Oncology
Conditions
Brief summary
A 3-part Study to Assess Safety, Tolerability, PK and PD of Single (Part 1) and Multiple (Part 2) Ascending Doses of EXS21546, and to Evaluate the Relative Bioavailability of a Solid Dose Formulation Compared to a Powder for Oral Suspension (Part 3), in Healthy Male Subjects.
Detailed description
Part 1 is a randomised, double-blind, placebo-controlled, SAD study with a food effect assessment. Part 2 is a randomised, double-blind, placebo controlled, MAD study over 14 days. In order to explore the potential CYP3A4 inducer effect, midazolam will also be administered in one cohort. Part 3 is a 3-period, open label, randomised, sequential study. Each subject will receive solid dose formulation and powder for oral suspension in a randomised manner.
Interventions
EXS21546 Powder for Oral Suspension
EXS21546 Granule in Capsule
Interaction
Fed/Fasted
Placebo Powder for Oral Suspension
Sponsors
Study design
Masking description
Part 1 and Part 2 are double blind. Part 3 is open label.
Eligibility
Inclusion criteria
* BMI 18.0 to 30.0 kg/m2 * Weight ≥60 kg * Must adhere to contraception requirements
Exclusion criteria
* Subjects who have received any IMP in a clinical research study within the 90 days prior to Day 1 * Subjects who have previously been administered IMP in this study. * Evidence of current SARS-CoV-2 infection * History of any drug or alcohol abuse in the past 2 years * Regular alcohol consumption in males \>21 units per week * A confirmed positive alcohol breath test at screening or admission * Current smokers and those who have smoked within the last 12 months. A confirmed breath carbon monoxide reading of greater than 10 ppm at screening or admission * Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months * Subjects with pregnant or lactating partners * Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) antibody results * Regimen L only: History of sleep apnea * Subjects with a history of cholecystectomy or gall stones * Serious adverse reaction or serious hypersensitivity to any drug or the formulation excipients * Presence or history of clinically significant allergy requiring treatment, as judged by the investigator. Hay fever is allowed unless it is active * Donation of blood or plasma within the previous 3 months or loss of greater than 400 mL of blood
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment emergent Adverse Events | 1 month | Number of participants with treatment emergent Adverse Events |
| EXS21546 and Metabolite Area under the plasma concentration versus time curve (AUC) | 17 days | EXS21546 and Metabolite Area under the plasma concentration versus time curve (AUC) |
| EXS21546 and Metabolite Peak Plasma Concentration (Cmax) | 17 days | EXS21546 and Metabolite Peak Plasma Concentration (Cmax) |
Countries
United Kingdom