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Healthy VolunteerPhase 1NCT05667688

Pharmacokinetics and Pharmacodynamics Study of LBS-008 in Healthy Volunteers Aged 50-85

A Phase 1 study testing Tinlarebant (LBS-008) in people with Healthy Volunteer and Dry Age-related Macular Degeneration, run by RBP4 Pty Ltd at 1 site in Australia.

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 1b, parallel single-dose study to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of Tinlarebant when administered as an oral dose to elderly healthy volunteers. This study will evaluate 2 dose levels in 2 cohorts comprising up to a total of 16 participants (8 per cohort). Read more about this study

Who is it for?
Ages 50 to 85 yearsHealthy volunteers can take part
What is being tested?
Tinlarebant (LBS-008)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteAustralia
Study dates
28 Nov 2022to 18 Jan 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 50 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Must have given written informed consent before any study-related activities are carried out and must be able to understand the full nature and purpose of the trial, including possible risks and adverse effects.
  • Healthy adult male or female, or adult male or female with a stable chronic disease or condition aged 50-85 years of age, inclusive. Adults with stable chronic disease or condition includes adults with no new diagnosis, hospitalisation or changes in medication in the 3 months prior to first dose of study drug on Day 1. Ongoing concomitant medications associated with the stable disease or condition, including over-the-counter (OTC) medications and herbal/vitamin supplements taken by volunteers, will be recorded and reviewed by the PI (or delegate) to determine whether the volunteer is suitable for inclusion in the study. In conducting this review, the PI (or delegate) must consider Exclusion Criteria 11, 12, 13 and 14.
  • The volunteer is considered by the Investigator to be in stable health

Who cannot join

  • Presence of CS cardiovascular, pulmonary, hepatic, renal, haematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, or psychiatric disease, or any other condition that, in the opinion of the Investigator, would jeopardise the safety of the participant or the validity of the study results.
  • Had a CS new illness within 1 month prior to the screening visit, with the exception of fully resolved gastrointestinal illness at least 14 days prior to the screening visit, fully resolved minor colds (e.g., only cold and flu-like symptoms) that occurred within 1 month prior to the screening visit, and fully resolved corona virus disease 2019 (COVID-19) infections if resolved at least 14 days prior to the screening visit and 30 days prior to confinement to the clinical facility.
  • A history of uncontrolled hypertension, coronary artery disease, or any other significant cardiovascular disease.
  • A history of uncontrolled diabetes. Volunteers with fully resolved gestational diabetes will be eligible to participate in the study.
  • A history of unexplained loss of consciousness, epilepsy or other seizure disorder, or cerebrovascular disease.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Nucleus Network

    Melbourne

Other trials in Australia

About this study

Official title: A Phase 1b, Open-Label, Parallel Single-Dose Study to Evaluate the Pharmacokinetics and Pharmacodynamics of Tinlarebant in Healthy Volunteers Aged 50-85

This is a Phase 1b, parallel single-dose study to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of Tinlarebant when administered as an oral dose to elderly healthy volunteers. This study will evaluate 2 dose levels in 2 cohorts comprising up to a total of 16 participants (8 per cohort). Dose levels will be evaluated in parallel.

Read the detailed description

This is a Phase 1b, parallel single-dose study to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of tinlarebant when administered as an oral dose to healthy volunteers aged 50-85. Tinlarebant (previously called LBS-008) is being developed as an oral treatment to slow or halt the progression of dry age-related macular degeneration (AMD) and juvenile onset macular degeneration, known as Stargardt disease (STGD). Accumulation of lipofuscin bisretinoids in the retina is associated with several retinal degenerative diseases including dry AMD and STGD. A total of up to 16 healthy volunteers aged 50-85 are planned to be enrolled into 2 cohorts (8 participants per cohort). Participants will receive a single oral dose of tinlarebant, either 5 mg (Cohort 1) or 10 mg (Cohort 2). The total maximum study duration for participants in this study is 45 days, inclusive of visit windows. This includes a screening period of up to 27 days (Day -28 to Day -2), confinement to the clinical facility over 2 nights (Day -1 to Day 2) and 5 outpatient visits including the EOS visit or Day 15. Tinlarebant will be administered in tablet form; a single tinlarebant tablet will contain 5 mg of IP. Participants in Cohort 1 will receive 1 tinlarebant tablet (5 mg dose) and participants in Cohort 2 will receive 2 tinlarebant tablets (10 mg dose). Enrolment and dosing of participants in Cohorts 1 and 2 may occur concurrently. Healthy volunteers aged 50-85, will be screened between Day -28 and Day -2, inclusive. Participants will be admitted to the clinical facility on Day -1 with tinlarebant dosing to occur on the following day (Day 1). All participants will be dosed under fasted conditions. Participants will be confined at the clinical facility from Day -1 through to Day 2 with discharge following completion of all PK and PD blood sample collections and other scheduled assessments on Day2. If participants experience any clinically significant (CS) AEs during the confinement period, they may remain in the clinical facility for further observation at the discretion of the Principal Investigator (PI). Blood samples for PK and PD analysis will be collected pre-dose and at timepoints up to 24 hours (Day 2) post-dose during the confinement period. Participants will be required to attend the clinic as outpatients on Days 3, 4, 6 and 8 for further safety assessments, PK and PD blood sampling. Participants will then return to the clinical facility for final safety assessments at an end of study (EOS) vision Day 15.

In the event of early study termination prior to the EOS visit (Day 15), participants will be requested to attend the clinic for an early termination (ET) visit.

Being tested
Tinlarebant (LBS-008)

What participants receive

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

  • Tinlarebant (LBS-008)Drug

    A single dose of Tinlarebant (LBS-008) will be administered to each study participant on study Day 1.

Study groups in NCT05667688
Study groupRoleWhat they receive
Cohort 1: 5 mg, fastedActive comparatorA single dose (5 mg) of tinlarebant will be administered to each study participant on study Day 1.
Receives: Drug: Tinlarebant (LBS-008)
Cohort 2: 10 mg, fastedActive comparatorA single dose (10 mg) of tinlarebant will be administered to each study participant on study Day 1.
Receives: Drug: Tinlarebant (LBS-008)

What is being measured

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

  1. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Area under the plasma concentration versus time curve from time 0 to the last time point with quantifiable concentration (AUC0-t)

    Measured: Up to 168 hours

  2. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Area under the plasma concentration versus time curve from time 0 extrapolated to infinity (AUC0-inf)

    Measured: Up to 168 hours

  3. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Maximum observed plasma concentration (Cmax)

    Measured: Up to 168 hours

  4. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Time of maximum observed plasma concentration (Tmax)

    Measured: Up to 168 hours

  5. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Apparent plasma terminal elimination half-life (t1/2)

    Measured: Up to 168 hours

  6. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Terminal elimination rate constant (λz)

    Measured: Up to 168 hours

  7. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Apparent total body clearance (CL/F)

    Measured: Up to 168 hours

  8. To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85.

    Apparent volume of distribution (Vz/F)

    Measured: Up to 168 hours

  9. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Time of minimal RPB4 levels post-dose (Tmin)

    Measured: Up to 168 hours

  10. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Maximal suppression to RBP4 expressed as minimum concentration of RBP4 (Cmin)

    Measured: Up to 168 hours

  11. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Maximal suppression to RBP4 expressed as percent (%) of baseline concentration of RBP4 (C%bmin)

    Measured: Up to 168 hours

  12. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Level of RBP4 at 12 hours as concentration (C12h)

    Measured: Up to 168 hours

  13. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Level of RBP4 at 12 hours as percent of baseline concentration (C%b12h)

    Measured: Up to 168 hours

  14. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Level of RBP4 at 24 hours as concentration (C24h)

    Measured: Up to 168 hours

  15. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Level of RBP4 at 24 hours as percent of baseline concentration (C%b24h)

    Measured: Up to 168 hours

  16. To measure the concentrations of retinol-binding protein 4 (RBP4), a pharmacodynamic (PD) biomarker, in plasma following a single oral dose in healthy volunteers aged 50-85

    Half-life for recovery of RBP4 to baseline levels (PDt1/2)

    Measured: Up to 168 hours

Secondary outcomes (16)
  1. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Incidence, type, severity, and relationship of AEs/serious AEs (SAEs), including withdrawals due to AEs;

    Measured: Up to 15 days

  2. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in vital sign measurements (systolic and diastolic blood pressure (BP))

    Measured: Up to 15 days

  3. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in vital sign measurements (heart rate (HR))

    Measured: Up to 15 days

  4. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in vital sign measurements (respiratory rate)

    Measured: Up to 15 days

  5. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in vital sign measurements (body temperature)

    Measured: Up to 15 days

  6. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (RR interval)

    Measured: Up to 15 days

  7. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (PR interval)

    Measured: Up to 15 days

  8. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (QRS width)

    Measured: Up to 15 days

  9. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (QT interval)

    Measured: Up to 15 days

  10. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (QTcB)

    Measured: Up to 15 days

  11. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in electrocardiogram (ECG) parameters (QTcF)

    Measured: Up to 15 days

  12. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in visual acuity scores

    Measured: Up to 15 days

  13. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Changes from baseline in colour vision scores

    Measured: Up to 15 days

  14. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Ocular examination assessments (slit lamp biomicroscopy)

    Measured: Up to 15 days

  15. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Ocular examination assessments (dilated ophthalmoscopy)

    Measured: Up to 15 days

  16. To investigate the systemic and ocular safety and tolerability of a single oral dose of tinlarebant in healthy adult volunteers aged 50-85.

    Ocular examination assessments (intraocular pressure)

    Measured: Up to 15 days

Timeline

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

  1. First posted28 Dec 2022
  2. Study start28 Nov 2022
  3. Primary completion4 Jan 2023
  4. Study completion18 Jan 2023

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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05667688
Sponsor's protocol ID
LBS-008-CT06
Status last verified
Feb 2023
First submitted
15 Nov 2022
Last updated
23 Feb 2023
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: After completion of the study, data may be considered for reporting at a scientific meeting or for publication in a scientific journal. In these cases, the sponsor will be responsible for these activities and will work with the investigators to determine how the manuscript is written and edited, the number and order of authors, the publication to which it will be submitted, and any other related issues. The sponsor has final approval authority of all such issues. Data are the property of the sponsor and cannot be published without their prior authorization, but data and any publication thereof will not be unduly withheld.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tinlarebant (LBS-008) in people with Healthy Volunteer and Dry Age-related Macular Degeneration, run by RBP4 Pty Ltd at 1 site in Australia.

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 3 inclusion and 5 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 23 Feb 2023. 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 Australia. 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?

To measure the pharmacokinetics (PK) of tinlarebant in plasma following a single oral dose in healthy volunteers aged 50-85. (time frame: Up to 168 hours). The study lists 16 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 23 Feb 2023.

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