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Healthy VolunteerPhase 1NCT06672900

A Multi-part Study of ALG-000184 to Evaluate Safety, Tolerability, Pharmacokinetics and Drug-drug Interaction Potential After Single and Multiple Doses in Healthy Volunteers

A Phase 1 study testing Carbamazepine, Itraconazole (Sporanox) and ALG-000184 in people with Healthy Volunteer, run by Aligos Therapeutics at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This Phase 1 study consists of two parts, all conducted in healthy volunteers (HVs). In Part 1, the drug-drug interaction (DDI) potential of ALG-000184 will be explored with Itraconazole; participants will be assigned to receive multiple doses of ALG-000184 and Itraconazole over a two week period. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteer
What is being tested?
Carbamazepine, Itraconazole (Sporanox) and ALG-000184
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
9 Jan 2025to 7 Jul 2025
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 or female between 18 and 55 years of age.
  • BMI 18.0 to 32.0 kg/m^2
  • Female participants must have a negative serum pregnancy test at screening.
  • Subjects must have a 12-lead electrocardiogram (ECG) that meets the protocol criteria.

Who cannot join

  • Participants with any current or previous illness 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 or that could prevent, limit, or confound the protocol specified assessments or study results' interpretation.
  • Participants with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant or unstable cardiac disease etc.
  • Participants with a history of clinically significant drug allergy.
  • Participants with excessive use of alcohol defined as regular consumption of ≥14 standard drinks/week (US CDC 2022)
  • Participants that are unwilling to abstain from alcohol use for 1 week prior to start of the study through end of study follow up.
  • Participants with positive results for urine drug screen, alcohol or cotinine test at screening and Day -1.
Show all 10Show fewer
  • Participants with Hepatitis A, B, C, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection.
  • Participants with sensitivity to CYP3A4 or P-gp substrates, inhibitors/inducers.
  • Participants with clinically significant abnormal vital signs or physical examination.
  • Participants with renal dysfunction (e.g., estimated creatinine clearance <90 mL/min/1.73 m^2 at screening, calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] formula)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PPD Austin Research Unit

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Multi-Part Phase 1 Study in Healthy Volunteers to Evaluate the Drug-Drug Interaction Potential of Multiple Doses of ALG-000184.

This Phase 1 study consists of two parts, all conducted in healthy volunteers (HVs).

In Part 1, the drug-drug interaction (DDI) potential of ALG-000184 will be explored with Itraconazole; participants will be assigned to receive multiple doses of ALG-000184 and Itraconazole over a two week period.

In Part 2, the drug-drug interaction (DDI) potential of ALG-000184 will be explored with Carbamazepine; participants will be assigned to receive multiple doses of ALG-000184 and ascending doses of Carbamazepine over an 18 day period.

The 2 parts may be conducted in parallel.

Being tested
Carbamazepine, Itraconazole (Sporanox), ALG-000184
Keywords
Healthy Volunteer, ALG-000184

What participants receive

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

  • CarbamazepineDrug

    Commercially available supply.

  • Itraconazole (Sporanox)Drug

    Commercially available supply.

  • ALG-000184Drug

    Study Investigational Product

Study groups in NCT06672900
Study groupRoleWhat they receive
ALG-000184ExperimentalSingle or multiple doses of ALG-000184, an investigational HBV capsid assembly modulator
Receives: Drug: ALG-000184
CarbamazepineExperimentalMultiple doses of carbamazepine, a strong CYP3A4 inducer, to evaluate potential drug-drug interactions with ALG-000184
Receives: Drug: Carbamazepine; Drug: ALG-000184
ItraconazoleExperimentalMultiple doses of itraconazole, a strong CYP3A4 inhibitor, to evaluate potential drug-drug interactions with ALG-000184.
Receives: Drug: Itraconazole (Sporanox); Drug: ALG-000184

What is being measured

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

  1. Area under the concentration time curve [AUC]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of itraconazole (Part 1)

    Measured: Up to 24 days

  2. Area under the concentration time curve [AUC]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days.

  3. Time to maximum plasma concentration [Tmax]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days

  4. Time to maximum plasma concentration [Tmax]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Itraconazole (Part 1)

    Measured: Up to 24 days

  5. Maximum plasma concentration [Cmax]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days

  6. Maximum plasma concentration [Cmax]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Itraconazole (Part 1)

    Measured: Up to 24 days

  7. Minimum plasma concentration [Cmin]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of itraconazole (Part 1)

    Measured: Up to 24 days

  8. Minimum plasma concentration [Cmin]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days

  9. C0 [predose]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of itraconazole (Part 1)

    Measured: Up to 24 days

  10. C0 [predose]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days

  11. Half-life [t1/2]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of itraconazole (Part 1)

    Measured: Up to 24 days

  12. Half-life [t1/2]

    Pharmacokinetic parameters of ALG-001075 and metabolite ALG-000302 after multiple doses of Carbamazepine (Part 2)

    Measured: Up to 29 days

Secondary outcomes (4)
  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events in up to n=24 participants as assessed by DAIDS v2.1(July 2017)

    Measured: Up to 24 days for Part 1

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent adverse events in up to n=24 participants as assessed by DAIDS v2.1(July 2017)

    Measured: Up to 29 days for Part 2

  3. Mean Change from Baseline QTc at different exposure levels

    Evaluate the concentration-QT relationship of ALG-000175 and metabolite ALG-000302 to determine the QTc prolongation potential of ALG-000184.

    Measured: Up to 24 days for Part 1.

  4. Mean Change from Baseline QTc at different exposure levels

    Evaluate the concentration-QT relationship of ALG-000175 and metabolite ALG-000302 to determine the QTc prolongation potential of ALG-000184.

    Measured: Up to 29 days for Part 2.

Timeline

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

  1. First posted4 Nov 2024
  2. Study start9 Jan 2025
  3. Primary completion7 Jul 2025 (estimated)
  4. Study completion7 Jul 2025 (estimated)

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
Non-randomised
Intervention model
Parallel groups
Model description
Open-label, fixed sequence, crossover study.
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06672900
Sponsor's protocol ID
ALG-000184-204
Status last verified
Nov 2024
First submitted
25 Sep 2024
Last updated
3 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Carbamazepine, Itraconazole (Sporanox) and ALG-000184 in people with Healthy Volunteer, run by Aligos 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 4 inclusion and 10 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: under way, not looking for participants, as of the sponsor's last update on 3 Feb 2025. 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?

This study is still under way. Results are not available in the source record yet.

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?

Area under the concentration time curve [AUC] (time frame: Up to 24 days). The study lists 12 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 Feb 2025.

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