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Trial registered on ANZCTR
Registration number
ACTRN12625000662460
Ethics application status
Approved
Date submitted
14/05/2025
Date registered
23/06/2025
Date last updated
23/06/2025
Date data sharing statement initially provided
23/06/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
A trial with healthy adult volunteers testing the effect of food on what happens to the drug emestedastat in the body
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Scientific title
A Randomized, Open-label, Single Dose, Crossover Trial to Assess the Effects of Food on the Pharmacokinetics of 10 mg Emestedastat Tablet in Healthy Adult Participants
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Secondary ID [1]
314443
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ACW0011
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alzheimer's Disease
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Major depressive disorder
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Condition category
Condition code
Mental Health
333845
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0
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Depression
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Neurological
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0
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Alzheimer's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
emestedastat 10 mg oral tablet, 2 single doses, with a washout period of one week between treatments. Doses will be taken in either the fasted or fed state, both states are under assessment.
Doses will be taken under supervision and will be checked by a second member of staff. A hand and mouth check will be conducted after each participant has been dosed.
The fed state involves consumption of a high fat and high calorie meal during a 30-minute period that commences 45 minutes prior to dosing. It should derive approximately 150, 250, and 500 to 600 calories from protein, carbohydrate, and fat, respectively, as defined in regulatory guidance.
The fasted state involves a 10-hour overnight fast.
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Intervention code [1]
331065
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Treatment: Drugs
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Comparator / control treatment
Participants will receive IP in the fasted state in one treatment arm (reference comparator). The fasted state involves a 10-hour overnight fast with water permitted at all times, apart from 1 hour before and 1 hour after dosing.
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Control group
Active
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Outcomes
Primary outcome [1]
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Single dose pharmacokinetics of emestedastat 10 mg in fed and fasted states: AUC, Cmax, Tmax, CL/F, Vz/F, and t1/2
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Assessment method [1]
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Pharmacokinetic parameters in plasma
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Timepoint [1]
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Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 32, 48 hours postdose.
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Secondary outcome [1]
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Safety and tolerability (composite outcome)
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Assessment method [1]
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Incidence of adverse events, serious adverse events, and suspected unexpected serious adverse reactions, based on clinical examination, participant self-report and/or data linkage to medical records
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Timepoint [1]
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up to 3 days post second dose
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Eligibility
Key inclusion criteria
Participants in good general health
BMI between 18 and 32, inclusive
Non-smoker, able to abstain from caffeine/hot beverage intake prior to dosing
No relevant dietary restrictions and able to consume the non-vegetarian, high-fat meal provided
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Prior or ongoing medical conditions, medical history, physical findings, or laboratory abnormality
Abnormalities in vital signs, ECG abnormalities
Use of any prescription drugs, over the counter medication, herbal remedies, supplements or vitamins, apart from simple analgesia
Unwilling to refrain from strenuous exercise during the trial
Not breastfeeding, lactating or planning pregnancy
History of drug or alcohol abuse
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
16/06/2025
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Date of last participant enrolment
Anticipated
24/06/2025
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Actual
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Date of last data collection
Anticipated
3/07/2025
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Actual
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Sample size
Target
16
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Actinogen Medical Ltd
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Actinogen Medical Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Human Research Ethics Committee G
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Ethics committee address [1]
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https://bellberry.com.au/
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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07/05/2025
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Approval date [1]
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13/05/2025
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Ethics approval number [1]
317582
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Summary
Brief summary
Emestedastat was created to decrease the production of cortisol by the brain. This drug has been previously tested in nearly 400 people, including healthy adults and people with Alzheimer’s Disease and depression. The research project will test what the body does to emestedastat, such as how quickly it enters, moves through, and leaves the body. In particular, the research project will test if eating food has any effect on what happens to emestedastat in the body. If this and other clinical research projects are successful, the treatment being studied may be approved to treat people with Alzheimer’s Disease or depression in the future.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Mohamed Bakra
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Address
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CMAX, Ground Floor, 21-24 North Terrace, Adelaide SA 5000
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Country
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Australia
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Phone
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+61 0431 739 345
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Natasha Masand
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Address
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Actinogen Medical Ltd, Suite 901, Level 9, 109 Pitt St Sydney NSW 2000
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Country
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Australia
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Phone
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+61 02 8964 7401
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Natasha Masand
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Address
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Actinogen Medical Ltd, Suite 901, Level 9, 109 Pitt St Sydney NSW 2000
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Country
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Australia
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Phone
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+61 02 8964 7401
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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