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InfluenzaPhase 1NCT04385420

Phase 1 Study of ATR-002

A Phase 1 study testing ATR-002 MEK Inhibitor in people with Influenza, run by Atriva Therapeutics GmbH at 1 site in Belgium.

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 was a combination of a single ascending dose (SAD) study to evaluate the safety, tolerability, and PK of 3 oral doses of a MEK inhibitor and a multiple ascending dose (MAD) study of 3 oral doses of a MEK inhibitor. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
ATR-002 MEK Inhibitor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
1 siteBelgium
Study dates
24 Apr 2019to 26 Aug 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 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male or female, between 18 and 55 years old, extremes included;
  • Weighed at least 50 kg and had a body mass index (BMI) within normal range: 18.0≤ BMI <31.0 kg/m2;
  • In good physical and mental health as determined on the basis of medical history and general physical examination performed at screening;
  • Haematology and chemistry parameters, pulse rate and/or blood pressure, and ECG within the reference range for the population studied, or showing no clinically relevant deviations, as judged by the Investigator;
  • Negative urine test for selected drugs of abuse at screening and upon check-in at the clinical site; Note: Subjects could not consume poppy-seeds within 24h before screening and before each urine drug screening because this could falsify the results of the opiate urine drug test.
  • Negative alcohol breath test at screening and upon check-in at the clinical site;
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  • Negative hepatitis panel (including hepatitis B surface antigen [HBsAg] and anti hepatitis C virus [HCV] antibodies) and negative human immunodeficiency virus (HIV) antibody screens;
  • Female subjects had to be of non-childbearing potential, as follows:
  • At least 1 year post-menopausal (amenorrhea >12 months in the absence of an alternative medical cause and follicle-stimulating hormone >30 mIU/mL in women not using hormonal contraception or hormonal replacement therapy) prior to screening;
  • Surgically sterile (bilateral oophorectomy, hysterectomy, bilateral salpingectomy, or bilateral tubal ligation);
  • To protect partners from possible exposure to study medication in semen, male subjects had to use a condom during the study, even if they had a vasectomy or their partner was not of childbearing potential.
  • Note: medically acceptable methods of contraception that could be used by the partner included combined oral contraceptive, contraceptive vaginal ring, contraceptive injection, intrauterine device, and etonogestrel implant;
  • Willing to adhere to the prohibitions and restrictions specified in the protocol (see Appendix 16.1.1);
  • Ability to comprehend the nature of the study and any hazards of participating in it. Ability to communicate satisfactorily with the Investigator and to participate in, and comply with the requirements of, the entire study;
  • Informed Consent Form (ICF) signed voluntarily before any study-related procedure was performed, indicating that the subject understood the purpose of and procedures required for the study and was willing to participate in the study.

Who cannot join

  • Clinically relevant abnormal history, physical findings, ECG, or laboratory values at the pre-study screening assessment that could interfere with the objectives of the study or the safety of the subject;
  • Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the subject's participation in the study or make it unnecessarily hazardous;
  • A condition that, in the opinion of the Investigator, could compromise the well being of the subject or course of the study, or prevent the subject from meeting or performing any study requirements;
  • Impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease, cancer, or history of any psychotic mental illness;
  • Respiratory tract infection within 4 weeks before the screening visit;
  • History of surgery or medical intervention, or planned surgery or medical intervention, that could interfere with the objectives of the study or the safety of the subject;
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  • Presence or history of severe adverse reaction to any drug, or sensitivity to components of the study medication;
  • Use of a prescription or over-the-counter medicine, with the exception of acetaminophen (paracetamol), during the 7 days (or 5 half-lives, whichever is longer) before the first dose of study medication;
  • Participation in another clinical study of a new chemical entity, new device, or a prescription medicine within the 3 months before dosing, or participation within 5 half-lives of receiving an experimental drug (whichever is longer);
  • Presence or history of drug or alcohol abuse, or intake of more than 21 units (14 units for women) of alcohol weekly;
  • Use of a prohibited therapy;
  • Current smoker; or ex-smokers who (a) gave up less than 1 year ago, or (b) who had a history of more than 10 pack-years; Pack-years = cigarettes per day x number of years smoked/20
  • Blood pressure and heart rate at the screening examination outside the ranges 90 150 mmHg systolic, 40-90 mmHg diastolic; heart rate 40-100 bpm;
  • Loss of more than 400 mL blood, e.g. as a blood donor, or donation of blood products, during the 3 months before the study;
  • History of tuberculosis infection;
  • Receipt of a living vaccine within the 3 months before dosing;
  • Active or latent parasitic infection, visit to a country with a high prevalence of parasitic infections within 3 months before receiving study medication;
  • Positive faecal blood test at screening;
  • Employee of the Investigator or the Sponsor, who was directly involved in the study, or a first-degree relative of such person;

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • SGS Life Sciences, Clinical Pharmacology Unit Antwerpen

    Antwerp, 2020

Other trials in Belgium

About this study

Official title: Phase 1 Single Dose Escalation/Multiple Dose Escalation Study to Evaluate the Safety, Tolerability, And Pharmacokinetics of Ascending Doses of a MEK Inhibitor (ATR-002) Given for 7 Days in Healthy Subjects

This was a combination of a single ascending dose (SAD) study to evaluate the safety, tolerability, and PK of 3 oral doses of a MEK inhibitor and a multiple ascending dose (MAD) study of 3 oral doses of a MEK inhibitor.

Subjects were to be enrolled in 3 different cohorts in the SAD and 3 different cohorts in the MAD and were to be randomly (blinded) allocated to active treatment or placebo (each cohort consisted of 8 subjects receiving active treatment and 2 subjects receiving placebo).

Read the detailed description

Each subject in the SAD cohorts was to receive a single dose of the MEK inhibitor ATR-002 (PD0184264), with a starting dose of 100 mg ATR-002 or placebo:

  • Cohort 1: 100 mg ATR-002 or placebo;
  • Cohort 2: 100 mg + X mg ATR-002 or placebo;
  • Cohort 3: 100 mg + X mg + Y mg ATR-002 or placebo. An additional cohort (Cohort 4) of 10 subjects (4:1 active vs placebo) could have been recruited into the SAD Part, if appropriate.

Effectively, 4 cohorts were treated:

  • Cohort 1: 100 mg ATR-002 or placebo;
  • Cohort 2: 300 mg ATR-002 or placebo;
  • Cohort 3: 600 mg ATR-002 or placebo;
  • Cohort 4: 900 mg ATR-002 or placebo. Between each cohort, a blinded interim analysis of PK, safety and tolerability had to be performed. The available data was evaluated by the Investigator and sponsor in a Safety Review Committee (SRC) meeting.

Once a dose level was judged to be safe, the SRC determined the dose level for the next cohort considering a maximal increment of 400 mg compared to the previous cohort, and the next dose level could be administered to the next cohort.

The maximal dose level could not exceed 900 mg ATR-002. Each subject in the MAD cohorts was to receive once daily (QD) doses (fasted) of the MEK inhibitor ATR-002 for 7 days, starting with a dose of 100 mg ATR-002 or placebo QD.

  • Cohort 5: 100 mg ATR-002 QD or placebo;
  • Cohort 6: 100 mg + A mg ATR-002 QD or placebo;
  • Cohort 7: 100 mg + A mg + B mg ATR-002 QD or placebo. An additional cohort (Cohort 8) of 10 subjects (4:1 active vs placebo) could be recruited into the MAD Part, if appropriate.

Effectively, 3 cohorts were treated:

  • Cohort 5: 100 mg ATR-002 QD or placebo;
  • Cohort 6: 300 mg ATR-002 QD or placebo;
  • Cohort 7: 600 mg ATR-002 QD or placebo. Between each cohort, a blinded interim analysis of PK, safety and tolerability had to be performed. The available data was evaluated by the Investigator and sponsor in a SRC meeting. Once a dose level was judged to be safe, the SCR determined the dose level for the next cohort considering a maximal increment of 400 mg compared to the previous cohort, and the next dose level could be administered to the next cohort.

The maximal dose level could not exceed 900 mg ATR-002. During the study, no repeated daily dose could exceed the maximum single dose that has been shown to cause no safety concerns.

Subjects were resident on the ward from the day (late afternoon/evening) before dosing (Day -1) until completion of procedures at 96h following their final dose of study medication. They were to attend a follow up visit 28 days (± 2 days) following their final dose of study medication.

Subjects with AEs that were ongoing at the end of the study were followed up as appropriate until the AEs had resolved or stabilised, up to a maximum of 30 days after the last dose of study drug.

Pharmacokinetics were determined predose 30 min, 1h, 2h, 4h, 8h, 12h, and 24h, postdose, and predose on Day 2-4 in the SAD Part, and predose 30 min, 1h, 2h, 4h, 8h, 12h, and 24h, of Day 1 and Day 7, predose on Day 2-6 and 48h, 72h, and 96h post final dose of Day 7 in the MAD Part. The 72h and 96h samples in both SAD and MAD were only to be analysed if deemed informative based on the results of the 48h PK sample.

Conditions
Influenza
Being tested
ATR-002 MEK Inhibitor, Placebo oral tablet
Medical subject headings
Influenza, Human

What participants receive

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

  • ATR-002 MEK InhibitorDrug

    Also called PD01842649

    Drug ATR-002 administered as film-coated tablet via oral route

  • Placebo oral tabletDrug

    Placebo film-coated tablet administered via oral route

Study groups in NCT04385420
Study groupRoleWhat they receive
ATR-002 100 mg (SAD)Experimental100 mg ATR-002 once (morning)
Receives: Drug: ATR-002 MEK Inhibitor
ATR-002 300 mg (SAD)Experimental300 mg ATR-002 once (morning)
Receives: Drug: ATR-002 MEK Inhibitor
ATR-002 600 mg (SAD)Experimental600 mg ATR-002 once (morning)
Receives: Drug: ATR-002 MEK Inhibitor
ATR-002 900 mg (SAD)Experimental900 mg ATR-002 once (morning)
Receives: Drug: ATR-002 MEK Inhibitor
Placebo (SAD)Placebo comparatorPlacebo once (morning)
Receives: Drug: Placebo oral tablet
ATR-002 100 mg (MAD)Experimental100 mg ATR-002 once daily (morning) for 7 days
Receives: Drug: ATR-002 MEK Inhibitor
ATR-002 300 mg (MAD)Experimental300 mg ATR-002 once daily (morning) for 7 days
Receives: Drug: ATR-002 MEK Inhibitor
ATR-002 600 mg (MAD)Experimental600 mg ATR-002 once daily (morning) for 7 days
Receives: Drug: ATR-002 MEK Inhibitor
Placebo (MAD)Placebo comparatorPlacebo once daily (morning) for 7 days
Receives: Drug: Placebo oral tablet

What is being measured

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

  1. Treatment-emergent adverse events (TEAE) - SAD

    TEAEs in SAD groups

    Measured: Day 1- Day 5

  2. Treatment-emergent adverse events (TEAE) - MAD

    TEAEs in MAD groups

    Measured: Day 1 - Day 11

Secondary outcomes (15)
  1. Maximum plasma concentration - Cmax (SAD)

    Cmax in SAD groups

    Measured: Day 1- Day 5

  2. Time to maximum plasma concentration tmax (SAD)

    Tmax in SAD groups

    Measured: Day 1- Day 5

  3. Area under plasma concentration AUC0-t (SAD)

    AUC0-t in SAD groups

    Measured: Day 1- Day 5

  4. Area under plasma concentration AUC0-inf (SAD)

    AUC0-inf in SAD groups

    Measured: Day 1- Day 5

  5. Elimination half-life t1/2 (SAD)

    t1/2 in SAD groups

    Measured: Day 1- Day 5

  6. Maximum plasma concentration - Cmax (MAD)

    Cmax in MAD groups

    Measured: Day 1 - Day 11

  7. Time to maximum plasma concentration tmax (MAD)

    Tmax in MAD groups

    Measured: Day 1 - Day 11

  8. Area under plasma concentration AUC0-t (MAD)

    AUC0-t in MAD groups

    Measured: Day 1 - Day 11

  9. Area under plasma concentration AUC0-tau (MAD)

    AUC0-tau in MAD groups

    Measured: Day 1 - Day 11

  10. Minimum plasma concentration Ctrough (MAD)

    Ctrough in MAD groups

    Measured: Day 1 - Day 11

  11. Area under plasma concentration AUC0-inf (MAD)

    AUC0-inf in MAD groups

    Measured: Day 1 - Day 11

  12. Elimination half-life t1/2 (MAD)

    T1/2 in MAD groups

    Measured: Day 1 - Day 11

  13. Accumulation ratio Cmax (MAD)

    Cmax Accumulation in MAD groups

    Measured: Day 1 - Day 11

  14. Accumulation ratio AUC0-tau (MAD)

    AUC0-tau accumulation ratio in MAD groups

    Measured: Day 1 - Day 11

  15. Accumulation ratio Ctrough (MAD)

    Ctrough accumulation ratio in MAD groups

    Measured: Day 1 - Day 11

Timeline

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

  1. First posted12 May 2020
  2. Study start24 Apr 2019
  3. Primary completion26 Aug 2019
  4. Study completion26 Aug 2019

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
Model description
This was a combination of a single ascending dose (SAD) study to evaluate the safety, tolerability, and PK of 3 oral doses of a MEK inhibitor and a multiple ascending dose (MAD) study of 3 oral doses of a MEK inhibitor. Subjects were to be enrolled in 3 different cohorts in the SAD and 3 different cohorts in the MAD and were to be randomly (blinded) allocated to active treatment or placebo (each cohort consisted of 8 subjects receiving active treatment and 2 subjects receiving placebo).
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04385420
Sponsor's protocol ID
ATR002-01
Status last verified
May 2020
First submitted
6 May 2020
Last updated
13 May 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ATR-002 MEK Inhibitor in people with Influenza, run by Atriva Therapeutics GmbH at 1 site in Belgium.

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 15 inclusion and 19 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 May 2020. 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 Belgium. 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 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?

Treatment-emergent adverse events (TEAE) - SAD (time frame: Day 1- Day 5). 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 13 May 2020.

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