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AcromegalyPhase 1NCT03571594

A Four-Part Study to Assess the Safety, Tolerability, PK and PD of ONO-5788 in Healthy Adult Volunteers

A Phase 1 study testing ONO-5788 and Octreotide in people with Acromegaly, run by Ono Pharmaceutical Co., Ltd. at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a first in human study to determine the safety, tolerability, pharmacokinetics and pharmacodynamics of ONO-5788 in healthy adult volunteers. This study will be conducted in 4 parts: a single-ascending dose part, a multiple-ascending dose part, an elderly part and a proof of principle part. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Acromegaly
What is being tested?
ONO-5788 and Octreotide
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
76 participants
Where
1 siteUnited States
Study dates
7 Jun 2018to 16 May 2019
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy, adult, male and female (women of non-child bearing potential, surgically sterile) volunteers, 18-55 years of age, inclusive, at screening (Parts A \& B only).
  • Healthy, adult, males and female (women of non-child bearing potential), ≥65 years of age at screening (Part C only).
  • Healthy, adult, male, 18-40 years of age, inclusive, at screening (Part D only).
  • Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECG abnormalities (All Parts).
  • Body mass index (BMI) of ≥18.5 to ≤30 kg/m2 at screening (Parts A, B \& C).
  • Body mass index (BMI) of ≥18.5 to <25 kg/m2 at screening (Part D only).

Who cannot join

  • History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  • History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing.
  • History or presence of hypersensitivity or idiosyncratic reaction to the study drugs,excipients or related compounds.
  • History or presence of:
  • Gallstones, cholangitis, and/or cholecystitis or clinically significant findings on gallbladder ultrasound as determined by the Principal Investigator;
  • Pancreatitis;
Show all 21Show fewer
  • Hypothyroidism;
  • Known diabetes mellitus type 1 or type 2;
  • Hypocalcaemia or hypokalemia;
  • Hypoglycemia or hyperglycemia or fasting blood glucose outside normal local range;
  • Thrombocytopenia or other clinically significant hematologic abnormalities;
  • Inflammatory bowel disease, irritable bowel syndrome, or abdominal surgery;
  • Known vitamin B12 deficiency.
  • Abnormal gallbladder ejection fraction on hepatobiliary iminodiacetic acid (HIDA) scan at screening (Part B only)
  • Positive urine drug, alcohol or cotinine results at screening or check in.
  • Clinically significant serum electrolyte (sodium, potassium, chloride, bicarbonate) abnormalities at screening or each check-in, in the estimation and clinical judgment of the PI or designee.
  • Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).
  • Seated blood pressure is less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg (160/95 mmHg for Part C) at screening.
  • Has engaged in strenuous physical exercise in the 48 hours prior first dosing or intends to undergo strenuous physical exercise at any time throughout the study.
  • Donation of blood or significant blood loss within 56 days prior to the first dosing.
  • Plasma donation within 7 days prior to the first dosing.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Celerion

    Tempe, Arizona, 85283

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Placebo-Controlled, Four- Part Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of ONO-5788 in Healthy Adult Volunteers

This is a first in human study to determine the safety, tolerability, pharmacokinetics and pharmacodynamics of ONO-5788 in healthy adult volunteers. This study will be conducted in 4 parts: a single-ascending dose part, a multiple-ascending dose part, an elderly part and a proof of principle part.

Read the detailed description

This single centre study will be comprised of 4 parts, Part A (SAD; up to 7 cohorts, 8 subjects per cohort and including an assessment of food effect), a multiple-dose part (up to 4 doses, 10 subjects per cohort); an elderly cohort (8 subjects per gender) and a proof of principle part.

The single ascending dose part (Part A) comprises of increasing doses of an oral solution or capsule, with an investigation of the potential for food effects.

The multiple ascending dose part (Part B, MAD; 14 days dosing) will be initiated after the PK and safety data are available from the single ascending dose part. Subjects in Part B will have ultrasound scans of the gallbladder during the study and at screening a HIDA scan will be performed. An evaluation of the PK in the elderly and any potential gender differences will also be evaluated in Part C. Subjects in Part C will have an ultrasound of the gallbladder at screening.

Part D will be a proof of principle evaluation where the effects of ONO-5788 to inhibit the GHRH and arginine-stimulated GH release will be evaluated. Octreotide acetate is a reference arm in this part of the study.

Conditions
Acromegaly
Being tested
ONO-5788, ONO-5788 Placebo, Octreotide
Medical subject headings
Acromegaly

What participants receive

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

  • ONO-5788Drug

    Investigational drug

  • ONO-5788 PlaceboDrug

    Placebo Comparator

  • OctreotideDrug

    Also called Sandostatin

    Active Comparator in Part D

Study groups in NCT03571594
Study groupRoleWhat they receive
ONO-5788 Part A1ExperimentalSingle ascending doses of ONO-5788 or placebo in fasted healthy volunteers randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788
ONO-5788 Placebo Part A1Placebo comparatorSingle ascending doses of ONO-5788 or placebo in fasted healthy volunteers randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788 Placebo
ONO-5788 Part A2ExperimentalSingle dose (1-2 groups) of ONO-5788 or placebo in healthy volunteers under fed conditions randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788
ONO-5788 Placebo Part A2Placebo comparatorSingle dose (1-2 groups) of ONO-5788 or placebo in healthy volunteers under fed conditions randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788 Placebo
ONO-5788 Part BExperimentalMultiple ascending doses of ONO-5788 or placebo in healthy volunteers randomized 8 active : 2 placebo per group
Receives: Drug: ONO-5788
ONO-5788 Placebo Part BPlacebo comparatorMultiple ascending doses of ONO-5788 or placebo in healthy volunteers randomized 8 active : 2 placebo per group
Receives: Drug: ONO-5788 Placebo
ONO-5788 Part CExperimentalSingle doses of ONO-5788 or placebo in elderly female or elderly male healthy volunteers randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788
ONO-5788 Placebo Part CPlacebo comparatorSingle doses of ONO-5788 or placebo in elderly female or elderly male healthy volunteers randomized 6 active : 2 placebo per group
Receives: Drug: ONO-5788 Placebo
ONO-5788 Part DExperimentalSingle doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
Receives: Drug: ONO-5788
ONO-5788 Placebo Part DPlacebo comparatorSingle doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
Receives: Drug: ONO-5788 Placebo
Octreotide Part DActive comparatorSingle doses of ONO-5788, octreotide or placebo in healthy volunteers stimulated with growth hormone release hormone (GHRH) and arginine
Receives: Drug: Octreotide

What is being measured

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

  1. Number of participants with treatment emergent adverse events by severity

    An adverse event is any untoward medical occurrence in a participant who receive study drug without regard to possible causal relationship.

    Measured: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28

  2. Number of participants with serious adverse events (SAEs)

    An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death, initial or prolonged hospitalization, life-threatening experience or persistent disability.

    Measured: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28

  3. Number of participants with clinically significant changes in vital signs

    Number of participants with clinically significant changes in vital signs including pulse/heart rate, respiratory rate, and blood pressure will be reported.

    Measured: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28

  4. Number of participants with ECG abnormalities

    Number of participants with ECG abnormalities will be reported

    Measured: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28

  5. Number of participants with clinical laboratory abnormalities

    Number of participants with clinical laboratory abnormalities will be reported

    Measured: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28

  6. Number of participants with clinically significant change in ultrasound of gallbladder

    Number of participants with clinically significant change in ultrasound of gallbladder will be reported

    Measured: Part B - up to day 21

Secondary outcomes (16)
  1. Pharmacokinetics (AUC)

    Assessment of the plasma area under the curve of ONO-5788 and metabolites (Parts A, B and C only)

    Measured: Day 1 through Day 14

  2. Pharmacokinetics (AUC) - food effect

    Effect of food on the plasma area under the curve of ONO-5788 and metabolites (Parts A only)

    Measured: Day 1

  3. Pharmacokinetics (Cmax)

    Assessment of the maximum observed plasma concentration of ONO-5788, metabolites (Parts A, B, C \& D) and octreotide (Part D only)

    Measured: Day 1 through Day 14

  4. Pharmacokinetics (Cmax) - food effect

    Effect of food on the maximum observed plasma concentration of ONO-5788, and metabolites (Part A only)

    Measured: Day 1

  5. Pharmacokinetics (Tmax)

    Assessment of the time to reach Cmax for ONO-5788, metabolites (Parts A, B, C \& D) and octreotide (Part D only)

    Measured: Day 1 through Day 14

  6. Pharmacokinetics (Tmax) - food effect

    Effect of food on the time to reach Cmax for ONO-5788, metabolites (Part A only)

    Measured: Day 1 through Day 14

  7. Pharmacokinetics (Ctrough)

    Assessment of trough levels for ONO-5788 and metabolites immediately before dosing (Part B only)

    Measured: Day 1 through Day 14

  8. Pharmacokinetics (T1/2)

    Assessment of the elimination half-life of ONO-5788 and metabolites (Parts A, B and C only)

    Measured: Day 1 through Day 14

  9. Pharmacokinetics (T1/2) - food effect

    Effect of food on the elimination half-life of ONO-5788 and metabolites (metabolite) (Part A only)

    Measured: Day 1

  10. Pharmacokinetics (CL/F)

    Assessment of the apparent clearance rate of ONO-5788 (Parts A \& C)

    Measured: Day 1

  11. Pharmacokinetics (CL/F) - food effect

    Effect of food on the apparent clearance rate of ONO-5788 (Part A only)

    Measured: Day 1

  12. Pharmacokinetics (Cave)

    Average concentration of ONO-5788/metabolites/Octreotide (Part D only)

    Measured: Day 1

  13. Pharmacodynamics (IGF-1)

    Assessment of the effects of ONO-5788 on IGF-1 levels (Part B only)

    Measured: Day 1 through Day 21

  14. Pharmacodynamics (Growth Hormone)

    Assessment of the effects of ONO-5788 on GH levels (Part B)

    Measured: Day 1 through Day 21

  15. Pharmacodynamics (Growth Hormone)

    Assessment of the effects of ONO-5788 on GHRH \& arginine stimulated GH levels (Part D)

    Measured: Day 1

  16. Pharmacodynamics (IGFBP3)

    Assessment of the effects of ONO-5788 on IGFBP3 levels (Part B only)

    Measured: Day 1 through Day 21

Timeline

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

  1. First posted27 Jun 2018
  2. Study start7 Jun 2018
  3. Primary completion16 May 2019
  4. Study completion16 May 2019

Why it stopped: The study met a pre-defined protocol study stopping criteria

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
76 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03571594
Sponsor's protocol ID
ONO-5788-01
Status last verified
Jun 2019
First submitted
1 Jun 2018
Last updated
5 Jun 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ONO-5788 and Octreotide in people with Acromegaly, run by Ono Pharmaceutical Co., Ltd. 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 6 inclusion and 21 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: stopped early, as of the sponsor's last update on 5 Jun 2019. 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. Some participants in this study may receive a placebo. 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 was stopped early (reason given: The study met a pre-defined protocol study stopping criteria). Results are not available in the source record.

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?

Number of participants with treatment emergent adverse events by severity (time frame: Part A - up to day 8; Part B - at least day 21; Part C - at least day 21; and Part D - up to day 28). The study lists 6 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 5 Jun 2019.

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Clinical Trial NCT03571594 | AzTrials