Trial Outcomes & Findings for Food Effect and Bioequivalence Study of Simufilam Tablets in Healthy Volunteers (NCT NCT04932655)

NCT ID: NCT04932655

Last Updated: 2023-08-22

Results Overview

The maximum concentration determined directly from individual concentration-time data

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

Results posted on

2023-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence A
This arm received Phase 2 tablet fasted (Period 1), Phase 3 tablet fasted (Period 2), Phase 3 tablet after a high-fat meal (Period 3), and Phase 3 tablet after a low-fat meal (Period 4).
Sequence B
This arm received Phase 3 tablet after a low-fat meal (Period 1), Phase 2 tablet fasted (Period 2), Phase 3 tablet fasted (Period 3), and Phase 3 tablet after a high-fat meal (Period 4).
Sequence C
This arm received Phase 3 tablet fasted (Period 1), Phase 3 tablet after a high-fat meal (Period 2), Phase 3 tablet after a low-fat meal (Period 3), and Phase 2 tablet fasted (Period 4).
Sequence D
This arm received Phase 3 tablet after a high-fat meal (Period 1), Phase 3 tablet after a low-fat meal (Period 2), Phase 2 tablet fasted (Period 3), and Phase 3 tablet fasted (Period 4).
Period 1
STARTED
6
6
6
6
Period 1
COMPLETED
6
6
6
6
Period 1
NOT COMPLETED
0
0
0
0
Period 2
STARTED
6
6
6
6
Period 2
COMPLETED
6
6
6
6
Period 2
NOT COMPLETED
0
0
0
0
Period 3
STARTED
6
6
6
6
Period 3
COMPLETED
6
6
6
6
Period 3
NOT COMPLETED
0
0
0
0
Period 4
STARTED
6
6
6
6
Period 4
COMPLETED
6
6
6
6
Period 4
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Food Effect and Bioequivalence Study of Simufilam Tablets in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence A
n=6 Participants
This arm received Phase 2 tablet fasted (Period 1), Phase 3 tablet fasted (Period 2), Phase 3 tablet after a high-fat meal (Period 3), and Phase 3 tablet after a low-fat meal (Period 4).
Sequence B
n=6 Participants
This arm received Phase 3 tablet after a low-fat meal (Period 1), Phase 2 tablet fasted (Period 2), Phase 3 tablet fasted (Period 3), and Phase 3 tablet after a high-fat meal (Period 4).
Sequence C
n=6 Participants
This arm received Phase 3 tablet fasted (Period 1), Phase 3 tablet after a high-fat meal (Period 2), Phase 3 tablet after a low-fat meal (Period 3), and Phase 2 tablet fasted (Period 4).
Sequence D
n=6 Participants
This arm received Phase 3 tablet after a high-fat meal (Period 1), Phase 3 tablet after a low-fat meal (Period 2), Phase 2 tablet fasted (Period 3), and Phase 3 tablet fasted (Period 4).
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
31.8 years
STANDARD_DEVIATION 2.14 • n=5 Participants
38.0 years
STANDARD_DEVIATION 3.52 • n=7 Participants
30.3 years
STANDARD_DEVIATION 4.18 • n=5 Participants
34.7 years
STANDARD_DEVIATION 7.09 • n=4 Participants
33.7 years
STANDARD_DEVIATION 5.23 • n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
2 Participants
n=4 Participants
9 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
15 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
10 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
5 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
14 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
4 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
24 participants
n=21 Participants
Height
172.08 cm
STANDARD_DEVIATION 10.24 • n=5 Participants
174.95 cm
STANDARD_DEVIATION 6.37 • n=7 Participants
168.70 cm
STANDARD_DEVIATION 10.65 • n=5 Participants
173.62 cm
STANDARD_DEVIATION 14.43 • n=4 Participants
172.34 cm
STANDARD_DEVIATION 10.36 • n=21 Participants
Weight
79.25 Kg
STANDARD_DEVIATION 11.70 • n=5 Participants
75.77 Kg
STANDARD_DEVIATION 14.63 • n=7 Participants
69.78 Kg
STANDARD_DEVIATION 15.92 • n=5 Participants
80.58 Kg
STANDARD_DEVIATION 18.70 • n=4 Participants
76.35 Kg
STANDARD_DEVIATION 15.02 • n=21 Participants
BMI
26.63 Kg/m^2
STANDARD_DEVIATION 1.85 • n=5 Participants
24.62 Kg/m^2
STANDARD_DEVIATION 3.49 • n=7 Participants
24.35 Kg/m^2
STANDARD_DEVIATION 3.51 • n=5 Participants
26.45 Kg/m^2
STANDARD_DEVIATION 2.55 • n=4 Participants
25.51 Kg/m^2
STANDARD_DEVIATION 2.93 • n=21 Participants

PRIMARY outcome

Timeframe: 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

The maximum concentration determined directly from individual concentration-time data

Outcome measures

Outcome measures
Measure
Fasted Phase 3 Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken in a fasted state.
Phase 3 High-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a high-fat meal.
Phase 3 Low-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a low-fat meal.
Fasted Phase 2 Simufilam
n=24 Participants
All subjects after taking the Phase 2 simufilam oral tablet in a fasted state.
Cmax
698 ng/mL
Standard Deviation 190
715 ng/mL
Standard Deviation 156
755 ng/mL
Standard Deviation 149
680 ng/mL
Standard Deviation 193

PRIMARY outcome

Timeframe: 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

Area under the curve to the time of the last quantifiable concentration, calculated using the linear trapezoidal method

Outcome measures

Outcome measures
Measure
Fasted Phase 3 Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken in a fasted state.
Phase 3 High-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a high-fat meal.
Phase 3 Low-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a low-fat meal.
Fasted Phase 2 Simufilam
n=24 Participants
All subjects after taking the Phase 2 simufilam oral tablet in a fasted state.
AUClast
3890 h*ng/mL
Standard Deviation 1050
3810 h*ng/mL
Standard Deviation 951
3830 h*ng/mL
Standard Deviation 971
3860 h*ng/mL
Standard Deviation 978

PRIMARY outcome

Timeframe: 0, 0.33, 0.67, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12 and 24 hours

Area under the curve extrapolated to infinity; calculated as: AUCinf = AUClast + Clast/λz

Outcome measures

Outcome measures
Measure
Fasted Phase 3 Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken in a fasted state.
Phase 3 High-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a high-fat meal.
Phase 3 Low-fat Fed Simufilam
n=24 Participants
All subjects following Phase 3 simufilam 100 mg taken 30 min after the start of a low-fat meal.
Fasted Phase 2 Simufilam
n=24 Participants
All subjects after taking the Phase 2 simufilam oral tablet in a fasted state.
AUCinf
3980 h*ng/mL
Standard Deviation 1130
3900 h*ng/mL
Standard Deviation 1030
3930 h*ng/mL
Standard Deviation 1050
3960 h*ng/mL
Standard Deviation 1060

Adverse Events

Fasted Phase 3 Simufilam

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Phase 3 High-fat Fed Simufilam

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Phase 3 Low-fat Fed Simufilam

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Fasted Phase 2 Simufilam

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fasted Phase 3 Simufilam
n=24 participants at risk
All subjects following Phase 3 simufilam 100 mg tablet in a fasted state.
Phase 3 High-fat Fed Simufilam
n=24 participants at risk
All subjects following Phase 3 simufilam 100 mg tablet taken 30 min after the start of a high-fat meal.
Phase 3 Low-fat Fed Simufilam
n=24 participants at risk
All subjects following Phase 3 simufilam 100 mg tablet taken 30 min after the start of a low-fat meal.
Fasted Phase 2 Simufilam
n=24 participants at risk
All subjects following Phase 2 simufilam 100 mg tablet taken in a fasted state.
Nervous system disorders
headache
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
Gastrointestinal disorders
nausea
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
Gastrointestinal disorders
constipation
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
Gastrointestinal disorders
abdominal distension
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
Gastrointestinal disorders
dyspepsia
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
Ear and labyrinth disorders
auditory disorder
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
General disorders
fatigue
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
Gastrointestinal disorders
diarrhoea
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
0.00%
0/24 • 8 days
Eye disorders
Lacrimal disorder
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days
Nervous system disorders
Parosmia
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
0.00%
0/24 • 8 days
4.2%
1/24 • Number of events 1 • 8 days

Additional Information

Nadav Friedmann, PhD, MD

Cassava Sciences, Inc.

Phone: 512-501-2444

Results disclosure agreements

  • Principal investigator is a sponsor employee The PI is an employee of the CRO who conducted the study and is restricted by CDA.
  • Publication restrictions are in place

Restriction type: OTHER