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Healthy VolunteerPhase 1NCT04613999

A Study of Ralinepag in Healthy Chinese Adult Subjects

A Phase 1 study testing Ralinepag in people with Healthy Volunteer and Pharmacokinetic Study, run by Everstar Medicines (Shanghai) Limited at 1 site in China.

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

A Phase 1 Open-label, Non-randomized, Single Ascending Dose Escalation Study To Evaluate The Pharmacokinetics, Safety, And Tolerability Of A Ralinepag Extended Release (XR) Tablet Formulation In Healthy Chinese Subjects. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteer, Pharmacokinetic Study
What is being tested?
Ralinepag
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteChina
Study dates
9 Oct 2020to 9 Nov 2020
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 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 1. Healthy subjects aged 18 to 45 years at the time of signing the informed consent form (ICF).
  • 2. Body mass index of 19.0 to 25.0 kg/m2.
  • 3. In good general health, free from clinically significant medical or psychiatric illness or disease (as determined by medical/surgical history, physical examination, weight, 12-lead ECG and clinical laboratory tests).
  • 4. HIV, Syphilitics, Hepatitis B and Hepatitis C negative at the screening evaluation.
  • 5. Adequate venous access in the left or right arm to allow for collection of a number of blood samples
  • 6. Provides written informed consent.
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  • 7. Willing to comply with all study procedures and requirements.
  • 8. Subjects of reproductive potential must agree to use an approved method of contraception from Day -1 until 30 days after study discharge:
  • Barrier method (e.g., condom) plus an approved method of highly effective contraception or
  • Female/male partner is surgically sterile.

Who cannot join

  • 1. History or presence of malignancy, with the exception of adequately treated localized skin cancer (basal cell or squamous cell carcinoma), which is allowed.
  • 2. History or presence of any clinically significant psychiatric condition (including depression or prior suicidal behaviour).
  • 3. Evidence of clinically relevant medical illness, cardiovascular, hematological, gastrointestinal, hepatic, renal, rheumatologic, endocrine, pulmonary, neurologic, psychiatric or skin disorder (excluding skin cancer as described in Exclusion Criterion 1) or history of hypertension or heart disease including any abnormal laboratory results deemed clinically significant by the study investigator at screening.
  • 4. History of dysphagia.
  • 5. Clinically significant surgical procedure or traumatic injury within 3 months of screening.
  • 6. History of epilepsy (other than febrile seizures during childhood).
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  • 7. Clinically significant infection within 28 days of start of dosing.
  • 8. Currently suffers from clinically significant systemic allergic disease or has a history of significant drug allergies including a history of anaphylactic reaction (particularly reactions to general anesthetic agents); allergic reaction due to any drug which led to significant morbidity.
  • 9. History or presence of cardiac arrhythmia or congenital long QT syndrome.
  • 10. QTcF >450 msec, PR >220 msec and QRS >120 msec on screening ECG (ECG may be repeated after consultation with the Medical Monitor).
  • 11. Use of tobacco or nicotine containing products in the previous 6 months prior to dosing or use of a nicotine patch within 14 days prior to screening.
  • 12. Regular alcohol consumption > 2 units/day (1 unit = 300 mL of beer or 45 mL of alcohol 40% or 150mL of wine) or alcohol consumption within 48 hours of start of dosing.
  • 13. Positive urine drug or alcohol breathalyzer test prior to study entry or history of alcohol or drug abuse in the last 12 months.
  • 14. Use of any prescription medication within 14 days prior to screening.
  • 15. Use of any over the counter (OTC) medication, herbal or hormone supplements, or diet aids within 14 days prior to screening
  • 16. Participation in any other investigational trial in which the last dose of study drug occurred within 30 days or 5 half-lives (whichever is longer) before Check-in for Inpatient Period (Day -1)
  • 17. Donation of blood from 30 days before Check-in for Inpatient Period (Day -1) or of plasma from 2 weeks before Check-in for Inpatient Period (Day -1)
  • 18. Receipt of blood products within 2 months before Check-in for Inpatient Period (Day -1)
  • 19. Abnormal supine BP (defined as either systolic BP > 140 millimetres (mm) Hg or < 90 mmHg or diastolic BP > 90 mmHg or < 50 mmHg) or abnormal pulse rate (> 100 beats per minute [bpm] or < 50 bpm), confirmed by at least 1 repeat measurement
  • 20. Abnormal orthostatic BP at Screening or CPC Check-in on Day -1 (defined as confirmed drop in SBP > 20 mmHg or drop in DBP > 10 mmHg with standing). The assessment may be repeated once to assure adequate hydration.
  • 21. Women who are pregnant, lactating or breast-feeding.
  • 22. Known hypersensitivity to any of the excipients of Ralinepag.
  • 23. Any inappropriate condition to participate in the study considered by investigator.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100191

Other trials in China

About this study

Official title: A Phase 1 Open-label, Non-randomized, Single Ascending Dose Escalation Study To Evaluate The Pharmacokinetics, Safety, And Tolerability Of A Ralinepag Extended Release (XR) Tablet Formulation In Healthy Chinese Subjects

A Phase 1 Open-label, Non-randomized, Single Ascending Dose Escalation Study To Evaluate The Pharmacokinetics, Safety, And Tolerability Of A Ralinepag Extended Release (XR) Tablet Formulation In Healthy Chinese Subjects.

Read the detailed description

This is a single center, open-label, fixed sequence, non-randomized study of healthy subjects. The study is planned to enroll 15 subjects to ensure data for 8 evaluable subjects.

Subjects will visit the clinical unit for a screening visit up to 28 days before dosing. Eligible subjects will be admitted to the clinical unit prior to investigational medicinal product (IMP) administration (Day -1) and will remain onsite through the study discharge on Day 19. Following an overnight fast of at least 8 hours, subjects will receive Regimen A (single dose of ralinepag 50 mcg) in the morning of Day 1 and pharmacokinetic assessments will be conducted pre-dose and over the 96 hours post-dose. There will be a washout period of 7 days between each IMP administration. Regimens B and C (single dose of ralinepag 100 mcg and ralinepag 150 mcg) will be administered following an overnight fast on Day 8 and 15, respectively, with 96 hours of pharmacokinetic assessments as performed with Regimen A. A Follow-up phone call will take place 10±1 days post-last dose to ensure the ongoing well-being of the subjects. Ralinepag (APD811) will be supplied as 50 mcg round, orange, XR tablets for oral administration.

It is planned that every subject will receive each of the following regimens in the fasted state:

  • Regimen A (50 mcg): 1 × 50 mcg ralinepag XR tablet
  • Regimen B (100 mcg): 2 × 50 mcg ralinepag XR tablets
  • Regimen C (150 mcg): 3 × 50 mcg ralinepag XR tablets Subjects will receive Regimens A, B and C in a sequential manner in consecutive treatment periods. Subjects who have tolerated the IMP in all prior regimens will continue in the study to receive each subsequent dose.
Being tested
Ralinepag
Keywords
Healthy volunteer, Pharmacokinetic, safety and tolerability, Ralinepag

What participants receive

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

  • RalinepagDrug

    Ralinepag will be supplied as 50 mcg round, orange, XR tablets for oral administration.

    It is planned that every subject will receive each of the following regimens in the fasted state:

    • Regimen A (50 mcg): 1 × 50 mcg ralinepag XR tablet
    • Regimen B (100 mcg): 2 × 50 mcg ralinepag XR tablets
    • Regimen C (150 mcg): 3 × 50 mcg ralinepag XR tablets Subjects will receive Regimens A, B and C in a sequential manner in consecutive treatment periods. Subjects who have tolerated the IMP in all prior regimens will continue in the study to receive each subsequent dose.
Study groups in NCT04613999
Study groupRoleWhat they receive
Single ArmOtherSubjects will receive regimens 50 mcg, 100 mcg and 150 mcg in a sequential manner in consecutive treatment periods. Subjects who have tolerated the IMP in all prior regimens will continue in the study to receive each subsequent dose.
Receives: Drug: Ralinepag

What is being measured

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

  1. Cmax

    Maximum concentration determined directly from the concentration-time profile

    Measured: Baseline to 96 hours

  2. Tmax

    Time to maximum concentration determined directly from the concentration-time profile

    Measured: Baseline to 96 hours

  3. T1/2

    Terminal elimination half-life calculated as: ln2/λz

    Measured: Baseline to 96 hours

  4. AUC0-24

    Area under the concentration-time curve (AUC) from pre-dose (time 0) to 24 hours post-dose calculated using the linear-log trapezoidal rule

    Measured: Baseline to 96 hours

  5. AUClast

    AUC from time zero to the time of the last quantifiable concentration (Tlast) calculated using the linear-log trapezoidal rule

    Measured: Baseline to 96 hours

  6. AUCinf

    AUC from pre-dose (Time 0) extrapolated to infinite time (AUClast + Clast/λz) calculated using the linear-log trapezoidal rule

    Measured: Baseline to 96 hours

Secondary outcomes (73)
  1. Adverse event reporting

    Measured: From signing ICF to 10 days after last dose.

  2. Assessment of general appearance of dermatologic.

    Measured: From signing ICF to 10 days after last dose.

  3. Assessment of general appearance of head.

    Measured: From signing ICF to 10 days after last dose.

  4. Assessment of general appearance of eyes.

    Measured: From signing ICF to 10 days after last dose.

  5. Assessment of general appearance of ears.

    Measured: From signing ICF to 10 days after last dose.

  6. Assessment of general appearance of mouth.

    Measured: From signing ICF to 10 days after last dose.

  7. Assessment of general appearance of throat.

    Measured: From signing ICF to 10 days after last dose.

  8. Assessment of general appearance of neck.

    Measured: From signing ICF to 10 days after last dose.

  9. Assessment of general appearance of thyroid.

    Measured: From signing ICF to 10 days after last dose.

  10. Assessment of general appearance of lymph nodes.

    Measured: From signing ICF to 10 days after last dose.

  11. Assessment of general appearance of respiratory system.

    Measured: From signing ICF to 10 days after last dose.

  12. Assessment of general appearance of cardiovascular system.

    Measured: From signing ICF to 10 days after last dose.

  13. Assessment of general appearance of gastrointestinal system.

    Measured: From signing ICF to 10 days after last dose.

  14. Assessment of general appearance of extremities.

    Measured: From signing ICF to 10 days after last dose.

  15. Assessment of general appearance of musculoskeletal system.

    Measured: From signing ICF to 10 days after last dose.

  16. Assessment of general appearance of neurologic system.

    Measured: From signing ICF to 10 days after last dose.

  17. Assessment of general appearance of psychiatric system.

    Measured: From signing ICF to 10 days after last dose.

  18. Serum alanine aminotransferase (ALT)

    Measured: From signing ICF to 10 days after last dose.

  19. Serum glucose

    Measured: From signing ICF to 10 days after last dose.

  20. Serum albumin

    Measured: From signing ICF to 10 days after last dose.

  21. Serum lactate dehydrogenase (LDH)

    Measured: From signing ICF to 10 days after last dose.

  22. Serum alkaline phosphatase (ALP)

    Measured: From signing ICF to 10 days after last dose.

  23. Serum phosphorus

    Measured: From signing ICF to 10 days after last dose.

  24. Serum aspartate aminotransferase (AST)

    Measured: From signing ICF to 10 days after last dose.

  25. Serum potassium

    Measured: From signing ICF to 10 days after last dose.

  26. Serum blood urea

    Measured: From signing ICF to 10 days after last dose.

  27. Serum sodium

    Measured: From signing ICF to 10 days after last dose.

  28. Serum calcium

    Measured: From signing ICF to 10 days after last dose.

  29. Serum total bilirubin

    Measured: From signing ICF to 10 days after last dose.

  30. Serum cholesterol

    Measured: From signing ICF to 10 days after last dose.

  31. Serum triglycerides

    Measured: From signing ICF to 10 days after last dose.

  32. Serum creatinine

    Measured: From signing ICF to 10 days after last dose.

  33. Serum uric acid

    Measured: From signing ICF to 10 days after last dose.

  34. Serum creatine phosphokinase (CPK)

    Measured: From signing ICF to 10 days after last dose.

  35. Serum gamma glutamyl transferase (GGT

    Measured: From signing ICF to 10 days after last dose.

  36. White blood cell (WBC) count

    Measured: From signing ICF to 10 days after last dose.

  37. Neutrophils (percentage and absolute count)

    Measured: From signing ICF to 10 days after last dose.

  38. Red blood cell (RBC) count

    Measured: From signing ICF to 10 days after last dose.

  39. Lymphocytes (percentage)

    Measured: From signing ICF to 10 days after last dose.

  40. Lymphocytes (absolute count)

    Measured: From signing ICF to 10 days after last dose.

  41. Hemoglobin (Hb)

    Measured: From signing ICF to 10 days after last dose.

  42. Monocytes (percentage)

    Measured: From signing ICF to 10 days after last dose.

  43. Monocytes (absolute count)

    Measured: From signing ICF to 10 days after last dose.

  44. Hematocrit (HCT)

    Measured: From signing ICF to 10 days after last dose.

  45. Eosinophils (percentage)

    Measured: From signing ICF to 10 days after last dose.

  46. Eosinophils (absolute count)

    Measured: From signing ICF to 10 days after last dose.

  47. Mean corpuscular volume (MCV)

    Measured: From signing ICF to 10 days after last dose.

  48. Basophils (percentage)

    Measured: From signing ICF to 10 days after last dose.

  49. Basophils (absolute count)

    Measured: From signing ICF to 10 days after last dose.

  50. Mean corpuscular hemoglobin (MCH)

    Measured: From signing ICF to 10 days after last dose.

  51. Platelet count

    Measured: From signing ICF to 10 days after last dose.

  52. Mean corpuscular hemoglobin concentration (MCHC)

    Measured: From signing ICF to 10 days after last dose.

  53. RBC distribution width

    Measured: From signing ICF to 10 days after last dose.

  54. Urine bilirubin

    Measured: From signing ICF to 10 days after last dose.

  55. Urine blood

    Measured: From signing ICF to 10 days after last dose.

  56. Urine glucose

    Measured: From signing ICF to 10 days after last dose.

  57. Urine PH

    Measured: From signing ICF to 10 days after last dose.

  58. Urine specific gravity

    Measured: From signing ICF to 10 days after last dose.

  59. Urine ketones

    Measured: From signing ICF to 10 days after last dose.

  60. Urine protein

    Measured: From signing ICF to 10 days after last dose.

  61. Urine leukocytes

    Measured: From signing ICF to 10 days after last dose.

  62. Urine urobilinogen

    Measured: From signing ICF to 10 days after last dose.

  63. Urine nitrite

    Measured: From signing ICF to 10 days after last dose.

  64. Urine microscopic (only for abnormal urine stick test findings).

    Measured: From signing ICF to 10 days after last dose.

  65. Supine BP

    Measured: From signing ICF to 10 days after last dose.

  66. Pulse

    Measured: From signing ICF to 10 days after last dose.

  67. Body temperature

    Measured: From signing ICF to 10 days after last dose.

  68. Respiratory rate

    Measured: From signing ICF to 10 days after last dose.

  69. ECG PR interval

    Measured: From signing ICF to 10 days after last dose.

  70. ECG QRS interval

    Measured: From signing ICF to 10 days after last dose.

  71. ECG RR interval

    Measured: From signing ICF to 10 days after last dose.

  72. ECG QT interval

    Measured: From signing ICF to 10 days after last dose.

  73. ECG QT interval corrected for heart rate (QTc)

    Measured: From signing ICF to 10 days after last dose.

Timeline

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

  1. First posted3 Nov 2020
  2. Study start9 Oct 2020
  3. Primary completion9 Nov 2020
  4. Study completion9 Nov 2020

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
Not applicable
Intervention model
Single group
Model description
The study is planned to enroll 15 subjects with open-label, fixed sequence, non-randomized to take a single dose of ralinepag at 3 separate dose intervals. Ralinepag will be administered at doses of 50, 100 and 150 mcg single oral each time. Subjects will receive Regimen A (single dose of ralinepag 50 mcg) in the morning of Day 1 and pharmacokinetic assessments will be conducted pre-dose and over the 96 hours post-dose. There will be a washout period of 7 days between each IMP administration. Regimens B and C (single dose of ralinepag 100 mcg and ralinepag 150 mcg) will be administered following an overnight fast on Day 8 and 15, respectively, with 96 hours of pharmacokinetic assessments as performed with Regimen A. A Follow-up phone call will take place 10±1 days post-last dose to ensure the ongoing well-being of the subjects.
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04613999
Sponsor's protocol ID
ES102102
Status last verified
Jan 2024
First submitted
30 Sep 2020
Last updated
1 Feb 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Ralinepag in people with Healthy Volunteer and Pharmacokinetic Study, run by Everstar Medicines (Shanghai) Limited at 1 site in China.

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 23 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 Feb 2024. 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 China. 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?

Cmax (time frame: Baseline to 96 hours). 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 1 Feb 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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