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Covid19Phase 1NCT05011812

Study of PBI-0451 in Healthy Subjects.

A Phase 1 study testing PBI-0451 Dose 1, PBI-0451 Dose 2 and PBI-0451 Dose 3 in people with Covid19, run by Pardes Biosciences, Inc. at 1 site in New Zealand.

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 phase 1, placebo-controlled, blinded, randomized, dose escalation study of PBI-0451 in healthy subjects. PBI-0451 is a new chemical entity and inhibitor of the main protease of coronaviruses, including the SARS-CoV-2 that causes COVID-19 disease. Read more about this study

Who is it for?
Ages 18 to 59 yearsHealthy volunteers can take part
Conditions the study is for
Covid19
What is being tested?
PBI-0451 Dose 1, PBI-0451 Dose 2 and PBI-0451 Dose 3
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
130 participants
Where
1 siteNew Zealand
Study dates
14 Aug 2021to 26 Mar 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 18 to 59 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Non-smoking, healthy male or female subjects aged 18-59 years.
  • Body Mass Index (BMI) of ≥ 19.0 and ≤ 30.0 kg/m2.
  • 12-Lead electrocardiogram (ECG) evaluation without clinically significant abnormalities.
  • Normal renal function, including having a creatinine clearance (CLcr) ≥90mL/min
  • Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
  • Screening laboratory assessments must be without clinically significant abnormalities as assessed by the investigator.

Who cannot join

  • Pregnant and lactating females
  • Have received any investigational drug (or vaccine) within the last 30 days prior to study dosing.
  • Have a positive test result for HIV or HBsAg.
  • Have poor venous access that limits phlebotomy
  • Have taken any prescription medications or over-the-counter medications, including herbal products and dietary supplements within 28 days prior to start of study.
  • Have been treated with systemic steroids, immunosuppressant therapies, or chemotherapeutic agents within 3 months prior to Screening or is expected to receive these agents during the study.
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  • Have a history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
  • Have a history of significant drug sensitivity, cardiac disease, syncope, palpitations, or unexplained dizziness, implanted defibrillator or pacemaker, liver disease, severe peptic ulcer disease, gastroesophageal reflux disease and a medical or surgical treatment that permanently altered gastric absorption.
  • Have received inactivated vaccinations within 4 weeks prior to randomization or receive live vaccinations within 4 weeks of Screening.
  • Received the COVID-19 vaccine either within 7 days or have not completed the series of required 2 doses.
  • Have a history of excessive alcohol use or other illicit drug use within 6 months of screening.

Trial locations and contacts

1 site in 1 country.

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1010

Other trials in New Zealand

About this study

Official title: A Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of PBI-0451 in Healthy Subjects.

This is a phase 1, placebo-controlled, blinded, randomized, dose escalation study of PBI-0451 in healthy subjects. PBI-0451 is a new chemical entity and inhibitor of the main protease of coronaviruses, including the SARS-CoV-2 that causes COVID-19 disease. The study is designed to evaluate the safety, tolerability and pharmacokinetics of PBI-0451 after single and multiple ascending doses and also to explore drug-drug interaction potential of PBI-0451.

Read the detailed description

Combined Three part, double blind, (sponsor open) study. Part 1: Single ascending dose study. Part 2: Multiple ascending dose study. Part 3: Drug-drug interaction study.

Conditions
Covid19
Being tested
PBI-0451 Dose 1, PBI-0451 Dose 2, PBI-0451 Dose 3, PBI-0451 Dose 4, Ritonavir
Medical subject headings
COVID-19

What participants receive

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

  • PBI-0451 Dose 1Drug

    Also called PBI-0451

    Dose level 1 of PBI-0451

  • PBI-0451 Dose 2Drug

    Also called PBI-0451

    Dose level 2 of PBI-0451

  • PBI-0451 Dose 3Drug

    Also called PBI-0451

    Dose level 3 of PBI-0451

  • PBI-0451 Dose 4Drug

    Also called PBI-0451

    Dose level 4 of PBI-0451

  • RitonavirDrug

    Also called Norvir

    Ritonavir will be co-administered with the study drug in Treatments J and K

  • MidazolamDrug

    Midazolam will be co-administered with the study drug in Treatment L

  • PlaceboDrug

    Placebo to match

  • PBI-0451Drug

    Dose level of PBI-0451 with a projected exposure

  • PBI-0451 Dose 5Drug

    Also called PBi-0451

    Dose level 5 of PBI-0451

Study groups in NCT05011812
Study groupRoleWhat they receive
Part 1, Treatment AExperimentalDose level 1 of PBI-0451
Receives: Drug: PBI-0451 Dose 1; Drug: Placebo
Part 1, Treatment BExperimentalDose level 2 of PBI-0451
Receives: Drug: PBI-0451 Dose 2; Drug: Placebo
Part 1, Treatment CExperimentalDose level 3 of PBI-0451
Receives: Drug: PBI-0451 Dose 3; Drug: Placebo
Part 1, Treatment DExperimentalDose level 4 of PBI-0451
Receives: Drug: PBI-0451 Dose 4; Drug: Placebo
Part 2, Treatment EExperimentalPBI-0451 =/< Dose level 1
Receives: Drug: PBI-0451 Dose 1; Drug: Placebo
Part 2, Treatment FExperimentalPBI-0451 =/< Dose level 2
Receives: Drug: PBI-0451 Dose 2; Drug: Placebo
Part 2, Treatment GExperimentalPBI-0451 =/< Dose level 3
Receives: Drug: PBI-0451 Dose 3; Drug: Placebo
Part 2, Treatment HExperimentalPBI-0451 =/< Dose level 4
Receives: Drug: PBI-0451 Dose 4; Drug: Placebo
Part 3, Treatment JExperimentalPBI-0451 + ritonavir (a CYP450 3A inhibitor)
Receives: Drug: Ritonavir; Drug: Placebo; Drug: PBI-0451
Part 3, Treatment KExperimentalPBI-0451 + ritonavir
Receives: Drug: Ritonavir; Drug: Placebo; Drug: PBI-0451
Part 3, Treatment LExperimentalPBI-0451 dose TBD + midazolam (a sensitive CYP450 3A substrate)
Receives: Drug: Midazolam; Drug: Placebo; Drug: PBI-0451
Part 1, Treatment MExperimentalDose level 2 of PBI-0451 with food
Receives: Drug: PBI-0451 Dose 2; Drug: Placebo
Part 2, Treatment IExperimentalPBI-0451 =/< Dose level 5
Receives: Drug: Placebo; Drug: PBI-0451 Dose 5
Part 1, Treatment NExperimentalDose Level 5 of PBI-0451
Receives: Drug: Placebo; Drug: PBI-0451 Dose 5

What is being measured

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

  1. Number of subjects with treatment emergent adverse events (TEAEs) in Single Ascending Dose (SAD) compared to placebo

    An adverse event is any untoward medical occurrence in patient or clinical study participant temporarily associated with the use of study intervention, whether or not considered related to the study intervention. A serious adverse event (SAE) is defined as any untoward medical occurrence at any dose that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect. AEs include both SAEs and AEs. TAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment.

    Measured: Day 1- Day 14 (From start of study medication till 14 days of last administration of study drug)

  2. Number of subjects with clinically significant change from Baseline in vital signs in SAD

    Vital signs include blood pressure, heart rate, respiratory rate, and temperature

    Measured: Day 1-Day 14 (From start of study medication till 14 days of last administration of study drug)

  3. Number of patients with laboratory abnormalities in SAD

    Hematology and serum chemistry

    Measured: Day 1-Day 14 (From start of study medication till 14 days of last administration of study drug)

  4. Number of subjects with treatment emergent adverse events (TEAEs) in Multiple Ascending Dose (MAD) compared to placebo

    An adverse event is any untoward medical occurrence in patient or clinical study participant temporarily associated with the use of study intervention, whether or not considered related to the study intervention. A serious adverse event (SAE) is defined as any untoward medical occurrence at any dose that results in death; is life threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; results in congenital anomaly/birth defect. AEs include both SAEs and AEs. TAEs are AEs that occur following the start of treatment or AEs increasing in severity during treatment.

    Measured: Day 1-Day 11, and Follow up (after 14 days)

  5. Number of subjects with clinically significant change from Baseline in vital signs in MAD

    Vital signs include blood pressure, heart rate, respiratory rate, and temperature

    Measured: Day 1-Day 11, and Follow up (after 14 days)

  6. Number of patients with laboratory abnormalities in MAD

    Hematology and serum chemistry

    Measured: Day 1-Day 11, and Follow up (after 14 days)

Secondary outcomes (15)
  1. To collect ECG data for PBI-0451 for the purpose of concentration-QT/QTc modeling

    Criteria for clinically significant changes in ECG (12 lead) are defined as: a postdose QTc interval increase by =/>30msec from the baseline and is >450 msec; or an absolute QTc value is =/> 500 msec for any scheduled ECG.

    Measured: Day 1, 4, 6 and 11

  2. Plasma concentration of each dose of study drug to determine AUCinf in SAD

    AUCinf = Area under the plasma concentration versus time curve (AUC) from time 0 to extrapolated infinite time.

    Measured: Day 1-Day 6

  3. Plasma concentration of each dose of study drug to determine AUClast in SAD

    AUClast is summarized by dosing regimen and determined by linear/log trapezoidal method.

    Measured: Day 1-Day 6

  4. Plasma concentration of each dose of study drug to determine %AUCexp in SAD

    %AUCexp is summarized by dosing regimen and expressed as area under the plasma concentration-time curve extrapolated from time (tau) to infinity as a percentage of total AUC

    Measured: Day 1-Day 6

  5. Plasma concentration of each dose of study drug to determine CL/F in SAD

    CL/F is a measure of the rate at which a drug is metabolized or eliminated by normal biological process

    Measured: Day 1-Day 6

  6. Plasma concentration of each dose of study drug to determine CLss/F in MAD

    CLss/F is the total body clearance for extravascular administration divided by the fraction of dose absorbed

    Measured: Day 4, Day 6, Day 8

  7. Plasma concentration of each dose of study drug to determine AUCtau in MAD

    Area under the plasma concentration- Time profile from Time zero to end of dosing interval. AUCtau is summarized by dosing regimen and period.

    Measured: Day 4, Day 6, Day 8

  8. Plasma concentration of each dose of study drug to determine Cmax in MAD

    Observed Cmax is estimated based on the plasma concentrations.

    Measured: Day 4, Day 6, Day 8 (Pre dose to 24 hours)

  9. Plasma concentration of each dose of study drug to determine Tmax in MAD

    Tmax is summarized by dosing regimen

    Measured: Day 4, Day 6, Day 8 (Pre dose to 24 hours)

  10. Plasma concentration of each dose of study drug to determine Tlast in MAD

    Tlast is the time of last measurable concentration

    Measured: Day 4, Day 6, Day 8

  11. Plasma concentration of each dose of study drug to determine Clast in MAD

    Clast is the last measurable concentration (above the quantification limit)

    Measured: Day 4, Day 6, Day 8

  12. Plasma concentration of each dose of study drug to determine Ctau in MAD

    Ctau is the concentration at the end of dosing interval

    Measured: Day 4, Day 6, Day 8

  13. Plasma concentration of each dose of study drug to determine λz in MAD

    Individual estimate of terminal elimination rate constant, calculated using log-linear regression of the terminal portions of the plasma concentration-versus-time curves.

    Measured: Day 4, Day 6, Day 8

  14. Plasma concentration of each dose of study drug to determine t1/2

    t1/2 is summarized by dosing regimen . It is determined by loge(2)/kel, where kel is the terminal phase rate constant calculated by a linear regression of the log linear concentration time curve. Only those data points judged to describe the terminal log linear decline is used in the regression.

    Measured: Day 1(0 hours- 24 hours post dose), Day 4, Day 6, Day 8

  15. Plasma concentration of each dose of study drug to determine Vz/F

    Vz/F is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. VZ/F after oral dose is influenced by the fraction absorbed.

    Measured: Day 4, Day 6, Day 8

Timeline

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

  1. First posted18 Aug 2021
  2. Study start14 Aug 2021
  3. Primary completion26 Mar 2022
  4. Study completion26 Mar 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
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
130 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05011812
Sponsor's protocol ID
PBI-0451-0001
Status last verified
Jun 2022
First submitted
11 Aug 2021
Last updated
3 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PBI-0451 Dose 1, PBI-0451 Dose 2 and PBI-0451 Dose 3 in people with Covid19, run by Pardes Biosciences, Inc. at 1 site in New Zealand.

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 11 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 3 Jun 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 New Zealand. 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?

Number of subjects with treatment emergent adverse events (TEAEs) in Single Ascending Dose (SAD) compared to placebo (time frame: Day 1- Day 14 (From start of study medication till 14 days of last administration of study drug)). 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 3 Jun 2022.

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