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Study to Determine the Safety, Tolerability, and Pharmacokinetic (PK) Profile of EGT0001474 in Healthy Volunteers

A Phase I , Placebo-Controlled, Dose-Escalation Study to Assess the Safety, Tolerability, and Pharmacokinetics of EGT0001474 In Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00854113
Enrollment
78
Registered
2009-03-02
Start date
2009-02-28
Completion date
2009-07-31
Last updated
2019-06-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Safety and Tolerability of EGT0001474 in Healthy Volunteers

Keywords

Diabetes Mellitus Type 2

Brief summary

This study evaluated the safety, tolerability and pharmacokinetics of single or multiple doses of EGT0001474.

Detailed description

EGT0001474 is an inhibitor of human sodium dependent glucose co-transporter II being developed for the treatment of Type II Diabetes mellitus. This is a singe center, Phase-1, double blinded,placebo controlled, dose escalation study of single and multiple ascending doses of EGT0001474 in healthy male and female subjects. In part-1, subjects were randomized to receive single doses of EGT0001474 at 2.5-150 mg or placebo in the ratio of 3:1. In part-2, subjects were randomized to receive 14 daily doses of EGT0001474 at 10, 50 and 150 mg or placebo in the ratio of 4:1. When the various doses were analysed, the maximum dose 150 mg was found to be tolerable. Although there was no serious adverse events, mild adverse events were observed. This study provided information on human safety, tolerability, PK and pharmacodynamic effects of EGT0001474.

Interventions

Oral ascending doses given daily as capsules for up to 14 days

DRUGPlacebo

Placebo to match EGT0001474

Sponsors

Theracos
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female volunteers between the ages of 18 and 55 years inclusive. * In good health. * Female subjects must be surgically sterilized or postmenopausal. * Body mass index (BMI) between 18 kg/m2 and 30 kg/m2 inclusive. * Non-smoker. * Negative drug and alcohol screens.

Exclusion criteria

* Abnormal ECG * Sitting blood pressure above 140/90 mmHg on 2 evaluations at least 10 minutes apart at screening * Treatment with an investigational drug within 30 days or 7 half-lives, whichever is longer. * Previous treatment with EGT0001474. * History of drug abuse. * Febrile illness within 5 days prior to the first dose of study medication.

Design outcomes

Primary

MeasureTime frameDescription
CmaxPart-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. Cmax -Maximum plasma drug concentration
t1/2Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results.t 1/2 - apparent terminal half life
TmaxPart-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. Time to maximum plasma drug concentration (Tmax) was calculated for each groups
AUC 0-tPart-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. AUC 0-t - Are under plasma concentration-time curve from time 0 time t.
AUC 0 -24Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose.
Terminal Rate Constant.Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. Terminal rate constant was estimated by linear regression of logarithmic transformed concentration versus time data
CL/FPart-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetics results. Apparent oral clearance
VZ/FPart-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 daysPharmacokinetic results. Apparent volume of distribution

Countries

United States

Participant flow

Participants by arm

ArmCount
Part 1 - Single Dose EGT0001474 2.5 mg
Treatment group - received 2.5 mg single dose of EGT0001474
6
Part 1 - Single Dose EGT0001474 5 mg
Treatment group- received 5 mg single dose of EGT0001474
6
Part 1 -Single Dose EGT0001474 10 mg
Treatment group- received 10 mg single dose of EGT0001474
6
Part 1 - Single Dose EGT0001474 25 mg
Treatment group- received 25 mg single dose of EGT0001474
6
Part 1 - Single Dose EGT0001474 75 mg
Treatment group- received 75 mg single dose of EGT0001474
6
Part 1 - Single Dose EGT0001474 150mg
Treatment group- received 150 mg single dose of EGT0001474
6
Part 1 - Single Dose Placebo
Placebo group- received single dose of placebo capsule
12
Part 2 - Mutiple Dose EGT0001474 10 mg
Treatment group- received 14 daily doses of EGT0001474 at the dose of 10mg
8
Part 2 - Multiple Dose EGT0001474 50 mg
Treatment group-received 14 daily doses of EGT0001474 at the dose of 50mg
8
Part 2 - Multiple Dose EGT0001474 150mg
Treatment group-received 14 daily doses of EGT0001474 at the dose of 150mg
8
Part 2 - Multiple Dose Placebo
Placebo group- received placebo capsules for 14 days
6
Total78

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010
Overall StudyAdverse Event00000002000
Overall StudyWithdrawal by Subject00000001100

Baseline characteristics

CharacteristicPart 1 - Single Dose EGT0001474 2.5 mgTotalPart 2 - Multiple Dose PlaceboPart 2 - Multiple Dose EGT0001474 150mgPart 2 - Multiple Dose EGT0001474 50 mgPart 2 - Mutiple Dose EGT0001474 10 mgPart 1 - Single Dose PlaceboPart 1 - Single Dose EGT0001474 150mgPart 1 - Single Dose EGT0001474 75 mgPart 1 - Single Dose EGT0001474 25 mgPart 1 -Single Dose EGT0001474 10 mgPart 1 - Single Dose EGT0001474 5 mg
Age, Continuous43 years32 years26 years22 years35 years30 years33 years35 years29 years32 years25 years26 years
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants12 Participants0 Participants1 Participants3 Participants1 Participants1 Participants0 Participants0 Participants1 Participants1 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants66 Participants6 Participants7 Participants5 Participants7 Participants11 Participants6 Participants6 Participants5 Participants5 Participants4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
6 Participants64 Participants5 Participants6 Participants5 Participants7 Participants11 Participants6 Participants4 Participants6 Participants3 Participants5 Participants
Race/Ethnicity, Customized
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Others
0 Participants7 Participants0 Participants2 Participants2 Participants0 Participants1 Participants0 Participants0 Participants0 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
0 Participants7 Participants1 Participants0 Participants1 Participants1 Participants0 Participants0 Participants2 Participants0 Participants1 Participants1 Participants
Sex: Female, Male
Female
1 Participants30 Participants6 Participants8 Participants6 Participants8 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants
Sex: Female, Male
Male
5 Participants48 Participants0 Participants0 Participants2 Participants0 Participants12 Participants6 Participants6 Participants5 Participants6 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 63 / 63 / 63 / 63 / 63 / 63 / 125 / 86 / 87 / 84 / 6
serious
Total, serious adverse events
0 / 60 / 60 / 60 / 60 / 60 / 60 / 120 / 80 / 80 / 60 / 6

Outcome results

Primary

AUC 0 -24

Pharmacokinetics results. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose.

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgAUC 0 -2485.6 ng*hr/mlStandard Deviation 9.67
Part 1 - Single Dose EGT0001474 5 mgAUC 0 -24145 ng*hr/mlStandard Deviation 34.4
Part 1 -Single Dose EGT0001474 10 mgAUC 0 -24392 ng*hr/mlStandard Deviation 99.8
Part 1 - Single Dose EGT0001474 25 mgAUC 0 -241121 ng*hr/mlStandard Deviation 264
Part 1 - Single Dose EGT0001474 75 mgAUC 0 -242383 ng*hr/mlStandard Deviation 527
Part 1 - Single Dose EGT0001474 150mgAUC 0 -245828 ng*hr/mlStandard Deviation 1080
Part 1 - Single Dose PlaceboAUC 0 -24NA ng*hr/ml
Part 2 - Mutiple Dose EGT0001474 10 mgAUC 0 -24412 ng*hr/mlStandard Deviation 73.8
Part 2 - Multiple Dose EGT0001474 50 mgAUC 0 -241983 ng*hr/mlStandard Deviation 443
Part 2 - Multiple Dose EGT0001474 150mgAUC 0 -246939 ng*hr/mlStandard Deviation 1675
Part 2 - Multiple Dose PlaceboAUC 0 -24NA ng*hr/ml
Primary

AUC 0-t

Pharmacokinetics results. AUC 0-t - Are under plasma concentration-time curve from time 0 time t.

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgAUC 0-t67.4 ng*hr/mlStandard Deviation 13.9
Part 1 - Single Dose EGT0001474 5 mgAUC 0-t126 ng*hr/mlStandard Deviation 33.8
Part 1 -Single Dose EGT0001474 10 mgAUC 0-t388 ng*hr/mlStandard Deviation 108
Part 1 - Single Dose EGT0001474 25 mgAUC 0-t1200 ng*hr/mlStandard Deviation 320
Part 1 - Single Dose EGT0001474 75 mgAUC 0-t2564 ng*hr/mlStandard Deviation 607
Part 1 - Single Dose EGT0001474 150mgAUC 0-t6412 ng*hr/mlStandard Deviation 1179
Part 1 - Single Dose PlaceboAUC 0-tNA ng*hr/ml
Part 2 - Mutiple Dose EGT0001474 10 mgAUC 0-t432 ng*hr/mlStandard Deviation 89.5
Part 2 - Multiple Dose EGT0001474 50 mgAUC 0-t2146 ng*hr/mlStandard Deviation 539
Part 2 - Multiple Dose EGT0001474 150mgAUC 0-t7733 ng*hr/mlStandard Deviation 1957
Part 2 - Multiple Dose PlaceboAUC 0-tNA ng*hr/ml
Primary

CL/F

Pharmacokinetics results. Apparent oral clearance

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgCL/F28.9 L/hrStandard Deviation 2.89
Part 1 - Single Dose EGT0001474 5 mgCL/F35.3 L/hrStandard Deviation 8.24
Part 1 -Single Dose EGT0001474 10 mgCL/F25.9 L/hrStandard Deviation 7.59
Part 1 - Single Dose EGT0001474 25 mgCL/F21.2 L/hrStandard Deviation 5.18
Part 1 - Single Dose EGT0001474 75 mgCL/F30.1 L/hrStandard Deviation 8.51
Part 1 - Single Dose EGT0001474 150mgCL/F23.1 L/hrStandard Deviation 3.67
Part 1 - Single Dose PlaceboCL/FNA L/hr
Part 2 - Mutiple Dose EGT0001474 10 mgCL/F24.9 L/hrStandard Deviation 4.45
Part 2 - Multiple Dose EGT0001474 50 mgCL/F26.4 L/hrStandard Deviation 6.49
Part 2 - Multiple Dose EGT0001474 150mgCL/F22.6 L/hrStandard Deviation 4.67
Part 2 - Multiple Dose PlaceboCL/FNA L/hr
Primary

Cmax

Pharmacokinetics results. Cmax -Maximum plasma drug concentration

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgCmax12.7 ng/mlStandard Deviation 1.08
Part 1 - Single Dose EGT0001474 5 mgCmax28 ng/mlStandard Deviation 10.2
Part 1 -Single Dose EGT0001474 10 mgCmax90.7 ng/mlStandard Deviation 31.7
Part 1 - Single Dose EGT0001474 25 mgCmax194 ng/mlStandard Deviation 53.3
Part 1 - Single Dose EGT0001474 75 mgCmax537 ng/mlStandard Deviation 198
Part 1 - Single Dose EGT0001474 150mgCmax1183 ng/mlStandard Deviation 434
Part 1 - Single Dose PlaceboCmaxNA ng/ml
Part 2 - Mutiple Dose EGT0001474 10 mgCmax85.7 ng/mlStandard Deviation 27.9
Part 2 - Multiple Dose EGT0001474 50 mgCmax465 ng/mlStandard Deviation 126
Part 2 - Multiple Dose EGT0001474 150mgCmax1202 ng/mlStandard Deviation 345
Part 2 - Multiple Dose PlaceboCmaxNA ng/ml
Primary

t1/2

Pharmacokinetics results.t 1/2 - apparent terminal half life

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgt1/23.66 hourStandard Deviation 0.559
Part 1 - Single Dose EGT0001474 5 mgt1/24.19 hourStandard Deviation 1.3
Part 1 -Single Dose EGT0001474 10 mgt1/25.81 hourStandard Deviation 1.38
Part 1 - Single Dose EGT0001474 25 mgt1/29.71 hourStandard Deviation 3.28
Part 1 - Single Dose EGT0001474 75 mgt1/29.27 hourStandard Deviation 1.6
Part 1 - Single Dose EGT0001474 150mgt1/211.4 hourStandard Deviation 2.49
Part 1 - Single Dose Placebot1/2NA hour
Part 2 - Mutiple Dose EGT0001474 10 mgt1/29.03 hourStandard Deviation 1.44
Part 2 - Multiple Dose EGT0001474 50 mgt1/29.02 hourStandard Deviation 2.38
Part 2 - Multiple Dose EGT0001474 150mgt1/210.3 hourStandard Deviation 1.98
Part 2 - Multiple Dose Placebot1/2NA hour
Primary

Terminal Rate Constant.

Pharmacokinetics results. Terminal rate constant was estimated by linear regression of logarithmic transformed concentration versus time data

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgTerminal Rate Constant.0.193 L/hrStandard Deviation 0.0314
Part 1 - Single Dose EGT0001474 5 mgTerminal Rate Constant.0.177 L/hrStandard Deviation 0.0456
Part 1 -Single Dose EGT0001474 10 mgTerminal Rate Constant.0.126 L/hrStandard Deviation 0.0373
Part 1 - Single Dose EGT0001474 25 mgTerminal Rate Constant.0.0799 L/hrStandard Deviation 0.0308
Part 1 - Single Dose EGT0001474 75 mgTerminal Rate Constant.0.0765 L/hrStandard Deviation 0.0117
Part 1 - Single Dose EGT0001474 150mgTerminal Rate Constant.0.0637 L/hrStandard Deviation 0.0158
Part 1 - Single Dose PlaceboTerminal Rate Constant.NA L/hr
Part 2 - Mutiple Dose EGT0001474 10 mgTerminal Rate Constant.0.0783 L/hrStandard Deviation 0.0117
Part 2 - Multiple Dose EGT0001474 50 mgTerminal Rate Constant.0.0818 L/hrStandard Deviation 0.023
Part 2 - Multiple Dose EGT0001474 150mgTerminal Rate Constant.0.0697 L/hrStandard Deviation 0.0143
Part 2 - Multiple Dose PlaceboTerminal Rate Constant.NA L/hr
Primary

Tmax

Pharmacokinetics results. Time to maximum plasma drug concentration (Tmax) was calculated for each groups

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEDIAN)
Part 1 - Single Dose EGT0001474 2.5 mgTmax4 hour
Part 1 - Single Dose EGT0001474 5 mgTmax2.01 hour
Part 1 -Single Dose EGT0001474 10 mgTmax2 hour
Part 1 - Single Dose EGT0001474 25 mgTmax1.51 hour
Part 1 - Single Dose EGT0001474 75 mgTmax1.5 hour
Part 1 - Single Dose EGT0001474 150mgTmax1.5 hour
Part 1 - Single Dose PlaceboTmaxNA hour
Part 2 - Mutiple Dose EGT0001474 10 mgTmax2.01 hour
Part 2 - Multiple Dose EGT0001474 50 mgTmax1 hour
Part 2 - Multiple Dose EGT0001474 150mgTmax1 hour
Part 2 - Multiple Dose PlaceboTmaxNA hour
Primary

VZ/F

Pharmacokinetic results. Apparent volume of distribution

Time frame: Part-1 (Single dose) measured in 1 day and part 2 (multiple doses) measured in 14 days

ArmMeasureValue (MEAN)Dispersion
Part 1 - Single Dose EGT0001474 2.5 mgVZ/F154 LitersStandard Deviation 37.1
Part 1 - Single Dose EGT0001474 5 mgVZ/F222 LitersStandard Deviation 121
Part 1 -Single Dose EGT0001474 10 mgVZ/F208 LitersStandard Deviation 49.5
Part 1 - Single Dose EGT0001474 25 mgVZ/F287 LitersStandard Deviation 105
Part 1 - Single Dose EGT0001474 75 mgVZ/F398 LitersStandard Deviation 109
Part 1 - Single Dose EGT0001474 150mgVZ/F385 LitersStandard Deviation 121
Part 1 - Single Dose PlaceboVZ/FNA Liters
Part 2 - Mutiple Dose EGT0001474 10 mgVZ/F319 LitersStandard Deviation 39.3
Part 2 - Multiple Dose EGT0001474 50 mgVZ/F327 LitersStandard Deviation 54.2
Part 2 - Multiple Dose EGT0001474 150mgVZ/F333 LitersStandard Deviation 84.2
Part 2 - Multiple Dose PlaceboVZ/FNA Liters

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026