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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05028114
Registration number
NCT05028114
Ethics application status
Date submitted
19/08/2021
Date registered
31/08/2021
Titles & IDs
Public title
Tricaprilin Liquid Formulation PK Study
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Scientific title
A Phase 1, Three-part, Part-randomised, Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Different Formulations of Tricaprilin, to Include Single-dose, Food Effect, and Titration Tolerability, in Healthy Participants
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Secondary ID [1]
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AC-21-025
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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 Disease
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Condition category
Condition code
Neurological
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Alzheimer's disease
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Neurological
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0
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Dementias
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AC-1202
Treatment: Drugs - AC-OLE-01
Treatment: Drugs - AC-OLE-02
Treatment: Drugs - AC-OLE-03
Treatment: Drugs - AC-OLE-04
Treatment: Drugs - AC-OLE-05
Treatment: Drugs - AC-OLE-06
Treatment: Drugs - AC-OLE-07
Treatment: Drugs - AC-OLE-08
Treatment: Drugs - AC-OLE-09
Treatment: Drugs - AC-OLE-010
Treatment: Drugs - AC-OLE-P
Experimental: Part 1 (Formulation Optimisation) - Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided 30 minutes after study drug administration. There will be 4 different formulations of the study drug and participants will be randomised to one of 4 sequences. There will be a washout of 2 days between each administration.
Experimental: Part 2 (Placebo Assessment) - Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided either 30 minutes before or after study drug administration, depending on the results of the food effect assessment.
Participants are randomised to 1 of 2 sequences (tricaprilin formulation - matching placebo; matching placebo - tricaprilin formulation) with a 2-day washout between periods.
Experimental: Part 3 (Titration Tolerability) - Study drug administered orally after an overnight fast (minimum 8 hours). A standard breakfast will be provided either 30 minutes before or after study drug administration, depending on the results of the food effect assessment.
Participants will be randomised to either study drug or the matching placebo.
Treatment: Drugs: AC-1202
Tricaprilin formulated as AC-1202
Treatment: Drugs: AC-OLE-01
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-02
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-03
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-04
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-05
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-06
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-07
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-08
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-09
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-010
Tricaprilin Formulation
Treatment: Drugs: AC-OLE-P
Placebo to tricaprilin formulation
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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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Area under the concentration-time curve (AUC) of total ketones (ß-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2)
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Assessment method [1]
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AUC will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [1]
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0 to 8 hours post-dose
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Primary outcome [2]
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Maximum observed concentration (Cmax) of total ketones (ß-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2)
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Assessment method [2]
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Cmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [2]
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0 to 8 hours post-dose
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Primary outcome [3]
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Time of maximum concentration (Tmax) of total ketones (ß-hydroxybutyrate and acetoacetate) after single-dose administration of tricaprilin and placebo formulations (Part 1, Part 2)
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Assessment method [3]
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Tmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [3]
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0 to 8 hours post-dose
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Secondary outcome [1]
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Incidence of treatment emergent adverse events
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Assessment method [1]
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Adverse event incidence will be tabulated
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Timepoint [1]
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Baseline to end of treatment period
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Secondary outcome [2]
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Gastrointestinal side effects of single-dose administration of each of tricaprilin formulations and the placebo formulation (Parts 1, 2) assessed using the Baxter Retching Faces Scale
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Assessment method [2]
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The Baxter Retching Faces Scale is a pictorial scale rated from 0 to 10, with 6 faces depicting level of nausea/gastrointestinal discomfort.
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Timepoint [2]
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Pre-dose, 0.5, 1, 1.5, 2, 3 hours post-dose
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Secondary outcome [3]
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Gastrointestinal side effects of single-dose administration of each of tricaprilin formulations and the placebo formulation (Parts 1, 2) assessed using the Pain Numerical Rating Scale
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Assessment method [3]
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The Pain Numerical Rating Scale 10-point numeric rating scale with participants instructed to rate any abdominal pain from 0 (no pain) to 10 (worst possible pain)
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Timepoint [3]
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Pre-dose, 0.5, 1, 1.5, 2, 3 hours post-dose
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Secondary outcome [4]
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Area under the concentration-time curve (AUC) of total ketones (ß-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3)
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Assessment method [4]
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AUC will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [4]
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Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose
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Secondary outcome [5]
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Maximum observed concentration (Cmax) of total ketones (ß-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3)
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Assessment method [5]
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Cmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [5]
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Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose
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Secondary outcome [6]
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Time of maximum concentration (Tmax) of total ketones (ß-hydroxybutyrate and acetoacetate) of tricaprilin and placebo formulations following a titration scheme (Part 3)
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Assessment method [6]
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Tmax will be calculated from PK concentrations of total ketones (B-hydroxybutyrate and Acetoacetate)
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Timepoint [6]
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Days 15 and 21: 0 to 8 hours post-dose; Day 27: 0 to 24 hours post-dose
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Eligibility
Key inclusion criteria
* Participant must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
* Participants who are overtly healthy (in the opinion of the Investigator) as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring
* Body weight =45 kg and body mass index (BMI) within the range 18.0 - 32.0 kg/m2 (inclusive).
* Male and female
* Agrees to comply with study procedures including blood draws, confinement to clinic, meal requirements
* Continuous non-smoker or infrequent smoker (no more than 10 cigarettes per week for at least 3 months prior to Screening)
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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
* History of, or current gastrointestinal (GI) conditions constituting a risk when taking the study treatment; or interfering with the interpretation of data, based on the Investigator's judgement
* Past or intended use of over-the-counter or prescription medication including herbal medications within 7 days prior to dosing (paracetamol/acetaminophen [up to 2 g per day], hormone replacement therapy and hormonal contraception are permitted).
* Participants on a ketogenic diet, low-fat diet or actively using medium chain triglycerides, ketone esters, or other ketogenic products.
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Study design
Purpose of the study
Other
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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
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
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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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
31/08/2021
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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
19/07/2022
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Sample size
Target
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Accrual to date
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Final
71
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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CMAX - Adelaide
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Cerecin
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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
The purpose of this study is to evaluate the pharmacokinetics, safety, and tolerability of new liquid formulations of tricaprilin, with the aim of finding a suitable formulation to advance in development. This is a three-part, part-randomised study that include single-dose, food effect, and titration tolerability in up to 80 healthy participants.
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Trial website
https://clinicaltrials.gov/study/NCT05028114
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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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Study Director
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Address
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Cerecin
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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
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT05028114