Drug-Drug Interaction Study to Evaluate the Effects of Ecopipam on the Pharmacokinetics of Multiple Substrates

NCT ID: NCT04764851

Last Updated: 2021-05-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-18

Study Completion Date

2021-05-07

Brief Summary

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This is a single center, open-label, fixed sequence Phase 1, drug-drug interaction (DDI) study in healthy subjects.

Detailed Description

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Following a screening period of up to 28 days, subjects will be admitted to the clinical research unit into one of three cohorts. On the morning of Day 1, subjects in cohorts 1, 2, and 3 will receive fasted doses of probe substrate(s) per assigned cohort. On Day 5, Cohort 2 only will receive a second fasted dose of probe substrates. Subjects in cohorts 1, 2, and 3 will receive the final fasted dose of probe substrate(s) on Day 13. Fasted ecopipam administration will begin on Day 5 and will continue through Day 17 at \~2mg/kg for all cohorts. Ecopipam doses will be tapered starting on Day 18 by 25 mg/day increments until subjects are off drug, with final discharge occurring 24 hours after the ecopipam HCl dose has been reduced to 25 mg (Day 21, 23, or 25).

Conditions

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Drug-Interactions

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Cohort 1

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days

Cohort 1 Probe Cocktail given on 2 separate days:

* midazolam: 1 µg infused IV
* caffeine: 200 mg oral tablet
* omeprazole: two 20 mg oral tablets
* dextromethorphan: 1.6mL (containing \~10 mg) oral solution

Group Type OTHER

ecopipam HCl ~2mg/kg/day

Intervention Type DRUG

oral tablet

Cohort 1 Probe Cocktail

Intervention Type COMBINATION_PRODUCT

dextromethorphan, caffeine, omeprazole, and midazolam

Cohort 2

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days

Cohort 2 Probe Cocktail given on 3 separate days:

* midazolam: 10 µg/mL given as 1mL oral solution.
* dabigatran: 375 µg/mL and pitavastatin: 10 µg/mL given as 1mL oral solution
* rosuvastatin: 25 µg/mL and atorvastatin: 50 µg/mL given as 2mL oral solution

Group Type OTHER

ecopipam HCl ~2mg/kg/day

Intervention Type DRUG

oral tablet

Cohort 2 Probe Cocktail

Intervention Type COMBINATION_PRODUCT

dabigatran, pitavastatin, rosuvastatin, atorvastatin, midazolam

Cohort 3

ecopipam HCl oral tablets of 12.5, 50, 75, and 100 mg daily for up to 20 days

Cohort 3 Probe Cocktail given on 2 separate days:

\- bupropion: 100mg oral tablet

Group Type OTHER

ecopipam HCl ~2mg/kg/day

Intervention Type DRUG

oral tablet

Cohort 3 Probe Cocktail

Intervention Type COMBINATION_PRODUCT

bupropion

Interventions

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ecopipam HCl ~2mg/kg/day

oral tablet

Intervention Type DRUG

Cohort 1 Probe Cocktail

dextromethorphan, caffeine, omeprazole, and midazolam

Intervention Type COMBINATION_PRODUCT

Cohort 2 Probe Cocktail

dabigatran, pitavastatin, rosuvastatin, atorvastatin, midazolam

Intervention Type COMBINATION_PRODUCT

Cohort 3 Probe Cocktail

bupropion

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Male subjects or female subjects of non-childbearing potential
* ≥18 and \<55 years of age at the time of consent
* BMI \>18.5 and \<30 kg/m2 and a weight of ≥50 kg for males or ≥45 kg for females
* Sexually active males must use a double barrier method of contraception during the study and for at least 90 days after the last dose of study drug
* Male subjects must be willing not to donate sperm until 90 days following the last study drug administration

Exclusion Criteria

* Personal or family History of significant medical illness
* Clinically significant abnormalities on screening tests/exams
* History of or significant risk of committing suicide
* Donation of plasma within 7 days prior to dosing
* Donation or significant loss of blood within 30 days prior to the first dosing
* Major surgery within 3 months or minor surgery within 1 month prior to admission
* Use of prohibited prescription, over-the-counter medications or natural health products
* Alcohol-based products 24 hours prior to admission
* Female subjects who are currently pregnant or lactating
* Positive pregnancy test
* Use of tobacco or nicotine products within 3 months prior to Screening
* Significant alcohol consumption
* History of drug abuse within the previous 2 years, or a positive drug screen
* History of allergy to study medications
* Undergoing abrupt discontinuation of alcohol or sedatives
* Not suitable for study in the opinion of the Principal Investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Syneos Health

OTHER

Sponsor Role collaborator

Nuventra, Inc.

INDUSTRY

Sponsor Role collaborator

Emalex Biosciences Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Syneos Health Clinical Research Services, LLC.

Miami, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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EBS-101-HV-101

Identifier Type: -

Identifier Source: org_study_id

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