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Hearing LossPhase 1NCT02259595

Study to Determine the Safety, Tolerability, and Pharmacokinetic Profile of HPN-07 and HPN-07 Plus NAC

A Phase 1 study testing HPN-07 and NAC in people with Hearing Loss and Sensorineural Hearing Loss, run by Otologic Pharmaceutics, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a single-center, randomized, placebo-controlled, double-blind, single ascending dose escalation study to determine the safety, tolerability, and PK profile of oral administration of HPN-07 in single doses to approximately 32 healthy male and female subjects between 18 and 55 years of age. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
HPN-07 and NAC
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteUnited States
Study dates
Oct 2014to Feb 2015
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female subjects, 18-55 years of age (inclusive), at the time of enrollment.
  • Healthy as judged by a responsible physician with no clinically significant abnormality identified on the medical or laboratory evaluation, including 12-lead electrocardiogram (ECG). A subject with a clinical abnormality or laboratory parameters outside the reference range for this age group may be included only if the Investigator considers that the finding will not introduce additional risk factors and will not interfere with the study procedures (as defined as the research site's standard operating procedures).
  • Male subjects who are surgically sterile OR agree to abstain from sexual intercourse with a female partner OR agree to use a condom and spermicide during sexual intercourse with a female partner who meets the following criteria: 1) uses another form of contraception, such as an intrauterine device (IUD), occlusive cap (diaphragm or cervical/vault cap) with spermicide, oral contraceptives, injectable progesterone, subdermal implants, female condom, contraceptive patch, or contraceptive vaginal ring; and/or 2) has had a tubal ligation or hysterectomy. These criteria must be followed from the time of the first dose of study medication until 14 days after the last dose of study medication. Men must also abstain from sperm donation from the time of the first dose of study medication until 14 days after the last dose of study medication.
  • Female subjects of childbearing potential must be practicing abstinence or are using, and willing to continue using, a medically acceptable form of birth control for at least 1 month prior to Screening (at least 3 months for hormonal contraceptives) and for at least 2 months after the last study drug administration. Medically acceptable forms of contraception include abstinence, hormonal contraceptives (oral, patch or vaginal ring), intrauterine device, progestin implant or injection, bilateral tubal ligation, or double-barrier methods (i.e., male condom in addition to a diaphragm or a contraceptive sponge).
  • Female subjects of non-childbearing potential, defined as: having undergone successful surgical sterilization (hysterectomy and/or bilateral oophorectomy/salpingo-oophorectomy, as determined by subject medical history) or post-menopausal. Postmenopausal is defined as being amenorrheic for at least 1 year without another cause and a follicle-stimulating hormone (FSH) level ~50 mlU/ml.
  • Female subjects must have a negative pregnancy test at screening and Day -1 (admission).
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  • Minimum body weight of 50.0 kg and body mass index (BMI) between 18.0 kg/m2 and 33.0 kg/m2 (inclusive).
  • Non-smoker (refrained from any tobacco usage, including smokeless tobacco, nicotine patches, etc:, for 6 months prior to the administration of the study medication) and has negative findings on a breath carbon monoxide (CO) test.
  • Willing and able to comply with study instructions and commit to all follow-up visits, and willing and able to abide by all study requirements and restrictions.
  • Ability to understand, agree to, and sign the study informed consent form (ICF) prior to initiation of any protocol related procedures.

Who cannot join

  • Self-reported substance or alcohol dependence or abuse (excluding nicotine and caffeine) within the past 2 years, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and/or subjects who have ever been in a substance or alcohol rehabilitation program to treat their substance or alcohol dependence.
  • History of serious adverse reactions or hypersensitivity to any drug; or known allergy to any of the test product(s), or any components in the test product(s); or history of hypersensitivity; or allergic reactions to any of the study preparations as described in the Investigator's Brochure; or severe allergic reaction (including anaphylaxis) to any food, or bee stings or previous status asthmaticus.
  • History of renal stones or taking cardiac nitrates.
  • Any clinically significant central nervous system (e.g., seizures), cardiac, pulmonary, metabolic, renal, hepatic, or gastrointestinal conditions or history of such conditions that, in the opinion of the investigator, may place the subject at an unacceptable risk as a participant in this trial or may interfere with the distribution, metabolism, or excretion of drugs.
  • Abnormal physical findings of clinical significance, at screening or on Day -1, which would interfere with the objectives of the study.
  • History or presence of orthostatic hypotension (~20 mmHg drop in systolic blood pressure, or ~10 mmHg drop in diastolic blood pressure, or subject experiences lightheadedness or dizziness) at screening or on Day-1.
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  • Clinically significant abnormal laboratory values (as determined by the Investigator) at the screening evaluation.
  • Presence or history of allergies requiring acute or chronic treatment (except seasonal allergic rhinitis).
  • 12-lead ECG obtained at screening with PR >240 msec, QRS >110 msec, and QTc >440 msec for males and >450 msec for females, bradycardia (<50 bpm), or clinically significant minor ST wave changes on the screening ECG or any other changes on the screening ECG that would interfere with measurement of the QT interval.
  • Major surgical interventions within 6 months before the study.
  • Has a positive pre-study hepatitis B surface antigen; positive hepatitis C virus (HCV) antibody or detectable HCV ribonucleic acid (RNA); or positive human immunodeficiency virus (HIV) antibody result.
  • Use of a prohibited medication or supplement, as specified in Section 9.6.
  • Has a history of regular alcohol consumption averaging >14 drinks/week for men and >9 drinks/week for women (1 drink (10 g alcohol] = 100 ml of wine or 280 ml of standard strength beer or 30 ml of 80 proof distilled spirits) within 6 months of the screening visit.
  • Loss of 500 ml, or more, of blood during the 3-month period before the drug administration, e.g., blood donor.
  • Symptoms of a significant somatic or mental illness in the 4-week period preceding drug administration, as per investigator discretion.
  • Exclude subjects with a positive breath alcohol test or urine drug screen at screening. Suspected false positive results may be repeated at the discretion of the Investigator.
  • Concurrent participation in another drug or device research study or within 30 days of participation in another drug or device research study.
  • Considered by the Investigator to be an unsuitable candidate for this study.
  • Women who are breastfeeding, pregnant, or intend to become pregnant during the course of the study.
  • An employee of the sponsor or research site personnel directly affiliated with this study or their immediate family members defined as a spouse, parent, child, or sibling, whether biological or legally adopted.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Wake Research Associates

    Raleigh, North Carolina, 27612

Other trials in United States

About this study

Official title: Randomized, Placebo-controlled, Double-blind, Dose Escalation Study to Determine the Safety, Tolerability, and Pharmacokinetic Profile of HPN-07 and HPN-07 Plus NAC in Single Doses in Male and Female Subjects

This study is a single-center, randomized, placebo-controlled, double-blind, single ascending dose escalation study to determine the safety, tolerability, and PK profile of oral administration of HPN-07 in single doses to approximately 32 healthy male and female subjects between 18 and 55 years of age.

Subjects will receive single oral doses of the study drug. The primary endpoint of this trial is to establish the safety and tolerability of HPN-07 and HPN-07 plus N-acetylcysteine (NAC).

Read the detailed description

This study is a single-center, randomized, placebo-controlled, double-blind, single ascending dose escalation study to determine the safety, tolerability, and PK profile of oral administration of HPN-07 in single doses to healthy male and female subjects between 18 and 55 years of age.

Approximately 32 subjects will be enrolled in a panel of 4 cohorts with approximately 8 subjects per cohort. There will be approximately 3 sequential ascending dosing levels of HPN-07, with each cohort administered 1 dose of HPN-07 ranging from 500 mg to 1,500 mg and the fourth cohort administered the highest tolerated dose of HPN-07 plus 1,200 mg NAC.

The primary endpoint of this trial is to establish the safety and tolerability of HPN-07 and HPN-07 plus N-acetylcysteine (NAC). Pharmacokinetics (PK) analysis of HPN-07 will enable a preliminary determination of the relationship between dose and the time course of the drug concentration in the body. Blood samples will be collected at regular intervals over the predicted time of HPN-07 systemic exposure.

Being tested
HPN-07, NAC, Placebo
Keywords
Hearing Loss, Sensorineural Hearing Loss, Noise-Induced Hearing Loss, Antioxidant, NAC, N-acetylcysteine, HPN-07
Medical subject headings
Hearing Loss, Hearing Loss, Sensorineural, Hearing Loss, Noise-Induced

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HPN-07Drug

    Also called disufenton sodium, Disodium 4-[(tert-butylimino)methyl]benzene-1,3-disulfonate N-oxide

    500-1,500 mg oral capsules administered in a single dose

  • NACDrug

    Also called N-acetylcysteine, acetylcysteine, N-acetyl-L-cysteine

    1,200mg NAC administered via oral capsule in single dose

  • PlaceboDrug

    placebo oral capsule

Study groups in NCT02259595
Study groupRoleWhat they receive
HPN-07 500 mg / PlaceboExperimentalSingle dose of 500mg HPN-07 plus placebo in oral capsules.
Receives: Drug: HPN-07; Drug: Placebo
HPN-07 1000 mg / PlaceboExperimentalSingle dose of 1,000mg HPN-07 plus placebo in oral capsules
Receives: Drug: HPN-07; Drug: Placebo
HPN-07 1500 mg / PlaceboExperimentalSingle dose of 1,500mg HPN-07 plus placebo in oral capsules
Receives: Drug: HPN-07; Drug: Placebo
HPN-07 MTD plus NAC 1200mgExperimentalSingle dose of maximum tolerated dose of HPN-07 plus 1,200 mg NAC in oral capsules. Dose selection will be determined from safety data of previous cohorts by Data Assessment Committee (DAC).
Receives: Drug: HPN-07; Drug: NAC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and tolerability of single doses of HPN-07, alone and in co-administration with NAC: Adverse events

    The primary endpoint of this trial is to establish the safety and tolerability of HPN-07 and HPN-07 plus NAC. The following safety parameters will be evaluated for adverse events as determined by: 12-lead ECG, clinical laboratory tests, urinalysis, and vital signs.

    Measured: 48 hours

Secondary outcomes (6)
  1. Area under the curve (AUC) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

  2. Maximum observed plasma concentration (Cmax) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

  3. Half life (t1/2) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

  4. Volume of distribution (Vz) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

  5. Mean transit time (MTT) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

  6. Total clearance (CL) of single doses of HPN-07, alone and in co-administration with NAC

    Measured: pre-dose, 5, 15, and 30 min, and 1, 2, 4, 6, 8, 12, 24, and 48h post dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Oct 2014 (estimated)
  2. Study startOct 2014
  3. Primary completionJan 2015
  4. Study completionFeb 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02259595
Sponsor's protocol ID
HPN-07-PK-101
Status last verified
Apr 2015
First submitted
2 Sep 2014
Last updated
1 May 2015
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HPN-07 and NAC in people with Hearing Loss and Sensorineural Hearing Loss, run by Otologic Pharmaceutics, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 May 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and tolerability of single doses of HPN-07, alone and in co-administration with NAC: Adverse events (time frame: 48 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2015.

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