indicated by the Columbia-Suicide Severity Rating Scale (C-SSRS) or equivalent scale or via interview with a psychiatrist Any lifetime history of psychiatric disease (including but not limited to depression or other mood disorders, bipolar disorder, psychotic disorders, including schizophrenia, panic attacks, anxiety disorders ). The absence of a history of psychiatric disease should be documented by a checklist in the electronic case report form (eCRF) Any current psychiatric symptoms as indicated by a standard screening tool Any suicidal ideation with intent with or without a plan at Screening or within 6 months of Screening (that is, answering Yes to questions 4 or 5 on the Suicidal Ideation section of the C-SSRS) Any lifetime suicidal behavior (per the Suicidal Behavior Section of the C-SSRS) Known history of clinically significant drug allergy at Screening Known history of food allergies or presently experiencing significant seasonal or perennial allergy at Screening Known to be human immunodeficiency virus (HIV) positive at Screening Active viral hepatitis (A, B, or C) and syphilis as demonstrated by positive serology at Screening History of drug or alcohol dependency or abuse, or those who have a positive drug test at Screening or Baseline Exposure within the last 14 days to an individual with confirmed or probable corona virus disease 2019 (COVID-19) or symptoms within the last 14 days that are on the most recent Centers for Disease Control and Prevention (CDC) list of COVID symptoms or any other reason to consider the participants at potential risk for an acute COVID-19 infection Currently enrolled in another clinical study or used any investigational drug or device within 28 days or 5 half-lives, whichever is longer, preceding informed consent Receipt of blood products within 4 weeks, or donation of blood within 8 weeks, or donation of plasma within 1 week of dosing Any personal or family history of seizures (including febrile seizures) or epilepsy or episode of unexplained loss of consciousness Any history of neurological or other medical conditions which in the opinion of the investigator has the potential to reduce seizure threshold (example, history of head concussion, traumatic brain injury, alcohol abuse, substance abuse, developmental abnormalities in the brain) Any epileptiform discharges on resting EEG (including during hyperventilation and photo-stimulation)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 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: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Part A, Cohort 1: E2730 20 Milligram (mg) or Placebo<br>Healthy Japanese and non-Japanese participants will receive E2730 20 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions. | Drug: E2730<br>* E2730 capsules.<br>Drug: E2730-matched placebo<br>* E2730-matched placebo capsules.<br>|
| Experimental: Part A, Cohort 2: E2730 40 mg or Placebo<br>Healthy Japanese and non-Japanese participants will receive E2730 40 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions. | Drug: E2730<br>* E2730 capsules.<br>Drug: E2730-matched placebo<br>* E2730-matched placebo capsules.<br>|
| Experimental: Part A, Cohort 3: E2730 60 mg or Placebo<br>Healthy Japanese and non-Japanese participants will receive E2730 60 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions. | Drug: E2730<br>* E2730 capsules.<br>Drug: E2730-matched placebo<br>* E2730-matched placebo capsules.<br>|
| Experimental: Part A, Cohort 4: E2730 80 mg or Placebo<br>Healthy Japanese and non-Japanese participants will receive E2730 80 mg or E2730-matched placebo, capsules, orally, once daily for 18 days under fasted conditions. | Drug: E2730<br>* E2730 capsules.<br>Drug: E2730-matched placebo<br>* E2730-matched placebo capsules.<br>|
| Experimental: Part B, E2730 80 mg: Fasted + Fed<br>Participants will receive a single treatment of E2730 (80 mg capsule) in fasted condition on Day 1 treatment period 1 followed by E2730 80 mg capsule in fed condition on Day 1 of treatment period 2. A washout period of at least 21 days will be maintained between the 2 treatments. | Drug: E2730<br>* E2730 capsules.<br>|
| Experimental: Part B, E2730 80 mg: Fed + Fasted<br>Participants will receive a single treatment of E2730 80 mg capsule in fed condition on Day 1 of treatment period 1 followed by E2730 80 mg capsule in fasted condition on Day 1 of treatment period 2. A washout period of at least 21 days will be maintained between the 2 treatments. | Drug: E2730<br>* E2730 capsules.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Treatment-emergent Adverse Events (TEAEs) | Safety assessments will consist of monitoring and recording all adverse events (AEs); laboratory evaluation for hematology, clinical chemistry, and urinalysis; periodic measurement of vital signs, electrocardiograms (ECGs), electroencephalogram (EEGs), corrected QT (QTc) interval and blood pressure. | Screening up to Day 32 (approximately 60 days) | 
| Part A, Cmax: Maximum Observed Plasma Concentration for E2730 |  | Day 1: 0-24 hours; Day 18: 0-336 hours | 
| Part A, Css,min: Minimum Observed Plasma Concentration at Steady State for E2730 |  | Time Frame: Day 18: 0-24 hours | 
| Part A, tmax: Time at Which the Highest Drug Plasma Concentration Occurs for E2730 |  | Day 1: 0-24 hours; Day 18: 0-336 hours | 
| Part A, Css,av: Average Steady State Plasma Concentration at Steady State for E2730 |  | Time Frame: Day 18: 0-24 hours | 
| Part A, AUC(0-24h): Area Under the Plasma Concentration-time Curve From Zero Time to 24 Hours After Dosing for E2730 |  | Day 1: 0-24 hours; Day 18: 0-24 hours | 
| Part A, t1/2: Terminal Elimination Phase Half-life Following Last day of Dosing for E2730 |  | Day 18: 0-336 hours | 
| Part A, PTF: Peak-trough Fluctuation for E2730 |  | Day 18: 0-24 hours | 
| Part A, Rac: Accumulation Ratio for Cmax and AUC for E2730 |  | Day 1: 0-24 hours; Day 18: 0-24 hours | 
| Part A, CLss/F: Apparent Total Clearance Following Extravascular Administration at Steady State for E2730 |  | Day 18: 0-336 hours | 
| Part A, Vz/F: Apparent Volume of Distribution at Terminal Phase |  | Day 18: 0-336 hours | 
| Part B, Cmax: Maximum Observed Plasma Concentration for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B, tmax: Time at Which the Highest Drug Plasma Concentration Occurs for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B, AUC(0-24h): Area Under the Plasma Concentration-time Curve From Zero Time to 24 Hours After Dosing for E2730 |  | Day 1: 0-24 hours; Day 22: 0-24 hours | 
| Part B, AUC(0-t): Area Under the Plasma Concentration-time Curve From Zero Time to Time of Last Quantifiable Concentration for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B, AUC(0-72h): Area Under the Plasma Concentration-time Curve From Zero Time to 72 Hours After Dosing for E2730 |  | Day 1: 0-72 hours; Day 22: 0-72 hours | 
| Part B, AUC(0-inf): Area Under the Plasma Concentration-time Curve From Zero Time Extrapolated to Infinite Time for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B, t1/2: Terminal Elimination Phase Half-life for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part A: Geometric Mean Ratio of Cmax Between the Healthy Japanese and non-Japanese Participants for E2730 |  | Day 1: 0-24 hours; Day 18: 0-336 hours | 
| Part A: Geometric Mean Ratio of AUC(0-24) Between the Healthy Japanese and non-Japanese Participants for E2730 |  | Day 1: 0-24 hours; Day 18: 0-24 hours | 
| Part B: Geometric Mean Ratio of Cmax Between the Fasted and fed State for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B: Geometric Mean Ratio of AUC(0-t) Between the Fasted and fed State for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 
| Part B: Geometric Mean Ratio of AUC(0-72h) Between the Fasted and fed State for E2730 |  | Day 1: 0-72 hours; Day 22: 0-72 hours | 
| Part B: Geometric Mean Ratio of AUC(0-inf) Between the Fasted and fed State for E2730 |  | Day 1: 0-288 hours; Day 22: 0-288 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |  | Baseline, Day 32 | 
| Change From Baseline in Heart Rate (HR) |  | Baseline, Day 32 | 
| Placebo Corrected Change From Baseline in SBP and DBP |  | Baseline, Day 32 | 
| Placebo Corrected Change From Baseline in HR |  | Baseline, Day 32 | 
| Number of Participants With Categorical Outliers for SBP and DBP |  | Baseline up to Day 32 | 
| Change From Baseline in QT Interval by Fridericia (QTcF) |  | Baseline, Day 32 | 
| Change From Baseline in PR Interval of the ECG (PR), QRS Interval of the ECG (QRS) |  | Baseline, Day 32 | 
| Placebo Corrected Change From Baseline in QTcF, PR and QRS |  | Baseline, Day 32 | 
| Number of Participants With Categorical Outliers for QTcF, HR, PR, and QRS |  | Baseline, Day 32 | 
| Number of Participants With T-wave Morphology Changes | The T-wave morphology categories includes the following: Normal T-wave (Any positive T-wave not meeting any criterion); Flat T-wave (T amplitude less than (<) 1 millimeter [mm] [either positive or negative] including flat isoelectric line); Notched T-wave (+) (Presence of notch(es) of at least 0.05 millivolt [mV] amplitude on ascending or descending arm of the positive T-wave); Biphasic (T-wave that contains a second component with an opposite phase that is at least 0.1 mV deep (both positive/negative and negative/positive and polyphasic T-waves included); Normal T-wave (-) (T amplitude that is negative, without biphasic T-wave or notches); Notched T-wave (-) (Presence of notch(es) of at least 0.05 mV amplitude on descending or ascending arm of the negative T-wave). | Baseline up to Day 32 | 
| Number of Participants With Presence of Abnormal U-wave |  | Baseline up to Day 32 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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E2730, Healthy participants, Pharmacokinetics