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Healthy Adult SubjectsPhase 1NCT05002231

Relative Bioavailability and Food Effect Study of Losmapimod 15 mg Tablets

A Phase 1 study testing Losmapimod 15 mg oral tablet, Losmapimod two 7.5 mg oral tablets and Losmapimod one 15 mg oral tablet in people with Healthy Adult Subjects, run by Fulcrum Therapeutics at 1 site in United States.

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 is a study to assess the relative bioavailability and the effect of food on the pharmacokinetics of a new 15 mg tablet formulation of losmapimod Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Adult Subjects
What is being tested?
Losmapimod 15 mg oral tablet, Losmapimod two 7.5 mg oral tablets and Losmapimod one 15 mg oral tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
1 siteUnited States
Study dates
19 Aug 2021to 22 Oct 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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy male or female subjects, 18 to 65 years of age, inclusive, at screening.
  • Body mass index 18 to 30 kg/m2, inclusive, at screening with a minimum weight of 50 kg.
  • Good general health, based upon the opinion of the investigator as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead electrocardiogram (ECG) results, and physical examination findings at screening.
  • Willingness of men and women of reproductive potential must agree to use 2 effective and acceptable methods of contraception throughout study participation until 90 days after last dose of study drug. Female subjects must have a negative pregnancy test at screening and before the first dose of study drug.
  • Willing and able to comply with all protocol requirements.
  • The subject is able to provide written informed consent.

Who cannot join

  • History of any illness or any clinical condition that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject. This may include, but is not limited to, history of relevant drug or food allergies; history of cardiovascular or central nervous system disease; history or presence of clinically significant pathology; clinically significant history of mental disease; and history of cancer, except for squamous cell skin cancer, basal cell skin cancer, and Stage 0 cervical carcinoma in situ (all 3 with no recurrence for the last 5 years).
  • History of febrile illness within 5 days before the first dose of study drug.
  • Current clinically significant liver or kidney dysfunction.
  • Acute or chronic history of liver disease or current alanine aminotransferase elevation >1.5 × upper limit of normal (ULN) and/or total bilirubin >1.5 × ULN at screening.
  • Positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or human immunodeficiency virus types 1 or 2 antibodies at screening.
  • Any condition possibly affecting drug absorption (e.g., gastrectomy, cholecystectomy, or other gastrointestinal tract surgery, except appendectomy).
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  • Standard 12 lead ECG demonstrating QT interval corrected for heart rate using Fridericia's formula (QTcF) >450 msec for male subjects and QTcF >470 msec for female subjects at screening. If QTcF exceeds 450 msec for males or 470 msec for females, the ECG will be repeated 2 more times, and the average of the 3 QTcF values will be used to determine the subject's eligibility.
  • History of cardiac dysrhythmias requiring anti-arrhythmia treatment(s) or history or evidence of abnormal ECGs that, in the opinion of the investigator or medical monitor, would preclude the subject's participation in the study.
  • Blood or blood product (e.g., plasma/serum) donation (of approximately 1 pint [500 mL] or more) or has any significant loss of blood within 3 months (males) or 4 months (females) prior to screening or intention to donate blood or blood products during the study as determined by the investigator.
  • History of abuse of addictive substances such as drug abuse, or regular user of sedatives, hypnotics, tranquilizers, or any other addictive agent within 6 months prior to screening.
  • History of regular alcohol consumption within 6 months prior to screening defined as an average weekly intake of greater than 21 units. One unit is equivalent to approximately half pint [200 mL] of beer, 1 small glass [100 mL] of wine, or 1 measure [25 mL] of spirits.
  • History of demonstrating an excess in xanthine consumption (more than 8 cups of coffee or equivalent per day).
  • Received study drug in another investigational study within 30 days of dosing.
  • Received the coronavirus disease 2019 (COVID-19) vaccine within 14 days before Day 1, or subjects who plan to receive a COVID-19 vaccine at any time during the study, including during the follow up period or has tested positive for COVID 19 within 3 months prior to screening.
  • Use of any medication (prescription or over-the-counter) within 14 days of study drug administration, or use of herbal supplements, dietary supplements, or multivitamins within 7 days of study drug administration or less than five half-lives (whichever is longer), with the exception of contraceptives, hormonal replacement therapies, and acetaminophen (up to 3 grams per day). Other exceptions will only be made if the rationale is clearly documented by the investigator.
  • History of sensitivity to the study drug, or a history of drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicated their participation.
  • Female subjects who are lactating or pregnant as determined by positive serum human chorionic gonadotropin test at screening or on Day -1.
  • Subject is mentally or legally incapacitated.
  • Abnormal laboratory results indicative of any significant medical disease that, in the opinion of the investigator, would preclude the subject's participation in the study at screening or prior to first dose of study drug.
  • Subject, or close relative of the subject, is the investigator or a sub-investigator, research assistant, pharmacist, study coordinator, or other staff directly involved with the conduct of the study at that study site.
  • Subject smokes cigarettes (or equivalent including vaping) and/or has used nicotine based products within 14 days prior to screening.
  • Positive test result for drugs of abuse, alcohol, or cotinine (indicating active current smoking) at screening or on Day -1.
  • Consumption of grapefruit or grapefruit juice, Seville orange or Seville orange containing products (e.g., marmalade), or alcohol-, caffeine-, or xanthine containing products within 48 hours before the first dose of study drug.
  • Plans for hospitalization, surgery, or other major procedures during the study duration between the screening visit and Day -1.
  • In the opinion of the investigator, the subject is not suitable for entry into the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD Phase I Clinic

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Phase 1, Open-Label, 3-Period, Randomized, Single-Dose, Crossover Study to Assess the Relative Bioavailability and the Effect of Food on the Pharmacokinetics of a New 15 mg Tablet of Losmapimod Versus the Current 7.5 mg Tablet

This is a study to assess the relative bioavailability and the effect of food on the pharmacokinetics of a new 15 mg tablet formulation of losmapimod

Read the detailed description

This study is a Phase 1, open-label, 3-period, 6-sequence, randomized, single-dose, crossover study designed to assess the relative bioavailability of a 15 mg tablet of losmapimod versus two 7.5 mg tablets of losmapimod under fasted conditions and to assess the effect of food on the pharmacokinetics of a 15 mg tablet of losmapimod under fasted and fed conditions in 18 healthy subjects.

The study will consist of a screening period, 3 treatment periods with a single dose of study drug per treatment period, a 48-hour washout period between dosing, and an end of study visit. Subjects will be randomly assigned to receive 1 of 6 treatment sequences (3 subjects per treatment sequence) prior to dosing on Day 1 of Period 1.

The primary endpoint of the study is to assess the relative bioavailability and the effect of food on the pharmacokinetics of a new 15 mg tablet formulation of losmapimod. Secondary endpoints include assessing the safety and tolerability and evaluating target engagement in the blood of a new 15 mg tablet formulation of losmapimod in healthy subjects.

Being tested
Losmapimod 15 mg oral tablet, Losmapimod two 7.5 mg oral tablets, Losmapimod one 15 mg oral tablet
Keywords
Healthy Adult Subjects

What participants receive

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

  • Losmapimod 15 mg oral tabletDrug

    Subjects will receive one losmapimod 15 mg tablet by mouth under fasted conditions.

  • Losmapimod two 7.5 mg oral tabletsDrug

    Subjects will receive two losmapimod 7.5 mg tablets by mouth under fasted conditions.

  • Losmapimod one 15 mg oral tabletDrug

    Subjects will receive one losmapimod 15 mg tablet by mouth under fed conditions.

Study groups in NCT05002231
Study groupRoleWhat they receive
Losmapimod 15 mg oral tablet in healthy subjects (Treatment Regimen A)ExperimentalSubjects will be randomized to 1 of 6 treatment sequences to receive one 15 mg tablet of losmapimod administered orally under fasted conditions. Subjects will fast overnight (nothing to eat or drink except water) for at least 10 hours before each study drug administration. Subjects will remain fasted for 4 hours after dosing with study drug. Washout period of 48 hours between dosing.
Receives: Drug: Losmapimod 15 mg oral tablet
Losmapimod two 7.5 mg oral tablets in healthy subjects (Treatment Regimen B)ExperimentalSubjects will be randomized to 1 of 6 treatment sequences to receive two 7.5 mg tablets of losmapimod administered orally under fasted conditions. Subjects will fast overnight (nothing to eat or drink except water) for at least 10 hours before each study drug administration. Subjects will remain fasted for 4 hours after dosing with study drug. Washout period of 48 hours between dosing.
Receives: Drug: Losmapimod two 7.5 mg oral tablets
Losmapimod one 15 mg oral tablet in healthy subjects (Treatment Regimen C)ExperimentalSubjects will be randomized to 1 of 6 treatment sequences to receive one 15 mg tablet of losmapimod administered orally under fed conditions. Subjects will fast overnight (nothing to eat or drink except water) for at least 10 hours before breakfast and will receive a high-fat breakfast approximately 30 minutes before dose administration. Subjects must consume the meal within 25 minutes or less. Washout period of 48 hours between dosing.
Receives: Drug: Losmapimod one 15 mg oral tablet

What is being measured

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

  1. Plasma Concentrations of Losmapimod

    To assess the bioavailability of losmapimod (1 x 15 mg tablet) (test) versus losmapimod tablets (2 x 7.5 mg tablets) (reference), blood samples will be collected under fasted conditions to measure the plasma concentration of losmapimod at specified timepoints by liquid chromatography with tandem mass spectrometry.

    Measured: Treatment Regimen A: Days 1 and 2

  2. Plasma Concentrations of Losmapimod

    To assess the bioavailability of losmapimod (1 x 15 mg tablet) (test) versus losmapimod tablets (2 x 7.5 mg tablets) (reference), blood samples will be collected under fasted conditions to measure the plasma concentration of losmapimod at specified timepoints by liquid chromatography with tandem mass spectrometry.

    Measured: Treatment Regimen B: Days 1 and 2

  3. Food Effect of Losmapimod

    To assess the effect of food on the pharmacokinetics of losmapimod test versus reference, blood samples will be collected under fasted conditions to measure the plasma concentration of losmapimod at specified timepoints by liquid chromatography with tandem mass spectrometry.

    Measured: Treatment Regimen A: Days 1 and 2

  4. Food Effect of Losmapimod

    To assess the effect of food on the pharmacokinetics of losmapimod, blood samples will be collected after a high fat meal to measure the plasma concentration of losmapimod at specified timepoints by liquid chromatography with tandem mass spectrometry.

    Measured: Treatment Regimen Part C: Days 1 and 2

Secondary outcomes (4)
  1. Treatment-Emergent Adverse Events

    To evaluate the safety and tolerability of losmapimod 15 mg in healthy adult subjects based on the frequency of adverse events (AEs), frequency of serious adverse events (SAEs), and clinically significant laboratory test results, electrocardiograms (ECGs), vital signs and physical examination findings.

    Measured: Up to approximately 4 weeks of monitoring

  2. Target Engagement in Blood

    Change from baseline in the ratio of phosphor-HSP27/total-HSP27 in sorbitol-stimulated whole blood lysate will be evaluated by enzyme linked immunosorbent assay (ELISA).

    Measured: Treatment Regimen A: Day 1

  3. Target Engagement in Blood

    Change from baseline in the ratio of phosphor-HSP27/total-HSP27 in sorbitol-stimulated whole blood lysate will be evaluated by enzyme linked immunosorbent assay (ELISA).

    Measured: Treatment Regimen B: Day 1

  4. Target Engagement in Blood

    Change from baseline in the ratio of phosphor-HSP27/total-HSP27 in sorbitol-stimulated whole blood lysate will be evaluated by enzyme linked immunosorbent assay (ELISA).

    Measured: Treatment Regimen C: Day 1

Timeline

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

  1. First posted12 Aug 2021
  2. Study start19 Aug 2021
  3. Primary completion5 Oct 2021
  4. Study completion22 Oct 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
Crossover
Model description
Open-label, 3-period, 6-sequence, randomized, single-dose, crossover study designed to assess the relative bioavailability of a 15 mg tablet of losmapimod versus two 7.5 mg tablets of losmapimod under fasted conditions and to assess the effect of food on the pharmacokinetics of a 15 mg tablet of losmapimod under fasted and fed conditions
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05002231
Sponsor's protocol ID
1821-CLP-101
Status last verified
Nov 2021
First submitted
4 Aug 2021
Last updated
12 Nov 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Barbour AM, Sarov-Blat L, Cai G, Fossler MJ, Sprecher DL, Graggaber J, McGeoch AT, Maison J, Cheriyan J. Safety, tolerability, pharmacokinetics and pharmacodynamics of losmapimod following a single intravenous or oral dose in healthy volunteers. Br J Clin Pharmacol. 2013 Jul;76(1):99-106. doi: 10.1111/bcp.12063.

    PubMed 23215699
  • Mellion ML, Ronco L, Berends CL, Pagan L, Brooks S, van Esdonk MJ, van Brummelen EMJ, Odueyungbo A, Thompson LA, Hage M, Badrising UA, Raines S, Tracewell WG, van Engelen B, Cadavid D, Groeneveld GJ. Phase 1 clinical trial of losmapimod in facioscapulohumeral dystrophy: Safety, tolerability, pharmacokinetics, and target engagement. Br J Clin Pharmacol. 2021 Dec;87(12):4658-4669. doi: 10.1111/bcp.14884. Epub 2021 May 14.

    PubMed 33931884

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Losmapimod 15 mg oral tablet, Losmapimod two 7.5 mg oral tablets and Losmapimod one 15 mg oral tablet in people with Healthy Adult Subjects, run by Fulcrum Therapeutics 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 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 12 Nov 2021. 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. 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?

Plasma Concentrations of Losmapimod (time frame: Treatment Regimen A: Days 1 and 2). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05002231, which also lists 2 linked publications.

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 12 Nov 2021.

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