Clinical trial NCT06290466: Clinical Study on Pharmacokinetics of FCN-437c Capsule and Its Effect on QT Interval in Healthy Subjects
Official title: A Phase I, Single-center, Randomized, Double-blind, Placebo-controlled Design to Evaluate the Pharmacokinetics and Effects on QT Interval of a Single Oral Dose of FCN-437c Capsule in Healthy Subjects.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Advanced Breast Cancer
Keywords: QT interval
Lead sponsor: Ahon Pharmaceutical Co., Ltd.
Sponsor class: OTHER
First posted: 2024-03-04
Enrollment: 18
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This is a single-center, randomized, double-blind, placebo-controlled Phase I clinical trial in healthy subjects.In healthy subjects, 300mg and 400mg FCN-437c capsules were taken orally for a single time. C-QTc effect model was used to evaluate the influence of blood concentration on QT interval, and the pharmacokinetic characteristics and safety of FCN-437c were also evaluated.Based on the C-QTc effect model, this study quantitatively analyzed the relationship between ΔΔQTcF and blood concentration, and evaluated the upper limit of 90% bilateral confidence interval of ΔΔQTcF corresponding to the geometric mean of Cmax at clinically relevant dose of FCN-437c capsule.

This study plans to set up 2 dose groups, low-dose group 300mg and high-dose group 400mg.Nine healthy subjects were planned to be enrolled in each dose group, with a 2:1 ratio of placebo control.

This study was carried out in the order of dose from low to high. After the administration of the low-dose group (300mg) and the safety assessment on the fourth day after administration, the study of the high-dose group (400mg) was decided through comprehensive evaluation.


Eligibility criteria: Inclusion Criteria:

1．Healthy adult male and female subjects (not less than 1/3 of either sex); 2．18\~45 years old (including boundary values)After bilateral oophorectomy; 3．The body mass index (BMI) should be between 19.0 and 26.0 kg/m2 (including boundary values), and the weight of male subjects should not be less than 50 kg and that of female subjects should not be less than 45 kg; 4．Voluntarily sign informed consent 5．The subjects were able to communicate well with the investigators and complete the test according to protocol.

Exclusion Criteria:

Patients who meet any of the following conditions are not allowed to enter this clinical study：

1. After a comprehensive physical examination, vital signs, laboratory examination (blood routine, blood biochemistry, coagulation function, urine routine) and other abnormalities and clinical significance;
2. Hyperkalemia, hypokalemia, hypermagnesia, hypomagnesemia, hypercalcemia or hypocalcemia, which is abnormal and clinically significant as determined by the investigator;
3. Abnormal 12-lead ECG results were clinically significant, QTcF≥450 ms, PR interval ≥200 ms;QRS group duration ≥120ms;
4. Hepatitis B surface antigen or hepatitis B core antibody, hepatitis C antibody, HIV antibody or syphilis antibody positive;
5. Any drug that inhibits or induces liver drug metabolism enzymes has been used within 30 days prior to the screening period
6. Use any drug known to prolong the QT interval within 30 days prior to the screening period
7. Use of any prescription, over-the-counter, herbal or food supplements, such as vitamins and calcium supplements, in the 14 days prior to the screening period;
8. A history of any clinically serious medical conditions or conditions that the investigator believes may affect the results of the study, including but not limited to circulatory, respiratory, endocrine, nervous, digestive, urinary, or blood, immune, psychiatric, or metabolic disorders;
9. Have any conditions that may affect drug absorption, such as gastrectomy, cholecystectomy, gastric bypass, duodenotomy, colectomy, history of inflammatory bowel;
10. History of organic heart disease, heart failure, myocardial infarction, angina pectoris, coronary artery bypass grafting, angioplasty, stent stenting, congestive heart failure, uncontrolled hypotension, left ventricular ejection fraction lower than the lower limit of normal location, unexplained arrhythmia, ventricular tachycardia, atrioventricular block, and prolonged QT syndromeOr have symptoms of prolongation QT syndrome and a family history (as shown by genetic evidence or by a close relative who died of sudden cardiac death at a young age);
11. Patients who have undergone any surgery within 6 months prior to the screening period;
12. Allergy, such as a known history of allergy to two or more substances;Or who may be allergic to the drug or its excipients (e.g. Lactose T80, silica, sodium stearfumarate, etc.) as determined by the investigator;
13. Binge drinking or regular drinking in the 6 months preceding the screening period, i.e. drinking more than 14 units of alcohol per week (1 unit =360mL beer or 45 mL spirits with 40% alcohol or 150 mL wine);Or positive alcohol breath test results during the screening period;
14. Use of nicotine-containing products from 3 months prior to screening to the period of study participation;
15. Those who have a history of drug abuse or drug use 3 months before the screening period;Or positive urine drug test during screening;
16. Habitual users of grapefruit juice or excessive amounts of tea, coffee and/or caffeinated beverages who were unable to abstain during the trial period;
17. Patients with a history of needle fainting and blood fainting, difficulty in blood collection or inability to tolerate venous puncture blood collection
18. Participation in any other clinical trials (including drug and device trials) within 3 months prior to the screening period;
19. Those who were vaccinated within 1 month prior to screening or planned to be vaccinated during the trial period;
20. Pregnant or lactating women;
21. Participants who planned to have children or donate sperm during the study period and six months after completion of the study, or did not agree that participants and their spouses should use strict contraceptive methods during the study period and six months after completion of the study
22. Patients who had blood loss or blood donation of up to 400 mL within 3 months prior to the screening period, or received a blood transfusion within 1 month
23. Subjects with any factors deemed unsuitable for participation in the study by the investigator.

Primary outcomes:
measure: ΔΔQTcF
timeFrame: 2hours before administration and 48hours and 192hours after administration
Secondary outcomes:
measure: adverse events
timeFrame: Trial period to day 21 after administration
measure: Physical examination
timeFrame: From 1 day before administration to 21 days after administration
measure: Axillary temperature
timeFrame: From 2.0 hours before administration to 21 days after administration
measure: blood pressure
timeFrame: From 2.0 hours before administration to 21 days after administration
measure: pulse
timeFrame: From 2.0 hours before administration to 21 days after administration
measure: Ecg monitoring and electrocardiogram
timeFrame: Trial period to day 21 after administration
measure: laboratory examination
timeFrame: Trial period to day 21 after administration
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
measure: Plasma concentration and pharmacokinetic parameters
timeFrame: 60 minutes before dosing to day 9 after dosing
Other outcomes:
Locations:
city: Beijing
country: China
facility: Peking University Third Hospital
state: Beijing
Study officials:
affiliation: Peking University Third Hospital
name: Haiyan Li, MD
role: PRINCIPAL_INVESTIGATOR
References: