Trial Review

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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT05555758




Registration number
NCT05555758
Ethics application status
Date submitted
19/09/2022
Date registered
27/09/2022
Date last updated
27/11/2023

Titles & IDs
Public title
Aom0319 SAD Study in Healthy Subjects
Scientific title
A Single-Center, Randomized, Double-Blind, Placebo-Controlled Single Ascending Dose and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics Profile of Aom0319 in Healthy White Subjects
Secondary ID [1] 0 0
Aom0319-ACT-01
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Healthy Volunteers 0 0
Condition category
Condition code

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Adamgammadex Sodium
Treatment: Drugs - 0.9% Sodium Chloride Injection

Active Comparator: experimental group - Four ascending dose levels of Aom0319 (n=24) for intravenous injection for once. Dosage day is Day 1.

Placebo Comparator: placebo group - Four ascending dose levels of placebo (n=8) for intravenous injection for once. Dosage day is Day 1.


Treatment: Drugs: Adamgammadex Sodium
Aom0319 will be administered intravenously with water for injection.

Treatment: Drugs: 0.9% Sodium Chloride Injection
0.9% Sodium Chloride will be administered intravenously.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
The number, severity and type of adverse events, including changes in vital signs, physical examinations, laboratory safety tests and ECGs
Timepoint [1] 0 0
8 days max
Secondary outcome [1] 0 0
Maximum plasma concentration in plasma (Cmax)
Timepoint [1] 0 0
Day1-2 for SAD
Secondary outcome [2] 0 0
Area under the concentration-time curve from time 0 to the time of the last quantifiable concentration in plasma (AUC0-t)
Timepoint [2] 0 0
Day1-2 for SAD
Secondary outcome [3] 0 0
Area under the concentration-time curve extrapolated from time 0 to infinity in plasma (AUC0-8)
Timepoint [3] 0 0
Day1-2 for SAD
Secondary outcome [4] 0 0
AUC from time 0 to 12 hours (AUC0-12)
Timepoint [4] 0 0
Day1-2
Secondary outcome [5] 0 0
AUC from time 0 to 24 hours (AUC0-24)
Timepoint [5] 0 0
Day1-2
Secondary outcome [6] 0 0
Time of the maximum observed concentration in plasma (Tmax)
Timepoint [6] 0 0
Day1-2 for SAD
Secondary outcome [7] 0 0
Terminal elimination half-life in plasma (t1/2)
Timepoint [7] 0 0
Day1-2 for SAD
Secondary outcome [8] 0 0
Volume of distribution during the terminal phase in plasma (Vz)
Timepoint [8] 0 0
Day1-2 for SAD
Secondary outcome [9] 0 0
Total clearance in plasma (CL)
Timepoint [9] 0 0
Day1-2 for SAD
Secondary outcome [10] 0 0
Terminal elimination rate constant in plasma (?z)
Timepoint [10] 0 0
Day1-2 for SAD
Secondary outcome [11] 0 0
Mean residence time in plasma (MRT)
Timepoint [11] 0 0
Day1-2 for SAD
Secondary outcome [12] 0 0
Cumulative amount of dose recovered in urine from time 0 to 24 hours (Ae0-24)
Timepoint [12] 0 0
Day1-2
Secondary outcome [13] 0 0
Cumulative percentage of dose recovered in urine from time 0 to 24 hours (fe0-24)
Timepoint [13] 0 0
Day1-2
Secondary outcome [14] 0 0
Renal clearance in urine (CLr)
Timepoint [14] 0 0
Day1-2

Eligibility
Key inclusion criteria
Inclusion Criteria

1. Healthy male or female subjects =18 years and =55 years of age on the day of ICF
signing.

2. Subjects must be White (participants from Europe, Middle East, North Africa,
Australia, and New Zealand are permitted), with biological parents and both sets of
biological grandparents also be White;

3. Male subjects must have a body weight =50 kg and female subjects must have a body
weight =45 kg. Body mass index (calculated as weight [kg]/height [m]2) must be =18.0
and = 32.0 kg/m2;

4. In good health, as determined by medical history, physical examination, clinical
laboratory evaluation, 12-lead ECG, and vital signs (including oxygen saturation)
within normal range or deemed by the investigator to be not clinically significant;

5. Willing to use an adequate method of contraception, and do not plan to become
pregnant, impregnate a partner, or donate sperm or ova throughout the study and for 3
months following the end of the study. Abstinence is an acceptable method of
contraception provided it aligns with the preferred and usual lifestyle of the
subject. Female subjects of nonchildbearing potential and subjects who are exclusively
in same-sex relationships are exempt from contraception requirements. An adequate
method of contraception is defined as:

a)For female subjects, an adequate method of contraception is defined as the use of a
condom by the male partner combined with the use of a highly effective method of
contraception. The following are considered as highly effective methods of
contraception: i)A nonhormonal intrauterine device; ii)Bilateral tubal occlusion (e.g.
Essure-non-surgical sterility procedure and Bilateral tubal ligation), and/or a
vasectomized partner with documented azoospermia 90 days after procedure, if that
partner is the sole sexual partner; b)For male subjects, an adequate method of
contraception is defined as use of a condom combined with the use of a highly
effective method of contraception by the female partner of childbearing potential. A
highly effective method of contraception is i)Oral contraceptives containing combined
estrogen and progesterone, a vaginal ring, injectable and implantable hormonal
contraceptives, intrauterine hormone-releasing system (e.g. Mirena) and
progestogen-only hormonal contraception associated with inhibition of ovulation; ii)A
hormonal or nonhormonal intrauterine device; iii)Bilateral tubal occlusion including
bilateral tubal ligation, and/or a vasectomized subject with documented azoospermia 90
days after procedure, if that partner is the sole sexual partner;

6. Female subjects must be non-pregnant (confirmed by a negative serum [at screening] and
urine [on Day -1] pregnancy test), non-lactating, or be of nonchildbearing potential
(females who have been postmenopausal [defined as 12 months of amenorrhea in the
absence of other biological cause with confirmatory follicle stimulating hormone =40
IU/L] for at least 12 consecutive months or are surgically sterile [hysterectomy or
bilateral oophorectomy or bilateral complete salpingectomy]);

7. Willing and able to freely given informed consent by signing the ICF.
Minimum age
18 Years
Maximum age
55 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1. History of hereditary bleeding disorders, coagulation disorders, non-traumatic
bleeding requiring treatment, or thromboembolism; or currently have any disease that
can cause bleeding (including coagulation disorder, thrombocytopenia [platelet count <
150×109/L] and prothrombin time-international normalized ratio >1.5);

2. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) =1.5 × the upper
limit of normal at screening or check-in;

3. Abnormal ECG results which are judged as clinically significant by the investigator,
or any of the following:

1. QTcF interval (calculated as QTc=QT/[RR^0.33]) >430 ms for male subjects and >
450 ms for female subjects;

2. Complete bundle branch block including left and/or right complete bundle branch
block;

3. Symptoms of acute or age variable myocardial infarction;

4. ST-T changes suggestive of myocardial ischemia;

5. First-degree (PR interval =200 ms), second-degree, or third-degree
atrioventricular block;

4. Abnormal blood pressure or heart rate (defined as systolic blood pressure >140 mmHg or
<90 mmHg, diastolic blood pressure >90 mmHg or <50 mmHg, and heart rate <45 bpm or
>100 bpm) during the study screening period and at check-in;

5. Febrile illness or infection within 7 days prior to drug administration (Day 1);

6. History of significant food or drug allergy or allergy history (including symptoms of
allergic reaction, clinically significant skin diseases such as contact dermatitis or
psoriasis, visible skin rashes, or asthma attacks during physical examination) which
is judged as clinically significant by the investigator, or hypersensitivity to
cyclodextrin;

7. Subjects who have previously taken sugammadex sodium;

8. Acute or chronic clinically significant infectious disease during the screening period
or at check-in; or a positive hepatitis C antibody, human immunodeficiency virus
antibody, hepatitis B surface antigen, or reactive HIV antigen/antibody at screening;

9. History or manifestation of disease that, in the opinion of the investigator, renders
the subject unsuitable for the study, including but not limited to nervous system,
cardiovascular, blood, lymphatic, immune, kidney, liver, gastrointestinal,
respiratory, metabolic, and musculoskeletal disorders;

10. History of tuberculosis (TB) or related infection that is active, latent, or
inadequately treated, or positive TB test (QuantiFERON Gold);

11. History of disseminated herpes zoster, disseminated herpes simplex, recurrent
localized cutaneous herpes zoster (including one episode of cutaneous herpes zoster);

12. Poor peripheral venous access, unable to tolerate venipuncture, or have a significant
history of trypanaphobia or hemophobia;

13. History of substance abuse (including illicit drugs) within 6 months prior to dosing
(Day 1);

14. Use of drugs of abuse (including but not limited to amphetamines, methamphetamines,
methadone, barbiturates, benzodiazepines, cocaine, opiates,
methylenedioxy-methamphetamine, phencyclidine, and tetrahydrocannabinol) within 3
months prior to dosing (Day 1), or positive drugs of abuse test at screening or Day
-1;

15. Those who have been dosed in a previous study or administration of an investigational
drug within 1 month (or 5 half-lives, whichever is longer) prior to dosing (Day 1);

16. Use of fusidic acid, toremifene citrate, tamoxifen citrate, clomiphene citrate,
progesterone, norethisterone, testosterone, prednisone, combination contraceptives
that contain steroid hormones such as progesterone, other steroid hormones, which
could affect the absorption or PK parameters of Aom0319 within 7 days prior to dosing
(Day 1) until discharge;

17. Donation or loss of blood exceeding 500 mL of blood within 56 days prior to dosing
(Day 1), plan to donate blood or blood components during the study period, or have
previously received blood products;

18. With the exception of those listed in exclusion criterion #16, use of prescription
drugs, over-the-counter drugs, Chinese herbal medicines, dietary supplements, or
natural health products (including vitamins, minerals, and phytotherapeutic, herbal,
and plant-derived preparations) from 2 weeks prior to dosing (Day 1) until discharge;

19. Administration of a vaccine within 4 weeks prior to dosing (Day 1) or plan to be
vaccinated during the study;

20. Smoke more than 5 cigarettes per day within 30 days prior to dosing (Day 1) or
inability to abstain from tobacco- or nicotine-containing products during the study
(from Day -1 to the follow up visit);

21. Regular consumption of the amount of alcohol (in an Australian standard drink)of more
than 2 standard drinks per day or 14 standard drinks per week within 3 months prior to
check-in (Day -1; 1 standard drink is equivalent to 10 grams of alcohol: approximately
285 mL full-strength beer or cider[4.9% alc/vol], 375 ml mid-strength beer[3.5%
alc/vol], 425ml light- strength beer[2.7% alc/vol], 100 mL wine or 30 mL shot of 40%
spirit ). A positive alcohol breath test at screening or check-in (Day -1), or
inability to abstain from alcohol during the study from check-in (Day -1) to the
follow-up visit;

22. Daily regular consumption of tea, coffee, and/or caffeinated beverages exceeding 8
cups (where 1 cup = 250 mL) within 3 months prior to dosing (Day 1) or consumption of
chocolate-, caffeine-, or xanthine-containing products within 48 hours prior to dosing
(Day 1);

23. Consumption of substances known to induce or inhibit liver metabolic enzymes
(including grapefruit, mango, dragon fruit, grapes or grape juice, oranges or orange
juice that could affect drug absorption, distribution, metabolism, and excretion
within 48 hours prior to dosing [Day 1]);

24. Participation in strenuous activity within 48 hours prior to dosing (Day 1);

25. Female subjects who are pregnant or breastfeeding, who have a positive serum or urine
pregnancy test result, or who are unable or unwilling to take contraceptive or
abstinence measures approved by the investigator during the study;

26. History of constipation or the inability to maintain regular bowel movements at least
once a day for the subjects of Group C2 within 3 months before administration;

27. Considered unsuitable for inclusion in the study by the investigator.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Other
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
15/12/2022
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/06/2024
Actual
Sample size
Target
32
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Nucleus Network Pty Ltd - Melbourne
Recruitment postcode(s) [1] 0 0
- Melbourne

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Amckaus PTY LTD.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Only SAD study will be conducted in this project. SAD represents single ascending dose.
Multiple ascending dose have been cancelled. This decision has been made at the discretion of
the Sponsor.
Trial website
https://clinicaltrials.gov/ct2/show/NCT05555758
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Kristi Mclendon, PhD
Address 0 0
Nucleus Network
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Baochun Yu, MD
Address 0 0
Country 0 0
Phone 0 0
0571-86504023
Fax 0 0
Email 0 0
yubaochun@adamerck.com
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT05555758