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Bacterial InfectionsPhase 1NCT03024034

A Phase 1 TP-271 Oral PK Single Ascending Dose Study

A Phase 1 study testing TP-271 in people with Bacterial Infections, run by Tetraphase Pharmaceuticals, 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

The purpose of this study is to determine the safety and tolerability of up to 6 different single ascending oral doses of TP-271, ranging from 25 mg to 300 mg, in healthy adult male or female subjects. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Bacterial Infections
What is being tested?
TP-271
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
1 siteUnited States
Study dates
2 Mar 2017to 4 Jun 2018
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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Be within the age range of 18 to 50 years, inclusive, at the time of Screening
  • Voluntarily sign an Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved ICF to participate in the study after all relevant aspects of the study have been explained and discussed with the subject and before undergoing any study-related procedures
  • Have a body mass index (BMI) ≥18.0 and ≤33.0 kg/m2
  • Have a negative history of and negative screening results for human immunodeficiency virus 1 and 2 and hepatitis B and C antibodies
  • Have the ability to communicate with the study unit staff in a manner sufficient to carry out all protocol procedures as described
  • Female subjects must be of non-child bearing potential, either 1-year post menopausal or surgically sterile (bilateral oophorectomy, bilateral tubal ligation, or complete hysterectomy)
  • Male subjects must be willing and able to use a barrier method of contraception or practice abstinence (including male subjects who had a vasectomy) from dosing through 90 days post-dosing of the study drug

Who cannot join

  • History and/or presence of any clinically significant disease or disorder such as cardiovascular, pulmonary, renal, hepatic, neurological, gastrointestinal, endocrine, psychiatric, or mental disease or disorder, or mental or legal incapacitation, which, in the opinion of the PI, may either put the subject at risk because of participation in the study, influence the results of the study, or influence the subject's ability to participate in the study
  • Clinical laboratory values that fall outside the eligibility range specified in Appendix D are exclusionary; for laboratory values that are not included in Appendix D, values outside of the reference range are exclusionary with the following exceptions (Table 3):
  • Table 3 Acceptable Out-of-Range Clinical Laboratory Values Low Chemistry Values High Chemistry Values Out-of-Range Urinalysis Values Out of Range Hematology Values Bicarbonate Chloride High or low specific gravity High hematocrit Chloride HDL cholesterol Cloudy Basophils GGT LDL cholesterol Mucus Monocytes HDL cholesterol Phosphorus Crystals MCV LDH Triglycerides Ketones MCHC LDL cholesterol Hyaline casts MCH Phosphorus High or low pH RBC Triglycerides Urobilinogen a Bicarbonate >18 mEq/L. b Ketonuria is acceptable only when the concurrent blood glucose is normal. c Measured when monitoring the serum bilirubin concentration. Abbreviations: GGT = gamma-glutamyltransferase; HDL = high-density lipoprotein; LDH = lactate dehydrogenase; LDL = low-density lipoprotein; MCH = mean corpuscular hemoglobin; MCHC = mean corpuscular hemoglobin concentration; MCV = mean corpuscular volume; RBC = red blood cell.
  • Known allergy to tetracycline antibiotics, EDTA, or any of the excipients in TP 271
  • Clinically significant abnormality on a 12-lead ECG including the following:
  • Rhythm other than sinus
Show all 24Show fewer
  • Corrected QT interval using Fridericia's formula (QTcF) >450 msec
  • Evidence of second- or third-degree atrioventricular (AV) block
  • Pathological Q-waves (defined as a Q-wave >40 msec or depth >0.4 to 0.5 mV)
  • Evidence of ventricular pre-excitation
  • Evidence of complete left bundle branch block (BBB), right BBB, or incomplete left BBB
  • Intraventricular conduction delay with QRS duration >120 msec
  • ST segment abnormalities unless judged by the Investigator to be non pathologic
  • History of seizures
  • A history within 3 years of positive result on urine screen for drugs of abuse or a positive result at Screening for any of the following drugs of abuse: tetrahydrocannabinols, cocaine, opioids, phencyclidines, amphetamine, benzodiazepine, and barbiturates
  • Use of tobacco, nicotine, or nicotine-replacement products within 3 months prior to administration of study drug through the last study visit
  • Typical weekly alcohol consumption of 7 or more alcoholic drinks, where 1 alcoholic drink is defined as 1 glass of beer (approximately 10 to 12 oz), 1 can (12 oz) of beer, 1 glass of wine (approximately 4 to 5 oz), or distilled spirits (approximately 1 oz or 30 mL of liquor)
  • Alcohol consumption within 48 hours prior to dosing
  • Participation in a clinical study within 10 half-lives of the prior study treatment or within the previous 3 months (if the half-life of investigational agent is unknown) prior to receiving study drug on Day 1 or planned participation in another clinical study concurrent with the present trial
  • History of difficulty donating blood or poor venous access
  • Recent blood donation (1 unit or approximately 450 mL) within 1 month prior to receiving study drug or plans to donate prior to receiving study drug or during the clinical study
  • Use of any prescription or non-prescription medication, including vitamins or herbal medications, vaccination, or immunization within 7 days, or 5 half-lives (if known), whichever is longer, prior to dosing of study drug, with the following exceptions: medications used to treat an AE, and the use of acetaminophen, naproxen, and ibuprofen is permitted except for within 24 hours prior to dosing
  • Male subject donates or plans to donate sperm during the study and for at least 90 days after study drug administration.
  • Unwillingness or inability to follow the procedures outlined in the clinical study protocol

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD Phase 1 Clinic

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Phase 1, Randomized, Placebo-Controlled, Double-Blind, Ascending-Dose Study to Assess the Safety, Tolerability, and Pharmacokinetics of Oral TP-271 in Healthy Adult Subjects, Including 1 Cross-over Arm

The purpose of this study is to determine the safety and tolerability of up to 6 different single ascending oral doses of TP-271, ranging from 25 mg to 300 mg, in healthy adult male or female subjects.

Read the detailed description

This study is designed to assess oral TP-271, and the objectives of the study are to examine the safety, tolerability, and PK of oral TP-271 in healthy adult subjects after administration of a single dose. A single-dose, dose-escalating study design is common for early clinical studies. A cohort size of 8 subjects (6 receiving oral TP-271 and 2 receiving placebo) for the single ascending dose cohorts (Cohorts A through F) will allow sufficient data assessments of plasma and urine concentrations, plasma PK parameters, and safety without exposing large numbers of subjects to oral TP-271 in this clinical study. One additional cohort of 8 subjects will first receive treatment with TP-271 or TP-271 co-administered with ethylenediaminetetraacetic acid (EDTA) and then cross-over to treatment with the other study agent, which will allow a comparison of the bioavailability of TP-271 alone compared to TP-271 co-administered with EDTA, as well as allow additional assessment of plasma and urine concentrations, plasma PK parameters, and safety.

Being tested
TP-271
Medical subject headings
Bacterial Infections

What participants receive

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

  • TP-271Drug

    single oral dose of TP 271 or placebo, randomized 3:1, doses escalating as 25 mg, 50 mg, 100 mg, 150 mg, 200 mg, and 300 mg, and a final crossover cohort of 50 mg TP-271 and 50 mg TP-271 with 250 mg of EDTA, or placebo and 250 mg of EDTA

Study groups in NCT03024034
Study groupRoleWhat they receive
Cohort AActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 25 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort BActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 50 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort CActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 100 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort DActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 150 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort EActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 200 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort FActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 300 mg single dose (n = 6) or matching placebo (n = 2)
Receives: Drug: TP-271
Cohort GActive comparatorOral dose of TP-271, a novel, broad-spectrum tetracycline-class antibiotic, 50 mg TP 271, cross-over to 50 mg TP 271/250 mg EDTA (n = 3); 50 mg TP 271/250 mg EDTA, cross-over to 50 mg TP 271 (n = 3); matching placebo, cross over to 250 mg EDTA (n= 1); or 250 mg EDTA, cross over to matching placebo (n = 1)
Receives: Drug: TP-271

What is being measured

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

  1. Adverse Events (AE)

    The incidence, intensity, and type of adverse events (AE) and the total number of participants experiencing AEs that are related to treatment

    Outcome measures to be collected in support of the primary objective (safety and tolerability) include:

    • The incidence, intensity, and type of AEs (from time of signing of informed consent form [ICF] through EOS);
    • Changes in physical examination findings (Day -1 and EOS);
    • Changes in vital signs (Day -1 through EOS);
    • Changes in safety laboratory (chemistry, hematology, coagulation, urinalysis) results (Days -1 through EOS); and
    • Changes in ECG measurements (Days -1 through EOS).

    Measured: Through study completion, approximately 39 days

  2. Physical Exams

    Changes in physical examination findings

    Measured: Through study completion, approximately 39 days

  3. Vital Signs

    Changes in vital signs

    Measured: Through study completion, approximately 39 days

  4. Safety Laboratory

    Changes in safety laboratory (chemistry, hematology, coagulation, urinalysis) results that are considered abnormal, clinically significant and related to treatment

    Measured: Through study completion, approximately 39 days

  5. ECG measurements

    Abnormal ECG measurements that are abnormal, clinically significant and related to treatment

    Measured: Through study completion, approximately 39 days

Secondary outcomes (15)
  1. Plasma Pharmacokinetic (PK) Analysis

    Plasma concentrations of TP-271 and its C-4 epimer TP-9555 for PK analysis

    Measured: Days 1-5

  2. Urine Pharmacokinetic (PK) Analysis

    Urine concentrations of TP-271 and its C-4 epimer TP-9555

    Measured: Days 1-5

  3. PK parameters - Cmax

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for Cmax [The maximum observed plasma concentration]

    Measured: Days 1-5

  4. PK parameters - Tmax

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for Tmax [The time from dosing at which Cmax is apparent]

    Measured: Days 1-5

  5. PK parameters - C8

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for C8 [The concentration at 8 hours post-dose]

    Measured: Days 1-5

  6. PK parameters - C12

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for C8 [The concentration at 8 hours post-dose]

    Measured: Days 1-5

  7. PK parameters - C24

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for C24 [The concentration at 24 hours post-dose]

    Measured: Days 1-5

  8. PK parameters - AUC(0-last)

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for AUC(0-inf) [The area under the concentration vs time curve from time zero extrapolated to infinity]

    Measured: Days 1-5

  9. PK parameters - AUC(0-inf)

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for AUC(0-inf) [The area under the concentration vs time curve from time zero extrapolated to infinity]

    Measured: Days 1-5

  10. PK parameters - AUC% extrapolated

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for AUC%extrapolated [The percentage of AUC(0-inf) accounted for by extrapolation]

    Measured: Days 1-5

  11. PK parameters - Lambda-z

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for Lambda-z [Slope of the regression line passing through the apparent elimination phase in a concentration vs time plot]

    Measured: Days 1-5

  12. PK parameters - T1/2el

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for T1/2el [The elimination half-life]

    Measured: Days 1-5

  13. PK parameters - CL

    PK parameters will be calculated from the plasma concentration versus time data (as appropriate) for CL [Clearance: the volume of plasma cleared per unit time]

    Measured: Days 1-5

  14. PK parameters - Vd

    The PK parameters of the epimer/parent will be calculated for Cmax and AUC(0-inf).

    Measured: Days 1-5

  15. PK parameters - epimer/parent

    The PK parameters of the epimer/parent will be calculated for Cmax and AUC(0-inf).

    Measured: Days 1-5

Timeline

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

  1. First posted18 Jan 2017 (estimated)
  2. Study start2 Mar 2017
  3. Primary completion1 Dec 2017
  4. Study completion4 Jun 2018

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03024034
Sponsor's protocol ID
TP-271-003
Other IDs
15-0061
Status last verified
Dec 2021
First submitted
9 Jan 2017
Last updated
13 Dec 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TP-271 in people with Bacterial Infections, run by Tetraphase Pharmaceuticals, 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 7 inclusion and 24 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 13 Dec 2021. 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?

Adverse Events (AE) (time frame: Through study completion, approximately 39 days). The study lists 5 primary outcomes in all. 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 13 Dec 2021.

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