Trial Outcomes & Findings for A Pharmacokinetic Study of PLENVU® in Healthy Subjects (NCT NCT03437265)

NCT ID: NCT03437265

Last Updated: 2023-11-29

Results Overview

Time of maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the pharmacokinetic (PK) population.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

19 participants

Primary outcome timeframe

Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Results posted on

2023-11-29

Participant Flow

Participant milestones

Participant milestones
Measure
Overall Study
Healthy adult subjects given PLENVU powder for oral solution: PLENVU Dose 1 (1 sachet) and PLENVU Dose 2 (2 sachets)
Overall Study
STARTED
19
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Study
Healthy adult subjects given PLENVU powder for oral solution: PLENVU Dose 1 (1 sachet) and PLENVU Dose 2 (2 sachets)
Overall Study
Protocol Violation
6

Baseline Characteristics

A Pharmacokinetic Study of PLENVU® in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=19 Participants
All subjects who received at least a partial dose of IMP
Region of Enrollment
United Kingdom
19 participants
n=5 Participants
BMI
24.85 kg/m2
STANDARD_DEVIATION 3.896 • n=5 Participants
Height
171.5 cm
STANDARD_DEVIATION 10.92 • n=5 Participants
Weight
73.82 kg
STANDARD_DEVIATION 17.011 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
25.0 years
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

Time of maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the pharmacokinetic (PK) population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
Tmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
3.00 hours
Interval 1.97 to 4.03
Tmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Glycolic acid
9.00 hours
Interval 4.0 to 36.07
Tmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic acid
5.00 hours
Interval 4.0 to 6.0

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

Apparent elimination half-life (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
T1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
3.58 hours
Geometric Coefficient of Variation 14.3
T1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Glycolic acid
4.63 hours
Geometric Coefficient of Variation 0
T1/2 (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic acid
11.62 hours
Geometric Coefficient of Variation 270

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

The mean maximum observed concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
Cmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
1010 ng/mL
Geometric Coefficient of Variation 42.5
Cmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Glycolic acid
528 ng/mL
Geometric Coefficient of Variation 113.0
Cmax (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic Acid (μg/mL)
59.1 ng/mL
Geometric Coefficient of Variation 26.1

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

Area under the curve from 0 time to 24 h post-dose (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
Area Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
7220 ng.h/mL
Geometric Coefficient of Variation 31.7
Area Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Glycolic acid
3820 ng.h/mL
Geometric Coefficient of Variation 53.1
Area Under the Curve From 0 Time to 24 h Post-dose (AUC[0-24]) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic acid (μg.h/mL)
359 ng.h/mL
Geometric Coefficient of Variation 17.3

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

Area under the curve from 0 time to the last measurable concentration (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
AUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
7140 ng.h/mL
Geometric Coefficient of Variation 32.2
AUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Glycolic acid
9020 ng.h/mL
Geometric Coefficient of Variation 51.5
AUC(0-last) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic acid (μg.h/mL)
437 ng.h/mL
Geometric Coefficient of Variation 24.0

PRIMARY outcome

Timeframe: Blood samples were taken pre-dose and up to 60 hours after start of Dose 1

Population: PK population 1: all evaluable subjects who had a minimum of 1 valid post-dose analytical result for PK parameter estimation and who satisfied the following criterion for at least 1 profile: no relevant protocol deviations which may have impacted the study objectives with respect to the PK endpoints.

Area under the curve from 0 time extrapolated to infinity (of PEG3350, and glycolic acid and ascorbic acid corrected for baseline levels), calculated from individual plasma concentrations of the PK population.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
AUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
PEG 3350
7340 ng.h/mL
Geometric Coefficient of Variation 31.1
AUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Gycolic acid
6900 ng.h/mL
Geometric Coefficient of Variation 0
AUC(0-inf) (PEG 3350, Baseline-corrected Glycolic Acid and Baseline-corrected Ascorbic Acid)
Ascorbic acid (μg.h/mL)
397 ng.h/mL
Geometric Coefficient of Variation 23.9

SECONDARY outcome

Timeframe: Start of dose 1 to 60 hours

Population: Pharmacodynamic (PD) analysis set: subjects who received both doses and had sufficient PD data for at least 1 time point

Pharmacodynamic outcome. The time of each bowel movement will be recorded for each subject, and the number of bowel movements after each dose per subject will be derived.

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
Timing and Number of Bowel Movements
24 - 48 hours · ≥10 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 0 bowel movements
10 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 1 bowel movement
3 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 2 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 4 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 5 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 6 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 7 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 8 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 9 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · ≥10 bowel movements
0 Participants
Timing and Number of Bowel Movements
0-6 hours · 0 bowel movements
0 Participants
Timing and Number of Bowel Movements
0-6 hours · 1 bowel movement
0 Participants
Timing and Number of Bowel Movements
0-6 hours · 2 bowel movements
1 Participants
Timing and Number of Bowel Movements
0-6 hours · 3 bowel movements
0 Participants
Timing and Number of Bowel Movements
0-6 hours · 4 bowel movements
1 Participants
Timing and Number of Bowel Movements
0-6 hours · 5 bowel movements
2 Participants
Timing and Number of Bowel Movements
0-6 hours · 6 bowel movements
1 Participants
Timing and Number of Bowel Movements
0-6 hours · 7 bowel movements
4 Participants
Timing and Number of Bowel Movements
0-6 hours · 8 bowel movements
0 Participants
Timing and Number of Bowel Movements
0-6 hours · 9 bowel movements
1 Participants
Timing and Number of Bowel Movements
0-6 hours · ≥10 bowel movements
3 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 0 bowel movements
1 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 1 bowel movement
4 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 2 bowel movements
4 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 3 bowel movements
4 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 4 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 5 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 6 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 7 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 8 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · 9 bowel movements
0 Participants
Timing and Number of Bowel Movements
6 - 12 hours · ≥10 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 0 bowel movements
10 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 1 bowel movement
3 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 2 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 3 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 4 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 5 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 6 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 7 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 8 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · 9 bowel movements
0 Participants
Timing and Number of Bowel Movements
12 - 24 hours · ≥10 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 0 bowel movements
10 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 1 bowel movement
3 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 2 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 3 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 4 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 5 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 6 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 7 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 8 bowel movements
0 Participants
Timing and Number of Bowel Movements
24 - 48 hours · 9 bowel movements
0 Participants
Timing and Number of Bowel Movements
48 - 60 hours · 3 bowel movements
0 Participants

SECONDARY outcome

Timeframe: Start of dose 1 to 60 hours

Population: PD (pharmacodynamic) analysis set: subjects who received both doses and had sufficient PD data for at least 1 time point

Pharmacodynamic outcome. Scoring was according to a 4-point scale (adapted from the stool characteristics rating tool described by Hsu et al, Adv Dig Med. 2016; 3 (3):144-147). A. Clear contents (may be coloured but able to visualise the bottom of the toilet bowl) B. Turbid contents C. Opaque contents (dark and murky) D. Any solid/semi-solid faecal material (irrespective of size) in the toilet bowl

Outcome measures

Outcome measures
Measure
Overall Study
n=13 Participants
All subjects who received at least a partial dose of IMP.
Time to Achieve Clear Effluent
Time to clear effluent (A)
226.0 minutes
Interval 98.0 to 310.0
Time to Achieve Clear Effluent
Time to turbid contents (B)
165.5 minutes
Interval 58.0 to 410.0

Adverse Events

Overall Study

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Overall Study
n=19 participants at risk
All subjects who received at least a partial dose of IMP.
Gastrointestinal disorders
Diarrhoea
100.0%
19/19 • Number of events 19 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
Gastrointestinal disorders
Nausea
42.1%
8/19 • Number of events 8 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
Gastrointestinal disorders
Proctalgia
15.8%
3/19 • Number of events 3 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
Gastrointestinal disorders
Vomiting
15.8%
3/19 • Number of events 3 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
General disorders
Feeling hot
5.3%
1/19 • Number of events 1 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
Nervous system disorders
Headache
5.3%
1/19 • Number of events 1 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.
Gastrointestinal disorders
Rectal haemorrhage
5.3%
1/19 • Number of events 1 • Screening (Day -28 to -2) to post study follow-up (Day 6 to 8)
Adverse Events were recorded from the time of providing written informed consent until discharge from the study at the follow-up visit/call. During each study visit, subjects were questioned directly regarding the occurrence of any adverse medical event according to the schedule in the clinical database.

Additional Information

Lucy Clayton

Norgine

Phone: +441895826669

Results disclosure agreements

  • Principal investigator is a sponsor employee The agreement between Norgine and Quotient Sciences states that Quotient have no publication rights.
  • Publication restrictions are in place

Restriction type: OTHER