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Healthy VolunteersPhase 1NCT04296799

A Phase 1 Study of SMP-100 in Normal Healthy Volunteers

A Phase 1 study testing SMP-100 in people with Healthy Volunteers, run by Chengdu SciMount Pharmatech Co., Ltd. at 1 site in Australia.

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 will be the first clinical study of oral administration SMP-100 in healthy subjects. The proposed randomized Phase 1 trial is a double-blind, placebo-controlled, single and multiple ascending dose study in approximately 72 healthy male and female subjects. Read more about this study

Who is it for?
Ages 18 to 59 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
SMP-100
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
53 participants
Where
1 siteAustralia
Study dates
25 Jun 2020to 6 Aug 2021
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 59 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening) aged between ≥18 and ≤59 years old.
  • BMI >18.5 and <30.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females.
  • Healthy as defined by:
  • the absence of clinically significant illness and surgery within 4 weeks prior to dosing.
  • the absence of clinically significant history of neurological, endocrine, cardiovascular, respiratory, hematological, immunological, psychiatric, gastrointestinal, renal, hepatic, and metabolic disease.
  • the absence of clinically significant history of constipation, diarrhea, or irregular bowel transit in the last 4 weeks.
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  • the absence of clinically significant history of irritable bowel syndrome (IBS) of any type.
  • the absence of current or history of ischemic colitis.
  • Females of childbearing potential who are sexually active with a non-sterile male partner (sterile male partners are defined as men vasectomized since at least 6 months) must be willing to use one of the following acceptable contraceptive methods throughout the study and for 30 days after (the last) study drug administration:
  • simultaneous use of intra-uterine contraceptive device placed at least 4 weeks prior to (the first) study drug administration, and condom for the male partner;
  • simultaneous use of hormonal contraceptive starting at least 4 weeks prior to (the first) study drug administration and must agree to use the same hormonal contraceptive throughout the study, and condom for the male partner;
  • simultaneous use of diaphragm or cervical cap and male condom for the male partner, started at least 21 days prior to (the first) study drug administration.
  • A woman is considered of childbearing potential unless she is surgically sterilized (hysterectomy, bilateral salpingectomy, bilateral oophorectomy) at least 6 weeks before screening or postmenopausal (where postmenopausal is defined as no menses for 12 months without an alternative medical cause).
  • Male subjects who are not vasectomized for at least 6 months, and who are sexually active with a female partner of childbearing potential (childbearing potential females are defined as women that are neither post-menopausal nor surgically sterile) must be willing to use one of the following acceptable contraceptive methods from the first study drug administration until at least 90 days after the last study drug administration:
  • simultaneous use of a male condom and, for the female partner, hormonal contraceptives used since at least 4 weeks or intra-uterine contraceptive device placed since at least 4 weeks;
  • simultaneous use of a male condom and, for the female partner, a diaphragm.
  • Male subjects (including men who have had a vasectomy) with a pregnant or same-sex partner must agree to use a condom from the first study drug administration until at least 90 days after the last study drug administration.
  • Male subjects must be willing not to donate sperm until 90 days following the last study drug administration.
  • Willing to take off dentures or mouth piercing at the time of dosing.
  • Capable of consent.

Who cannot join

  • Any clinically significant abnormality at physical examination.
  • Any clinically significant abnormal laboratory test results or positive test for hepatitis B, hepatitis C, or HIV found during medical screening.
  • Positive urine drug screen, alcohol breath test, or urine cotinine test at screening. A repeat test can be conducted at screening or Day -1 at the discretion of the Principal Investigator or delegate.
  • History of allergic reactions to SMP-100 or other related drugs, or to any excipient in the formulation.
  • History of hypersensitivity to 5-HT3 receptor antagonists or agonists.
  • Positive serum pregnancy test at screening.
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  • Clinically significant ECG abnormalities (QTcF >450 ms for males and QTcF >460 ms for females).
  • Clinically significant vital sign abnormalities (systolic blood pressure lower than 90 or over 159 mmHg, diastolic blood pressure lower than 50 or over 100 mmHg, or heart rate less than 50 or over 100 bpm) at screening. Repeat test can be conducted at screening or Day -1 at the discretion of the Principal Investigator or delegate.
  • Clinically significant orthostatic vital sign abnormalities such as decrease in systolic blood pressure of 20 mmHg or higher, decrease in diastolic blood pressure of 10 mmHg or higher, or increase in heart rate of 30 bpm or higher within 3 minutes after passing from a supine to a standing position. Repeat test can be conducted at screening or Day -1 at the discretion of the principal investigator or delegate.
  • History of significant alcohol abuse within 1 year prior to screening or regular use of alcohol within 6 months prior to the screening visit (more than 14 units of alcohol per week [1 unit = 150 mL of wine, 375 mL of mid strength beer, or 30 mL of 40% alcohol]).
  • History of significant drug abuse within 1 year prior to screening or use of drugs such as marijuana within 3 months prior to the screening visit or drugs such as cocaine, phencyclidine [PCP], crack, opioid derivatives including heroin, and amphetamine derivatives within 1 year prior to screening.
  • Participation in a clinical research study involving the administration of an investigational drug or device within 30 days prior to the first dosing.
  • Administration of a biological product in the context of a clinical research study within 90 days prior to the first dosing.
  • Use of medications for the timeframes specified below, with the exception of medications exempted by the Investigator on a case-by-case basis because they are judged unlikely to affect the PK profile of the study drug or subject safety (e.g., topical drug products without significant systemic absorption):
  • prescription medications within 14 days prior to the first dosing;
  • over-the-counter products and natural health products (including herbal remedies homeopathic and traditional medicines, probiotics, food supplements such as vitamins, minerals, amino acids, essential fatty acids, and protein supplements used in sports) within 14 days prior to the first dosing, with the exception of the occasional use of paracetamol (up to 2 g daily);
  • any prescription or over-the-counter medication or natural health products used for the treatment of irregular bowel transit (e.g. diarrhea, constipation) within 4 weeks prior to the first dosing;
  • depot injection or implant of any drug within 3 months prior to the first dosing;
  • use of any drugs known to induce or inhibit hepatic metabolism (including St. John's Wort [hypericin]) within 14 days prior to the first dosing.
  • Donation of plasma within 7 days prior to dosing. Donation or loss of blood (excluding volume drawn at screening) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the first dosing.
  • Presence of:
  • orthodontic braces or orthodontic retention wires, or
  • any physical findings in the mouth or tongue that would be likely to interfere with successful completion of the dosing procedure.
  • Breast-feeding subject.
  • Any reason which, in the opinion of the Investigator, would prevent the subject from participating in the study

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • CMAX Clinical Research Pty Ltd

    Adelaide, SA 5000

Other trials in Australia

About this study

Official title: Phase 1, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Ascending Doses of SMP-100 in Normal Healthy Volunteers

This will be the first clinical study of oral administration SMP-100 in healthy subjects. The proposed randomized Phase 1 trial is a double-blind, placebo-controlled, single and multiple ascending dose study in approximately 72 healthy male and female subjects.

Read the detailed description

SMP-100 is a novel serotonin receptor 3 (5-HT3) partial agonist which has been designed to be a safe and effective therapy for irritable bowel syndrome (IBS) patients .

This will be a single center, Phase 1, double-blind, placebo-controlled, randomized, sequential single ascending dose (SAD)/ multiple ascending dose (MAD) study to assess the safety, tolerability, and PK of SMP-100 in healthy adult male and female subjects. The study will be divided into two parts:

Part A: SAD cohorts Part A will consist of 6 cohorts (1 cohort per dose level) of 8 subjects (6 subjects receiving the study drug and 2 receiving matching placebo), for a total of 48 subjects. Each subject will participate in only one cohort. Efforts will be made to randomize at least 3 subjects of each gender in each cohort.

Part B: MAD cohorts Part B will consist of 3 cohorts (1 cohort per dose level) of 8 subjects. Six subjects will receive study drug and 2 subjects will receive matching placebo, daily for 14 consecutive days, for a total of 24 subjects (18 study drug; 6 placebo). Each study subject will participate in only one cohort. Efforts will be made to randomize at least 3 subjects of each gender in each cohort.

For both Part A and Part B, subjects who withdraw or are withdrawn from the study after dosing, for reasons other than safety and tolerability, may be replaced after consultation between the Safety Review Committee (SRC) members. The total number of subjects dosed (including potential replacement subjects) will remain within a maximum of 10 subjects per cohort.

Being tested
SMP-100, Placebo

What participants receive

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

  • SMP-100Drug

    Also called SMP-100 oral solution, ALB-137391(a), CSTI-300

    SAD/MAD

  • PlaceboDrug

    Also called Placebo oral solution

    Placebo

Study groups in NCT04296799
Study groupRoleWhat they receive
Single Ascending DoseExperimentalThe study will consist of 6 cohorts (1 cohort per dose level) of 8 subjects (6 subjects receiving the study drug and 2 receiving matching placebo), for a total of 48 subjects.
Receives: Drug: SMP-100; Drug: Placebo
Multiple Ascending DoseExperimentalThe study will consist of 3 cohorts (1 cohort per dose level) of 8 subjects. Six subjects will receive study drug and 2 subjects will receive matching placebo, daily for 14 consecutive days, for a total of 24 subjects (18 study drug; 6 placebo).
Receives: Drug: SMP-100; Drug: Placebo

What is being measured

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

  1. Safety Endpoints of SAD

    Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.

    Measured: 10±2 days post dose

  2. Safety Endpoints of MAD

    Number of subjects with adverse events (AEs) (i.e., seriousness, severity, relationship to the study medication, outcome, duration, and management), vital signs, 12-lead electrocardiogram (ECGs), clinical laboratory parameters, weight, and physical examination.

    Measured: 13±2 days post last dose

Secondary outcomes (23)
  1. PK Endpoints AUC0-t of SAD

    area under the concentration-time curve from time zero to the last non-zero concentration (AUC0-t)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  2. PK Endpoints AUC0-24 of SAD

    area under the concentration-time curve from time zero to time 24 hours (AUC0-24)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  3. PK Endpoints AUC0 inf of SAD

    area under the concentration-time curve from time zero to infinity (extrapolated) (AUC0 inf)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  4. PK Endpoints Cmax of SAD

    maximum plasma concentration (Cmax)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  5. PK Endpoints Tmax of SAD

    time of maximum concentration ( Tmax)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  6. PK Endpoints T½ el of SAD

    elimination half-life ( T½ el)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  7. PK Endpoints Cl/F of SAD

    Total body clearance, calculated as Dose / AUC0-inf (Cl/F)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  8. PK Endpoints Vz/F of SAD

    apparent volume of distribution, calculated as Dose / (Kel * AUC0-inf) (Vz/F)

    Measured: before dosing and 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours post-dose.

  9. PK Endpoints AUC0-24 of MAD

    area under the concentration-time curve from time zero to time 24 hours (AUC0-24)

    Measured: Day 1

  10. PK Endpoints Cmax of MAD

    maximum plasma concentration (Cmax)

    Measured: Day 1

  11. PK Endpoints Tmax of MAD

    time of maximum concentration ( Tmax)

    Measured: Day 1

  12. PK Endpoints T½ el of MAD

    elimination half-life ( T½ el)

    Measured: Day 1

  13. PK Endpoints AUC0-τ of MAD

    area under the concentration-time curve at steady-state from time zero to time 24 hours ( AUC0-τ)

    Measured: Day 14

  14. PK Endpoints AUC0-48 of MAD

    area under the concentration-time curve from time zero to time 48 hours ( AUC0-48)

    Measured: Day 14

  15. PK Endpoints AUC0-72 of MAD

    area under the concentration-time curve from time zero to time 72 hours ( AUC0-72)

    Measured: Day 14

  16. PK Endpoints Cmax ss of MAD

    maximum observed concentration at steady-state (Cmax ss)

    Measured: Day 14

  17. PK Endpoints Tmax ss of MAD

    time of maximum concentration at steady-state(Tmax ss)

    Measured: Day 14

  18. PK Endpoints Cmin ss of MAD

    minimum observed concentration at steady-state(Cmin ss)

    Measured: Day 14

  19. PK Endpoints AUC0- t of MAD

    area under the concentration-time curve from time zero to the last non-zero concentration(AUC0- t)

    Measured: Day 14

  20. PK Endpoints T½ el of MAD

    elimination half-life(T½ el)

    Measured: Day 14

  21. PK Endpoints Clss/F of MAD

    total body clearance at steady-state, calculated as Dose / AUC0-inf(Clss/F)

    Measured: Day 14

  22. PK Endpoints Vz ss/F of MAD

    apparent volume of distribution at steady-state, calculated as Dose / (Kel * AUC0-inf)(Vz ss/F)

    Measured: Day 14

  23. Plasma concentration observed of MAD

    Plasma concentration observed will be presented

    Measured: before treatment administrations (Ctrough) during repeated dosing (Days 2-13)

Timeline

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

  1. First posted5 Mar 2020
  2. Study start25 Jun 2020
  3. Primary completion26 Jul 2021
  4. Study completion6 Aug 2021

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
Double blind
Who is masked
Participant, Investigator
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04296799
Sponsor's protocol ID
ChengduSciMount
Status last verified
Jul 2021
First submitted
26 Feb 2020
Last updated
11 Mar 2022
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SMP-100 in people with Healthy Volunteers, run by Chengdu SciMount Pharmatech Co., Ltd. at 1 site in Australia.

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 20 inclusion and 25 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 11 Mar 2022. 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 Australia. 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 Endpoints of SAD (time frame: 10±2 days post dose). The study lists 2 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 11 Mar 2022; AzTrials last refreshed its copy on 6 Nov 2026.

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