Pharmacokinetics of CVL-231 Following Single Oral Administration of Modified- and Immediate-release Formulations in Fasted and Fed Healthy Participants

NCT ID: NCT05106309

Last Updated: 2022-04-27

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-29

Study Completion Date

2022-02-24

Brief Summary

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A 2-part, crossover design, open-label treatment trial with 4 periods, 4 sequences (Part A) to evaluate MR formulations of CVL-231 and a 2 periods, 2 sequences (Part B) to understand effect of food on CVL-231 exposures from an MR formulation.

Detailed Description

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CVL-231 is a muscarinic acetylcholine receptor (mAChR) activator that selectively binds to the M4 muscarinic receptor subtype (M4 mAChR) and is being developed for treatment of psychosis in schizophrenia. Part A of this 2-part trial will investigate the PK of CVL-231 in healthy participants following a single oral dose of CVL-231 as 3 modified-release (MR) formulations with different release rates and an immediate-release (IR) formulation under fasted conditions. Upon selection of an MR formulation with appropriate PK characteristics, the effect of food on the PK of CVL-231 and its metabolite following single oral doses of the selected MR formulation may be evaluated in Part B.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Part A is an open-label, randomized, 4-period, 4-sequence, crossover design to investigate the PK, relative bioavailability, safety, and tolerability of single doses of CVL-231 IR/MR formulations in healthy participants. The following treatments, administered under fasted conditions are: 1) 10mg CVL-231 as IR formulation, 2) 30mg CVL-231 as slow release MR formulation, 3) 30mg CVL-231 as medium release MR formulation, 4) 30mg CVL-231 as fast release MR formulation.

Part B is an open-label, randomized, 2-period, 2-sequence, crossover design to investigate the effect of food on CVL-231 PK following a single dose of the CVL-231 MR formulation in healthy participants. After completion of Part A, a target release formulation (MR formulation with acceptable PK characteristics) may be selected and effect of food on CVL-231 PK from the target release formulation may be evaluated. Based on Part A data, if a target release formulation cannot be selected, Part B of the trial may be canceled.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part A: Single doses of CVL-231 IR/MR formulations in healthy participants under fasted conditions

Oral Dose

Group Type EXPERIMENTAL

10 mg CVL-231 as IR formulation

Intervention Type DRUG

Tablets

30 mg CVL-231 as slow-release MR formulation

Intervention Type DRUG

Capsules

30 mg CVL-231 as medium release MR formulation

Intervention Type DRUG

Capsules

30 mg CVL-231 as fast release MR formulation

Intervention Type DRUG

Capsules

Part B: Single doses of CVL-231 target release formulation under fasted and fed conditions

Oral Dose

Group Type EXPERIMENTAL

30 mg CVL-231 Target Release, Fasted

Intervention Type DRUG

Capsules

30 mg CVL-231 Target Release, Fed

Intervention Type DRUG

Capsules

Interventions

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10 mg CVL-231 as IR formulation

Tablets

Intervention Type DRUG

30 mg CVL-231 as slow-release MR formulation

Capsules

Intervention Type DRUG

30 mg CVL-231 as medium release MR formulation

Capsules

Intervention Type DRUG

30 mg CVL-231 as fast release MR formulation

Capsules

Intervention Type DRUG

30 mg CVL-231 Target Release, Fasted

Capsules

Intervention Type DRUG

30 mg CVL-231 Target Release, Fed

Capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Women of nonchildbearing potential and men 18 to 55 years, inclusive.
2. Healthy as determined by medical evaluation, including medical and psychiatric history, physical and neurological examinations, ECG, vital sign measurements, and laboratory test results, as evaluated by the investigator.
3. Body mass index of 18.5 to 30.0 kg/m2 and a total body weight \>50 kg (110 lbs).
4. Sexually active men with a pregnant or a nonpregnant partner of childbearing potential must agree to comply with protocol contraception requirements during treatment and through 7 days post dose. In addition, male participants should not donate sperm for a minimum of 7 days following the last dose of IMP.
5. Capable of giving signed informed consent.
6. Ability, in the opinion of the investigator, to understand the nature of the trial and comply with protocol requirements.

Exclusion Criteria

1. Current history of significant cardiovascular, pulmonary, gastrointestinal, renal, hepatic, metabolic, endocrine, hematological, immunological, or neurological disease that, in the opinion of the investigator or medical monitor, could compromise either participant safety or the results of the trial.
2. Current or past personal or family history of any psychiatric disorder as classified by DSM-5 criteria.
3. Epilepsy or a history of seizures except for a single seizure episode, eg, a childhood febrile seizure, a seizure related to trauma or alcohol withdrawal, or an unexplained loss of consciousness.
4. History of moderate to severe substance or alcohol-use disorder (excluding caffeine) within 12 months prior to signing the ICF.
5. Serious risk of suicide in the opinion of the investigator
6. Receipt of SARS-CoV2 vaccine or booster within 28 days of dosing with CVL-231, or plan to receive SARS-CoV2 vaccination or booster from Screening through 5 days after last dose of CVL-231.
7. Have recently been diagnosed with symptomatic COVID-19 or test positive for COVID-19 within 30 days prior to signing the ICF.
8. Either of the following:

* History of HIV, hepatitis B, or hepatitis C infection
* Positive result for HIV antibody, hepatitis B surface antigen, hepatitis B core antibody, or hepatitis C antibody
9. Positive drug screen for illicit drugs or a positive test for alcohol
10. 12-lead ECG demonstrating pre-defined abnormalities at Screening and Day -1 based on local evaluation.
11. Abnormal clinical laboratory tests or vital sign measurements at the Screening Visit and at Day -1 (check-in) for each period
12. Known to be allergic or hypersensitive to the IMP or any of its components.
13. Participation in any clinical trial within 90 days prior to signing the ICF.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cerevel Therapeutics, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthew Leoni, MD, MBA

Role: STUDY_DIRECTOR

Cerevel Therapeutics, LLC

Locations

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Celerion Inc.

Tempe, Arizona, United States

Site Status

Countries

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United States

Other Identifiers

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CVL-231-1004

Identifier Type: -

Identifier Source: org_study_id

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