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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04296799
Registration number
NCT04296799
Ethics application status
Date submitted
26/02/2020
Date registered
5/03/2020
Date last updated
11/03/2022
Titles & IDs
Public title
A Phase 1 Study of SMP-100 in Normal Healthy Volunteers
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Scientific title
Phase 1, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Ascending Doses of SMP-100 in Normal Healthy Volunteers
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Secondary ID [1]
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ChengduSciMount
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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:
Healthy Volunteers
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SMP-100
Treatment: Drugs - Placebo
Experimental: Single Ascending Dose - The study will consist of 6 cohorts (1 cohort per dose level) of 8 subjects (6 subjects receiving the study drug and 2 receiving matching placebo), for a total of 48 subjects.
Experimental: Multiple Ascending Dose - The study will consist of 3 cohorts (1 cohort per dose level) of 8 subjects. Six subjects will receive study drug and 2 subjects will receive matching placebo, daily for 14 consecutive days, for a total of 24 subjects (18 study drug; 6 placebo).
Treatment: Drugs: SMP-100
SAD/MAD
Treatment: Drugs: Placebo
Placebo
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety Endpoints of SAD
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Assessment method [1]
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Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.
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Timepoint [1]
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10±2 days post dose
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Primary outcome [2]
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Safety Endpoints of MAD
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Assessment method [2]
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Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.
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Timepoint [2]
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13±2 days post last dose
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Secondary outcome [1]
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PK Endpoints AUC0-t of SAD
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Assessment method [1]
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area under the concentration-time curve from time zero to the last non-zero concentration (AUC0-t)
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Timepoint [1]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [2]
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PK Endpoints AUC0-24 of SAD
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Assessment method [2]
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area under the concentration-time curve from time zero to time 24 hours (AUC0-24)
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Timepoint [2]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [3]
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PK Endpoints AUC0 inf of SAD
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Assessment method [3]
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area under the concentration-time curve from time zero to infinity (extrapolated) (AUC0 inf)
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Timepoint [3]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [4]
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PK Endpoints Cmax of SAD
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Assessment method [4]
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maximum plasma concentration (Cmax)
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Timepoint [4]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [5]
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PK Endpoints Tmax of SAD
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Assessment method [5]
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time of maximum concentration ( Tmax)
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Timepoint [5]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [6]
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PK Endpoints T½ el of SAD
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Assessment method [6]
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elimination half-life ( T½ el)
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Timepoint [6]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [7]
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PK Endpoints Cl/F of SAD
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Assessment method [7]
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Total body clearance, calculated as Dose / AUC0-inf (Cl/F)
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Timepoint [7]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [8]
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PK Endpoints Vz/F of SAD
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Assessment method [8]
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apparent volume of distribution, calculated as Dose / (Kel \* AUC0-inf) (Vz/F)
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Timepoint [8]
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before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.
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Secondary outcome [9]
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PK Endpoints AUC0-24 of MAD
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Assessment method [9]
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area under the concentration-time curve from time zero to time 24 hours (AUC0-24)
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Timepoint [9]
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Day 1
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Secondary outcome [10]
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PK Endpoints Cmax of MAD
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Assessment method [10]
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maximum plasma concentration (Cmax)
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Timepoint [10]
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Day 1
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Secondary outcome [11]
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PK Endpoints Tmax of MAD
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Assessment method [11]
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time of maximum concentration ( Tmax)
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Timepoint [11]
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Day 1
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Secondary outcome [12]
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PK Endpoints T½ el of MAD
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Assessment method [12]
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elimination half-life ( T½ el)
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Timepoint [12]
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Day 1
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Secondary outcome [13]
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PK Endpoints AUC0-t of MAD
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Assessment method [13]
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area under the concentration-time curve at steady-state from time zero to time 24 hours ( AUC0-t)
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Timepoint [13]
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Day 14
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Secondary outcome [14]
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PK Endpoints AUC0-48 of MAD
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Assessment method [14]
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area under the concentration-time curve from time zero to time 48 hours ( AUC0-48)
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Timepoint [14]
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Day 14
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Secondary outcome [15]
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PK Endpoints AUC0-72 of MAD
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Assessment method [15]
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area under the concentration-time curve from time zero to time 72 hours ( AUC0-72)
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Timepoint [15]
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Day 14
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Secondary outcome [16]
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PK Endpoints Cmax ss of MAD
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Assessment method [16]
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maximum observed concentration at steady-state (Cmax ss)
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Timepoint [16]
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Day 14
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Secondary outcome [17]
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PK Endpoints Tmax ss of MAD
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Assessment method [17]
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time of maximum concentration at steady-state(Tmax ss)
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Timepoint [17]
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Day 14
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Secondary outcome [18]
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PK Endpoints Cmin ss of MAD
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Assessment method [18]
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minimum observed concentration at steady-state(Cmin ss)
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Timepoint [18]
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Day 14
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Secondary outcome [19]
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PK Endpoints AUC0- t of MAD
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Assessment method [19]
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area under the concentration-time curve from time zero to the last non-zero concentration(AUC0- t)
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Timepoint [19]
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Day 14
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Secondary outcome [20]
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PK Endpoints T½ el of MAD
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Assessment method [20]
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elimination half-life(T½ el)
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Timepoint [20]
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Day 14
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Secondary outcome [21]
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PK Endpoints Clss/F of MAD
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Assessment method [21]
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total body clearance at steady-state, calculated as Dose / AUC0-inf(Clss/F)
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Timepoint [21]
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Day 14
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Secondary outcome [22]
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PK Endpoints Vz ss/F of MAD
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Assessment method [22]
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apparent volume of distribution at steady-state, calculated as Dose / (Kel \* AUC0-inf)(Vz ss/F)
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Timepoint [22]
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Day 14
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Secondary outcome [23]
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Plasma concentration observed of MAD
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Assessment method [23]
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Plasma concentration observed will be presented
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Timepoint [23]
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before treatment administrations (Ctrough) during repeated dosing (Days 2-13)
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Eligibility
Key inclusion criteria
1. Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening) aged between =18 and =59 years old.
2. BMI >18.5 and <30.0 kg/m2 and body weight =50.0 kg for males and =45.0 kg for females.
3. Healthy as defined by:
1. the absence of clinically significant illness and surgery within 4 weeks prior to dosing.
2. the absence of clinically significant history of neurological, endocrine, cardiovascular, respiratory, hematological, immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
3. the absence of clinically significant history of constipation, diarrhea, or irregular bowel transit in the last 4 weeks.
4. the absence of clinically significant history of irritable bowel syndrome (IBS) of any type.
5. the absence of current or history of ischemic colitis.
4. Females of childbearing potential who are sexually active with a non-sterile male partner (sterile male partners are defined as men vasectomized since at least 6 months) must be willing to use one of the following acceptable contraceptive methods throughout the study and for 30 days after (the last) study drug administration:
1. simultaneous use of intra-uterine contraceptive device placed at least 4 weeks prior to (the first) study drug administration, and condom for the male partner;
2. simultaneous use of hormonal contraceptive starting at least 4 weeks prior to (the first) study drug administration and must agree to use the same hormonal contraceptive throughout the study, and condom for the male partner;
3. simultaneous use of diaphragm or cervical cap and male condom for the male partner, started at least 21 days prior to (the first) study drug administration.
A woman is considered of childbearing potential unless she is surgically sterilized (hysterectomy, bilateral salpingectomy, bilateral oophorectomy) at least 6 weeks before screening or postmenopausal (where postmenopausal is defined as no menses for 12 months without an alternative medical cause).
5. Male subjects who are not vasectomized for at least 6 months, and who are sexually active with a female partner of childbearing potential (childbearing potential females are defined as women that are neither post-menopausal nor surgically sterile) must be willing to use one of the following acceptable contraceptive methods from the first study drug administration until at least 90 days after the last study drug administration:
1. simultaneous use of a male condom and, for the female partner, hormonal contraceptives used since at least 4 weeks or intra-uterine contraceptive device placed since at least 4 weeks;
2. simultaneous use of a male condom and, for the female partner, a diaphragm.
6. Male subjects (including men who have had a vasectomy) with a pregnant or same-sex partner must agree to use a condom from the first study drug administration until at least 90 days after the last study drug administration.
7. Male subjects must be willing not to donate sperm until 90 days following the last study drug administration.
8. Willing to take off dentures or mouth piercing at the time of dosing.
9. Capable of consent.
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Minimum age
18
Years
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Maximum age
59
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
1. Any clinically significant abnormality at physical examination.
2. Any clinically significant abnormal laboratory test results or positive test for hepatitis B, hepatitis C, or HIV found during medical screening.
3. Positive urine drug screen, alcohol breath test, or urine cotinine test at screening. A repeat test can be conducted at screening or Day -1 at the discretion of the Principal Investigator or delegate.
4. History of allergic reactions to SMP-100 or other related drugs, or to any excipient in the formulation.
5. History of hypersensitivity to 5-HT3 receptor antagonists or agonists.
6. Positive serum pregnancy test at screening.
7. Clinically significant ECG abnormalities (QTcF >450 ms for males and QTcF >460 ms for females).
8. Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 159 mmHg, diastolic blood pressure lower than 50 or over 100 mmHg, or heart rate less than 50 or over 100 bpm) at screening. Repeat test can be conducted at screening or Day -1 at the discretion of the Principal Investigator or delegate.
9. Clinically significant orthostatic vital sign abnormalities such as decrease in systolic blood pressure of 20 mmHg or higher, decrease in diastolic blood pressure of 10 mmHg or higher, or increase in heart rate of 30 bpm or higher within 3 minutes after passing from a supine to a standing position. Repeat test can be conducted at screening or Day -1 at the discretion of the principal investigator or delegate.
10. History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 mL of wine, 375 mL of mid strength beer, or 30 mL of 40% alcohol]).
11. History of significant drug abuse within 1 year prior to screening or use of drugs such as marijuana within 3 months prior to the screening visit or drugs such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives within 1 year prior to screening.
12. Participation in a clinical research study involving the administration of an investigational drug or device within 30 days prior to the first dosing.
13. Administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing.
14. Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption):
1. prescription medications within 14 days prior to the first dosing;
2. over-the-counter products and natural health products (including herbal remedies homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 14 days prior to the first dosing, with the exception of the occasional use of paracetamol (up to 2 g daily);
3. any prescription or over-the-counter medication or natural health products used for the treatment of irregular bowel transit (e.g. diarrhea, constipation) within 4 weeks prior to the first dosing;
4. depot injection or implant of any drug within 3 months prior to the first dosing;
5. use of any drugs known to induce or inhibit hepatic metabolism (including St. John's Wort [hypericin]) within 14 days prior to the first dosing.
15. Donation of plasma within 7 days prior to dosing. Donation or loss of blood (excluding volume drawn at screening) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the first dosing.
16. Presence of:
1. orthodontic braces or orthodontic retention wires, or
2. any physical findings in the mouth or tongue that would be likely to interfere with successful completion of the dosing procedure.
17. Breast-feeding subject.
18. Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
25/06/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
6/08/2021
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Sample size
Target
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Accrual to date
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Final
53
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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CMAX Clinical Research Pty Ltd - Adelaide
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Recruitment postcode(s) [1]
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SA 5000 - Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Chengdu SciMount Pharmatech Co., Ltd.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This will be the first clinical study of oral administration SMP-100 in healthy subjects. The proposed randomized Phase 1 trial is a double-blind, placebo-controlled, single and multiple ascending dose study in approximately 72 healthy male and female subjects.
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Trial website
https://clinicaltrials.gov/study/NCT04296799
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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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Sepehr Shakib
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Address
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CMAX Clinical Research Pty Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04296799
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