First-in-Human Study of an Oral Plasmodium Falciparum Plasma Membrane Protein Inhibitor



Status:Completed
Conditions:Infectious Disease
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - 55
Updated:1/3/2019
Start Date:March 1, 2016
End Date:March 9, 2018

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Phase 1a, First-In-Human, Dose-Escalation Study of (+)-SJ000557733 (SJ733), an Oral, Novel Inhibitor of Plasmodium Falciparum Plasma Membrane Protein PfATP4

Malaria is an infectious disease caused by a parasite that is passed to humans when an
infected mosquito bites a person. About 3.4 billion people live in areas of the world where
malaria is regularly found. In many countries, malaria is one of the leading causes of
illness and death. Despite this, there are a limited number of drugs, called antimalarials,
that can be used to treat malaria and increasing reports of resistance to existing
antimalarials.

The purpose of this research study is to test a new experimental antimalarial drug called
SJ733 to first assess its safety, tolerability and blood levels in healthy adult volunteers.

Single-dose, multi-dose and boosted-dose cohorts (both single and multi-dose) will be
studied. The pharmacoenhancer (booster), cobicistat, will be given in combination with SJ733
in the boosted dose-cohorts.

PRIMARY OBJECTIVES:

- To assess the preliminary safety and tolerability of escalating doses of antimalarial
SJ733 in healthy human volunteers.

- To investigate the pharmacokinetic (PK) profile of escalating doses of antimalarial
SJ733 and its metabolite in healthy human volunteers.

- To identify a dose of SJ733 that can be tested in a separate Phase 1b human malaria
challenge study.

- To assess the preliminary safety and tolerability of SJ733 in healthy adult volunteers
after multiple oral dosing.

- To assess the pharmacokinetics of SJ733 and its metabolite SJ506 after multiple dosing
of SJ733 in healthy adult volunteers.

- To assess the preliminary safety and tolerability of escalating single oral doses of
SJ733 in combination with cobicistat among healthy adult volunteers.

- To assess the pharmacokinetics of SJ733 and its metabolite SJ506 after single oral doses
of SJ733 in combination with cobicistat among healthy adult volunteers.

- To assess the preliminary safety and tolerability of SJ733 in combination with
cobicistat in healthy adult volunteers after multiple oral dosing.

- To assess the pharmacokinetics of SJ733 and its metabolite SJ506 after multiple dosing
of SJ733 in combination with cobicistat among healthy volunteers.

SECONDARY OBJECTIVE:

- To assess the impact of food intake on the pharmacokinetic profile of antimalarial
SJ733.

This is a single site, Phase 1a, first-in-human, oral, primarily single-dose, dose escalation
study of (+)-SJ000557733 (SJ733) in healthy adult volunteers. SJ733, is an investigational
oral anti-malarial agent is a novel inhibitor of Plasmodium falciparum plasma membrane
protein (PfATP4). Subjects meeting eligibility criteria will be enrolled using a leap frog,
fixed dose escalation design with an adaptive component where 6 subjects are enrolled per
dose cohort.

Following successful completion of the safety and pharmacokinetic (PK) assessment resulting
from the single-dose escalation portion of the study, a three-dose cohort study will be
undertaken. It includes once per day oral dosing for 3 consecutive days. Both single and
multi-dose cohorts of SJ733 in combination with cobicistat (boosted cohorts) will also be
completed.

After the study results from the single-dose cohorts of SJ733 in combination with cobicistat
(boosted cohorts) were reviewed, multi-dose cohorts of SJ733 in combination with cobicistat
(boosted cohorts) were not conducted and Phase 2 study planning initiated.

Inclusion Criteria:

- Healthy adult (as certified by comprehensive medical assessment including detailed
history and complete physical examination), male or female, aged 18 to 55 years of age
(inclusive) at screening

- At least 50 kg in weight and body mass index (BMI) between 18 and 34 kg/m^2

- Able and willing to provide informed consent and to be available for follow-up for the
planned duration of the study

- If female, then not of child bearing potential (i.e. permanently sterilized
hysterectomy or bilateral oophorectomy at least 6 months before screening; proper
documentation required] and/or post-menopausal defined as 12 months with no menses
without an alternative cause and with an estradiol level of < 30 pg/mL and
follicle-stimulating hormone level of > 40 IU/L at screening)

- Sexually active males must agree to be abstinent or use condoms for the duration of
the study.

- Screening laboratories (hematology, chemistries, venous methemoglobin level specified
in schedule of evaluations) within normal institutional range or if outside the range,
not clinically significant in the opinion of the investigator.

Inclusion Criteria for Participants in Single-dose Cohort Only::

- Agrees not to receive any vaccination within 7 days prior to Day 0 and through Day 7.

- Agrees not to use nonprescription drugs, including vitamins, antacids, and herbal and
dietary supplements within 7 days prior to Day 0 and through Day 7. Acetaminophen may
be used at doses of ≤ 1 g/day, and ibuprofen may be used at doses of ≤ 1.2 g/day.

- Agrees not to use nicotine containing products from screening through Day 7.

- Agrees not to consume alcohol for the 24 hours prior to Day 0 and through Day 7.

- Agrees not to eat pomegranate, grapefruit or other citrus fruits or drink their juices
within 7 days prior to Day 0 and through Day 7.

- Agrees to limit caffeine to no more than 200 mg on Day 0.

- Agrees not to eat or drink (except water) for 10 hours before the Day 0 visit and have
no water for the hour prior to dosing.

Exclusion Criteria:

- Presence of a significant medical or psychiatric condition that in the opinion of the
investigator precludes participation in the study.

- Clinically significant abnormalities on physical examination that, in the opinion of
the investigator, would preclude entry into the study.

- History of having a significant illness within the 2 weeks prior to screening visit.
Participants can screen after illness is resolved for two weeks.

- History of clinically significant electrocardiogram abnormalities or clinically
significant abnormalities from the screening electrocardiogram.

- G6PD deficiency

- History of hemolytic anemia or methemoglobinemia

- History of severe drug hypersensitivity including a severe allergic reaction,
anaphylaxis or convulsions following any medication, vaccination or infusion.

- History of drug or alcohol abuse in the 12 months prior to screening or evidence at
screening visit

- Use of nicotine containing products within 30 days prior to screening

- Positive blood test for HBsAg, HCV, or HIV-1

- Participation in a clinical study of another investigational product within 30 days
prior to study enrollment, or planning to begin such participation during the study.

- Employment under the direct supervision of the investigators or study staff.

- Receipt of any vaccination within 7 days of dosing.

- Febrile illness within 48 hours of dosing

- Use of any prescription medication within 14 days prior to study drug administration.

- Use of nonprescription drugs, including vitamins, antacids, and herbal and dietary
supplements within 7 days prior to study drug administration. Acetaminophen may be
used at doses of ≤ 1 g/day, and ibuprofen may be used at doses of ≤ 1.2 g/day.

- Consumption of pomegranate, grapefruit or other citrus fruits or their juices within 7
days prior to study drug administration.

- Use of nicotine containing products from screening to study drug administration.

- Consumption of alcohol within 24 hours prior to study drug administration.

Inclusion Criteria For participants in multi-dose cohort only:

- Agrees not to receive any vaccination within 7 days prior to Day 1 and through Day 10.

- Agrees not to use nonprescription drugs, including vitamins, antacids, and herbal and
dietary supplements within 7 days prior to Day 1 and through Day 10. Acetaminophen may
be used at doses of ≤ 1 g/day, and ibuprofen may be used at doses of ≤ 1.2 g/day.

- Agrees not to use nicotine containing products from screening through Day 10.

- Agrees not to consume alcohol for the 24 hours prior to Day 1 and through Day 10.

- Agrees not to eat pomegranate, grapefruit or other citrus fruits or drink their juices
within 7 days prior to Day 1 and through Day 10.

- Agrees to limit caffeine to no more than 200 mg on Days 1, 2, and 3.

- Agrees not to eat or drink (except water) for 10 hours before the Days 1, 2, and 3
visits and have no water for the hour prior to dosing on each of those days.

Note: As with the single dose study, sexually active must agree to be abstinent or use
condoms for the duration of the study (through the Day 14 visit).
We found this trial at
1
site
262 Danny Thomas Pl
Memphis, Tennessee 38105
(901) 495-3300
Principal Investigator: Aditya H. Gaur, MD
Phone: 866-278-5833
St. Jude Children's Research Hospital St. Jude is unlike any other pediatric treatment and research...
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mi
from
Memphis, TN
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