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Non-Alcoholic Fatty Liver DiseasePhase 1NCT05203367

Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BAR 502 in Healthy Subjects

A Phase 1 study testing BAR502 in people with Non-Alcoholic Fatty Liver Disease, run by BAR Pharmaceuticals s.r.l. at 1 site in Portugal.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a prospective, single-center, randomized, double-blind, placebo-controlled, single-ascending dose (SAD) phase 1 study to evaluate the safety and tolerability of single-ascending doses of BAR 502 in healthy male and female subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Non-Alcoholic Fatty Liver Disease
What is being tested?
BAR502
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 sitePortugal
Study dates
25 Nov 2022to 30 Mar 2023
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

  • Signed informed consent in a language understandable to the subject prior to any study-mandated procedure.
  • Ability to communicate well with the investigator, and to understand and comply with the study requirements.
  • Healthy male or female subject aged between 18 and 55 years (inclusive) at Screening.
  • Body mass index (BMI) of 18.0 to 30.0 kg/m2 (inclusive) at Screening.
  • Systolic blood pressure (SBP) 90-140 mmHg, diastolic blood pressure (DBP) 50-90 mmHg, and pulse rate 45-90 bpm (inclusive), measured on same arm after ≥5 min in the seated position, at Screening.
  • Estimated glomerular filtration rate calculated using the Cockcroft-Gault equation and normalized to an average surface area of 1.73 m2 ≥ 90 mL/min at Screening.
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  • If woman, she meets one of the following criteria:
  • is of non-childbearing potential; or
  • is of childbearing potential and agrees to use an accepted non-hormonal or hormonal contraceptive method.
  • If man, he is infertile, vasectomized (i.e. who has received medical assessment of the surgical success) or agrees to abstain from or to use a condom during heterosexual intercourse with a woman of childbearing potential or a pregnant woman, and agrees not to donate sperm, from investigational product administration until at least 90 days after the investigational product administration. In addition, the subject must ensure that his female partner of childbearing potential agrees to consistently and correctly use one of the acceptable contraceptive methods mentioned above, for the same period of time.

Who cannot join

  • At screening:
  • Previous exposure to BAR 502.
  • Known hypersensitivity to BAR 502, or any of its excipients.
  • Clinically relevant findings on physical examination.
  • Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position.
  • Clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinalysis).
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  • QTcF > 450 ms in males and > 470 ms in females.
  • Medical history and/or clinical or laboratory evidence of liver or hepatobiliary disease or liver injury as indicated by serum alanine aminotransferase (ALT), AST, gamma-glutamyl transferase (GGT), ALP or total bilirubin levels exceeding the upper limit of normal (ULN).
  • International Normalized Ratio (INR) > 1.2.
  • Any medical condition, acute, ongoing, recurrent or chronic, that presents a potential risk to the participant and/or that may compromise the objectives of the study.
  • History of major medical or surgical disorders which, in the opinion of the investigator, are likely to interfere with the distribution, metabolism, or excretion of the investigational product.
  • History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to Screening.
  • Previous clinically relevant history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal reactions.
  • Veins unsuitable for intravenous puncture on either arm (e.g., veins that are difficult to locate, access, or puncture, veins with a tendency to rupture during or after puncture).
  • Participation in a clinical study involving investigational product administration within 3 months prior to Screening or in more than 2 clinical studies within 1 year prior to Screening.
  • Excessive methylxanthines consumption, defined as ≥ 800 mg per day.
  • Nicotine intake (e.g., smoking, nicotine patch, nicotine chewing gum, or electronic cigarettes) within 3 months prior to Screening and inability to refrain from nicotine intake from Screening up to End-of-Study (EOS).
  • Loss of 250 mL or more of blood within 3 months prior to Screening.
  • Positive hepatitis B surface antigen (HBsAg) and/or hepatitis C virus antibodies.
  • Positive human immunodeficiency virus (HIV1 and HIV2) antibodies.
  • Positive results in urine drugs-of-abuse, cotinine or ethanol tests.
  • If woman, she is breastfeeding.
  • Positive result in serum pregnancy test.
  • Any other circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol or may render the subject unsuitable for the study.
  • At admission to treatment period:
  • Positive or inconclusive SARS-CoV-2 test result using polymerase chain reaction (PCR) technology prior to Admission to the clinical site.
  • Any recent disease or condition or treatment that, according to the Investigator, would put the subject at undue risk due to study participation or occurred at a timeframe in which may interfere with the study outcomes.
  • Clinically relevant findings on physical examination.
  • Clinically relevant abnormalities on 12-lead ECG, measured after 5 min in a supine position.
  • Clinically relevant findings in clinical laboratory tests.
  • Use of prescription or nonprescription medicinal products, including vitamins, food supplements, herbal supplements (including St John's Wort), within 3 weeks prior to study treatment administration, unless in the Investigator's opinion the medication does not interfere with the pharmacokinetics of study drug or compromise subject safety.
  • Consumption of Seville oranges, pomelo, pomegranate, starfruit or grapefruit products (fresh, canned, or frozen) since Screening.
  • Positive result in urine drugs-of-abuse, cotinine or ethanol tests.
  • Positive result in urine pregnancy test.
  • Any other condition that the investigator considers to render the subject unsuitable for the treatment period.

Trial locations and contacts

1 site in 1 country.

Portugal1 site
  • BlueClinical Phase I

    Porto

Other trials in Portugal

About this study

Official title: Randomized, Double-Blind, Placebo-Controlled, Phase 1 Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single-Ascending Doses of BAR 502 in Healthy Subjects

This is a prospective, single-center, randomized, double-blind, placebo-controlled, single-ascending dose (SAD) phase 1 study to evaluate the safety and tolerability of single-ascending doses of BAR 502 in healthy male and female subjects.

Read the detailed description

This clinical trial will be the first-in-Human (FiH) study of BAR 502.

This study is planned to investigate up to 4 dose levels of BAR 502. Each dose level will consist of 8 healthy male and female subjects (ratio 1:1, male: female) to have 6 subjects being administered BAR 502 and 2 subjects being administered placebo (ratio 3:1, active: placebo).

The study is designed to meet the following objectives:

  • Primary:
  • To evaluate the safety and tolerability of single-ascending doses of BAR 502 in healthy male and female subjects.
  • Secondary:
  • To investigate the pharmacokinetics (PK) of single-ascending doses of BAR 502 in healthy male and female subjects;
  • To investigate the pharmacodynamics (PD) of single-ascending doses of BAR 502 in healthy male and female subjects.
Being tested
BAR502, Placebo
Keywords
Non-alcoholic fatty liver disease, healthy, BAR 502
Medical subject headings
Non-alcoholic Fatty Liver Disease

What participants receive

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

  • BAR502Drug

    Single oral doses of BAR 502/placebo will be administered as film-coated tablets, in the morning of Day 1, with 240 mL of water, after an overnight fasting of at least 8 hours.

    BAR 502 film-coated tablets are available at dose strengths of 10, 50 and 150 mg. A maximum of 4 dose levels are pre-planned (10 mg, 50 mg, 150 mg, 300 mg).

  • PlaceboDrug

    Matching BAR 502 placebo film-coated tablets will be given to 2 out of 8 subjects in each cohort using the same regimen as outlined for the active study treatment

Study groups in NCT05203367
Study groupRoleWhat they receive
BAR 502ExperimentalEach subject will receive an oral single-dose of BAR 502.
Receives: Drug: BAR502
PlaceboPlacebo comparatorEach subject will receive an oral single-dose of placebo.
Receives: Drug: Placebo

What is being measured

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

  1. Incidence of Treatment-Emergent Adverse Events

    Safety will be evaluated through the assessment of adverse events

    Measured: Through study completion, an average of 2 months

  2. Assessment of physical examination

    Safety will be evaluated through the assessment of physical examination, which will include: general appearance; skin; head and neck; thorax and abdomen; pulmonary auscultation; cardiac auscultation; abdomen palpation; limbs.

    Measured: At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential) and end of study ( Day 8)

  3. Assessment of 12-lead electrocardiogram

    Safety will be evaluated through the assessment of 12-lead ECG. The following variables are to be collected on the eCRF: HR (bpm), and the intervals PR (ms), QRS (ms), QT (ms), QTcB (ms) and QTcF (ms).

    Measured: At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day-1), and from day 1 to day 4 of the study

  4. Change from baseline at each time point of measurement in supine blood pressure (both systolic and diastolic)

    Safety will be evaluated through the assessment of vital signs (systolic and diastolic blood pressure)

    Measured: At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day -1), from Day 1 to Day 4 of the study, and at end of study (at Day 8).

  5. Change from baseline at each time point of measurement in pulse rate

    Safety will be evaluated through the assessment of vital signs

    Measured: At screening (Day -21 to Day -3 for male and female subjects of non-childbearing potential, Day -28 to Day -7 for female subjects of childbearing potential), admission (Day -1), from day 1 to day 4 of the study, and at end of study (at Day 8)..

Secondary outcomes (15)
  1. Maximum concentration (Cmax)

    Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics

    Measured: Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.

  2. Time of occurrence of Cmax (Tmax)

    Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics

    Measured: Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.

  3. Area under the plasma concentration-time curve (AUC) from time zero to last sampling time with quantifiable concentrations (AUC0-t);

    Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics

    Measured: Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.

  4. AUC extrapolated to infinity

    Determination of BAR 502 concentrations in plasma, to investigate the pharmacokinetics

    Measured: Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.

  5. Apparent terminal elimination rate constant (λz); and apparent terminal elimination half-life (t1/2)

    Determination of BAR 502 concentrations in plasma to investigate the pharmacokinetics

    Measured: Within 1 hour prior to treatment administration and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48 and 74 hours after treatment administration.

  6. Cumulative amount of drug excreted in urine (AmtCUM)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  7. Area under the urine excretion curve (AUR) from time zero to last observed concentration (AURClast)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  8. Maximum rate of urinary excretion (Rmax)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  9. Percentage of drug recovered in urine (REC%)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  10. Time to Rmax (tumax)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  11. Renal clearance (CLR)

    Determination of BAR 502 concentrations in urine to investigate the pharmacokinetics

    Measured: From treatment administration to day 4 of the study

  12. Serum concentrations of total bile acids over time up to 24 hours post-dose

    To investigate the pharmacodynamics

    Measured: At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration.

  13. Serum concentrations of FGF19 over time up to 24 hours post-dose.

    To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)

    Measured: At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration

  14. Serum concentrations of C4 over time up to 24 hours post-dose.

    To investigate the pharmacodynamics (biomarkers of Farnesoid X Receptor (FXR) target engagement)

    Measured: At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration

  15. Serum concentrations of GLP-1 over time up to 24 hours post-dose.

    To investigate the pharmacodynamics (marker of G protein-coupled bile acid-activated receptor 1 (GPBAR1) activation)

    Measured: At admission, within 1 hour prior to study treatment administration, and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 16 and 24 hours after treatment administration

Timeline

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

  1. First posted24 Jan 2022
  2. Study start25 Nov 2022 (estimated)
  3. Primary completion30 Mar 2023 (estimated)
  4. Study completion30 Mar 2023 (estimated)

Why it stopped: Update development program

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
Other
Allocation
Randomised
Intervention model
Sequential
Model description
A maximum of 4 BAR 502 dose levels are preplanned to be investigated in separate sequential cohorts. Each of these cohorts will consist of 8 healthy male and female subjects (3 subjects of either sex on active treatment, 1 of either sex on placebo). Each subject will participate in only one cohort.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05203367
Sponsor's protocol ID
BLCL-BAR-502-101
Status last verified
Jun 2024
First submitted
4 Dec 2021
Last updated
20 Jun 2024
Results posted
No
Data monitoring committee
No
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 BAR502 in people with Non-Alcoholic Fatty Liver Disease, run by BAR Pharmaceuticals s.r.l. at 1 site in Portugal.

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 35 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: withdrawn, as of the sponsor's last update on 20 Jun 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 Portugal. 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 was withdrawn before enrolling participants, so there are no results.

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?

Incidence of Treatment-Emergent Adverse Events (time frame: Through study completion, an average of 2 months). The study lists 5 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 20 Jun 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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