None listed
Conditions
Brief summary
An open-label study in healthy volunteers: To evaluate the safety, tolerability and pharmacokinetics of dapagliflozin (35 mg) extended release capsules (LYN-045) in healthy volunteers To characterize the pharmacokinetics (PK) of dapagliflozin (35 mg) extended release capsules (LYN-045).
Interventions
The intervention is LYN-045, an extended release (ER) oral capsule containing dapagliflozin 35 mg. The rationale for the development of this ER formulation is to reduce the frequency of dosing orally administered dapagliflozin once weekly or less and thereby improving the management of type 2 diabetes. The study will consist of three cohorts, with each cohort receiving a different formulation of LYN-045. In Cohort 1, 8 participants will receive the base formulation - LYN-045-B. Each participant will receive: On day 1, a single dose of immediate release (IR) dapagliflozin (FORXIGA®) 10 mg oral tablet that will be administered to facilitate characterisation of the dapagliflozin pharmacokinetics. On day 4, the LYN-045-B will be administered as single dose ER oral capsule containing 35 mg dapagliflozin. On both days (1 and 4), the single oral dose of the IR dapagliflozin tablet or LYN-045-B ER oral capsule will be administered and directly observed by a trained nurse (at a minimum) in an inpatient unit. Eligible healthy volunteers enrolled into the study should expect to participate in the study for up to 4 weeks, from the time of enrolment through the last study visit. In Cohort 2, 16 participants will be dosed with the stiffer core formulation – LYN-045-SC – 8 with a stabilising ring and 8 without. On day 1, the LYN-045-SC will be administered as single dose ER oral capsule containing 35 mg dapagliflozin. The single oral dose of LYN-045-SC ER oral capsule will be administered and directly observed by a trained nurse (at a minimum) in an inpatient unit. Eligible healthy volunteers enrolled into the study should expect to participate in the study for up to 4 weeks, from the time of enrolment through the last study visit. In Cohort 3, 10 participants will be dosed with the flexible arm formulation – LYN-045-FA – once with a stabilising ring and once without (two total doses). Each participant in Cohort 3 will receive: On day -4, a single dose of immediate release (IR) dapagliflozin (FORXIGA®) 10 mg oral tablet that will be administered to facilitate characterisation of the dapagliflozin pharmacokinetics. On Day 1, the LYN-045-FA with or without the stabilising ring will be administered as single dose ER oral capsule containing 35 mg dapagliflozin. After confirmation of gastric emptying, on Day 10 a single oral dose of LYN-045-FA ER oral capsule will be administered. Participants will receive the formulation (with/without ring) not received on Day 1. All administration of LYN-045-FA will be directly observed by a trained nurse (at a minimum) in an inpatient unit. Eligible healthy volunteers enrolled into the study should expect to participate in the study for up to 4 weeks, from the time of enrolment through the last study visit. In Cohort 4, 16 participants will be dosed with the disintegrating matrix formulations – 1 dose of LYN-045-DM – with a short disintegrating matrix (SDM) and one dose with a Long disintegrating matrix (LDM). On day -2 and Day -1, a single dose of immediate release (IR) dapagliflozin (FORXIGA®) 10 mg oral tablet will be administered to facilitate characterisation of the dapagliflozin pharmacokinetics. On day 1, the LYN-045-SDM will be administered as single dose oral capsule containing 35 mg dapagliflozin. On day 10, the LYN-045-LDM will be administered as single dose oral capsule containing 35 mg dapagliflozin. The oral doses of the LYN-045-DM oral capsules will be administered and directly observed by a trained nurse (at a minimum) in an inpatient unit. Eligible healthy volunteers enrolled into the study should expect to participate in the study for up to 4 weeks, from the time of enrolment through the last study visit. In Cohort 5, 20 participants will be dosed with disintegrating matrix formulations LYN-045-DMR – 10 volunteers will receive 1 dose of LYN-045-DMR1, and 10 further volunteers will receive one dose of LYN-045-DMR2. On Day 1 a single dose of LYN-045-DMR will be administered as single dose oral capsule containing 35 mg dapagliflozin. The oral dose of the LYN-045-DMR oral capsule will be administered and directly observed by a trained nurse (at a minimum) in an inpatient unit. Eligible healthy volunteers enrolled into the study should expect to participate in the study for up to 3 weeks, from the time of enrolment through the last study visit.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Provision of signed and dated informed consent; 2. Stated willingness to comply with all protocol-specified procedures and availability for the duration of the study; 3. Good current health, in the opinion of the Investigator, as evidenced on review of medical history, no significant gastrointestinal abnormalities, physical examination, concomitant medications, and other safety assessments; 4. Body mass index (BMI) of greater than or equal to 18 kg/m2 and less than or equal to 30 kg/m2; 5. Body weight greater than or equal to 55 kg.
Exclusion criteria
1. Any known clinically significant esophageal or gastrointestinal disease; 2. Unusual score for swallowing questionnaire. 3. Do not demonstrate normal swallowing and gastrointestinal passage for capsule, as assessed while undergoing imaging studies. 4. Symptoms suggestive of irritable bowel syndrome, functional constipation or functional diarrhea; 5. History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs; 6. Clinically significant abnormal safety (e.g., physical examination) or safety laboratory assessments; 7. Hepatitis B, hepatitis C, or H. pylori infection at Screening, unless there is a confirmed medical history of successful treatment; 8. Use of prescription medications, natural remedies, vitamins or non-prescription medicines associated with changes to gastric motility or pH or management of gastrointestinal symptoms within two weeks of study dosing; 9. Individuals who are contraindicated based on dapagliflozin; 10. History of any drug or alcohol use disorder in the past 2 years; 11. Individuals of reproductive potential who are (hetero) sexually active but unwilling to use acceptable means of contraception through the End of Study; 12. Individuals who are nursing or who have positive or indeterminate pregnancy tests at screening.