The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT05023525




Registration number
NCT05023525
Ethics application status
Date submitted
16/08/2021
Date registered
26/08/2021
Date last updated
6/09/2022

Titles & IDs
Public title
A Study of Safety, Tolerability, and Pharmacokinetics of Single Ascending Dosed of HSK31858 in Healthy Volunteers
Scientific title
A Randomized, Double-blind, Placebo-controlled Study of the Safety, Tolerability, and Pharmacokinetics of Single Ascending Dosed of HSK31858 in Healthy Volunteers
Secondary ID [1] 0 0
HSK31858-101
Universal Trial Number (UTN)
Trial acronym
Linked study record

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

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - HSK31858, tablet
Treatment: Drugs - Placebo, tablet

Experimental: HSK31858, single dose - 5 cohorts with single doses starting with 5 mg HSK31858 as tablet.

Placebo Comparator: Placebe, single dose - 5 cohorts with matching placebo to HSK31858 as tablet.


Treatment: Drugs: HSK31858, tablet
Starting dose in single ascending dose: 5 mg

Treatment: Drugs: Placebo, tablet
Matching placebo

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
The number and severity of treatment emergent adverse events (TEAEs)
Timepoint [1] 0 0
7 days after dosing
Secondary outcome [1] 0 0
Cmax
Timepoint [1] 0 0
within 15 minutes before administration until 72 hours after administration
Secondary outcome [2] 0 0
Tmax
Timepoint [2] 0 0
within 15 minutes before administration until 72 hours after administration
Secondary outcome [3] 0 0
AUC0-last
Timepoint [3] 0 0
within 15 minutes before administration until until 72 hours after administration
Secondary outcome [4] 0 0
Timepoint [4] 0 0
within 15 minutes before administration until 72 hours after administration
Secondary outcome [5] 0 0
CL/F
Timepoint [5] 0 0
within 15 minutes before administration until 72 hours after administration
Secondary outcome [6] 0 0
Vd/F
Timepoint [6] 0 0
within 15 minutes before administration until 72 hours after administration

Eligibility
Key inclusion criteria
1. Must have given written informed consent before any study-related activities are
carried out and must be able to understand the full nature and purpose of the trial,
including possible risks and adverse effects.

2. Adult males and females, 18 to 55 years of age (inclusive) at Screening.

3. Body mass index = 18.0 and = 30.0 kg/m2, with a body weight = 50 kg at Screening.

4. Be nonsmokers (including tobacco, e-cigarettes, and marijuana) for at least 1 month
prior to first study drug administration.

5. Medically healthy without clinically significant abnormalities at Screening and
predose on Day 1, including:

1. Physical examination without any clinically relevant findings.

2. Systolic blood pressure in the range of 90 to 140 mmHg and diastolic blood
pressure in the range of 50 to 90 mmHg after 5 minutes in supine position.

3. Heart rate in the range of 50 to 100 bpm after 5 minutes rest in supine position.

4. Body temperature, between 35.0°C and 37.7°C.

5. No clinically significant findings in serum chemistry, hematology, coagulation,
and urinalysis tests as deemed by the Investigator.

6. Conventional 12-lead ECG recording in triplicate (the mean of triplicate measurements
will be used to determine eligibility at Screening and predose on Day 1) consistent
with normal cardiac conduction and function, including:

- Normal sinus rhythm with HR between 50 and 100 bpm, inclusive.

- QT interval corrected using the Fridericia method (QTcF) between 350 to 450 msec
for male subjects and 350 to 470 msec for female subjects, inclusive.

- QRS duration of < 120 msec.

- PR interval of = 210 msec.

- Electrocardiogram morphology consistent with healthy cardiac ventricular
conduction and normal rhythm, and with measurement of the QT interval.

- No family history of short or long QT syndrome.

- No history of risk factors for torsade de pointes or the diagnosis.

7. Women of childbearing potential must be non-pregnant and non-lactating, and must use
an acceptable, highly effective double contraception from Screening until at least 30
days after last dose, including the Follow-up period. Double contraception is defined
as a condom AND one other form of the following:

- Established hormonal contraception (OCPs, long-acting implantable hormones,
injectable hormones).

- A vaginal ring or an IUD.

- Documented evidence of surgical sterilization at least 6 months prior to
Screening (e.g., tubal occlusion, hysterectomy, bilateral salpingectomy, or
bilateral oophorectomy for women or vasectomy for men [with appropriate
post-vasectomy documentation of the absence of sperm in semen] provided the male
partner is a sole partner).

Women not of childbearing potential must be postmenopausal for =12 months.
Postmenopausal status will be confirmed through testing of follicle-stimulating
hormone (FSH) levels = 40 IU/L at Screening for amenorrhoeic female subjects. Females
who are abstinent from heterosexual intercourse will also be eligible.

Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods)
and withdrawal are not considered highly effective methods of birth control. Subject
complete abstinence for the duration of the study and for 1 month after the last study
treatment is acceptable.

Female subjects who are in same sex relationships are not required to use
contraception.

WOCBP must have a negative pregnancy test at Screening and Day 1 and be willing to
have additional pregnancy tests as required throughout the study.

8. Male subjects must be surgically sterile (> 30 days since vasectomy with no viable
sperm), abstinent, or if engaged in sexual relations with a WOCBP, the subject and his
partner must be surgically sterile (e.g., tubal occlusion, hysterectomy, bilateral
salpingectomy, bilateral oophorectomy) or using an acceptable, highly effective
contraceptive method from Screening until study completion, including the Follow-up
period. Acceptable methods of contraception include the use of condoms and the use of
an effective contraceptive for the female partner that includes: OCPs, long-acting
implantable hormones, injectable hormones, a vaginal ring, or an IUD. Subjects with
same sex partners (abstinence from penile-vaginal intercourse) are eligible when this
is their preferred and usual lifestyle. Males must not donate sperm for at least 90
Days after the last dose of study drug.

9. Have suitable venous access for blood sampling.

10. Be willing and able to comply with all study assessments and adhere to the protocol
schedule and restrictions.

11. Subjects must have no relevant dietary restrictions and be willing to consume standard
meals provided during the confinement period.
Minimum age
18 Years
Maximum age
55 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1. History or presence of significant cardiovascular, pulmonary, hepatic, renal,
hematological, gastrointestinal, endocrine, immunologic, dermatologic or neurological
disease, including any acute illness or surgery within the past 3 months determined by
the PI to be clinically relevant.

2. A primary diagnosis of chronic obstructive pulmonary disease or asthma as deemed by
Investigator.

3. Subjects has increased risk of infection:

1. History and/or presence of tuberculosis (TB).

2. Body temperature of > 37.7?.

3. Blood neutrophil count <1.7 × 109/L, or white blood cell count < 4.0×109/L
(Screening and Day -1).

4. Is in high risk-group (i.e., men who have had unprotected sex with men, women who
have had sex without a condom with men who have sex with men, people who have had
sex without a condom with a person who has lived or travelled in Africa, people
who inject drugs, people who have had sex without a condom with somebody who has
injected drugs, people who have caught another sexually transmitted infection,
people who have received a blood transfusion while in Africa, eastern Europe, the
countries of the former Soviet Union, Asia or central and southern America) for
human immunodeficiency virus (HIV) infection within the last 6 months.

5. Other latent or chronic infections (e.g., recurrent sinusitis, genital or ocular
herpes, urinary tract infection) or at risk of infection (surgery, trauma, or
significant infection) within 3 months of Screening, or history of skin abscesses
within 3 months of Screening.

6. Clinically significant lower respiratory tract infection not resolved within
4weeks prior to Screening, as determined by the PI.

7. Volunteers with active malignancy or neoplastic disease in the previous 5 years
other than superficial basal cell carcinoma.

8. Disease history suggesting abnormal immune function or use of or plans to use
systemic immunosuppressive (e.g., corticosteroids, methotrexate, azathioprine,
cyclosporine) or immunomodulating medications (e.g., interferon) during the study
or within 4 months prior to the first study drug administration.

9. Volunteers who have received live or live-attenuated vaccine in the 4 weeks prior
to dosing.

10. High-sensitivity C-reactive protein > upper limit of normal (ULN) at Screening
and on Day -1.

4. Some subjects lacking functional Dipeptidyl peptidase 1 (DPP1) enzyme have been
described to have periodontitis and palmoplantar hyperkeratosis:

1. Subjects with signs of current gingivitis/periodontitis. Gingival evaluation (by
inspection) will be performed by a dental hygienist or trained study physician.

2. Subjects with a history of hyperkeratosis or erythema in palms or soles.

5. Liver function test results (i.e., aspartate aminotransferase [AST], alanine
aminotransferase [ALT], and gamma glutamyl transferase [GGT]) and total bilirubin
elevated more than 1.2 fold above the ULN.

6. Positive test results for active HIV, hepatitis B surface antigen (HBsAg) or hepatitis
C virus (HCV) antibodies (Abs).

7. Presence or having sequelae of gastrointestinal, liver, kidney, or other conditions
known to interfere with the absorption, distribution, metabolism, or excretion of
drugs.

8. Estimated creatinine clearance (CrCl) < 60 mL/min using the Cockcroft-Gault formula or
serum creatinine more than 1.5-fold above the ULN.

9. History of alcohol abuse within 12 months prior to first study drug administration or
positive alcohol breath test. Regular alcohol consumption defined as > 21 alcohol
units per week (where 1 unit = 284 mL of beer, 25 mL of 40% spirit or a 125 mL glass
of wine). Subject is unwilling to abstain from alcohol beginning 48 hours prior to
admission to the CRU and during the confinement period.

10. History of substance abuse within 12 months prior to first study drug administration
or positive drug test results. Subjects with a positive toxicology Screening panel
(urine test including qualitative identification of barbiturates, THC, amphetamines,
benzodiazepines, opiates, and cocaine).

11. Use of any prescription or over-the-counter medication (including herbal products,
diet aids, and hormone supplements) within 14 days or 5 half-lives of the medication
(whichever is longer) prior to the first study drug administration, except occasional
use of paracetamol. Use of any IP or investigational medical device within 30 days
prior to Screening, or 5 half-lives of the product (whichever is the longest).

12. Demonstrated clinically significant (required intervention e.g., emergency room visit,
epinephrine administration) allergic reactions (e.g., food, drug, or atopic reactions,
asthmatic episodes) which, in the opinion of the Investigator, would interfere with
the volunteer's ability to participate in the trial.

13. Known hypersensitivity to any of the study drug ingredients.

14. For women of childbearing potential, a positive serum pregnancy test at Screening or a
positive urine pregnancy test with confirmatory serum pregnancy test on Day -1.

15. Donation of blood or plasma within 30 days prior to first study drug administration,
or loss of whole blood of more than 500 mL within 30 days prior to randomization, or
receipt of a blood transfusion within 1 year of first study drug administration.

16. Participation in another investigational clinical trial within 60 days prior to the
first study drug administration and participation in more than 4 investigational drug
studies within 1 year prior to Screening.

17. Any other condition or prior therapy that in the opinion of the PI would make the
volunteer unsuitable for this study, including inability to cooperate fully with the
requirements of the study protocol or likelihood of noncompliance with any study
requirements.

18. Is an employee of an Investigator or Sponsor or an immediate relative of an
Investigator.

19. Pregnant or lactating at Screening or planning to become pregnant (self or partner) at
any time during the study, including the Follow-up period.

20. History of life-threatening infection (e.g., meningitis).

21. Infections requiring parenteral antibiotics within the 6 months prior to Screening.

22. Healthy volunteers with tattoos.

23. Use of any IP or investigational medical device within 30 days prior to Screening, or
5 half-lives of the product (whichever is the longest) or participation in more than 4
investigational drug studies within 1 year prior to Screening.

Study design
Purpose of the study
Other
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 analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
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
Haisco Pharmaceutical Group Co., Ltd.
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
Haisco Pharmaceutical(Australia) Pty Ltd.
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This is a Phase I, single-dose escalation clinical trial for HSK31858 conducted in healthy
volunteers. The safety, tolerability, and pharmacokinetics of HSK31858 tablet in healthy
volunteers will be evaluated using a randomized, double-blind, placebo-controlled trial
design.
Trial website
https://clinicaltrials.gov/ct2/show/NCT05023525
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Ofer Gonen
Address 0 0
Nucleus Network Pty Ltd.
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT05023525