Clinical trial NCT04893187: A Phase 1 Study of SSS17 in Healthy Subjects.
Official title: A Phase 1 Study to Evaluate the Tolerance, Safety, Pharmacokinetics and Pharmacodynamics of Oral Administration of SSS17 in Chinese Healthy Adult Subjects With Single and Multiple Dose Escalation and the Effect of Food on the Pharmacokinetics of SSS17.
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE1
Conditions: Anemia in Chronic Kidney Diseases
Lead sponsor: Shenyang Sunshine Pharmaceutical Co., LTD.
Sponsor class: INDUSTRY
Collaborators: name: Fifth Affiliated Hospital of Guangzhou Medical University
First posted: 2021-05-19
Enrollment: 76
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 study will investigate the efficacy, safety, pharmacokinetics and pharmacodynamics of single oral administration of 5 mg, 15 mg, 20 mg and 25 mg of SSS17 compared with placebo, and evaluate the efficacy, safety, tolerance, pharmacokinetics and pharmacodynamics of multiple oral administration of 15 mg and 20 mg of SSS17 compared with placebo. In addition, the study will assess the effect of food on the pharmacokinetics of SSS17.

Detailed description: The study will enroll healthy volunteers from a single academic medical center in China. All participants will be informed about the study and potential risks and required to provide written informed consent prior to undergoing study-related procedures.The study will be divided into 3 parts.

Part 1: Subjects will be allocated 2:8 to receive placebo or SSS17（it was only 2:2 in 5mg dose group）,which will be administered by oral route with single dose. At each dose, tolerability, safety, PK and PD characteristics will be investigated.

Part 2: Subjects will be allocated 2:8 to receive placebo or SSS17, which will be administered by oral route with multiple dose. At each cohort，tolerability, safety, PK and PD characteristics will be investigated.

Part 3: The subjects will receive two cycles of treatment, one is given on an empty stomach, the other is given after a high-fat meal, with an interval of 15 days.

Eligibility criteria: Inclusion Criteria:

* Chinese healthy adult subjects aged 18-45 years (including the boundary value) at the time of signing the informed consent were male and female;
* In the screening period, the weight of male subjects was more than or equal to 50.0 kg; Female weight ≥ 45.0 kg; Body mass index (BMI) ranged from 19.0 kg / m2 to 26.0 kg / m2 (including boundary value); BMI = weight kg / height m2);
* Within 6 months from the date of signing the informed consent to the end of the trial, female subjects agreed to take reliable measures to avoid pregnancy and ensure no birth plan, while male subjects agreed to take reliable measures to avoid pregnancy and ensure no birth plan;
* Willing to participate in the study and sign a written informed consent, able to communicate well with the researchers, and agreed to follow the requirements of the trial protocol and follow-up on schedule.

Exclusion Criteria:

* Participated in other drug clinical trials within 3 months before screening;
* Have any clinical history of serious diseases or are suffering from related diseases, including but not limited to digestive system (such as diarrhea, vomiting, inflammatory bowel disease, hemorrhoids, acute gastritis, peptic ulcer, acute and chronic gastrointestinal disorders with obvious digestive and absorption disorders), cardiovascular system, respiratory system, urinary system, musculoskeletal system, endocrine system, gastrointestinal tract diseases, etc Diseases of nervous and mental system, blood system, immune system, etc; A history of any disease or thrombotic disease or vascular malformation that increases the risk of bleeding; Patients with dysphagia;
* Allergic constitution, known allergic to test drug ingredients or allergic history to any drug or food (mango, shrimp, crab, lobster, etc.) or pollen allergy history;
* Those who smoke more than 5 cigarettes / day or the same amount of tobacco after inquiry, or who can not ban smoking during the trial period; Or alcohol consumption per week is equal to 14 units (1 units 25mL wine Baijiu / 100mL wine / 285mL beer), or those who can not prohibit alcohol during the test period;
* Have a history of drug abuse or drug abuse;
* Within 6 months, there were fertility planning, sperm donation and egg donation planning;
* Patients with lactose intolerance (those who have had diarrhea after drinking milk);
* Those who have special requirements for diet and cannot accept unified diet;
* Blood donors or massive blood loss (≥ 400ml), EPO treatment, blood transfusion or use of blood products within 3 months before screening;
* Those vaccinated within 8 weeks before screening or during the study period;
* There was a history of acupuncture and blood sickness; Or with orthostatic hypotension;
* Those who have participated in and used the trial drug;Those who have used any prescription drug, over-the-counter drug, Chinese herbal medicine, vitamins or health care products within 14 days before screening and whose time is less than 5 half-life of the drug or less than 2 weeks (whichever is the longest);
* The serum pregnancy test of lactating and pregnant women, or female volunteers of childbearing age was positive;
* The results of physical examination, chest X-ray, color Doppler ultrasound, electrocardiogram and laboratory examination were abnormal and clinically significant; Or hemoglobin of male subjects was more than 175.0 g / L; Or hemoglobin of female subjects was more than 150.0 g / L; Or hemoglobin of male and female were less than 113g / L;
* Within 48 hours before enrollment, those who took any special diet that affected the absorption, distribution, metabolism and excretion of drugs, including pitaya, mango, grapefruit, lime, carambola or food or drink prepared from them, chocolate, and any food or drink containing caffeine;
* Urine drug screening test was positive;
* Alcohol breath test was positive within 24 hours before administration;
* The researchers think that there are other cases that are not suitable for the trial.

Primary outcomes:
measure: Part 1: AEs
timeFrame: Baseline up to Days 15
measure: Part 1: Maximum plasma concentration (Cmax) of SSS17
timeFrame: Up to 336 hours post-dose
measure: Part 1: Area under the concentration-time curve (AUC) of plasma concentration of SSS17
timeFrame: Up to 336 hours post-dose
measure: Part 1: Time-to-Cmax (Tmax) of SSS 17
timeFrame: Up to 336 hours post-dose
measure: Part 1: Elimination terminal half-life (t1/2) of SSS17
timeFrame: Up to 336 hours post-dose
measure: Part 1: . Total amount of SSS17 excreted in urine over 72 hours (Ae0-72)
timeFrame: Up to 72 hours post-dose
measure: Part 1: Fraction of SSS17 excretion during each collection interval (Fe0-72)
timeFrame: Up to 72 hours post-dose
measure: Part 1: Renal clearance (CLR) of SSS17
timeFrame: Up to 72 hours post-dose
measure: Part 2: AEs
timeFrame: Up to Days 33 or 57
measure: Part 2: Steady state minimal concentration (Css_min) of SSS17
timeFrame: Up to Days 33 or 57
measure: Part 2: Steady state maximum concentration (Css_max) of SSS17
timeFrame: Up to Days 33 or 57
measure: Part 2: Steady state average concentration (Css_av) of SSS17
timeFrame: Up to Days 33 or 57
measure: Part 2: Area under the concentration-time curve of plasma concentration of SSS17 within the interval of administration after reaching steady state (AUC0-τ)
timeFrame: Up to Days 33 or 57
measure: Part 3: Maximum plasma concentration (Cmax) of SSS17
timeFrame: Up to Days 44
measure: Part 3: Area under the concentration-time curve (AUC) of plasma concentration of SSS17
timeFrame: Up to Days 44
measure: Part 3: Time-to-Cmax (Tmax) of SSS 17
timeFrame: Up to Days 44
measure: Part 3: Elimination terminal half-life (t1/2) of SSS17
timeFrame: Up to Days 44
Secondary outcomes:
measure: Part 1: EPO concentrations
timeFrame: Up to 168 hours post-dose
measure: Part 1: VEGF concentrations
timeFrame: Up to 168 hours post-dose
measure: Part 1: Change of hepcidin from baseline
timeFrame: Up to 168 hours post-dose
measure: Part 1: Change of RTC from baseline
timeFrame: Baseline up to Days 15
measure: Part 1: Change of RBC from baseline
timeFrame: Baseline up to Days 15
measure: Part 1: Change of Hgb from baseline
timeFrame: Baseline up to Days 15
measure: Part 2: EPO concentrations
timeFrame: Up to Days 33 or 57
measure: Part 2: VEGF concentrations
timeFrame: Up to Days 33 or 57
measure: Part 2: Change of hepcidin from baseline
timeFrame: Up to Days 33 or 57
measure: Part 2: Change of RTC from baseline
timeFrame: Baseline up to Days 33 or 57
measure: Part 2: Change of RBC from baseline
timeFrame: Baseline up to Days 33 or 57
measure: Part 2: Change of Hgb from baseline
timeFrame: Baseline up to Days 33 or 57
measure: Part 3: AEs
timeFrame: Up to Days 44
measure: Part 3: EPO concentrations
timeFrame: Up to Days 44
measure: Part 3: VEGF concentrations
timeFrame: Up to Days 44
measure: Part 3: Change of hepcidin from baseline
timeFrame: Up to Days 44
measure: Part 3: Change of RTC from baseline
timeFrame: Baseline up to Days 44
measure: Part 3: Change of RBC from baseline
timeFrame: Baseline up to Days 44
measure: Part 3: Change of Hgb from baseline
timeFrame: Baseline up to Days 44
Other outcomes:
Locations:
city: Guangzhou
country: China
facility: The Fifth Affiliated Hospital of Guangzhou Medical University
state: Guangdong
Study officials:
References: