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Drug InteractionPhase 1NCT06194864

Drug Interaction Study

A Phase 1 study testing Itraconazole, rifampicin and Ecopipam in people with Drug Interaction, run by Emalex Biosciences Inc. at 1 site in Canada.

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 single center, 2-Part, Phase 1, open-label, fixed-sequence, drug-drug interaction study designed to compare the PK of ecopipam when administered alone and in combination with itraconazole (Part 1) or rifampicin (Part 2) in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Drug Interaction
What is being tested?
Itraconazole, rifampicin and Ecopipam
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteCanada
Study dates
18 Jan 2024to 22 May 2024
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

  • Male subjects or femail subjects of non-childbearing potential
  • ≥18 and ≤55 years of age
  • BMI >18.5 and <30.0 kg/m2 and body weight ≥50.0 kg for males and ≥45.0 kg for females.
  • Subjects must be healthy, as determined by the Investigator, based on medical history, physical examination, ECG, vital signs, and standard panel of blood and laboratory tests at Screening.
  • Sexually active males must use a double barrier method of contraception during the study and for at least 90 days after the last dose of study drug.
  • Male subjects must be willing not to donate sperm until 90 days following the last study drug administration.
  • Willing to take off dentures or mouth piercing at the time of dosing.

Who cannot join

  • History of significant medical illness
  • Clinically significant abnormalities on screening tests/exams
  • History of or significant risk of committing suicide
  • Donation of plasma within 7 days prior to dosing
  • Donation or significant loss of blood within 8 weeks prior to the first dosing
  • Major surgery within 3 months or minor surgery within 1 month prior to admission
Show all 17Show fewer
  • Use of prohibited prescription, over-the-counter medications or natural health products
  • Female subjects who are currently pregnant or lactating
  • Positive pregnancy test
  • Positive urine drug screen, urine cotinine test, or alcohol breath test
  • Use of tobacco or nicotine products within 1 month prior to Screening
  • Significant alcohol consumption
  • History of drug abuse within the previous year, or a positive drug screen
  • History of allergy to study medications
  • Part 1 only: Presence of orthodontic braces or orthodontic retention wires
  • Recent participation in a clinical research study
  • Not suitable for study in the opinion of the Principal Investigator

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • Syneos Health Clinic Inc.

    Québec, Quebec, G1P 0A2

Other trials in Canada

About this study

Official title: A Phase 1, Sequential Drug Interaction Study to Evaluate the Effect of CYP3A4 and P-glycoprotein Inhibition by Itraconazole or Induction by Rifampicin on the Pharmacokinetics of Ecopipam and Its Metabolites in Healthy Subjects

This is a single center, 2-Part, Phase 1, open-label, fixed-sequence, drug-drug interaction study designed to compare the PK of ecopipam when administered alone and in combination with itraconazole (Part 1) or rifampicin (Part 2) in healthy subjects.

Being tested
Itraconazole, rifampicin, Ecopipam

What participants receive

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

  • ItraconazoleDrug

    itraconazole 200 mg QD Days 6 to 16

  • rifampicinDrug

    rifampicin 600 mg QD Days 6 to 20

  • EcopipamDrug

    89.6 mg on Days 1 and 9 for Part 1 or 179.2 mg on Days 1 and 13 for Part 2

Study groups in NCT06194864
Study groupRoleWhat they receive
Part 1Experimentalecopipam 89.6 mg on Days 1 and 9 with repeat doses of itraconazole Days 6-16.
Receives: Drug: Itraconazole; Drug: Ecopipam
Part 2Experimentalecopipam 179.2 mg on Days 1 and 13 with repeat doses of rifampicin days 6-20.
Receives: Drug: rifampicin; Drug: Ecopipam

What is being measured

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

  1. AUC0-inf of ecopipam when administered with itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  2. AUC0-inf of ecopipam when administered without itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  3. AUC0-inf of ecopipam when administered with rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  4. AUC0-inf of ecopipam when administered without rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  5. AUC0-t of ecopipam when administered with itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  6. AUC0-t of ecopipam when administered without itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  7. AUC0-t of ecopipam when administered with rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  8. AUC0-t of ecopipam when administered without rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  9. Cmax of ecopipam when administered with itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  10. Cmax of ecopipam when administered without itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  11. Cmax of ecopipam when administered with rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  12. Cmax of ecopipam when administered without rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  13. T½ el of ecopipam when administered with itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  14. T½ el of ecopipam when administered without itraconazole

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  15. T½ el of ecopipam when administered with rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  16. T½ el of ecopipam when administered without rifampicin

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

Secondary outcomes (63)
  1. AUC0-inf of EBS-101-40853

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  2. AUC0-inf of ecopipam glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  3. AUC0-inf of EBS-101-40853 glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  4. AUC0-t of EBS-101-40853

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  5. AUC0-t of ecopipam glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  6. AUC0-t of EBS-101-40853 glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  7. Cmax of EBS-101-40853

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  8. Cmax of ecopipam glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  9. Cmax of EBS-101-40853 glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  10. T½ el of EBS-101-40853

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  11. T½ el of ecopipam glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  12. T½ el of EBS-101-40853 glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  13. AUC0-4 for ecopipam

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  14. AUC0-4 for EBS-101-40853

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  15. AUC0-4 for ecopipam glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  16. AUC0-4 for EBS 101-40853 glucuronide

    Up to 38 samples will be collected at the indicated time points for pharmacokinetic analysis

    Measured: Up to Day 21

  17. Minimum Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score

    Score from 0-5 where 0 is no response and 5 is responds readily. MOAA/S measures will be recorded at the indicated timepoints

    Measured: Up to Day 21

  18. AUEC for Visual Analogue Scale (VAS)

    Score from 0 - 100 where 0 is not sedated and 100 is very sedated. VAS measures will be recorded at the indicated timepoints.

    Measured: Up to Day 21

  19. Maximum sedation for Visual Analogue Scale (VAS)

    Score from 0 - 100 where 0 is not sedated and 100 is very sedated. VAS measures will be recorded at the indicated timepoints.

    Measured: Up to Day 21

  20. AUEC for Reaction Time Index (RTI) score

    Reaction time for subject to release the response button after presentation of target stimulus.

    Measured: Up to Day 21

  21. Maximum sedation for Reaction Time Index (RTI) score

    Reaction time for subject to release the response button after presentation of target stimulus.

    Measured: Up to Day 21

  22. Safety and tolerability as demonstrated by AEs with itraconazole

    Subjects will be continually monitored for adverse events

    Measured: Up to Day 30

  23. Safety and tolerability as demonstrated by AEs without itraconazole

    Subjects will be continually monitored for adverse events

    Measured: Up to Day 30

  24. Safety and tolerability as demonstrated by AEs with rifampicin

    Subjects will be continually monitored for adverse events

    Measured: Up to Day 30

  25. Safety and tolerability as demonstrated by AEs without rifampicin

    Subjects will be continually monitored for adverse events

    Measured: Up to Day 30

  26. Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) with itraconazole (mmHG)

    Blood pressure will be assessed as part of vital signs

    Measured: Up to Day 21

  27. Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) without itraconazole(mmHG)

    Blood pressure will be assessed as part of vital signs

    Measured: Up to Day 21

  28. Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) with rifampicin(mmHG)

    Blood pressure will be assessed as part of vital signs

    Measured: Up to Day 21

  29. Safety and tolerability as demonstrated by Systolic blood pressure (SBP) and diastolic blood pressure (DBP) without rifampicin(mmHG)

    Blood pressure will be assessed as part of vital signs

    Measured: Up to Day 21

  30. Heart rate with itraconazole (beats/minute)

    Heart rate will be assessed as part of vital signs

    Measured: Up to Day 21

  31. Heart rate without itraconazole (beats/minute)

    Heart rate will be assessed as part of vital signs

    Measured: Up to Day 21

  32. Heart rate with rifampicin (beats/minute)

    Heart rate will be assessed as part of vital signs

    Measured: Up to Day 21

  33. Heart rate without rifampicin (beats/minute)

    Heart rate will be assessed as part of vital signs

    Measured: Up to Day 21

  34. Respiratory rate pressure with itraconazole (breaths/minute)

    Respiratory rate will be assessed as part of vital signs

    Measured: Up to Day 21

  35. Respiratory rate without itraconazole (breaths/minute)

    Respiratory rate will be assessed as part of vital signs

    Measured: Up to Day 21

  36. Respiratory rate with rifampicin (breaths/minute)

    Respiratory rate will be assessed as part of vital signs

    Measured: Up to Day 21

  37. Respiratory rate without rifampicin (breaths/minute)

    Respiratory rate will be assessed as part of vital signs

    Measured: Up to Day 21

  38. Oral temperature with itraconazole (degrees Celsius)

    Temperature will be assessed as part of vital signs

    Measured: Up to Day 21

  39. Oral temperature without itraconazole (degrees Celsius)

    Temperature will be assessed as part of vital signs

    Measured: Up to Day 21

  40. Oral temperature with rifampicin (degrees Celsius)

    Temperature will be assessed as part of vital signs

    Measured: Up to Day 21

  41. Oral temperature without rifampicin (degrees Celsius)

    Temperature will be assessed as part of vital signs

    Measured: Up to Day 21

  42. Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) with itraconazole (Milliseconds)

    Twelve-lead ECGs will be obtained at the indicated timepoints

    Measured: Up to Day 21

  43. Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) without itraconazole (Milliseconds)

    Twelve-lead ECGs will be obtained at the indicated timepoints

    Measured: Up to Day 21

  44. Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) with rifampicin (Milliseconds)

    Twelve-lead ECGs will be obtained at the indicated timepoints

    Measured: Up to Day 21

  45. Electrocardiogram (ECG) parameters: PR, RR, QRS, QT, and QT interval corrected for heart rate using Fridericia's formula (QTcF) without rifampicin (Milliseconds)

    Twelve-lead ECGs will be obtained at the indicated timepoints

    Measured: Up to Day 21

  46. Safety and tolerability as demonstrated by the Columbia Suicide Severity Rating Scale (C-SSRS)

    C-SSRS to be administered at the indicated timepoints

    Measured: Up to Day 21

  47. Values of white blood cell (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils and platelets (1000/mm3)

    Blood samples will be collected for the assessment of hematology parameters

    Measured: Up to Day 21

  48. Value of hematocrit (percent)

    Blood samples will be collected for the assessment of hematology parameters

    Measured: Up to Day 21

  49. Value of hemoglobin (g/dL)

    Blood samples will be collected for the assessment of hematology parameters

    Measured: Up to Day 21

  50. Red blood cell (RBC) count (M/mm3)

    Blood samples will be collected for the assessment of hematology parameters

    Measured: Up to Day 21

  51. Values of sodium, potassium, chloride (mmol/L)

    Blood samples will be collected for the assessment of clinical chemistry parameters

    Measured: Up to Day 21

  52. Values of urea, phosphorus, calcium, glucose, and total, direct and indirect bilirubin (mg/dL)

    Blood samples will be collected for the assessment of clinical chemistry parameters

    Measured: Up to Day 21

  53. Values of albumin and total protein (g/dL)

    Blood samples will be collected for the assessment of clinical chemistry parameters

    Measured: Up to Day 21

  54. Values of alanine aminotransferase (ALT), aspartate aminotransferase (AST),alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), creatininephosphokinase (CPK), and creatinine (U/L)

    Blood samples will be collected for the assessment of clinical chemistry parameters

    Measured: Up to Day 21

  55. Values of urine specific gravity

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  56. Values of urine pH

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  57. Values of urine glucose

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  58. Values of urine protein

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  59. Values of urine blood

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  60. Values of urine ketones

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  61. Values of urine bilirubin and nitrite

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  62. Values of urobilinogen

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

  63. Values of urine leukocyte esterase by dipstick

    Urine samples will be collected for the assessment of urine parameters

    Measured: Up to Day 21

Timeline

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

  1. First posted8 Jan 2024
  2. Study start18 Jan 2024
  3. Primary completion14 May 2024
  4. Study completion22 May 2024

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
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06194864
Sponsor's protocol ID
EBS-101-HV-106
Status last verified
Sep 2024
First submitted
22 Dec 2023
Last updated
19 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Itraconazole, rifampicin and Ecopipam in people with Drug Interaction, run by Emalex Biosciences Inc. at 1 site in Canada.

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 7 inclusion and 17 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 19 Sep 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 Canada. 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-inf of ecopipam when administered with itraconazole (time frame: Up to Day 21). 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 19 Sep 2024.

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