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Cutaneous T Cell LymphomaPhase 1NCT04955340

A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat

A Phase 1 study testing [14C]-resminostat in people with Cutaneous T Cell Lymphoma and Mycosis Fungoides, run by 4SC AG at 1 site in United Kingdom.

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

Resminostat is a potent, orally available inhibitor of Class I, IIb and IV histone deacetylases (HDACs), including a pronounced activity against HDAC6. Resminostat targets epigenetic changes observed in tumour cells and has the potential to provide significant benefit to patients with advanced malignancies by… Read more about this study

Who is it for?
Ages 35 to 55 years, men onlyHealthy volunteers can take part
What is being tested?
[14C]-resminostat
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
1 siteUnited Kingdom
Study dates
12 Oct 2021to 19 Jan 2022
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 35 to 55 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Male
  • Age between 35 (inclusive) and 55 years of age (inclusive)
  • Body mass index between 18.0 and 28.0 kg/m2, inclusive but at least 60 kg of body weight.
  • Healthy, as determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital signs measurements, and clinical laboratory evaluations (congenital nonhemolytic hyperbilirubinemia [eg, suspicion of Gilbert Meulengracht's syndrome based on total and direct bilirubin] is not acceptable) at screening and/or check-in as assessed by the investigator (or designee).
  • Subjects must agree to use contraception
  • Able to comprehend and willing to sign an ICF and to abide by the study restrictions
  • History of a minimum of 1 bowel movement per day.
  • Subjects must agree not to donate sperm from check-in until 90 days after discharge.

Who cannot join

  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, respiratory, endocrine, or psychiatric disorder, as determined by the investigator (or designee).
  • Any of the following abnormalities in laboratory test values and/or ECG at screening and/or check-in, confirmed by repeat: hemoglobin, white blood cell count, total platelets, and QTcF outside of normal range; alanine aminotransferase, aspartate aminotransferase, and creatinine values > upper limit of normal; and estimated glomerular filtration rate (calculated using Cockcroft-Gault formula) <60 mL/min.
  • History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator (or designee).
  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair will be allowed).
  • Confirmed (eg, 2 consecutive measurements) systolic blood pressure >150 or <90 mmHg, diastolic blood pressure >90 or <50 mmHg, and pulse rate >90 or <40 beats per minute.
  • History of alcoholism or drug/chemical abuse within 2 years prior to screening.
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  • Alcohol consumption of > 21 units per week. One unit of alcohol equals ½ pint (285 mL) of beer or lager, 1 glass (125 mL) of wine, or 1/6 gill (25 mL) of spirits.
  • Positive alcohol breath test result or positive urine drug screen (confirmed by repeat) at screening or check-in.
  • Positive hepatitis panel and/or positive human immunodeficiency virus test
  • Participation in a clinical study involving administration of an investigational drug (new chemical entity) in the past 90 days or 5 half-lives, whichever is longer prior to dosing.
  • Administration of any vaccination (including vaccines currently being deployed in the UK for SARS-CoV-27) within the past 90 days prior to dosing.
  • Use or intend to use any medications/products known to alter drug absorption, metabolism, and excretion processes, including St. John's wort, within 30 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use any prescription medications/products within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use slow-release medications/products considered to still be active within 14 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use or intend to use any nonprescription medications/products including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations within 7 days prior to check-in, unless deemed acceptable by the investigator (or designee).
  • Use of tobacco- or nicotine-containing products within 3 months prior to check-in, or positive cotinine test at screening or check-in.
  • Ingestion of poppy seed-, Seville orange-, or grapefruit-containing foods or beverages within 7 days prior to check-in.
  • Receipt of blood products within 2 months prior to check-in.
  • Donation of blood from 3 months prior to screening, plasma from 2 weeks prior to screening, or platelets from 6 weeks prior to screening.
  • Poor peripheral venous access
  • Subjects with exposure to significant diagnostic or therapeutic radiation (eg, serial X-ray, computed tomography scan, barium meal) or current employment in a job requiring radiation exposure monitoring within 12 months prior to check-in.
  • Subjects who have participated in any clinical study involving a radiolabeled investigational product within 12 months prior to check-in.
  • Subjects who, in the opinion of the investigator (or designee), should not participate in this study.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Covance Clinical research Unit Ltd.

    Leeds, LS2 9LH

Other trials in United Kingdom

About this study

Official title: A Phase 1, Open-label Study of the Absorption, Metabolism, Excretion of [14C]-Resminostat Following a Single Oral Dose in Healthy Male Subjects

Resminostat is a potent, orally available inhibitor of Class I, IIb and IV histone deacetylases (HDACs), including a pronounced activity against HDAC6. Resminostat targets epigenetic changes observed in tumour cells and has the potential to provide significant benefit to patients with advanced malignancies by inhibiting tumour progression and metastasis or even inducing tumour regression.

This will be a Phase 1, open-label, non-randomized, single dose study of the absorption, metabolism, excretion of [14C] resminostat following a single oral dose in healthy male participants.

The purpose of this study is to determine the absorption, metabolism, and excretion (AME) of [14C] resminostat and to characterize and determine the metabolites present in plasma, urine, and, where possible, faeces in healthy male participants following a single oral administration. Knowledge of the metabolism and excretion of parent drug and its metabolites is useful for evaluating the Metabolites in Safety Testing requirements elucidated in the International Conference on Harmonisation (ICH) M3, and the likelihood of effects of renal or hepatic impairment on the disposition of resminostat, and the likelihood for drug-drug interactions with resminostat. The results from this study may guide future study designs using special populations or evaluating the potential for drug-drug interactions.

Being tested
[14C]-resminostat
Medical subject headings
Lymphoma, T-Cell, Cutaneous, Mycosis Fungoides, Sezary Syndrome

What participants receive

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

  • [14C]-resminostatDrug

    1 single dose of 400 mg [14C]-resminostat

Study groups in NCT04955340
Study groupRoleWhat they receive
[14C]-resminostatExperimentalsingle dose of 400 mg [14C]-resminostat
Receives: Drug: [14C]-resminostat

What is being measured

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

  1. AUC0-tlast

    AUC from time zero to the last quantifiable concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  2. AUC0-∞

    AUC from time zero extrapolated to infinity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  3. Cmax

    maximum observed concentration derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  4. tmax

    time to reach Cmax derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  5. tlag

    time to the first quantifiable concentration in plasma derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  6. λz

    terminal elimination rate constant derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  7. t1/2

    apparent terminal elimination half-life derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  8. CL/F

    apparent total clearance derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  9. Vz/F

    apparent volume of distribution derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  10. AUC0-∞ Plasma resminostat/Total Radioactivity Ratio

    AUC0-∞ of plasma resminostat relative to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  11. AUC0-∞ Blood/Plasma Ratio

    AUC0-∞ of whole blood total radioactivity to AUC0-∞ of plasma total radioactivity derived from the whole blood and plasma concentration-time profiles following oral administration of [14C]-resminostat

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  12. Aeu

    amount excreted in urine derived from urine collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  13. cumulative Aeu

    cumulative amount excreted in urine derived from urine collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  14. feu

    percentage excreted in urine derived from urine collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  15. cumulative feu

    cumulative percentage excreted in urine derived from urine collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  16. Aef

    amount excreted in feces derived from feces collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  17. cumulative Aef

    cumulative amount excreted in feces derived from feces collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  18. fef

    percentage excreted in feces derived from feces collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  19. cumulative fef.

    cumulative percentage excreted in feces derived from feces collections at each sampling interval

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

Secondary outcomes (12)
  1. Safety and Tolerability

    AE reporting including relatedness and severity

    Measured: from study drug intake until 28 days after study drug administration

  2. Heart rhythm

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  3. Ventricular rate

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  4. PR-interval (synonymous: PQ interval)

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  5. QRS complex

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  6. QT interval

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  7. QTcF interval

    ECG analysis by 12-lead ECG

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  8. Vital Signs (Body Temperature)

    Body temperature will be measured after a 5 minute rest in supine position

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  9. Vital Signs (Blood pressure)

    Systolic and diastolic blood pressure will be measured after a 5 minute rest in supine position

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  10. Physical Examination

    A full physical examination covering at least head, eyes, ears, nose and throat, lungs, heart, neurological status, abdomen, extremities, skin, and lymph nodes

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  11. metabolic profiles of resminostat

    identification and quantification of metabolites in serum and urin samples by HPLC

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

  12. identification and quantification of resminostat metabolites

    identification and quantification of metabolites in serum and urin samples by HPLC

    Measured: From day -1 until maximum 15 days after single dose of [14C]-resminostat

Timeline

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

  1. First posted8 Jul 2021
  2. Study start12 Oct 2021
  3. Primary completion19 Jan 2022
  4. Study completion19 Jan 2022

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
Masking
None (open label)
Enrolment
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04955340
Sponsor's protocol ID
4SC-201-7-2020
Other IDs
2021-000555-39, 8448213
Status last verified
Feb 2022
First submitted
23 Jun 2021
Last updated
18 Feb 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing [14C]-resminostat in people with Cutaneous T Cell Lymphoma and Mycosis Fungoides, run by 4SC AG at 1 site in United Kingdom.

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 8 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 18 Feb 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 United Kingdom. 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?

AUC0-tlast (time frame: From day -1 until maximum 15 days after single dose of [14C]-resminostat). The study lists 19 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 18 Feb 2022.

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