A Pharmacokinetic and Safety Study of CSTI-500 in Subjects With Prader-Willi Syndrome

NCT ID: NCT05504395

Last Updated: 2023-08-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-14
• Study Completion Date: 2023-02-21

Brief Summary

The purpose of this Phase 1 study is to evaluate the pharmacokinetics (PK) and safety of a single dose of CSTI-500 10 mg in subjects with Prader-Willi syndrome (PWS) between 13 and 50 years of age with a genetically confirmed diagnosis of PWS.

Detailed Description

This is an open-label, single center, Phase 1 study to evaluate the PK and safety of a 10 mg single oral dose of CSTI-500, a triple monoamine reuptake inhibitor (TRI), in patients with genetically confirmed PWS. The study will consist of a Screening Period of up to 1-3 days prior to the Baseline Visit (Visit 2). In addition to the Screening Visit (Visit 1), eligible subjects will attend five in-clinic site visits for PK blood draws and safety assessments over a 6-day period. At Visit 2 all subjects will receive one single oral dose of CSTI-500 10 mg. Approximately 14 patients aged 13 to 50 years who meet all eligibility criteria will receive one single dose of CSTI-500.

Conditions

Prader-Willi Syndrome

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

CSTI-500 10mg

All eligible subjects will be administered a single oral dose of CSTI-500 10 mg at Visit 2

Group Type: EXPERIMENTAL

CSTI-500

Intervention Type: DRUG

Single 10 mg capsule

Interventions

CSTI-500

Single 10 mg capsule

Intervention Type: DRUG

Other Intervention Names

AMR-001181

Eligibility Criteria

Inclusion Criteria

• Male and female subjects (13-50 years of age at screening) with a documented medical record history of PWS confirmed by genetic testing.
• Subject must have a reliable caregiver/parent to bring the subject to the site for the visits, remain with the subject during visit times when allowed to be with the subject and respond to any questions during the visits.
• Female subjects must not be pregnant or lactating and be willing to use double barrier birth control method throughout the study.
• A normal supine systolic blood pressure must be ≤140 mmHg and ≥100 mmHg; diastolic blood pressure must be ≤80 mmHg and ≥60 mmHg at Screening. Pulse rate must be ≥50 bpm and ≤100 bpm and pulse rate increase on standing must be within acceptable range.
• All concomitant medications including blood pressure medications and type 2 diabetic medications must be stable for ≥3 months prior to screening (≤10% change). Supplements and vitamins are not considered concomitant medications for eligibility purposes.

Exclusion Criteria

• Participation in any clinical study with an investigational drug/device within 3 months prior to screening or during the study.
• Recent use (within 3 months) of weight loss agents including prescription, herbal medications, and weight loss supplements.
• Major surgery within 6 months of screening or planned during the study or history of bariatric surgery.
• Any malignancy in the 2 years prior to screening (excluding basal cell carcinoma or squamous cell carcinoma of the skin or cervical carcinoma in situ that have been successfully treated).
• Current liver, pulmonary, cardiac, or GI disease that would be expected to adversely affect study participation. Stable disease, e.g., asthma or controlled hypertension is not excluded. Liver disease or liver injury as indicated by abnormal liver function tests, ALT, AST, alkaline phosphatase, or serum bilirubin (≥3X ULN for any of these tests).
• Unexplained history or presence of combination of unexplained symptoms e.g., dizziness, syncope, fatigue, palpitations/tachycardia, headaches, or exercise intolerance.
• Heart failure classified per the New York Heart Association (NYHA) level II or greater.
• Myocardial infarction, stroke, or confirmed TIA within the last 5 years.
• Uncontrolled Type 2 diabetes as defined by HbA1c ≥ 9% at Screening.
• Insulin-dependent Type 1 diabetes.
• Subjects with a history of any suicidal behavior.
• Inability to swallow the oral capsule whole with water.

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

ConSynance Therapeutics

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Italo Biaggioni, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center

Locations

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Countries

United States

Other Identifiers

CSTI-500-003

Identifier Type: -

Identifier Source: org_study_id